Guys and St Thomas NHS Foundation Trust
Midwife Practitioner - High Risk Team
The closing date is 06 June 2026
We are establishing a new Continuity of care team to care for those with complexities in pregnancy to reduce health inequities and improve health care outcomes. The team will work alongside pre‑existing 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.
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, gastroenterology, neurology, 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 transitions 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 their pre‑existing histories.
About us
Guys and St Thomas NHS Foundation Trust comprises five of the UKs best known hospitals - Guys, St Thomas, Evelina London Childrens Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UKs busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of Kings Health Partners - we are one of Englands eight academic health sciences centres, bringing together world‑class clinical services, teaching and research. We have one of the National Institute for Health Researchs biomedical research centres, established with Kings College London in 2007, as well as dedicated clinical research facilities.
Job 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. Ensure 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.
Person Specification
Knowledge
* Registered Midwife
* Completed a preceptorship programme
* BSc – Midwifery or Public Health
* Examination of the Newborn / NIPE
* NLS
* HDU training / Essential Knowledge for Obstetric Medicine module (Level 7)
Skills
* Previous experience – worked in a variety of settings utilising all midwifery skills
* Can demonstrate a forward‑thinking approach e.g. water birth, out‑of‑guidelines birth
* Experience of midwifery research and audit
* Experience of taking charge of the ward
Experience
* Can practice as an autonomous midwife in the acute and primary care setting
* Good written skills, well presented and fully completed application
* Experience of working with women with complex medical conditions
* Confident in teaching and assessing student midwives
* Able to act up for the Band 7
* Demonstrate forward planning, problem recognition, pre‑emption and resolution
* Develops action plans to improve the service
Values and Behaviours
* Personal statement reflects the Trust values
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Guys and St Thomas NHS Foundation Trust
£47,951 to £56,863 a year p.a. inc HCA (pro rata for part time)
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