Job summary
- Main area
- Maternity
- Grade
- 7
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 384-CH-EMF20727
- Employer
- Royal Surrey NHS Foundation Trust
- Employer type
- NHS
- Site
- Royal Surrey County Hospital
- Town
- Guildford
- Salary
- £51,657 - £58,785 pro rata per annum including HCAS
- Salary period
- Yearly
- Closing
- 10/06/2026 23:59
Employer heading
Patient Safety Midwife
7
Job overview
To act as the patient safety midwife within the maternity department, focusing on undertaking audit, managing the guideline and document review process, incident management and other related clinical governance activities. This may include engaging with or leading change management and quality improvement projects.
This role will deputise for the Clinical Governance midwife in her absence leading the governance agenda for the maternity service.
Monitor the completion of actions from a number of sources including action plans arising from meetings, incident investigation and audit. Attend and contribute to disseminating learning from a vairiety of meetings, including perinatal mortality and morbidity meeting.
Use a number of data sources to share feedback with staff regarding the effectiveness of their clinical area and coordinate the creation and effectiveness of action plans.
Lead the process of reviewing mortality using the Perinatal Mortality Review Tool. This includes working with a multidisciplinary team to prepare the cases, lead the review, write the report and work with the bereavement midwife to engage with the patient and family.
Undertake other clinical governance activities as required, including responding to complaints and patient feedback, providing documents and supporting the running of meetings.
Main duties of the job
The patient safety midwife will carry out a planned programme of work to support the clinical governance agenda within the maternity department. This will include managing the full process of the audit cycle and coordinating the management of action plans. The patient safety midwife will undertake and support other members of the team undertaking quality improvement projects. The patient safety midwife will be responsible for attending a range of meetings, including the perinatal mortality and morbidity meeting with the purpose of writing minutes and disseminating learning from the meeting throughout the maternity department. The patient safety midwife will be responsible for managing the Perinatal Mortality Review Tool process and coordinating the timely review of clinical guidelines and procedural documents.
The patient safety midwife will support the clinical governance midwife in leading in the serious incident investigation process within Maternity, this will include linking with the maternity Healthcare Safety investigation branch to support external investigations and ensuring the department is meeting all reporting requirements in relation to MBRACCE, NHSR and the Early notification process led by NHSR/NHSE.
Working for our organisation
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Detailed job description and main responsibilities
1. To conduct local and nationally required audits taking place in the maternity department. This includes the creation of audit standards and audit tools, analysing data generated, writing audit reports and presenting the findings to a variety of staff through a variety of methodologies.
4. To work in close collaboration with the Clinical Governance Team and the Clinical Governance Lead Midwife providing a robust and resilient service to support the maternity teams
5. To provide feedback and updates on all governance activity to the Maternity Quality and Safety Meeting as required
7. To collate evidence as required to demonstrate compliance with external inspections and other national requirements such as CNST and key national improvement plans led by NHSE. Ensure accuracy of data published for internal and external use with Surrey heartlands LMNS and NHSE/I.
8. To support the incident management process by investigating incidents
9. To manage the process of Perinatal Mortality Review Tool process. This includes identifying and preparing cases, leading the multidisciplinary review, identify recommendations and actions and monitoring the effectiveness of the actions.
Manage the review of guidelines, this includes identifying guidelines and documents due to be reviewed and working the obstetric clinical governance lead to allocate guidelines to appropriate staff for review.
Reviewing appropriate guidelines and procedural documents for effectiveness and ensuring they meet national and local standards.
Managing guidelines and procedural documents through the review and ratification process
To maintain an up-to-date and comprehensive knowledge of local and national clinical effectiveness issues, including the interpretation of national helath policies relevant to maternity to ensure that goals and standards are achieved
1Collate and provide evidence to demonstrate compliance with NICE, CNST, CQC and any other national organisation as required
Respond to Freedom of Information Requests as required by the department
1. Support on-going training regarding documentation and documentation standards for clinicians within maternity
2. Assist in coordinating the maintenance of high quality standards in documentation amongst all staff group
To teach and support staff to ensure compliance with clinical guidelines and to adhere to The Code: professional standards for practice and behaviour for nurses and midwives (NMC 2015)
To present audit findings and recommendations to staff through meetings and clinical audit days
To achieve and maintain compliance with statutory and mandatory training requirement
Present the results of incident investigation to support learning and staff development
Person specification
Qualifications
Essential criteria
- Practising registered midwife with significant experience in all aspects of midwifery
Desirable criteria
- Previous experience of audit, clinical governance or risk management
- Leadership qualification or willingness to undertake development in this area.
- Quality Improvement training and experience of undertaking QI work
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Clare Cardu
- Job title
- Head of Midwifery
- Email address
- [email protected]
- Telephone number
- 01483571122
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