Midwife with special interest in Diabetes

Job overview

JOB SUMMARY

To assist the Lead Midwife for Diabetes in:

• Maintaining specialist nursing / midwifery care for a caseload of patients requiring specialist nursing / midwifery care.
• Maintaining and developing a quality service.
• Providing specialist training across functional boundaries, as required.
• Improving and standardising diabetes care within the maternity services of NUH.
• Delivering the antenatal midwifery pathway for women with diabetes in the ANC.
• Managing women with diabetes who are post-partum.

Midwives who are qualified to prescribe will be supported to do so.

The post holder will work across site: QMC Campus/City Campus

This is a 30 hour per week secondment for 12 months

Main duties of the job

Please see the detailed job description below

This role comprises of supporting women and birthing people through their pregnancy journey with diabetes. We see a diverse client group with all types of diabetes represented. The successful candidate would be expected to conduct GDM clinics with the support of a dietitian in addition to occasional input with MDT clinics for more complex cases including pre existing diabetes.

Working for our organisation

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.

Detailed job description and main responsibilities

1. Communication and Team Working
2. 1 Facilitate and maintain effective communication within the multi-disciplinary team in order to promote effective patient care.
3. 2 Adhere to appropriate NMC and local Standards for written documentation and storage of records. Ensure maintenance of patient and colleague confidentiality at all times.
4. 3 Deal appropriately with positive and negative feedback from women, recognising the wider implications for ward, unit and Trust.
5. 4 Participate in decision-making in relation to women-centred care and development of practice within the ward, unit and multidisciplinary team. Actively involved in change.
6. 5 Be an active member of both ward and wider multi-disciplinary team, developing confidence in own role and encouraging development of others and contribution to team cohesion.
7. 6 To communicate effectively, sensitive and personal issues maintaining confidentiality at all times.
8. 7 To identify and manage challenging behaviours.
9. 8 Convey complex and sensitive information (eg. abnormal test results) in a comprehensible and empathic manner.
10. 9 Discuss all alternative treatment options and facilitate clinical management decisions.
11. 10 Obtain informed consent for procedures as required, in accordance with the Trust consent policy.
12. 11 Cover in the absence of the Lead Midwife for Diabetes.
13. 12 Be actively involved in teaching/supporting other members of the maternity team with regarding management of diabetes in pregnancy/intrapartum/postnatal
14. Clinical Care
15. 1 To support and enable the woman with diabetes and their family to make informed decisions and choices relating to their treatment and management.
16. 2 To assess, implement and evaluate care delivered, so that the women’s individual requirements for care are met in all aspects of midwifery. Obtain informed consent throughout.
17. 3 To contribute to the plan of care for the woman with diabetes
18. 4 To implement plans of care for the woman with diabetes in conjunction with the woman’s named community midwife and multi-professional team.
19. 5 To contribute to the development of policies and clinical guidelines in support of the diabetes service within maternity service.
20. 6 To work with the Lead Midwife for Diabetes in disseminating information on the benefits and management of breastfeeding, to all women with a pregnancy complicated by Diabetes.
21. 7 Provide education and support to women diagnosed with Gestational Diabetes.
22. 8 Act as a resource in the clinical areas to other staff members.
23. 9 Actively be involved in supporting staff in a formal and informal setting to increase their knowledge and understanding of diabetes in pregnancy to help them provide evidence based care.
24. 10 Provide care in a range of settings, such as Antenatal clinics or ward rounds.
25. 11 Assist the Lead Midwife for diabetes in maintaining and developing a quality service by helping to implement and embed evidence-based changes into clinical practice.
26. 12 Help to ensure that patient care plans are regularly updated, changes implemented and that patient’ records and documentation are maintained and current.
27. 13 Act as an advocate for women
28. 14 Prioritise and manage own workload appropriately i.e. ability to prioritise, time management, delegation.
29. 15 Practice in accordance with professional, ethical and legal framework for midwifery.
30. 16 To work within Trust guidelines, policies and procedures when carrying out midwifery care. Have opportunity to be involved in their development, implementation and evaluation.
31. 17 Undertake midwifery practice consistent with evidence based practice transferring and applying knowledge and skills to meet the needs of mothers and families.
32. Personal and Professional Conduct
33. 1 Work within NMC professional code of conduct at all times and Midwives Code and Standards for Practice.
34. 2 Ensure Trust Policy and Procedure adhered to including Health and Safety legislation, administration and storage of drugs, clinical incident reporting, infection control, child protection, and safekeeping of patient’s property.
35. 3 Be responsible for maintaining and enhancing personal and professional development and providing evidence of competency to enable the formulation of a PDP.
36. 4 Act as role model and support professional development of all students and junior staff. Contribute to a positive learning environment.
37. Resource/Change Management
38. 1 Ensure effective management of time and resources.
39. 2 Responsible for co-ordinating shift on day to day basis.
40. 3 Participates in innovation and implementation of change.
41. 4 Develops leadership and supervision skills for both qualified and unqualified staff.
42. Research/Education
43. 1 Teach/mentor both qualified and unqualified staff including student nurses/midwives. Complete appropriate documentation for learners when acting in the role of mentor.
44. 2 To assist in the orientation of new staff/Return to Practice midwives and act as a preceptor.
45. 3 Participate in delivering and evaluating education programmes, offered within the Maternity Unit. Participate in the education audit of the clinical areas.
46. 4 Use, develop and share evidence based practice to carry out care competently and efficiently.
47. 5 Participate in clinical audit/trials and collection of data for improving women’s care as appropriate e.g. patient satisfaction surveys, NPID audits
48. 6 Participate in benchmarking within clinical area supporting the introduction of a change in practice if indicated.
49. 7 To undertake any other duties which may be reasonably required.

Person specification

Training and Qualifications

• ￭ Registered Midwife
• ￭ Degree in Midwifery or related subject or evidence of level 3 learning
• ￭ At least 2 years’ experience working as a midwife
• Interest in diabetes management in pregnancy

• Knowledge of care pathway for women with diabetes in pregnancy

Experience

• ￭ Broad based midwifery experience
• ￭ Evidence of multidisciplinary team working
• ￭ Experience in providing midwifery care to women with diabetes in Pregnancy/ intrapartum and postnatal.

• • Evidence of innovative practice
• • Helped in developing policies and guidelines.
• • Experience in benchmarking, audit and research.

Communication and Relationship Skills

• • Able to communicate ideas and concepts to staff.
• • Has well developed facilitation and influencing skills.
• • Able to effectively communicate complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance.
• • Excellent written and oral communication skills
• • Counselling skills
• • Positive and proactive
• • Self-motivated

• Experience of team development work

Analytical and Judgement Skills

• ￭ Ability to assess, plan and implement individual core needs
• ￭ Ability to make complex judgements about clinical issues

• Able to explore additional options and solutions with clients without judgement

Planning and organisation skills

• ￭ Excellent time management skills
• ￭ Able to prioritise problems and assesses associated clinical risk

• Proactive involvement in forward planning of service

Physical skills

• ￭ Able to undertake the physical aspects of the role.

• Happy to change sites to facilitate clinics

Other requirements

• ￭ Computer literacy
• ￭ Ability to work shifts/24 hours period
• ￭ Willingness to work cross-site

• Desire to learn use of diabetes monitoring systems over and above GDM health

___________________________________________________________________________________

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 the 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.

Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.

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If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:

• Stay in full-time education, for example at a college
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Consent:

• Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
• Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£49.50 for enhanced and £21.50 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month’s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
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