1

Registered Integrated Midwife

Twitter NHSOrkney Facebook facebookcomNHSOrkney Web ohbscotnhsuk

2

Contents

Welcome from Michael Dickson Chief Executive 3

Job Advert 4

Job Description 5

Person Specification 14

Introduction to Orkney and NHS Orkney 15

Recruitment Process 17

3

Welcome from Michael Dickson Chief Executive

Thank you for your interest in this position

Considering a move to somewhere like Orkney can feel like a daunting decision what will it be like Where will I live What about Schools and childcare Why should I come to Orkney

We have tried to answer some of these questions and give you some information about living and working in Orkney and further details about NHS Orkney I hope that you find this pack useful and it helps you come to the conclusion that you should apply to work with us

NHS Orkney is committed to the delivery of high-quality safe and effective care for all that need us We are proud to employ about 700 staff across our community primary and secondary care services

NHS Orkney has seen significant changes in how we deliver services to our community with a real focus on providing care in Orkney and ideally in their own home The pace of change will continue to accelerate driven by the committed staff who are keen to adopt new and innovative ways of working without losing what is special to working in Orkney our community I am committed to working in an open honest and transparent way that supports staff to innovate be bold and be brave knowing that not everything we do turns out as we intended and it is important that we learn from these events so we can continue to improve what we do NHS Orkney has a clear set of core values and these drive all we do

bull Care and Compassion

bull Dignity and Respect

bull Quality and Teamwork

bull Openness Honesty and Responsibility

The final thing I would like to say to any prospective applicant is that Orkney occupies an enviable location at the north of Scotland with breath taking beaches hills mountains and rolling countryside right on our doorstep Orkney has consistently come out top in national lifestyle and happiness survives with an open and vibrant community it is the perfect location to provide a safe and welcoming home This along with Orkneyrsquos direct flight connections to other major cities in Scotland means the area can offer employees plenty of opportunities for those in pursuit of finding the right work-life balance

Michael Dickson Chief Executive NHS Orkney

4

Job Advert

Registered Integrated Midwife The Balfour Band 6 pound34386 - pound42050 including Distant Islands Allowance pro rata per annum Full Time 375 hours per week Permanent

NHS Orkney is looking for a flexible enthusiastic Registered Midwife to join our Integrated Midwifery team which was recently awarded the Midwife Awardrsquo at the Scottish Health Awards 2021

The successful candidate will have a high level of autonomy across the whole range of Maternity care This includes the Community settings the midwife led unit which provides antenatal intrapartum postnatal and triageday care Our model also includes support from local Obstetricians and access to tertiary Obstetric care predominantly in Aberdeen

The postholder will hold their own caseload working alongside women their families and the multidisciplinary team in a continuity of carer model in line with the Best Start ambitions There is a requirement to work flexibly covering day and night rotation over a seven-day week including on call and air ambulance transfer duties

NHS Orkney is working hard to be the best remote and rural care provider in the UK do you want to play a part in helping us achieve our vision

With views as far as the eyes can see stunning beaches and miles-upon-miles of coastline yoursquoll always find your own space in Orkney Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles these enchanting islands await you With this it is no surprise that Orkney has been voted the best place to live in Scotland for eight years running

Orkney is an archipelago of 70 beautiful islands of which 17 are inhabited As a genuinely wonderful place to live Orkney offers unique wildlife amazing scenery and real opportunity to experience a wide range of cultural and sporting activities There is something for everyone state-of-the-art leisure facilities various clubs and societies and an excellent education system creates our strong community spirit

NHS Orkneyrsquos hospital and healthcare facility The Balfour opened in 2019 and is transforming the way healthcare is delivered With inpatient wards an emergency department outpatients diagnostic services Dentistry two GP practices and the Scottish Ambulance Service all under one roof there are excellent opportunities for close multidisciplinary working to benefit our patients We are now working towards further investment in our outer island facilities These developments allow us to drive forward service improvement with confidence

If yoursquore enthused by what we have to offer share our vision and believe you can contribute to NHS Orkney we would be thrilled to hear from you

For further information on this post please contact Pamela Halliday - Senior Charge Midwife on 01856 888238 or email pamelahalliday2nhsscot

This post is subject to a PVG Scheme Record check

A full driving licence is essential for this role

An excellent relocation package of up to pound8000 is available depending on eligibility Distant Islands Allowance which is currently pound1314 pro rata per annum is also included into the NHS Orkney salaries

5

1 JOB PURPOSE

As an Integrated Midwife the post holder will

bull Provide full range of Preconception Antenatal Intra-partum Postnatal and Neonatal care to women babies and families in both hospital and community settings based on individual needs

bull Provide early pregnancy triage and day care services

bull Provide care of the deteriorating patient maternal and neonatal including neonatal resuscitation and stabilisation for transfer

bull Provide a range of Public Health advice to women and their families as part of the multi-professionalmultidisciplinary team

