Lead Midwife for Induction of Labour and Planned Caesarean Sections

Main duties and Responsibilities: Clinical: To spend 50% of time clinically facing. This will include supporting the daily planned caesarean section lists and working clinically on the antenatal ward supporting induction of labour. To review referrals and ensure timely appointments for induction of labour and planned caesarean sections as the midwifery lead within the multidisciplinary team and liaise with women and birthing people regarding their admission. To prioritise inductions of labour and planned caesarean sections in collaboration with the multidisciplinary team. To identify, analyse, and interpret facts and information to ensure the management of a woman and birthing people is in accordance with risk throughout their pregnancy journey. To coordinate induction of labour and planned caesarean section daily and optimise capacity whilst ensuring a safe environment for women and birthing people and their families. This will include the development and communication of plans for IOL to women and birthing people and the Multidisciplinary Team (MDT). To plan, coordinate and facilitate induction of labour workshops for women, birthing people and their families. To plan, coordinate and facilitate planned caesarean section workshops for women, birthing people and their families. To attend any meetings appropriate to the post holders role, ensuring effective communication within the team and leading on actions to be undertaken and applications of recommendations. Meetings may include the multidisciplinary labour ward handovers, safety huddles and Trust bed meetings. To refer women and birthing people to other practitioners when needs and risks are beyond ones own scope of practice. To contribute to supporting and nurturing student midwives education and professional development by acting as a practice supervisor/assessor. To support women and birthing people, encouraging them to promote their own health and wellbeing and that of their baby and to express their interests and concerns. To support service users in their patient journey through the service by ensuring clear lines of communication and advise is provided around any potential delays and act as a contact for women and birthing people to raise concerns. To support, develop and deliver safe, effective and outstanding care for women and birthing people and their families. Professional: Practice in line with the NMC Code of Practice. Provide guidance and advice for staff as required. Develop a sense of social responsibility towards members of the working team. To ensure that all Trust standards are maintained and monitored to improve the quality of care to all whom come into contact with services. To participate in team, professional and personal development activities and promote commitment to continuous development and improvement. To maintain and develop own professional competence and remain responsible for meeting the requirements of Revalidation (NMC). To always act as a positive senior midwifery leader-ambassador by providing helpful and professional clinical and non-clinical support to all on-site staff, families and visitors. To display a mature approach to challenging situations, including unexpected situations, including complex communication, such as delivering sensitive news. Be involved in continuous monitoring and maintaining quality standards of clinical practice and care through a variety of ways, for example, audit. Practice within the policies, procedures, protocols and guidelines agreed by the Trust. Management: To maintain up to date information on induction of labour and planned caesarean sections and anticipated admissions within the clinical areas to drive patient safety and efficient use of staff and resources. To coordinate the booking of all induction of labours and planned caesarean sections for women and birthing people. To inform the Labour Ward and Maternity Triage Manager and Head of Midwifery when there is disparity between existing bed capacity and the placement of planned admissions with onward escalation to the Director of Midwifery as appropriate. Using escalation guidance, work in collaboration with Labour Ward and Maternity Triage Manager and Head of Midwifery when there are rising capacity pressures. To address any verbal complaints received from women and birthing people and their families in real time and attempt to resolve these at a local level when a verbal complaint is being presented. To design and develop project plans for quality improvements and service developments both in the provider site and across the LMNS as required. To write and/or contribute to relevant reports as required. To make sure recommendations from national guidelines, policies and strategies are consistently included in local practice. To ensure efficient and effective use of resources. Governance: To participate in audits and quality improvement programmes in accordance with change management. To support and participate in guideline/SOP development as required. To demonstrate a shared responsibility for ensuring that key recommendations from serious incidents are effectively implemented and learning gets to the maternity staff delivering care. To participate in clinical or other levels of audit to aid service evaluation and development. To ensure clinical incident reporting takes place and facilitate changes to reduce risk. Have a clear understanding and ability to implement principles of Information Governance and how to manage situations where this may be breached. Leadership: To work collaboratively with the senior team to implement, deliver and evaluate effective capacity and flow through the maternity inpatients services. To collaborate with the Senior Midwifery and Operational Teams to ensure the delivery of high standards of clinical care. To maintain, monitor and evaluate standards of care within the midwifery team and to assist in the implementation of recommendations from Government or Professional bodies and CQC Regulations in relation to maternity care. To assist in the development of health and safety standards and the monitoring of these standards, ensuring that Trust Policies are adhered to, and equipment is used correctly and in accordance with the Health and Safety at Work act. To facilitate the implementation of national and local quality initiatives to improve service delivery e.g. Implementation of the Saving Babies Lives 3 Care bundle Maternity and Neonatal Improvement Plan Maternity Incentive Scheme 3 Year delivery plan for Maternity and Neonatal Services The Trust Strategy To establish good team relationships, collaboration and networking within the Trust and Northwest London sector. To be a visible role model within all the clinical areas providing support and access to all teams. Communication and Teamwork: To communicate effectively with the wider multidisciplinary teams to ensure high quality individualised care, for all women and birthing people, including those who are not offered induction of labour, who decline induction of labour and who make birth choices outside of clinical guidelines. This care will respect women and birthing peoples autonomy, privacy, and dignity. To ensure effective communication between the labour ward and antenatal ward. To communicate effectively with a wide range of people to explore complex issues and to make complex decisions. Competently and sensitively manage information concerning women and birthing peoples medical conditions and provide information displaying qualities of compassion and empathy when dealing with difficult situations. To establish and maintain channels of effective verbal and written communication within area of responsibility, the department, and the Trust where applicable. To communicate in an effective and in a timely manner within the multi-professional team. To inform Ward Managers, Matrons and other members of the Senior Midwifery Team of issues relating to the clinical and operational management of their areas. To support the development of a safety culture within the context of resource constraints and multiple conflicting priorities. Overcome communication barriers where they occur and seek appropriate services to ensure inclusivity, equality and diversity for all women and birthing people and the workforce. To communicate and undertake sensitive conversations with women and birthing people and their families such as around delays in induction of labour and where transfer to alternative units may be recommended but not readily accepted and delays or cancellation of planned caesarean sections. To provide specialised advice and support to women and birthing people through their admission. Communicate and liaise with the multidisciplinary and multi-agency teams to promote effective and quality care ensuring that confidentiality is respected at all times. Contributes to systems in place to proactively disseminate information, e.g. team briefings, ward / departmental meetings, so that staff are kept informed. Other Responsibilities: Maintain compliance with Trust mandatory training in order to provide safe care. To be aware of responsibility for the health, safety and welfare of women/birthing people, visitors, staff and others, and to comply with the requirements of the Health and Safety Regulations

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