Equality and Diversity s1

NHS KNOWLEDGE AND SKILLS FRAMEWORK NHS KSF OUTLINE (FOUNDATION OUTLINE)

TITLE OF POST: Skye & Lochalsh Midwife Caseload Holder -Foundation Outline AfC use

CREATED BY: Rona Scott

Job Reference No: Agreed: Yes

Assigned to:

Reports to: Lead Midwife

Job Purpose: To provide midwife managed care across Skye and Lochalsh and to contribute to the overall strategy of midwifery care within NHS Highland, working collaboratively with women and families, obstetricians, midwives and professionals allied to care in this field.

To carry continuing professional responsibility as an autonomous practitioner for a midwifery caseload in a designated caseload in a designated location

To deputise for the lead midwife as required

25/10/05 1 Dimension Level Indicators Areas Of Application For This Post

Core 1: Level 4: The worker:  Establishes and maintains professional Communication Develop and maintain a) identifies: communications with communication with people midwifery/obstetric/medical about difficult matters and/or - the range of people involved in colleagues, members of the in difficult situations the communication PHCT, statutory and voluntary agencies to - potential communication provide a planned, co- differences ordinated and seamless service for clients. - relevant contextual factors Communication of complex and highly sensitive - broader situational factors, midwifery information issues and risks requires persuasive skills, tact and empathy. b) communicates with people in a form and manner which:  Establishes and maintains professional - is consistent with their level of communications with clients understanding, culture, and families. background and preferred ways Communications will of communicating include sharing of information, discussion - is appropriate to the purpose of regarding provision of care, the communication and its health promotion and de- longer term importance briefing following confinement. - is appropriate to the complexity of the context

25/10/05 2 - encourages effective  Provides specialist communication between all knowledge to clinical involved colleagues, clients and families by interpreting and - enables a constructive outcome disseminating information to be achieved to address specific needs

c) anticipates barriers to  Supports and advises communication and takes action to colleagues when dealing improve communication with complex situations

d) is proactive in seeking out  Ensures own standard of different styles and methods of communication and communicating to assist longer documentation is being term needs and aims adhered to and works to NMC and NHS Highland e) takes a proactive role in Policies and Procedures producing accurate and complete records of the communication  Be able to discuss consistent with legislation, policies “challenging” situations with and procedures staff, clients and families, in a sensitive, informative and f) communicates in a manner that is appropriate way using a consistent with legislation, policies high level of interpersonal and procedures. skills e.g. managing unrealistic expectations; communicating sensitive information re: childbirth

Core 2 Level 3: The worker:  Reflects and evaluates own knowledge and practice, Personal and People Develop oneself and a) reflects on and evaluates how plans how to address Development contribute to the well s/he is applying knowledge and identified learning needs development of others skills to meet current and emerging proactively, making work demands and the effective use of appropriate requirements of the KSF outline for learning opportunities, his/her post seeking support of Lead Midwife b) identifies own development needs and sets own personal  Identifies areas of practice development objectives in that need change as discussion with his/her reviewer highlighted by the evidence-base, initiating c) takes responsibility for own change in practice in personal development and accordance with the maintains own personal appraised knowledge and development portfolio information

d) makes effective use of learning  Alerts Lead Midwife to opportunities within and outside the issues which affect learning workplace evaluating their and performance effectiveness and feeding back relevant information  Identifies own professional requirements for midwifery e) enables others to develop and practice and ensures it is in apply their knowledge and skills in accordance with all NMC practice regional and national policies relating to

25/10/05 4 f) contributes to the development of professional practice, others in a manner that is protocols and guidance consistent with legislation, policies and procedures  Participates in formal and informal review of own g) contributes to developing the practice with the Lead workplace as a learning Midwife and forms personal environment. development plan

Core 3 Level 2: The worker:  Ensures compliance with NHS Highland policies and Health Safety and Monitor and maintain health, a) identifies and assesses the procedures regarding Security safety and security of self potential risks involved in work Health and Safety and others activities and processes for self and others  Identifies the risk involved in work activities, e.g. how b) identifies how best to manage to manage the risks and to the risks take action regarding risks/emergencies and help c) undertakes work activities others to do so consistent with:  Works consistently within - legislation, policies and Health and Safety procedures legislation