Acting as an autonomous practitioner within the relevant scope of practice the postholder will

bull Facilitate care in accordance with the philosophy and policies of the NMC NHS Orkney and Maternity Unit guidelines

bull Act as a mentor for less experienced midwives students and support staff

bull Participate in full shift rotation including On Call cover and road and air ambulance transfers

In the absence of Senior Charge Midwife

bull Provide leadership and supervision of junior staff amp students

bull Take responsibility for the day to day organisation of the area

1 JOB DETAILS

JOB TITLE Registered Integrated Midwife

SERVICE NHS Orkney

DEPARTMENT Maternity Unit

GRADE Band 6

LOCATION The Balfour amp Community

REPORTING TO Senior Charge Nurse

Job Description

6

2 DIMENSIONS

The post holder will

bull Ensure appropriate use of resources by ensuring high quality cost effective care

bull Work to support the professional development of the Maternity team which encompasses both registered and support staff

bull Maintain an environment in which effective learning can take place

bull Co-ordinates and advises on midwifery care and involvement of the multidisciplinary team

bull Participate in the audit process

3 ORGANISATION CHART

4 ROLE OF THE DEPARTMENT

All Maternity services are based within the Maternity Unit and provide Preconception Antenatal Intrapartum Postnatal and Neonatal care to women babies and families in both hospital and community-based settings

Sonography Day Care amp Early Pregnancy Assessment services are also provided

Approximately 200 women are booked per year receive antenatal and postnatal care locally and approximately 75 of women remaining in Orkney for intrapartum care

The Unit is UNICEF Baby Friendly accredited and Breast-feeding rates are amongst the highest in Scotland

Lead Midwife

Senior Charge Midwife

Registered Integrated Midwives

Maternity Support Worker

7

The model of care is Midwifery led with Obstetric Support for women who have additional risk or if complications arise This model enables additional services based on robust pathways and risk assessment on an individual basis to be provided locally This includes where appropriate Augmentation Induction of Labour and Vaginal Birth

Women requiring Obstetric led care in a tertiary facility are transferred to a Consultant led Unit off Island

5 KEY RESULT AREAS

Within the governance framework the post holder will focus on and support the following key result areas

SAFE AND EFFECTIVE CLINICAL PRACTICE

Evidence Based Clinically Effective Practice

Support the development of clinical practice through the effective utilisation and integration of evidence into practice setting implementing and monitoring evidence-based policies procedures and protocols Work and practice at all times in accordance with the NMC Code of Conduct Midwives Rules and Code of Practice

Continuous Quality Improvement

Develop a culture that improves quality by ensuring continuous review and development of practice through the use of audit patient feedback and reflection on practice by self and other members of the team Develop and maintain clinical skills while being conversant with changes occurring within the profession and the clinical arena Be innovative and receptive to developments in midwifery practice Be responsible for planning management and evaluation of programmes of care for individual groups of women Encourage and participate in audit and research

Patient safety

Promote a safe and clean environment for staff patients and visitors by ensuring compliance with Safety legislation policies and protocols eg health and safety HAI risk management and critical incident reporting Assessing and managing actual and potential risks to health and well-being Ensure high standards of record keeping in accordance with NMC national legislation and local standards facilitating effective communication with the multi-professional team regarding patient care

PATIENT EXPERIENCE

Promote a Culture of Person-centred Care

The post holder will be highly visible within the warddepartment and communicate regularly with patients and their families within a multidisciplinary team environment Provide care which is responsive to the needs of women meets Best Start recommendations for Continuity of Carer ensures women have the information they need to make informed choices and act as an advocate

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

4

Job Advert

Registered Integrated Midwife The Balfour Band 6 pound34386 - pound42050 including Distant Islands Allowance pro rata per annum Full Time 375 hours per week Permanent

NHS Orkney is looking for a flexible enthusiastic Registered Midwife to join our Integrated Midwifery team which was recently awarded the Midwife Awardrsquo at the Scottish Health Awards 2021

The successful candidate will have a high level of autonomy across the whole range of Maternity care This includes the Community settings the midwife led unit which provides antenatal intrapartum postnatal and triageday care Our model also includes support from local Obstetricians and access to tertiary Obstetric care predominantly in Aberdeen

The postholder will hold their own caseload working alongside women their families and the multidisciplinary team in a continuity of carer model in line with the Best Start ambitions There is a requirement to work flexibly covering day and night rotation over a seven-day week including on call and air ambulance transfer duties

NHS Orkney is working hard to be the best remote and rural care provider in the UK do you want to play a part in helping us achieve our vision

