Perinatal Mental illness affects 20% of women during pregnancy and the first year following the birth of a child. If left untreated it can have significant and long-lasting effects on women and families. An exciting opportunity has arisen at CHFT for a part time specialist midwife who is passionate about supporting pregnant woman's mental health and wellbeing. The post holder will work alongside our Perinatal Mental Health Nurse to lead and co-ordinate together with partner agencies to support the care of women experiencing perinatal mental health difficulties.
Main duties of the job
The primary aim of this post will be to improve outcomes for women, their babies, and the wider family, through personalised care planning and support. Recognising the importance of the parent infant relationship. The Post holder will also play a key role in providing expert advice, support and training to midwives and other health professionals involved in caring for women in this group.
The post holder will provide advice and support to colleagues delivering maternity care in both the primary and secondary settings for women experiencing perinatal mental health and complex needs. This will include a range of health education, support and social care advice relating to these specific issues.
The post holder with support from partner agencies will also have a key role in the transformation to a trauma informed maternity service.
Job responsibilities
* Support the co-ordination of care of women with Perinatal Mental Health within the Maternity Service and across a multi-agency arena.
* Be a source of expertise to all maternity staff on Perinatal Mental Health including the provision of statutory and bespoke mandatory training to all disciplines.
* Support the maternity service to design and deliver the local, regional, and national priorities relating to Perinatal Mental Health in particular development and transformation of a trauma informed service.
* Managerial and professional accountability for the effective delivery of personalised midwifery care in the community.
* Responsible for the line management and clinical supervision of a small team that may develop in the future, ensuring standards for monthly supervision and annual appraisal are met.
* Support the Ward and Department Managers in the line management of the midwifery/nursing team, including recruitment, performance management and workforce planning.
* Provide preceptorship and clinical support for junior and new midwives.
* Provide a visible, accessible, and authoritative presence, acting as a professional role model by providing leadership and support within the midwifery and multidisciplinary teams.
* Support, assist and advise women and their families, where midwifery led care is practiced.
* Ensure there is an emphasis on the appropriate and timely referral to team-based care for women where complications arise, to facilitate seamless services provision.
* Work closely with all clinical areas in maternity to ensure an integrated service for women experiencing perinatal mental health concerns or challenges.
* Contribute to the achievement of the Divisions, Directorates, and Trusts objectives, supporting strategic planning.
* Promote the highest standards of audited research based clinical care, maintaining standards in accordance with UK law, NMC, Trust and EU guidelines.
Clinical Duties:
* Co-ordinate the care of women with Perinatal Mental Health needs within the maternity services & across the multi-agency arena.
* Maintain a high profile in the clinical areas by working clinically alongside the obstetric and midwifery workforce & being accessible to women and their families.
* Support the midwifery team in the development of personalised assessment, implementation and evaluation of women and families needs for example, trauma informed birth plans.
* Possess a sound knowledge and understanding of the key public health drivers influencing the provisions of maternity services especially in relation to perinatal mental health.
* Promote the delivery of evidence-based care pathways for women and babies ensuring continuity is at the heart of all care planning.
* Ensure the delivery of safe care within a challenging and changing clinical environment, using persuasion and negotiation skills.
* Provide clinical advice within midwifery services, working closely with the matron & directors of service to further develop the perinatal mental health and trauma informed service.
* Manage and lead midwifery practice in both the community and inpatient setting, working closely with other clinical managers, other specialist midwives and matrons to ensure protocols, guidelines, policies, and procedure are adhered to.
* Implement change initiatives to improve and maintain a high-quality service in line with the national agenda.
* Bring to the immediate attention any issues, which are impeding the provision of an efficient or high-quality service adhering to the escalation policy and the trusts incident reporting as relevant.
* Participate in audit and research leading to the development of research-based practices and development of trust midwifery policies and ensure its effective implementation maintaining standards in accordance with the UK law, NMC, Trust and EU guidelines.
* Receive information which may cause emotional distress to all parties and disseminate contentious, complex, and sensitive information appropriately.
* Provide representation, advice and guidance to the multidisciplinary team, link regionally and nationally with Perinatal Mental Health services, workstream and networks.
* Promote flexible and integrated working across, liaising closely with the clinical managers in all areas of the service to promote collaborative working relationships which will improve women's experiences.
* Link and liaise with the Safeguarding Team and Name Midwife of safeguarding issues, to recognise and respond appropriately and effectively to concerns relating to women, children, and the unborn baby.
* Ensure the provision of excelled infection control practices as defined by national recommendations and local policies and maintenance of high standards of cleanliness throughout. Provide a clean environment for care, ensuring best practice in infection control and improving clinical care standards.
