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Midwife Practitioner - High Risk Team

Guy's and St Thomas' NHS Foundation Trust

Medical Protection — indemnity for locally employed doctors from £79
Location
Salary
£47,951 - £56,863 p.a inc HCA (pro rata for part time)
Profession
Midwife
Grade
Band 6
Deadline
06 Jun 2026
Contract Type
Permanent
Posted Date
18 May 2026

Job overview

We are establishing a new Continuity of care team to care for those with complexities in pregnancy to reduce health inequalites and improve health care outcomes.  The team will work alongside pre exisiting high risk maternity teams.

This is an exciting opportunity for an experienced midwife who wishes to further develop and broaden their knowledge and skills. You will enjoy providing woman centred care as a vital part of a truly multidisciplinary team. You will gain valuable experience in high risk complex medical and social conditions as well as gaining experience in team midwifery working alongside all disciplines in decision making. You will have an opportunity to utilise all of your midwifery skills in antenatal, intrapartum and postnatal care including community care for those who live within the catchment area.

Driving licence is preferable.

Closing date: 6/6/26 at Midnight

Interview date: 24/06/2026

Main duties of the job

The team consists of 5.7 midwives who provide  care through the antenatal period, intrapartum and postnatal period.  You will work extensively with the wider multidisciplinary team. You will also have the opportunity to participate and lead on antenatal education.

You will be able to liaise with the wider multidisciplinary team, including obstetric medicine, fetal medicine, Cardiology,  Gastroenterologists, Neurologists, perinatal mental health and safeguarding teams including social services.

You will be able to provide competent individualised and personalised intrapartum care on the labour ward, using physiological CTG interpretation and supporting the wider multidisciplinary team.

For those who live within the catchment you will be able to offer postnatal care to provide seamless transitons from the hospital to home and the postnatal period.  This will offer reassurance from the families who know you best and can feel comfortable knowing you understand there pre-exising  histories.

Detailed job description and main responsibilities

Clinical Responsibilities   Work autonomously within scope of professional practice, delivering safe,  individualised and evidence-based care within a defined specialist area of  midwifery practice, making clinical decisions and prioritising care within  defined guidelines.   Undertake comprehensive assessment, planning, implementation and  evaluation of care for women and babies, including those with complex or  additional needs relevant to the specialist area, taking appropriate action in  response to clinical findings, including escalation where required.   Provide advice, support and guidance to women and families within the  specialist pathway, promoting informed choice and personalised care.   Demonstrate sound clinical judgement in the assessment and monitoring of  maternal and fetal wellbeing, taking appropriate action and escalating  concerns where required.   Maintain and apply core midwifery clinical skills and, where appropriate,  undertake additional clinical skills relevant to the role and individual  competence (e.g. specialist assessments, monitoring or medicines  management under midwifery exemptions/PGDs).   Where required, contribute to the delivery of direct clinical care within the  wider maternity service, utilising full midwifery skills to support safe,  effective care for women and babies.   Contribute to the planning and organisation of care within the specialist  area, including supporting follow-up and continuity for a caseload of women  with support from the MPL or a midwifery manager.   Support the MPL and, where appropriate, deputise within scope of  competence.  Communication   Communicate effectively with women, pregnant people, families and carers,  including conveying complex, sensitive or distressing information.   Act as an advocate to support personalised evidence-based choices and  care.    Provide information, education and support tailored to the needs of women  within the specialist area.   Maintain clear and accurate documentation whether using paper  documents or electronic records.   Maintain confidentiality of patient information in accordance with Trust  policies.  Care Coordination and MDT Working   Contribute to the coordination and organisation of care for defined groups  of women within a specialist pathway, clinic or service.   Act as an effective member of the multidisciplinary team, supporting  communication and coordination across services, including reviews, ward  rounds, case conferences and liaison to promote optimal care.   Act as a point of contact within the team for defined aspects of care with  escalation to the MPL as required.   Liaise with internal and external agencies to support safe and holistic care  and document safely and comprehensively.  Leadership, Supervision and Professional Practice   Provide clinical support, advice and guidance to junior staff, students and  support workers.   Act as a role model for high standards of midwifery care and professional  practice.   Contribute to maintaining safe standards of care within the specialist area.   Escalate risks, incidents or concerns appropriately to the MPL, Doctor or  senior manager.   Governance, Quality and Service Improvement   Contribute to the development, implementation and evaluation of clinical  standards, guidelines and care pathways.   Participate in clinical audit, quality improvement and governance activities.   Support the collection, monitoring and interpretation of data relevant to the  specialist area.   Participate in research activity within the specialist area, supporting  recruitment, data collection and adherence to study protocols where  applicable.    Work in accordance with research governance frameworks and relevant  regulatory requirements if involved in research activity   Take an active role in risk assessment, identifying risks and supporting the  implementation of strategies to minimise harm. Ensuring incidents and near  misses are reported, promoting a no blame culture.   Ensure all staff act in accordance with Local, Hospital and Statutory  Guidelines & Policies including Health and Safety initiatives.   Facilitate a high-quality, cost-effective specialist service through monitoring  and audit and other quality initiatives agreed by the Trust   Support the effective use of clinical resources and contribute to the  organisation of workload within the team.  Education and Development   Contribute to education and training activities within the specialist area.   Maintain and develop professional knowledge and skills in line with NMC  requirements.   Support dissemination of learning and good practice within scope of  practice using various mechanisms across the MDT.    Support the development of others through mentorship, supervision and  teaching, including being a practice assessor/supervisor contributing to  assessments of competence.

Please see attached job description for full details.