With views as far as the eyes can see stunning beaches and miles-upon-miles of coastline yoursquoll always find your own space in Orkney Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles these enchanting islands await you With this it is no surprise that Orkney has been voted the best place to live in Scotland for eight years running

Orkney is an archipelago of 70 beautiful islands of which 17 are inhabited As a genuinely wonderful place to live Orkney offers unique wildlife amazing scenery and real opportunity to experience a wide range of cultural and sporting activities There is something for everyone state-of-the-art leisure facilities various clubs and societies and an excellent education system creates our strong community spirit

NHS Orkneyrsquos hospital and healthcare facility The Balfour opened in 2019 and is transforming the way healthcare is delivered With inpatient wards an emergency department outpatients diagnostic services Dentistry two GP practices and the Scottish Ambulance Service all under one roof there are excellent opportunities for close multidisciplinary working to benefit our patients We are now working towards further investment in our outer island facilities These developments allow us to drive forward service improvement with confidence

If yoursquore enthused by what we have to offer share our vision and believe you can contribute to NHS Orkney we would be thrilled to hear from you

For further information on this post please contact Pamela Halliday - Senior Charge Midwife on 01856 888238 or email pamelahalliday2nhsscot

This post is subject to a PVG Scheme Record check

A full driving licence is essential for this role

An excellent relocation package of up to pound8000 is available depending on eligibility Distant Islands Allowance which is currently pound1314 pro rata per annum is also included into the NHS Orkney salaries

5

1 JOB PURPOSE

As an Integrated Midwife the post holder will

bull Provide full range of Preconception Antenatal Intra-partum Postnatal and Neonatal care to women babies and families in both hospital and community settings based on individual needs

bull Provide early pregnancy triage and day care services

bull Provide care of the deteriorating patient maternal and neonatal including neonatal resuscitation and stabilisation for transfer

bull Provide a range of Public Health advice to women and their families as part of the multi-professionalmultidisciplinary team

Acting as an autonomous practitioner within the relevant scope of practice the postholder will

bull Facilitate care in accordance with the philosophy and policies of the NMC NHS Orkney and Maternity Unit guidelines

bull Act as a mentor for less experienced midwives students and support staff

bull Participate in full shift rotation including On Call cover and road and air ambulance transfers

In the absence of Senior Charge Midwife

bull Provide leadership and supervision of junior staff amp students

bull Take responsibility for the day to day organisation of the area

1 JOB DETAILS

JOB TITLE Registered Integrated Midwife

SERVICE NHS Orkney

DEPARTMENT Maternity Unit

GRADE Band 6

LOCATION The Balfour amp Community

REPORTING TO Senior Charge Nurse

Job Description

6

2 DIMENSIONS

The post holder will

bull Ensure appropriate use of resources by ensuring high quality cost effective care

bull Work to support the professional development of the Maternity team which encompasses both registered and support staff

bull Maintain an environment in which effective learning can take place

bull Co-ordinates and advises on midwifery care and involvement of the multidisciplinary team

bull Participate in the audit process

3 ORGANISATION CHART

4 ROLE OF THE DEPARTMENT

All Maternity services are based within the Maternity Unit and provide Preconception Antenatal Intrapartum Postnatal and Neonatal care to women babies and families in both hospital and community-based settings

Sonography Day Care amp Early Pregnancy Assessment services are also provided

Approximately 200 women are booked per year receive antenatal and postnatal care locally and approximately 75 of women remaining in Orkney for intrapartum care

The Unit is UNICEF Baby Friendly accredited and Breast-feeding rates are amongst the highest in Scotland

Lead Midwife

Senior Charge Midwife

Registered Integrated Midwives

Maternity Support Worker

7

The model of care is Midwifery led with Obstetric Support for women who have additional risk or if complications arise This model enables additional services based on robust pathways and risk assessment on an individual basis to be provided locally This includes where appropriate Augmentation Induction of Labour and Vaginal Birth

Women requiring Obstetric led care in a tertiary facility are transferred to a Consultant led Unit off Island

5 KEY RESULT AREAS

Within the governance framework the post holder will focus on and support the following key result areas

SAFE AND EFFECTIVE CLINICAL PRACTICE

Evidence Based Clinically Effective Practice

Support the development of clinical practice through the effective utilisation and integration of evidence into practice setting implementing and monitoring evidence-based policies procedures and protocols Work and practice at all times in accordance with the NMC Code of Conduct Midwives Rules and Code of Practice

Continuous Quality Improvement

Develop a culture that improves quality by ensuring continuous review and development of practice through the use of audit patient feedback and reflection on practice by self and other members of the team Develop and maintain clinical skills while being conversant with changes occurring within the profession and the clinical arena Be innovative and receptive to developments in midwifery practice Be responsible for planning management and evaluation of programmes of care for individual groups of women Encourage and participate in audit and research