Professional Duties:
* Ensure care given to women and their families is in keeping with agreed local Trust policies and with due regard to the NMC code of professional practice.
* Maintain and develop own professional competence and be responsible for own statutory requirements. Continually demonstrate evidence of developing clinical and managerial knowledge and expertise.
* Contribute when planning services to meet organisational and national targets particularly with regards to personalisation and continuity of care to promote positive experiences for women and families.
* Provide and maintain an environment in which individuals can develop their skills and knowledge to their full potential.
* Provide excellent support for all staff including rotational midwives and students on clinical placements.
* Respect women's diversity considering equality and rights, ensuring that vulnerable women and families receive equitable care.
* Act as an innovative and enthusiastic role model, promoting an open, honest, and transparent culture. Demonstrate excellent leadership skills.
* Maintain strong links with other agencies in cases of safeguarding children and vulnerable pregnant adults, domestic abuse, substance misuse in addition to maternal mental health issues.
* Support staff to be aware of and contribute to the assessment and referral to early intervention panels to help facilitate multi-agency support for women, babies, and families.
* Support and ensure the workforce actively participate in personal development through mentorship, preceptorship, essential and role specific training, safeguarding supervision and appraisal.
* Maintain and promote an environment conducive to learning. Link with networks beyond the clinical area, sharing good practice and information.
* Actively link with the Patient and Public Involvement strategies within Maternity Services.
* As a Trust representative promote midwifery and the service vision.
* Work in close liaison with the Matrons, clinical managers and LDRP coordinators to promote seamless care provision across pathways of care.
Managerial Duties:
* Effectively and efficiently manage workload and when required a duty roster ensuring skill mix and adequate safe staffing levels, escalating concerns in a timely manner.
* Effectively manage sickness, absence and attendance when required with the Trust Attendance Management Policy.
* Promote team building and maintain cohesion within and across clinical areas to establish a positive working environment, promoting and supporting autonomous practice.
* Communicate effectively throughout the multidisciplinary team, liaising with outside agencies, especially where the women's and families ability to do so is compromised acting as the patients advocate.
* Promote cohesion within and across teams by regular dissemination of information on developments in Directorate/Divisional and Trust activities.
* Undertake recruitment, retention and manage performance related issues, including disciplinary matters and complaints.
* Plan and initiate induction and orientation programmes, which integrate new and rotational members of staff.
* Undertake annual appraisal of staff within your area of responsibility, build personal development plans with staff and empower them to achieve their objectives by providing ongoing support and effective leadership.
* Be aware of and contribute to annual business planning to secure the smooth running of the service.
* Work closely with midwives, clinical manager, and Matrons to promote the implementation of policies and training.
* Investigate and action where appropriate clinical incidents, reports, complaints, and monitoring of the Risk Register.
* Work with the Matrons and the Clinical Governance team, participating in the development, monitoring, and audit of standards of care.
* Promote best practice in relation to the clinical risk and governance issues and identify areas for improvement, contributing to the achievement of Divisional, Directorate and Trust objectives.
* Ensure the midwives contribute to the achievement of Divisional, Directorate and Trust objectives and strategic planning, within the areas of responsibility.
* Work in partnership with the West Yorkshire and Harrogate Local Maternity & Neonatal System (LMNS) to support implementation of the Regional and National agenda.
* Build and Maintain partner working relationships with other Perinatal mental health midwives across the LMNS.
* Be responsible for Health, Safety and the welfare of staff, clients, and the public.
Person Specification
QUALIFICATIONS / TRAINING
Essential
* Registered Midwife
* Degree in midwifery
* Teaching accreditation: ENB 997/PGCE / SLIP course or equivalent
* IT training
Desirable
* Car Driver
* Accredited management training course
* NIPE Practitioner
* Leadership training
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
* Ability to demonstrate a range of experience in midwifery practice
* Evidence of leading elements of service provision and of supporting staff in the clinical environment
* Particular knowledge, skill and competence in complex care needs and vulnerability as well as supporting and promoting midwifery led care
* Evidence of multi-agency working to safeguard women and babies
* Evidence of continuing professional development
* Demonstrable achievement in: i)Changing clinical practice
* ii)Developing self and others
* iii)Mentorship and ensuring others maintain current registration
* Knowledge of midwifery issues and their impact on service delivery
* Able to demonstrate a broad knowledge of health policy in relation to midwifery practice
* Ability to network across Directorates, Divisions, and external agencies
Desirable
* Evidence of managing people
* Evidence of innovative practice that involves research or audit
* Evidence of research experience
* Leadership experience
* Experience in working in Postnatal Care and for those women requiring complex maternity care
* Presentation skills
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
* Excellent interpersonal and communication skills
* Excellent report writing skills
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