Ensure that a Making Every Contact Count (MECC) approach is adopted in all contacts with pregnant women, Signposting individuals to other appropriate services to further support their health and wellbeing needs (i.e. weight management, social prescribers) To undertake and record carbon monoxide (CO) monitor readings and explain results to women. To provide and deliver evidence-based care and will provide clinical support and lead a designated stop smoking service Support compliance with action plans set up to deliver performance improvement and work with stakeholders to deliver KPIs in relation to smoking cessation. To provide educational/teaching to raise awareness of tobacco addiction and the effects on pregnancy. Ensure national targets for reducing smoking in pregnancy are met in conjunction with other members of the maternity team. To act as a representative on any trust wide projects relating to improvement initiatives on smoking cessation programmes as requested by the head of midwifery. To utilise screening questionnaires (specific to nicotine dependency) to assist with planning and agreement of the most appropriate tobacco dependency support programme. Communicate effectively with women to enable /facilitate women to meet their own needs with support and where required pharmacotherapy. Support and motivate pregnant women to use their agreed action plan to change smoking behaviours and to sustain this change. To have the skills to deliver factual information to pregnant women in a sensitive, motivational manner, either face to face or via the telephone. Ensure that a Making Every Contact Count (MECC) approach is adopted in all contacts with pregnant women. Signpost individuals to other appropriate services to further support their health and wellbeing needs (i.e. weight management, social prescribers). Enable delivery of smoking cessation programs Provide educational/teaching to raise the profile of tobacco dependency addiction and the effects on pregnancy. Work with health care colleagues to ensure that maternity staff are up to date with current practice and techniques in helping patient to quit smoking. Advise pregnant women on the use of stop smoking pharmacotherapy, including NRT. Ensure timely access to chosen NRT medication during pregnancy and using agreed protocol. Undertake and record carbon monoxide (CO) monitor readings and explain results to women. To be able to recognise a deteriorating patient and report to clinical staff when symptoms are not explained by / linked to smoking cessation.