Patient safety

Promote a safe and clean environment for staff patients and visitors by ensuring compliance with Safety legislation policies and protocols eg health and safety HAI risk management and critical incident reporting Assessing and managing actual and potential risks to health and well-being Ensure high standards of record keeping in accordance with NMC national legislation and local standards facilitating effective communication with the multi-professional team regarding patient care

PATIENT EXPERIENCE

Promote a Culture of Person-centred Care

The post holder will be highly visible within the warddepartment and communicate regularly with patients and their families within a multidisciplinary team environment Provide care which is responsive to the needs of women meets Best Start recommendations for Continuity of Carer ensures women have the information they need to make informed choices and act as an advocate

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

5

1 JOB PURPOSE

As an Integrated Midwife the post holder will

bull Provide full range of Preconception Antenatal Intra-partum Postnatal and Neonatal care to women babies and families in both hospital and community settings based on individual needs

bull Provide early pregnancy triage and day care services

bull Provide care of the deteriorating patient maternal and neonatal including neonatal resuscitation and stabilisation for transfer

bull Provide a range of Public Health advice to women and their families as part of the multi-professionalmultidisciplinary team

Acting as an autonomous practitioner within the relevant scope of practice the postholder will

bull Facilitate care in accordance with the philosophy and policies of the NMC NHS Orkney and Maternity Unit guidelines

bull Act as a mentor for less experienced midwives students and support staff

bull Participate in full shift rotation including On Call cover and road and air ambulance transfers

In the absence of Senior Charge Midwife

bull Provide leadership and supervision of junior staff amp students

bull Take responsibility for the day to day organisation of the area

1 JOB DETAILS

JOB TITLE Registered Integrated Midwife

SERVICE NHS Orkney

DEPARTMENT Maternity Unit

GRADE Band 6

LOCATION The Balfour amp Community

REPORTING TO Senior Charge Nurse

Job Description

6

2 DIMENSIONS

The post holder will

bull Ensure appropriate use of resources by ensuring high quality cost effective care

bull Work to support the professional development of the Maternity team which encompasses both registered and support staff

bull Maintain an environment in which effective learning can take place

bull Co-ordinates and advises on midwifery care and involvement of the multidisciplinary team

bull Participate in the audit process

3 ORGANISATION CHART

4 ROLE OF THE DEPARTMENT

All Maternity services are based within the Maternity Unit and provide Preconception Antenatal Intrapartum Postnatal and Neonatal care to women babies and families in both hospital and community-based settings

Sonography Day Care amp Early Pregnancy Assessment services are also provided

Approximately 200 women are booked per year receive antenatal and postnatal care locally and approximately 75 of women remaining in Orkney for intrapartum care

The Unit is UNICEF Baby Friendly accredited and Breast-feeding rates are amongst the highest in Scotland

Lead Midwife

Senior Charge Midwife

Registered Integrated Midwives

Maternity Support Worker

7

The model of care is Midwifery led with Obstetric Support for women who have additional risk or if complications arise This model enables additional services based on robust pathways and risk assessment on an individual basis to be provided locally This includes where appropriate Augmentation Induction of Labour and Vaginal Birth

Women requiring Obstetric led care in a tertiary facility are transferred to a Consultant led Unit off Island

5 KEY RESULT AREAS

Within the governance framework the post holder will focus on and support the following key result areas

SAFE AND EFFECTIVE CLINICAL PRACTICE

Evidence Based Clinically Effective Practice

Support the development of clinical practice through the effective utilisation and integration of evidence into practice setting implementing and monitoring evidence-based policies procedures and protocols Work and practice at all times in accordance with the NMC Code of Conduct Midwives Rules and Code of Practice

Continuous Quality Improvement

Develop a culture that improves quality by ensuring continuous review and development of practice through the use of audit patient feedback and reflection on practice by self and other members of the team Develop and maintain clinical skills while being conversant with changes occurring within the profession and the clinical arena Be innovative and receptive to developments in midwifery practice Be responsible for planning management and evaluation of programmes of care for individual groups of women Encourage and participate in audit and research

Patient safety

Promote a safe and clean environment for staff patients and visitors by ensuring compliance with Safety legislation policies and protocols eg health and safety HAI risk management and critical incident reporting Assessing and managing actual and potential risks to health and well-being Ensure high standards of record keeping in accordance with NMC national legislation and local standards facilitating effective communication with the multi-professional team regarding patient care

PATIENT EXPERIENCE

Promote a Culture of Person-centred Care

The post holder will be highly visible within the warddepartment and communicate regularly with patients and their families within a multidisciplinary team environment Provide care which is responsive to the needs of women meets Best Start recommendations for Continuity of Carer ensures women have the information they need to make informed choices and act as an advocate