- the assessment and  Recognises own role in management of risk Health, Safety and Security and offers suggestions for d) takes the appropriate action to improvement manage an emergency summoning assistance immediately  Identifies a safe and when this is necessary hazard-free environment and conforms to Health and e) reports actual or potential Safety legislation, alerting problems that may put health, managers to any identified safety and security at risk and risks suggests how they might be addressed

25/10/05 6 f) supports others in maintaining  Acts as a role model in health, safety and security. promoting Health, Safety and Security e.g. explaining to mothers the risks associated with having their babies sleeping in bed with them

 Identifies vulnerable women& families and refers to senior midwife to assess risk, implementing local guidelines and related care pathways (Child Protection, Domestic Abuse, Substance Misuse, Prenatal Mental Health), links with National policies on maternal and child health services

Core 4 Level 2: The worker:  Participates in and feedbacks from Service Improvement Contribute to the a) discusses and agrees with the meetings/activities where improvement of services work team suggestions for changes can be taken forward for - the implications of direction, the development of policies and strategies on their midwifery services current practice  Participates with - the changes that they can make midwifery/obstetric as a team colleagues and the senior midwife in the re-evaluation - the changes s/he can make as of changes to services to an individual ensure improvements have been made within agreed - how to take the changes parameters forward  Embraces change b) constructively makes agreed positively by: changes to own work in the agreed timescale seeking support as and - acting as a role model when necessary - supporting others c) supports others in understanding the need for and making agreed - offering contributions / changes suggestions

d) evaluates own and other’s work - networking when required to do so completing

25/10/05 8 relevant documentation - implementing evidence- based practice e) makes constructive suggestions as to how services can be improved - responding effectively to for users and the public suggestions and complaints from women f) constructively identifies issues and their families/the with direction, policies and public strategies in the interests of users and the public. - involving / collaborating with service users in the development and delivery of maternity services

25/10/05 9 Dimension level Indicators Areas Of Application For This Post

25/10/05 10 Core 5 Level 2: The worker:  Assists in the delivery of priorities and key objectives Quality Maintain quality in own work a) acts consistently with legislation, identified with QIS and encourage others to do policies, procedures and other standards in own working so quality approaches and encourages environment by: others to do so - supporting the b) works within the limits of own development of the competence and levels of Clinical Governance responsibility and accountability in agendas the work team and organization - working within NHS c) works as an effective and Highland/national responsible team member policies and NMC guidance for midwifery d) prioritises own workload and and supporting the organises own work to meet these implementation priorities and reduce risks to quality - working effectively as a e) uses and maintains resources team member and efficiently and effectively and collaborating with other encourages others to do so professionals and agencies to ensure f) monitors the quality of work in mother and family own area and alerts others needs are met etc. to quality issues. - by planning and prioritising own workload by utilising resources efficiently and effectively

- reflecting on and

25/10/05 11 monitoring quality of own work against agreed standards alerting Lead Midwife to areas of concern

- meeting the 24 hour requirement and on-call commitment

Core 6 Level 2: The worker:  Interprets and applies rights and responsibilities in a Equality and Diversity Support equality and value a) recognises the importance of way that is consistent with diversity people’s rights and acts in the spirit and the letter of accordance with legislation, policies the law in accordance with and procedures NHS Highland policies, the NMC code of Professional b) acts in ways that: Conduct and Midwives Rules and Standards - acknowledge and recognise people’s expressed beliefs,  Identifies anti-discriminatory preferences and choices practice and reports to Lead Midwife - respect diversity  Reflects on and challenges - value people as individuals assumptions and ways of working by self and others c) takes account of own behaviour and its effect on others  Recognises dilemmas in the promotion of rights and d) identifies and takes action when responsibilities and own or others’ behaviour develops appropriate undermines equality and diversity. solutions

