Job summary The primary role of the Maternity Support Worker (MSW) is to assist, support and work in collaboration with the midwife and the wider multidisciplinary team; in order to provide a safe and holistic approach to women centred care. The midwife is ultimately responsible for the care of the mother and her new-born(s), and it is under the direct or indirect supervision of the midwife that the MSW assists with and provides clinical care following completion of any relevant or appropriate training. The post is rotational and the employee will be provided with appropriate training for the clinical setting in which they are working. These settings include antenatal inpatient or outpatient care, intrapartum inpatient care and postnatal inpatient and outpatient care. Main duties of the job Undertake planned delegated care as part of the midwifery team, delivering high standards of clinical, physical, psychological and social aspects of care under the supervision of a registered practitioner Work in partnership with women and their families developing and maintaining positive relationships, support informed decision making and respect the woman, birthing person and their family's wishes Work within limits of own competence and authority in line with the MSW's scope of practice in the national framework to inform care planning in line with national and local guidance, escalating to the multi-disciplinary team to avoid harm as required Work collaboratively as part of a team. Promote a professional, welcoming and caring environment. Have a positive attitude and consistently demonstrate the Trust's values and behaviours About us With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation. Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH. Date posted 27 January 2025 Pay scheme Agenda for change Band Band 3 Salary £24,071 to £25,674 a year per annum pro rata Contract Permanent Working pattern Part-time Reference number 164-6932522 Job locations Community Midwifery - various sites 29 Nottingham Road Nottingham NG7 7AD Job description Job responsibilities Undertake planned delegated care as part of the midwifery team, delivering high standards of clinical, physical, psychological and social aspects of care under the supervision of a registered practitioner Work in partnership with women and their families developing and maintaining positive relationships, support informed decision making and respect the woman, birthing person and their familys wishes Work within limits of own competence and authority in line with the MSWs scope of practice in the national framework to inform care planning in line with national and local guidance, escalating to the multi-disciplinary team to avoid harm as required Work collaboratively as part of a team. Promote a professional, welcoming and caring environment. Have a positive attitude and consistently demonstrate the Trusts values and behaviours Care of the Woman Manage own time and caseload effectively prioritising care needs of women and their babies under the direction and supervision of the associated professional Escort women, birthing people and their families between clinical areas as required Support women during clinical procedures and act as chaperone when requested to do so. Assist with the admission, orientation and discharge of women and their babies in accordance with local policy and guidance. Communicate effectively and clarify understanding with women and their families in all settings and be able to select appropriate methods to communicate when a disability or complexity may exist. Understand and gain consent before providing care. Undertake baseline and routine observations and measurements (and escalate any deviation from the normal range) to the named midwife or appropriate member of the multi-disciplinary team. Provide support to labouring women if asked to do so, and under the supervision of the midwife, this may include application of TENS machine or teaching breathing and Massage techniques. Perform cannulation, venipuncture or capillary blood sampling in line with national standards and local policy and guidance following completion of relevant competencies training Assist in the maintenance and understand the principles of good bladder care, removal of catheter and disposal of equipment following infection control policy and to accurately document fluid balance. Assist in the nutrition and hydration needs of women and birthing people. Assist women and birthing people with mobilisation following surgical procedures and removal of dressings or cannula under direction of the midwife or nurse Assist with the transportation of blood products if asked to do so and have an awareness of the storage requirements. Obstetric and Neonatal Emergencies Assist /act as a runner in obstetric theatres including: To support and assist the midwife in the womans preparation for transfer to theatre To document times and personnel present in theatre records for each procedure To undertake WHO checklist To count swabs and needles in instrumental/operative delivery Recognise and act upon, within own parameters of competence, any abnormal events or emergencies, escalating to the multi-disciplinary team in a timely manner. Assist the Midwife with neonatal resuscitation where required, this may include collecting and/or passing equipment Care of the Newborn Undertake neonatal observations under direct and indirect supervision and escalate any deviations from the normal range appropriately and in a timely manner, following the completion of practical and theoretical competency training. Observe the overall wellbeing of the newborn and escalate any concerns to named midwife or multi-professional team in a timely manner. Provide practical support and transition to parenthood for new parents when caring for their newborn, whilst promoting safety, bonding and teaching parenting skills in both the hospital and home settings. To assist or perform neonatal blood sampling including tests such as newborn blood spot and Serum bilirubin ratio (SBR) test as directed by the midwife, following successful completion of appropriate competency training Infant Feeding Have the knowledge and skills to support initiation and maintenance of breastfeeding Understand the importance of skin-to-skin contact to support infant feeding and how to facilitate this within practice