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

6

2 DIMENSIONS

The post holder will

bull Ensure appropriate use of resources by ensuring high quality cost effective care

bull Work to support the professional development of the Maternity team which encompasses both registered and support staff

bull Maintain an environment in which effective learning can take place

bull Co-ordinates and advises on midwifery care and involvement of the multidisciplinary team

bull Participate in the audit process

3 ORGANISATION CHART

4 ROLE OF THE DEPARTMENT

All Maternity services are based within the Maternity Unit and provide Preconception Antenatal Intrapartum Postnatal and Neonatal care to women babies and families in both hospital and community-based settings

Sonography Day Care amp Early Pregnancy Assessment services are also provided

Approximately 200 women are booked per year receive antenatal and postnatal care locally and approximately 75 of women remaining in Orkney for intrapartum care

The Unit is UNICEF Baby Friendly accredited and Breast-feeding rates are amongst the highest in Scotland

Lead Midwife

Senior Charge Midwife

Registered Integrated Midwives

Maternity Support Worker

7

The model of care is Midwifery led with Obstetric Support for women who have additional risk or if complications arise This model enables additional services based on robust pathways and risk assessment on an individual basis to be provided locally This includes where appropriate Augmentation Induction of Labour and Vaginal Birth

Women requiring Obstetric led care in a tertiary facility are transferred to a Consultant led Unit off Island

5 KEY RESULT AREAS

Within the governance framework the post holder will focus on and support the following key result areas

SAFE AND EFFECTIVE CLINICAL PRACTICE

Evidence Based Clinically Effective Practice

Support the development of clinical practice through the effective utilisation and integration of evidence into practice setting implementing and monitoring evidence-based policies procedures and protocols Work and practice at all times in accordance with the NMC Code of Conduct Midwives Rules and Code of Practice

Continuous Quality Improvement

Develop a culture that improves quality by ensuring continuous review and development of practice through the use of audit patient feedback and reflection on practice by self and other members of the team Develop and maintain clinical skills while being conversant with changes occurring within the profession and the clinical arena Be innovative and receptive to developments in midwifery practice Be responsible for planning management and evaluation of programmes of care for individual groups of women Encourage and participate in audit and research

Patient safety

Promote a safe and clean environment for staff patients and visitors by ensuring compliance with Safety legislation policies and protocols eg health and safety HAI risk management and critical incident reporting Assessing and managing actual and potential risks to health and well-being Ensure high standards of record keeping in accordance with NMC national legislation and local standards facilitating effective communication with the multi-professional team regarding patient care

PATIENT EXPERIENCE

Promote a Culture of Person-centred Care

The post holder will be highly visible within the warddepartment and communicate regularly with patients and their families within a multidisciplinary team environment Provide care which is responsive to the needs of women meets Best Start recommendations for Continuity of Carer ensures women have the information they need to make informed choices and act as an advocate

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

7

The model of care is Midwifery led with Obstetric Support for women who have additional risk or if complications arise This model enables additional services based on robust pathways and risk assessment on an individual basis to be provided locally This includes where appropriate Augmentation Induction of Labour and Vaginal Birth

Women requiring Obstetric led care in a tertiary facility are transferred to a Consultant led Unit off Island

5 KEY RESULT AREAS

Within the governance framework the post holder will focus on and support the following key result areas

SAFE AND EFFECTIVE CLINICAL PRACTICE

Evidence Based Clinically Effective Practice

Support the development of clinical practice through the effective utilisation and integration of evidence into practice setting implementing and monitoring evidence-based policies procedures and protocols Work and practice at all times in accordance with the NMC Code of Conduct Midwives Rules and Code of Practice

Continuous Quality Improvement

Develop a culture that improves quality by ensuring continuous review and development of practice through the use of audit patient feedback and reflection on practice by self and other members of the team Develop and maintain clinical skills while being conversant with changes occurring within the profession and the clinical arena Be innovative and receptive to developments in midwifery practice Be responsible for planning management and evaluation of programmes of care for individual groups of women Encourage and participate in audit and research

Patient safety

Promote a safe and clean environment for staff patients and visitors by ensuring compliance with Safety legislation policies and protocols eg health and safety HAI risk management and critical incident reporting Assessing and managing actual and potential risks to health and well-being Ensure high standards of record keeping in accordance with NMC national legislation and local standards facilitating effective communication with the multi-professional team regarding patient care

PATIENT EXPERIENCE

Promote a Culture of Person-centred Care

The post holder will be highly visible within the warddepartment and communicate regularly with patients and their families within a multidisciplinary team environment Provide care which is responsive to the needs of women meets Best Start recommendations for Continuity of Carer ensures women have the information they need to make informed choices and act as an advocate