HWB2 Level 3: The worker:  Gives evidence-based information, in an Assessment and care Assess health and wellbeing a) plans the assessment of appropriate format, to planning to meet Health needs and develop, monitor people’s health and wellbeing women and families to and wellbeing needs and review care plans to needs and prepares for it to take enable them to make an meet specific needs place informed choice, with consent, about their care b) explains clearly to people:  Assesses, agrees and - own role, responsibilities and records care plan with accountability women and Lead Midwife, enabling them to think - the information that is needed through the risks and how from the assessment and who they can be managed might have access to it against the agreed NHS Highland antenatal - the benefits and risks of the framework/guidelines and assessment process and NMC Rules and Standards. alternatives approaches This care plan has an ongoing evaluation and is c) respects people’s dignity, wishes updated as needs dictate and beliefs; involves them in shared decision making; and  In collaboration with the obtains their consent Lead Midwife:

d) uses assessment methods and - discusses and arranges processes of reasoning that: diagnostic and screening tests - are based on available evidence

25/10/05 14 - are appropriate for the people - prepares women for place concerned of birth

- obtain sufficient information for - liaises with other health informed decision making professionals involved in the provision of maternity - s/he has the knowledge, skills services and experience to use effectively - provides feedback and counselling following results - are consistent with legislation, of tests/screening policies and procedures - assesses the health and e) considers and interprets all of the wellbeing needs of women information available and makes a and their families justifiable assessment of people’s health and well being, related o Emotional needs and risks and explains the o Mental outcomes to those concerned o Physical o Social f) develops and records care plans o Spiritual that are appropriate to the people concerned and: - Explains clearly to women and their families the role of - are consistent with the the midwife and gives outcomes of assessing their contact details and written health and well being needs information - identify the risks that need to be managed.

- have clear goals

25/10/05 15 - involve other practitioners and agencies when this is necessary to meet people’s health and wellbeing needs and risks

- are consistent with the resources available

- note people’s wishes and needs that it was not possible to meet

g) monitors the implementation of care plans and makes changes to meet people’s needs

HWB5 Level 4: The worker:  Manages and plans and has overall responsibility for Provision of care to Plan, deliver and evaluate a) respects people’s dignity, wishes given caseload, taking into meet health and well care to address people’s and beliefs; involves them in shared account and following being needs complex health and decision making; and obtains their individual women’s care wellbeing needs consent. plans through discussion and negotiation. Advises b) identifies with the people on changes as situations concerned: dictate, ensuring choices are promoted with informed - goals for the specific activities to consent be undertaken within the context of their overall care plan and  Promotes and provides their complex health and women-centred evidence- wellbeing needs based care adhering to NMC Highland guidelines - the nature of the different aspects of care needed to meet  Effectively undertakes joint their complex needs agreed working, acknowledging the - the involvement of other people competencies and skills of and/or agencies other colleagues and partner agencies for - relevant evidence-based example roles agreed in practice and/or clinical Child Protection guidelines  Manages possible risks - how to manage possible risks with colleagues and

25/10/05 17 c) undertakes care in a manner that enables them to identify risk is consistent with: management strategies. Advises them on how to - evidence-based practice and/or recognise the need for clinical guidelines onward referral to other health professionals for - multidisciplinary team working example when involved in managing an ante /intra - his/her own knowledge, skills /postpartum or neonatal and experience transfer

- legislation, policies and  Discusses complex cases procedures applying own skills, with Lead Midwife enabling knowledge and experience and the practitioner to think using considered judgment to through and form a picture meet people’s different care of that risk, forming a needs. solution and management plan. d) takes the appropriate action to address any issues or risks

e) evaluates the effectiveness of care and makes any necessary modifications

f) provides effective feedback to inform the overall care plan

g) makes complete records of the work undertaken, people’s health and wellbeing, needs and related risks.

G6 Level 1 The worker:  Assesses, supervises, encourages and supports People Management Supervise people’s work a) gives people opportunities to staff within the sub-terms, contribute to the planning and accepting responsibility for organisation of their work any arising tensions and discussing with Lead b) develops and explains plans and Midwife work activities to people and enables them to carry out their work  Deputises for the Lead effectively consistent with Midwife as required legislation, policies and procedures

c) gives people support and opportunities to assess their own work and gives them clear, sensitive and appropriate feedback in a way that helps them improve and develop

d) supports people effectively during the NHS KSF development review process

e) reports poor performance to a relevant person for them to take action.

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