promoting responsive feeding to feeding cues Understand principles and mechanisms of attachment and positioning for effective feeding in line with BFI standards Be aware of the range of circumstances which can affect lactation and breastfeeding and be able to support mothers to overcome common challenges and make appropriate referrals when necessary (e.g midwife/health visitor/infant feeding lead) Understand how to help women continue breastfeeding should supplementation be required Support with expressing and storage of breastmilk to include hand and pump expression technique and the use of cup feeding Be aware of the main constituents of human milk and their function, including Colostrum and Mature breastmilk Appreciate the importance and the role of human milk and breastfeeding to improve the health and wellbeing outcomes for infants, their mothers and the wider family and in promoting and protecting public health. Understand the functional anatomy and physiology of lactation and hormonal influences on milk production and mothering. As well as the role of the Feedback Inhibitor of Lactation (FIL) Be able to support parents who formula feed to do so responsively and as safely as possible including minimising the risks, to make up feeds, how to sterilise equipment, how to hold a baby and pace the feeds. Develop an understanding of the importance of secure mother-infant attachment and the impact this has on health and emotional wellbeing, irrespective of feeding method Understand the importance of the WHO International Code of Marketing of Breastmilk Substitutes and subsequent WHA Resolutions (the Code) and how it impacts on practice. Health Promotion and Screening Maintain an up to date knowledge base about local and national antenatal and newborn screening services and signpost women, birthing people and their families to appropriately qualified practitioners if they are undecided or have concerns. Have an understanding and advise families about newborn blood spot screening, immunisations and produce GROW Charts following successful completion of the appropriate competencies training. Recognise and promote the principles of behaviour changes required in health promotion activities including diet, food hygiene, exercise, personal hygiene and smoking cessation. (For example, assess CO levels and signposting to local service appropriately as per policy guidance). Complete the relevant documentation for screening tests performed in the maternity records. Recognise any deterioration in mental and emotional wellbeing and respond appropriately, escalating to a midwife to enable an appropriate care pathway. Be aware of and understand the current policy and service frameworks for mental health (e.g. Mental Capacity Act, Deprivation of Liberty Safeguards and Mental Health Act) and how they impact on your role. Be aware of perinatal mental health issues and the appropriate referral pathway including escalation to the multi-disciplinary team within home or hospital setting. Safe Environment Understand and abide by the local infection control policy and procedure. Act responsibly in respect of colleagues health, safety and welfare following safety at work practices including lone working, complying with local health and safety policy and guidance. Ensure the cleanliness of equipment in all clinical and non-clinical areas and assist the midwife in appropriately preparing the environment. Ensure adequate stock levels are maintained in all clinical settings, and equipment is available; escalate any depletion of stock or resources in a timely manner. Assist in stocking up and cleaning all home birth team equipment if required. Ensure the working order of equipment, reporting any concerns, faults or breakages to the appropriate person in a timely manner. Report any incidents or concerns using Datix and escalate such concerns or incidents appropriately and in a timely manner. Participate in the audit of standards within the unit as and when required Administrative Duties Ensure that all clinical documentation written or electronic is accurately and confidentially collected, updated, stored and filed in accordance with local information governance and record keeping policy and guidance. Provide administrative support to the midwifery team as required Maintain confidentiality and data protection in line with local information governance and in accordance with legal requirements for tracking, obtaining, and filing clinical records Professional Attitudes and responsibilities Convey an approachable and professional manner to all mothers, birthing people and their families. Demonstrate an awareness of discriminatory attitudes and challenge this behaviour to promote equality. Recognise how to support people from protected characteristics groups which includes: age, disability, gender reassignment, marriage and civil partnership, race, religion or belief, sex and sexual orientation (Equality Act 2010) Ensure that knowledge of local safeguarding policy and procedure is maintained and used appropriately referring issues of concern in a timely manner. To be vigilant of Child Protection issues and refer issues of concern in a timely manner to registered midwife complying with legal requirements. Job description Job responsibilities Undertake planned delegated care as part of the midwifery team, delivering high standards of clinical, physical, psychological and social aspects of care under the supervision of a registered practitioner Work in partnership with women and their families developing and maintaining positive relationships, support informed decision making and respect the woman, birthing person and their familys wishes Work within limits of own competence and authority in line with the MSWs scope of practice in the national framework to inform care planning in line with national and local guidance, escalating to the multi-disciplinary team to avoid harm as required Work collaboratively as part of a team. Promote a professional, welcoming and caring environment. Have a positive attitude and consistently demonstrate the Trusts values and behaviours Care of the Woman Manage own time and caseload effectively prioritising care needs of women and their babies under the direction and supervision of the associated professional Escort women, birthing people and their families between clinical areas as