Job Description

This part-time post has been created to support a Smoke Free Pregnancy Programme at North Middlesex University Hospital. The programme will take a systems-based approach to help improve the way smoking in pregnancy is addressed and enable maternity teams to more effectively support women to stop smoking.



The Smoking Cessation Midwife will work to address smoking in pregnancy. They will work closely with Maternity Tobacco Dependence Advisors and support the Community Midwifery Teams and members of the Multi-Disciplinary Professional Team to ensure staff follow the smokefree pregnancy pathway and refer pregnant smokers to the in-house stop smoking service



As Smoking Cessation Champion Midwife you will work as part of a team to contribute to the implementation of the Saving abies Lives Care Bundle element 1 and support the implementation of the NHS Long Term Plan . The Saving Babies' Lives Care Bundle (SBLCB) provides evidence-based best practice for providers and commissioners of maternity care across England, to reduce perinatal mortality. Element 1 focuses on reducing smoking in pregnancy by implementing NHS-funded tobacco dependence treatment services within maternity settings, in line with the NHS Long Term Plan and NICE guidance . This includes carbon monoxide testing and asking women about their smoking status at the antenatal booking appointment and, as appropriate, throughout pregnancy. Women who smoke should receive an opt-out referral for in-house support from a trained tobacco dependence adviser who will offer a personalised care plan and support throughout pregnancy.



NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/



1.1 Educational responsibilities



Participate in in-service training and education related to smoke free pregnancy and take responsibility for developing and maintaining their own skills and knowledge.



1.2



Coordinate the delivery of smoking cessation and Very Brief Advice training for maternity colleagues and monitor uptake and attendance at training events.



1.3



Deliver training on smoking cessation and Very Brief Advice to colleagues (existing maternity workforce as well as new appointments), following participation in Train-the-Trainer training

1.4



Provide co-training support and feedback to other midwife champions in NCL, following participation in Train-the-Trainer training.



1.5



Participate in maternity and health education for women and their families where specialist input is required in relation to smoking or smoking cessation in pregnancy.



1.6



Work within current recommendations pertaining to midwifery or nurse education.



1.7



Develop communication and education resources on smoke free pregnancy, CO monitoring and referral pathway for maternity staff.



1.8



Develop and/or update smoke free pregnancy policy and guidelines.



1. RESPONSIBILITY FOR PATIENTS



2.1



Act proactively as a point of contact (face-to-face, email, virtual,, webinar) for midwives and pregnant people , for specialist advice and support on CO screening and smoking cessation

2.2



Follow up with pregnant smokers who do not engage with smoking cessation and alert their midwife.



2.3



Always ensure that the interest and well-being of babies are paramount, whilst continuing to act as an advocate for their mothers.



2.4



Provide expert Stop smoking advice, support and guidance to staff within the division on handling complaints and local resolution.



2. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT



3.1



Formulate and champion a consistent and evidence-based approach, reflecting the national guidance, for universal carbon monoxide (CO) screening and implementation of an opt-out referral pathway for pregnant smokers within the North Middlesex University Hospital maternity services. Create CO monitor devise lists are ensure monitors are regularly calibrated and in good working order



3.2



Embed the Long Term Plan in-house referral pathway in the Trust, help resolve any issues that impact on the pathway and promote the pathway to maternity colleagues.



3.3



Support the in-house service and ensure all pregnant smokers are referred to the in-house service



3.4



Work closely with Maternity Tobacco Dependency Advisors to support pregnant smokers.



3.5



Take responsibility for data collection on smoking, CO screening and referral rates, for monitoring and evaluation purposes.



3.6



Undertake administrative and organisational duties relevant to the programme.



3.7



Participate in relevant research programmes and clinical audit activity.



3.8



Participate in strategic planning meetings and action plans as part of the NCL task and finish group on smoking cessation in pregnancy.



3.9



Encourage a holistic, non-stigmatising approach to help pregnant women stop smoking.



3.10



Ensure national targets for reducing smoking in pregnancy are met in conjunction with other midwives



3.11



Maintain accurate and complete records of all care activities related to the Smoking Cessation Midwife role, in a timely manner, adhering to local and professional standards for documentation



3.12



To undertake audits and evaluation of the care and service provided, to measure outcomes informing the future developments of care and service provision in relation to Smoking Cessation Programme.



3. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES



4.1



To order specialist supplies and maintain accurate records of resource use in relation to equipment such as CO Monitors

4. RESPONSIBILITY FOR LEADING AND MANAGING



5.1



Act as the link professional and key point of contact between local and regional teams working on smokefree pregnancy, including: NCL Smokefree Pregnancy Coordinator; the Trust Tackling Tobacco Dependency Action Group, local stop smoking services; and other networks as necessary.



5.2



Maintain efficient and effective communications and working relationships with other professional groups and staff within local authorities, North Central London Intergrated Care System and stop smoking services.



5.3



Support compliance with action plans set up to deliver performance improvement and work with all stakeholders to deliver KPI 's in relation to Stop Smoking Support.

5.4



Lead development, support and implement a unique risk perception for Pregnant mums who continue to smoke at their booking scan.



5.5



Provide a visible clinical profile as a Specialist Midwife, having an advisory role and support those who provide clinical input into the care of women.



5.6



Comply with Trust policy for management and administration of medicines. This will include in developing and maintaining the Patient Group Direction for prescribing Nicotine Replacement Therapy supported by medical colleagues.



5. RESPONSIBILITY FOR INFORMATION RESOURCES



6.1



Identify areas for quality improvement that derive from the data analysis and feedback and work on improving outcomes.



6.2



To monitor, control and store resources/supplies according to the requirements and specifications of the clinical environment



6.3



To identify any problems with resource use/availability and make recommendations for corrective action which are consistent with team objectives and organisational policies.

6. Responsibilities for HR



7.1



Work in conjunction with the Team Leader and co-ordinate staff development and performance and act as a preceptor for new staff working in conjunction with the practice educator.

7.2



Attend mandatory training and reviews as local policy.

7.3



Continually develop own knowledge and skills by keeping up to date with training and education and evaluating and reflecting on practice in relation to the Smoking Cessation Midwife role.

7.4



Contribute to the development of the service and ensure work collaboratively and effectively within the Community Team and possess the relevant clinical skills and knowledge.

7.5



Act as Mentor/Assessor for all learners, junior staff

7.6



Be actively involved in appropriate groups and working parties to develop both professionally and individually and to meet service needs

Communication & Relationship Skills



Act as an exemplary role model at all times in line with the codes of conduct set out by the Trust and relevant professional bodies. To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background to explore complex issues and to make complex decisions. To effectively communicate complex and sensitive information. To competently receive sensitive information concerning clients care pathways and provide information using persuasive, reassuring skills as requires when initiating the unique risk perception information for mums who continue to smoke. To contribute to the development of a positive learning environment. To encourage others to seek advice and solutions to problems. To identify and manage challenging behaviours. To ensure that essential information on the clients' condition and progress is recorded by self and team members appropriately according to NMC guidelines. To develop a referral system with the community team to support effective Stop Smoking interventions. Assist in maintaining an effective communication network, written, verbal and electronic, informing senior staff of all matters outside your role/sphere of competence; cascading information to more junior staff. * Liaise with other service providers to support the efficiency of the unit.