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

8

Coordination of the patient Journey

Ensure planning and coordination of episodes of care including the smooth transition to other settings promoting effective discharge and communication with interdisciplinary and interagency teams as required Maintain accurate records that reflect planning communication and management of care

Clinical Expertise

Coordinate midwifery interventions influencing clinical decisions and monitoring the quality of care provided through utilising and maintaining expert clinical knowledge relevant to own field of practice underpinned by theory and experience Maintain a personal professional profile which provides evidence of completion of objectives and continuing professional development

EFFECTIVE CONTRIBUTION TO ORGANISATIONS OBJECTIVES

Service Development

Participates with midwiferyobstetric colleagues and the Lead Midwife in the evaluation of the service for example by audit development of policies Involvingcollaborating with service users in the development and delivery of maternity services for example talkbacks

Political and Strategic Awareness

Develop and maintain a working knowledge of local national and professional strategy and policy demonstrating the ability to contribute to policy and strategy development at a departmental and organisational level and where appropriate national level The organisations goals will be reflected in the post holdersrsquo personal objectives

MANAGE AND DEVELOP THE PERFORMANCE OF THE TEAM

Role Model

As a role model create a supportive ethos to empower staff to contribute to the delivery of high-quality patient centred care The post holder should be recognised as a clinical expert

Learning and Development

Contributes to the development of a learning environment that ensures effective learning opportunities for all staff and students facilitating a range of clinical support strategies eg mentoring coaching clinical supervision and action learning Contributeparticipate in ongoing educationupdating relevant to clinical practice Participate in teaching of peers medical students student nurses and midwives Undertake all mandatory training and educational objectives set out in the PDP

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

9

Manage the Practice Setting

Support the midwifery team by ensuring compliance by self and others with professional standards legislation national and organisational policies Maintain appropriate staffing levels taking account of clinical workload and competence of staffskill mix

6 DECISIONS amp JUDGEMENTS

The post holder will be constantly required to make judgements involving a range of facts and evolving situations which require the analysis of data from a variety of sources and comparison of a range of options and to review the judgement of others The post holder will be clinically and professionally expected to make autonomous decisions on a daily basis advising on a range of issues to patients and maternity staff and supporting the multidisciplinary team in decision making

bull Responsible for counselling women with abnormal results

bull Function as an autonomous practitioner working within clinical and professional guidelines

bull Make autonomous decisions in planning and prioritising patient care and delegating to team members

bull Recognise own limitations in the provision of clinical care referring to other professionals

bull Ensure adequate staffing levels based on clinical need

bull Administer prescribed medications in line with NMC regulations

bull Take responsibility for the supply and administration of medicines covered by Midwives Exemptions ie diamorphine and maintain appropriate records

bull Manage a safe clinical environment ensuring that all aspect of health and safety for patients staff and visitors are being met

7 ASSIGNMENT AND REVIEW OF WORK

The post holder will be responsible to the senior charge midwife for clinical guidance and professional management work review and formal appraisal of performance The post holder is required to

bull Ensure adequate staffing levels based on clinical need to provide safe and effective care

bull Participate in the day to day management of the clinical area and deputise for the Senior Charge Midwife in her absence

bull Implement agreed policies and procedures and participate in the evaluation of these

bull Participate in the formulation of clinical care guidelines

bull Be accountable for the optimum use of resources

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

10

8 COMMUNICATIONS AND WORKING RELATIONSHIPS

Establishes and maintains robust communication networks Communication will be both informal and formal and consist of verbal reports and presentations to a range of audiences

Internal

bull The post holder will be expected to communicate and liaise with

bull The patient and their families

bull Regularly communicates information to parents relating to miscarriage and occasionally foetal anomaly and still birth

bull Regularly inform counsel and support womenparents who have abnormal screening results

bull Maternity colleagues- patient care allocation of work professional issues

bull Work with team members in implementing change developing the service and providing the optimum level of care

bull Communicate effectively with all members of the multidisciplinary team in a range of situations to promote teamwork and enhance good working relationships

bull Be able to effectively communicate with learners during teachingtraining sessions

bull Support leadership and teambuilding

bull Other departments- Human resources Infection control Estates

External

bull Health Visitors

bull Social Work (Children and families) including complex child protection cases

bull Other agencies ie physiotherapists drug and alcohol services mental health team housing department

9 MOST CHALLENGING PART OF THE JOB

Care of women in pregnancy labour and postnatally where complications arise

Care of women in pregnancy labour and postnatally where an intrauterine death or unexpected stillbirth occurs

Managing the demand of direct patient care within existing resources

On callcall outs including air ambulance transfers off island with no immediate return

Coordination of care with a wide range of specialist staff utilising their skills effectively