required Support women during clinical procedures and act as chaperone when requested to do so. Assist with the admission, orientation and discharge of women and their babies in accordance with local policy and guidance. Communicate effectively and clarify understanding with women and their families in all settings and be able to select appropriate methods to communicate when a disability or complexity may exist. Understand and gain consent before providing care. Undertake baseline and routine observations and measurements (and escalate any deviation from the normal range) to the named midwife or appropriate member of the multi-disciplinary team. Provide support to labouring women if asked to do so, and under the supervision of the midwife, this may include application of TENS machine or teaching breathing and Massage techniques. Perform cannulation, venipuncture or capillary blood sampling in line with national standards and local policy and guidance following completion of relevant competencies training Assist in the maintenance and understand the principles of good bladder care, removal of catheter and disposal of equipment following infection control policy and to accurately document fluid balance. Assist in the nutrition and hydration needs of women and birthing people. Assist women and birthing people with mobilisation following surgical procedures and removal of dressings or cannula under direction of the midwife or nurse Assist with the transportation of blood products if asked to do so and have an awareness of the storage requirements. Obstetric and Neonatal Emergencies Assist /act as a runner in obstetric theatres including: To support and assist the midwife in the womans preparation for transfer to theatre To document times and personnel present in theatre records for each procedure To undertake WHO checklist To count swabs and needles in instrumental/operative delivery Recognise and act upon, within own parameters of competence, any abnormal events or emergencies, escalating to the multi-disciplinary team in a timely manner. Assist the Midwife with neonatal resuscitation where required, this may include collecting and/or passing equipment Care of the Newborn Undertake neonatal observations under direct and indirect supervision and escalate any deviations from the normal range appropriately and in a timely manner, following the completion of practical and theoretical competency training. Observe the overall wellbeing of the newborn and escalate any concerns to named midwife or multi-professional team in a timely manner. Provide practical support and transition to parenthood for new parents when caring for their newborn, whilst promoting safety, bonding and teaching parenting skills in both the hospital and home settings. To assist or perform neonatal blood sampling including tests such as newborn blood spot and Serum bilirubin ratio (SBR) test as directed by the midwife, following successful completion of appropriate competency training Infant Feeding Have the knowledge and skills to support initiation and maintenance of breastfeeding Understand the importance of skin-to-skin contact to support infant feeding and how to facilitate this within practice promoting responsive feeding to feeding cues Understand principles and mechanisms of attachment and positioning for effective feeding in line with BFI standards Be aware of the range of circumstances which can affect lactation and breastfeeding and be able to support mothers to overcome common challenges and make appropriate referrals when necessary (e.g midwife/health visitor/infant feeding lead) Understand how to help women continue breastfeeding should supplementation be required Support with expressing and storage of breastmilk to include hand and pump expression technique and the use of cup feeding Be aware of the main constituents of human milk and their function, including Colostrum and Mature breastmilk Appreciate the importance and the role of human milk and breastfeeding to improve the health and wellbeing outcomes for infants, their mothers and the wider family and in promoting and protecting public health. Understand the functional anatomy and physiology of lactation and hormonal influences on milk production and mothering. As well as the role of the Feedback Inhibitor of Lactation (FIL) Be able to support parents who formula feed to do so responsively and as safely as possible including minimising the risks, to make up feeds, how to sterilise equipment, how to hold a baby and pace the feeds. Develop an understanding of the importance of secure mother-infant attachment and the impact this has on health and emotional wellbeing, irrespective of feeding method Understand the importance of the WHO International Code of Marketing of Breastmilk Substitutes and subsequent WHA Resolutions (the Code) and how it impacts on practice. Health Promotion and Screening Maintain an up to date knowledge base about local and national antenatal and newborn screening services and signpost women, birthing people and their families to appropriately qualified practitioners if they are undecided or have concerns. Have an understanding and advise families about newborn blood spot screening, immunisations and produce GROW Charts following successful completion of the appropriate competencies training. Recognise and promote the principles of behaviour changes required in health promotion activities including diet, food hygiene, exercise, personal hygiene and smoking cessation. (For example, assess CO levels and signposting to local service appropriately as per policy guidance). Complete the relevant documentation for screening tests performed in the maternity records. Recognise any deterioration in mental and emotional wellbeing and respond appropriately, escalating to a midwife to enable an appropriate care pathway. Be aware of and understand the current policy and service frameworks for mental health (e.g. Mental Capacity Act, Deprivation of Liberty Safeguards and Mental Health Act) and how they impact on your role. Be aware of perinatal mental health issues and the appropriate referral pathway including escalation to the multi-disciplinary team within home or hospital setting. Safe Environment Understand and abide by the local infection control policy and procedure. Act responsibly in respect of colleagues health, safety and welfare