Midwife Practitioner - High Risk Team | Guy's and St Thomas' NHS Foundation Trust

We are establishing a new Continuity of care team to care for those with complexities in pregnancy to reduce health inequalites and improve health care outcomes. The team will work alongside pre exisiting high risk maternity teams.

This is an exciting opportunity for an experienced midwife who wishes to further develop and broaden their knowledge and skills. You will enjoy providing woman centred care as a vital part of a truly multidisciplinary team. You will gain valuable experience in high risk complex medical and social conditions as well as gaining experience in team midwifery working alongside all disciplines in decision making. You will have an opportunity to utilise all of your midwifery skills in antenatal, intrapartum and postnatal care including community care for those who live within the catchment area.

Driving licence is preferable.

Closing date

6/6/26 at Midnight

Interview date

24/06/2026

The team consists of 5.7 midwives who provide care through the antenatal period, intrapartum and postnatal period. You will work extensively with the wider multidisciplinary team. You will also have the opportunity to participate and lead on antenatal education.

You will be able to liaise with the wider multidisciplinary team, including obstetric medicine, fetal medicine, Cardiology, Gastroenterologists, Neurologists, perinatal mental health and safeguarding teams including social services.

You will be able to provide competent individualised and personalised intrapartum care on the labour ward, using physiological CTG interpretation and supporting the wider multidisciplinary team.

For those who live within the catchment you will be able to offer postnatal care to provide seamless transitons from the hospital to home and the postnatal period. This will offer reassurance from the families who know you best and can feel comfortable knowing you understand there pre-exising histories.

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.

Clinical Responsibilities

 Work autonomously within scope of professional practice, delivering safe,

individualised and evidence-based care within a defined specialist area of

midwifery practice, making clinical decisions and prioritising care within

defined guidelines.

 Undertake comprehensive assessment, planning, implementation and

evaluation of care for women and babies, including those with complex or

additional needs relevant to the specialist area, taking appropriate action in

response to clinical findings, including escalation where required.

 Provide advice, support and guidance to women and families within the

specialist pathway, promoting informed choice and personalised care.

 Demonstrate sound clinical judgement in the assessment and monitoring of

maternal and fetal wellbeing, taking appropriate action and escalating

concerns where required.

 Maintain and apply core midwifery clinical skills and, where appropriate,

undertake additional clinical skills relevant to the role and individual

competence (e.g. specialist assessments, monitoring or medicines

management under midwifery exemptions/PGDs).

 Where required, contribute to the delivery of direct clinical care within the

wider maternity service, utilising full midwifery skills to support safe,

effective care for women and babies.

 Contribute to the planning and organisation of care within the specialist

area, including supporting follow-up and continuity for a caseload of women

with support from the MPL or a midwifery manager.

 Support the MPL and, where appropriate, deputise within scope of

competence.

Communication

 Communicate effectively with women, pregnant people, families and carers,

including conveying complex, sensitive or distressing information.

 Act as an advocate to support personalised evidence-based choices and

care.

 Provide information, education and support tailored to the needs of women

within the specialist area.

 Maintain clear and accurate documentation whether using paper

documents or electronic records.

 Maintain confidentiality of patient information in accordance with Trust

policies.

Care Coordination and MDT Working

 Contribute to the coordination and organisation of care for defined groups

of women within a specialist pathway, clinic or service.

 Act as an effective member of the multidisciplinary team, supporting

communication and coordination across services, including reviews, ward

rounds, case conferences and liaison to promote optimal care.

 Act as a point of contact within the team for defined aspects of care with

escalation to the MPL as required.

 Liaise with internal and external agencies to support safe and holistic care

and document safely and comprehensively.

Leadership, Supervision and Professional Practice

 Provide clinical support, advice and guidance to junior staff, students and

support workers.

 Act as a role model for high standards of midwifery care and professional

practice.

 Contribute to maintaining safe standards of care within the specialist area.

 Escalate risks, incidents or concerns appropriately to the MPL, Doctor or

senior manager.

Governance, Quality and Service Improvement

 Contribute to the development, implementation and evaluation of clinical

standards, guidelines and care pathways.

 Participate in clinical audit, quality improvement and governance activities.

 Support the collection, monitoring and interpretation of data relevant to the

specialist area.

 Participate in research activity within the specialist area, supporting

recruitment, data collection and adherence to study protocols where

applicable.

 Work in accordance with research governance frameworks and relevant

regulatory requirements if involved in research activity

 Take an active role in risk assessment, identifying risks and supporting the

implementation of strategies to minimise harm. Ensuring incidents and near

misses are reported, promoting a no blame culture.

 Ensure all staff act in accordance with Local, Hospital and Statutory

Guidelines & Policies including Health and Safety initiatives.

 Facilitate a high-quality, cost-effective specialist service through monitoring

and audit and other quality initiatives agreed by the Trust

 Support the effective use of clinical resources and contribute to the

organisation of workload within the team.

Education and Development

 Contribute to education and training activities within the specialist area.

 Maintain and develop professional knowledge and skills in line with NMC

requirements.

 Support dissemination of learning and good practice within scope of

practice using various mechanisms across the MDT.

 Support the development of others through mentorship, supervision and

teaching, including being a practice assessor/supervisor contributing to

assessments of competence.

Please see attached job description for full details.

This advert closes on Saturday 6 Jun 2026