Coping with highly charged emotional situations when breaking bad news to parents

Informing women of abnormal screening results

Individualised counselling of women with high risk screening test results

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

11

Ability to make immediate decisions in unpredictable situations

Management obstetric emergencies especially out of hours when assistance is on an ON Call basis

Management of neonatal emergencies and ongoing stabilisation while awaiting retrieval

Frequent exposure to body fluids

Care of women undergoing termination of pregnancy

10 SYSTEMSEQUIPMENT

The postholder is required to develop the knowledge and skills to competently and

safely use and if appropriate interpret the data from a number of items of

electromedical equipment in the course of clinical practice eg

bull Birthing beds

bull Birthing pool

bull Transcutaneous electric nerve stimulation

bull Vital signs monitor

bull Maternal and neonatal resuscitation equipment

bull Neonatal monitoring and stabilisation equipment

bull Cardiotocograph for measuring foetal heart rate and uterine activity

bull Intravenous infusion devices

bull Equipment for assisted delivery eg Ventouse and forceps delivery

bull Infant feeding equipment eg breast pump and steriliser

The postholder has a responsibility to care for such equipment and report faults for repair

The postholder requires to maintain Electronic Patient Record

The postholder will have the computer skills necessary to retrieve and enter data into a number of IT systems including -

bull Badgernet Electronic Patient Record

bull Scottish Birth Record ndash National data information

bull Trakcare

bull Online training resources eg K2 LearnproTURAS

bull Laboratory system to obtain results

bull To access e-mail and internet

bull For computer assisted learning using specific training programmes

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

12

11 QUALIFICATIONS ANDOR EXPERIENCE SPECIFIED FOR THE POST

The postholder requires to

bull Be a Registered Midwife Have completed the Flying Start programme and reached the competencies contained in the KSF foundation level Band 6 Midwife within the first 24 months of employment as a midwife

bull Have 12 to 24 months experience at newly qualified level

bull Participate in further education and training to maintain own continuing personal and professional development

bull Attend mandatory and other aspects of Inservice training eg obstetric emergencies neonatal resuscitation adult life support fire prevention on a yearly basis

bull Be competent in a number of skills eg in venepuncture cannulation

bull repair of the perineum neonatal resuscitation breaking bad news counselling

bull Teach and assess in clinical practice

bull Maintain knowledge of national guidance and clinical standards

bull Keep up to date with developments in midwifery and neonatal care and ensure that practice is evidence based

bull Have knowledge of locally agreed staff support policies

bull Have knowledge and understanding of legislation relevant to maternity care

bull Have computer skills

bull Understanding of current transport pathways for off island transfers

12 PHYSICAL EFFORT amp SKILLS

Physical skill

The job is active and can involve the adoption of a variety of awkward positions

eg positions in labour or to support women with breastfeeding involving long periods spent standing bending and stretching

Assists with moving and handling of women during anaesthetic procedure and

following surgery

The environment is warm

May be required to travel in inclement weather conditions to provide care in the home

Frequent exposure to body fluids sometimes several times a day

Frequent exposure to unpleasant smells sometimes several times a day

May be required to transfer womenbabies providing care as required in an ambulance or air ambulance-

To tertiary centres

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

13

Skills to assist with birth and complications at birth

The insertion of intravenous cannulae

Venepuncture

Surgical repair of the perineum

Care and examination of the newborn

Keyboard word processing skills

Ability to work in a sustained and focused manner

Job Description Agreement

Job Holderrsquos Signature

Head of Department Signature

Date

Date

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

14

Person Specification

Job Title Registered Integrated Midwife

Department Maternity Unit

Location The Balfour amp Community

FACTOR ESSENTIAL DESIRABLE

EXPERIENCE All aspects of midwifery care ndash evidence for Band 6 foundation level eKSF

Experience in care of the neonate

QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS

Registered Midwife

Current NMC registration

Flying Start or equivalent

Mentor training or equivalent

Non-Medical Prescribing

KNOWLEDGE AND SKILLS

Evidence of continuing professional development

Holistic approach to delivering women centred care and promotion of ldquonormalityrdquo

Ability to care for women during pregnancy labour and postnatal periods

Awareness of infection control

Awareness of national frameworks and initiatives related to maternity services

Awareness of professional NMC Codes and guidance

Awareness of the importance of issues surrounding confidentiality

Ability to work as part of a team

Basic computer skills

K2 CTG package

SCOTTIE SNRC or equivalent

AppraisaleKSF

Breast feeding

cannulation

Perineal repair

Teaching and assessment skills

DISPOSITION Excellent communication and interpersonal skills

Ability to workday night rotation over a seven-day week including on call and air ambulance cover