following safety at work practices including lone working, complying with local health and safety policy and guidance. Ensure the cleanliness of equipment in all clinical and non-clinical areas and assist the midwife in appropriately preparing the environment. Ensure adequate stock levels are maintained in all clinical settings, and equipment is available; escalate any depletion of stock or resources in a timely manner. Assist in stocking up and cleaning all home birth team equipment if required. Ensure the working order of equipment, reporting any concerns, faults or breakages to the appropriate person in a timely manner. Report any incidents or concerns using Datix and escalate such concerns or incidents appropriately and in a timely manner. Participate in the audit of standards within the unit as and when required Administrative Duties Ensure that all clinical documentation written or electronic is accurately and confidentially collected, updated, stored and filed in accordance with local information governance and record keeping policy and guidance. Provide administrative support to the midwifery team as required Maintain confidentiality and data protection in line with local information governance and in accordance with legal requirements for tracking, obtaining, and filing clinical records Professional Attitudes and responsibilities Convey an approachable and professional manner to all mothers, birthing people and their families. Demonstrate an awareness of discriminatory attitudes and challenge this behaviour to promote equality. Recognise how to support people from protected characteristics groups which includes: age, disability, gender reassignment, marriage and civil partnership, race, religion or belief, sex and sexual orientation (Equality Act 2010) Ensure that knowledge of local safeguarding policy and procedure is maintained and used appropriately referring issues of concern in a timely manner. To be vigilant of Child Protection issues and refer issues of concern in a timely manner to registered midwife complying with legal requirements. Person Specification Qualifications (Academic/Professional) Essential NVQ Level 3 in relevant subject, or equivalent qualification. E.g. N.N.E.B. Evidence of recent learning Desirable NVQ Level 3 Health Travelling -Driving Licence Essential Full driving licence and the ability to travel between locations. Car driver with access to a car for work. Previous Experience (Nature & Level) Essential Experience of working with women and families. Experience of multi-agency working. Experience of working with women from different groups and diverse communities. Experience in working with Mothers and children on an individual and group basis. Desirable Demonstrate understanding of clinical role in personal statement Evidence of Particular -Knowledge -Skills -Aptitudes Essential Knowledge of issues relating to the needs of individuals and different groups within the community. Ability to communicate clearly both verbally and in writing. Ability to develop good working relationships with wide range of people and organizations in the statutory and voluntary sectors including community groups and user. Ability to work as an effective team member. Ability to work with staff from a diverse range of backgrounds. Ability to work openly with parents and to be committed to community participation. Confidence to work flexibly and to challenge established ways of working and organisational structures Desirable Apply knowledge to role Produce evidence of application, Demonstrates utilisation of skills and how they have maintain competence. Special Requirements -Unsociable Hours Essential Flexible approach to work arrangements. Ability to work to tight deadlines. Commitment to personal development. Positive attitude towards equal opportunities and towards working in a multi-cultural environment. Desirable Demonstrates ability to work alone across the caseload area Physical Requirements Essential All appointments are subject to satisfactory medical clearance and the ability to cope with the demands of the role. Person Specification Qualifications (Academic/Professional) Essential NVQ Level 3 in relevant subject, or equivalent qualification. E.g. N.N.E.B. Evidence of recent learning Desirable NVQ Level 3 Health Travelling -Driving Licence Essential Full driving licence and the ability to travel between locations. Car driver with access to a car for work. Previous Experience (Nature & Level) Essential Experience of working with women and families. Experience of multi-agency working. Experience of working with women from different groups and diverse communities. Experience in working with Mothers and children on an individual and group basis. Desirable Demonstrate understanding of clinical role in personal statement Evidence of Particular -Knowledge -Skills -Aptitudes Essential Knowledge of issues relating to the needs of individuals and different groups within the community. Ability to communicate clearly both verbally and in writing. Ability to develop good working relationships with wide range of people and organizations in the statutory and voluntary sectors including community groups and user. Ability to work as an effective team member. Ability to work with staff from a diverse range of backgrounds. Ability to work openly with parents and to be committed to community participation. Confidence to work flexibly and to challenge established ways of working and organisational structures Desirable Apply knowledge to role Produce evidence of application, Demonstrates utilisation of skills and how they have maintain competence. Special Requirements -Unsociable Hours Essential Flexible approach to work arrangements. Ability to work to tight deadlines. Commitment to personal development. Positive attitude towards equal opportunities and towards working in a multi-cultural environment. Desirable Demonstrates ability to work alone across the caseload area Physical Requirements Essential All appointments are subject to satisfactory medical clearance and the ability to cope with the demands of the role. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Employer details Employer name Nottingham University Hospitals NHS Trusts Address Community Midwifery - various sites 29 Nottingham Road Nottingham NG7 7AD Employer's website https://www.nuh.nhs.uk/ (Opens in a new tab)