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

15

Introduction to Orkney and NHS Orkney

Lying off the northern coast of Scotland between John OrsquoGroats and the Shetland Isles Orkney is

an archipelago of over 70 beautiful islands 17 of which are inhabited The total population is

approximately 22000 with most people living on the Orkney Mainland Kirkwall the capital with its

spectacular red sandstone 12th-century cathedral and a population of 7500 is the administrative

centre of Orkney with a good mixture of shops supermarkets and businesses

Orkney is a wonderful place to live and offers excellent schools and leisure facilities low pollution

low crime unique wildlife and amazing scenery Although remote there are excellent transport

connections with numerous flights to Aberdeen Glasgow Edinburgh and Inverness every day

There are ferry services to Aberdeen Scrabster and Gills Bay and of course to the smaller isles in

Orkney

Orkneyrsquos economy is based on agriculture generating some pound30 million per year Farmers breed

and rear beef cattle dairy cows and sheep of the highest standard Orkney has international

recognition for its food with cheese beef lamb and fish produce becoming well known not to

mention whiskey beer and gin Tourism oil and the renewable energy sectors are increasingly

important Orkney is at the forefront of the renewable wave and tidal energy drive in the UK

Kirkwall is a great place for children and a wonderful environment for

a family There is a very strong community spirit with a wide range of

cultural and sporting activities for adults and children Schools in

Orkney are very good with no private fees Imagine all of this within

walking distance of your home and workplace For residents and

visitors there is so much to see and do playing a round of golf

fishing kayaking walking cycling diving wind surfing and horse

riding are but a few The Pickaquoy Centre provides a modern well-

equipped sports facility swimming pool and entertainment centre

There are many cultural activities with annual music jazz and

science festivals attended by internationally renowned artists and

scientists There is an extremely wide variety of activities for children

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

16

and young people Homes are very affordable and with little traffic travelling around the islands is

easy

According to the 2020 Bank of Scotland quality of life survey for eight years in a row Orkney was

crowned the best place to live in Scotland The island took the top prize due to high employment

levels low crime rates smaller primary class sizes along with good health and happiness scores

With its strong sense of community picturesque landscape and rich archaeological treasures the

archipelago frequently wins the hearts of visitors

Not only is Orkney one of the most affordable places to live in the UK it also has one the highest

employment rates with 88 per cent of residents between 16 and 64 currently in work The low

crime rate means that many people do not even lock their front doors to allow the postie to place

the post and packages inside the door As for overall wellbeing more than nine in 10 Orkney

residents report good or fairly good health

To find out more about living and working in Orkney go to wwworkneycom or

wwworkneycommunitiescouk and learn more about NHS Orkney at wwwohbscotnhsuk

17

Recruitment Process

The NHS Scotland Everyone Matters 2020 Workforce Vision outlines the commitment the Scottish Government has in putting people at the centre of everything the NHS in Scotland does Working to a common set of values the vision will continue to modernise the way we work embracing technology and digital transformation

All vacancies will be advertised on NHS Scotlandrsquos recruitment website

httpsapplyjobsscotnhsuk

Internal vacancies will be advertised on NHS Scotlandrsquos internal recruitment website

httpsapplyjobsscotnhsukinternal

CVs are not accepted as a form of application NHS Scotlandrsquos electronic application form must be used on the above links

All adverts will close at midnight on the advertised closing date

Our selection process will consist of the following assessments

bull Application short listing ndash application forms are reviewed and those meeting the role requirements will be invited to a competency-based interview

bull InterviewAssessment ndash competency-based interviews have a focus on NHS Orkneyrsquos core values and the candidatersquos technical expertise The interview may also include a role specific test or a presentation topic

Any job offer will be subject to meeting the conditions of NHS Orkneyrsquos safer pre- and post-employment checks policy

bull Employment references - references should include current and previous employers covering the last 3 years of your employment history

bull Evidence of qualifications ndash candidates will be required to provide evidence of their qualifications including proof of professional registration if required

bull Medical assessment ndash the Occupational Health service will make an assessment on your fitness to carry out the information provided in a questionnaire In certain circumstances further information is required and Occupational Health may contact you by telephone or request that you attend for an appointment

bull Criminal conviction check ndash all applicants who apply for posts which are exempt from the Rehabilitation of Offenders Act 1974 and who will have access to patients during their employment will be required to consent to a Disclosure Scotland Criminal Records Check or join the Protection of Vulnerable Groups Scheme

bull Immigration Asylum and Nationality Act 2007 ndash Prevention of illegal working ndash candidates must be eligible to work in the UK evidence of this must be provided

For any queries relating to this vacancy or our Recruitment Process please email orkrecruitmentnhsscot

Equality and Diversity

NHS Orkney is committed to Equality amp Diversity httpswwwohbscotnhsukabout-usequality-and-diversity