Smoke Free Pregnancy Midwife

Guy's and St Thomas' NHS Foundation Trust
£51,488 to £57,802 a year None
Closing date
25 Sep 2023

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Nurse, Midwife
Band 7
Full Time
We are looking for an organised proactive midwife with experience of providing care to women who smoke, who access maternity services. The midwife needs to be compassionate, knowledgeable, and happy to work autonomously. To have good organisational skills and be flexible to meet the needs of women and birthing people in the hospital and the community. To run smoking cessation clinics and visit women on the wards and sometimes in the community. The post holder will play a key role in the development of the service.

We are a high risk, acute tertiary referral unit. The post holder will be expected to meet with women who come for their ultrasound and antenatal appointments, in order to give the women and birthing people the best chance to quit smoking before they are 16 weeks pregnant.

The post holder will be responsible for coordinating the smoke free pregnancy agenda and will be responsible for identifying areas for improvement and leading on the implementation of improvement plans, staff training and development.

The role involves weekdays and day shift patterns (7.5 hours).

If you are interested in joining our team, please contact Mercy Ughwujabo (07752785873) consultant midwife for public health to discuss your application or make an appointment to visit our unit.

Closing: 25/09/2023

Interview: 09/10/2023

Main duties of the job

The main purpose of this role is to lead the implementation of the NHS long term plan for smoke free pregnancies.

The post holder:
  • will be responsible for ensuring that women have appointments with you around their first scan appointment.
  • is expected to run smoking cessation sessions and to visit all pregnant women in the hospital who smoke to offer them support and nicotine replacement therapy (NRT).
  • will need to be confident and competent in counselling women about quitting smoking.
  • will offer support be to women/ birthing people and their partners or others in their household who smoke.
  • will be expected to make referrals to other smoking cessation services that are in the acute setting or the community.
  • will need to be confident in using EXCEL spread sheets to analyse data and keep and share statistics with the various bodies that we are required to submit data to. This will also involve monitoring the compliance of asking about smoking at booking and delivery and carbon monoxide monitoring at booking and at 36 weeks of pregnancy.
  • will attend the South East London Smoke Free Pregnancies meetings and ensure that the Trust is kept up to date with the latest developments around tobacco in pregnancy.
  • will be expected to have close ties with other tobacco professionals in the Trust and community.
  • will be responsible for the annual update training of maternity staff about tobacco in pregnancy
  • will need to be dispense NRT to women in a one-stop-shop style clinic.

About us

Guy's & St Thomas' NHS Foundation Trust comprises 5 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 & Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services in the hospital and the local community.

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'sbiomedical research centres, and have dedicated clinical research facilities.

As the only NHS Trust in London with women's and specialist children's services on 1 site we have unique opportunities to provide excellent, high-quality, integrated care for mothers, babies and children. Our directorate provides high quality care to women and birthing people across South East London, as well as delivering a range of specialist services both nationally and internationally. We deliver over 6,400 NHS births and 350 private births a year. We have one of the largest NHS IVF units in the UK, which includes our flagship Preimplantation Genetic Diagnosis services.

Job description

Job responsibilities

Key Duties and Responsibilities:
  • Work in accordance with the NMCs rules and code of conduct for midwives.
  • Maintain and develop professional knowledge and competence in accordance with the NMC recommendations by completing designated clinical hours.
  • Coordinate and facilitate smoke free pregnancy clinics in order to provide tobacco treatment solutions to women and their partners.
  • To follow up women who are not engaging with the Tobacco Treatment services to engage them into a treatment programme.
  • Work closely with Trust Tobacco Treatment Advisors from acute and local authority services or local authority commissioned services to coordinate ongoing care for women and their partners.
  • Complete daily review of clinical areas of the Maternity unit and review women who are still smoking to provide tobacco treatment solutions where possible, this will include inpatient and outpatient areas.
  • To contact women who are still smoking at the time of birth.
  • Ensure that Element 1 of the Saving Babies Lives Care Bundle (v3), is embedded in practice across the Trust.
  • Implement change as recommended by latest evidence and national guidance such as NICE guidance NG209 (where relevant to maternity provision).
  • Work alongside the Antenatal clinic and community midwifery matron to ensure carbon monoxide screening equipment is available for midwifery and maternity support worker staff. Ensure equipment is in working order to optimise carbon monoxide screening opportunities.
  • Implement recommendations from Government and professional bodies in relation to maternity care.
  • Act as a role model for midwifery practice to all staff within the directorate.
  • Formulate and ensure all staff are aware and implementing the evidence-based protocols agreed for the Womens directorate.
  • Act as a Specialist advisor on issues relating to smoking/tobacco use in pregnancy.
  • Identify areas of practice, which require further investigation and initiate and participate in both midwifery and medical research and audit programmes.
  • Participate in the teaching and dissemination of professional and clinical knowledge to all learners and members of staff.
  • Provide a mentor support system for students and midwives within the Midwifery practice.
  • Lead, co-ordinate and manage clinical activities in relation to provision of smoking cessation support and midwifery care, in order to maximise the number of women who are supported to give up smoking, by the time they are 16 weeks pregnant, both in the hospital and community care settings.
  • Participate in appraisals of Band 6 midwives, on at least an annual basis in line with Trust policies.
  • Supervise the maintenance of stores and equipment and with due economy, requisition supplies, repairs and replacements of equipment.
  • Act on and participate in, the investigation of incidents and accidents and report to the PH Consultant Midwife as appropriate.
  • Ensure that working conditions are safe in accordance with the Health and Safety at Work Act.
  • To be fully informed of the risk management strategy, be responsible for reporting incidents, risk assessment and development of action plans to reduce risk and complaints.
  • The post holder will be expected to work in the clinical areas 50% of the time and the other 50% will be on smoking cessation.
  • Work closely with the digital Midwives and the Tobacco dependence treatment (TDT) team to monitor and utilise data.
  • Ensure data on smoking at the time of booking, at 36 weeks and smoking at time of delivery and carbon monoxide screening is recorded in the appropriate place.
  • Maintain database for referrals, appointments and follow-ups of women who continue to smoke during pregnancy.
  • Monitor carbon monoxide screening data and referrals to stop smoking teams from individual community teams in order to identify training needs.
  • To work with key stakeholders within maternity and public health to ensure effective systems are in place for local data sharing where possible.
  • To work in collaboration and partnership with in-house Stop Smoking Services and Specialist Maternity Smoke Free Advisors.

The post holder is required to follow Trust policies and procedures which are regularly updated including:

  • Establish a robust communication pathway with all maternity teams.
  • Work closely with the teams, liaise with other departments and members of the Trust to ensure the smooth running of the smoke-free pregnancies and maternity pathways.
  • Demonstrate effective interpersonal skills when dealing with all levels of staff across the Trust and be able to challenge senior staff around pathway performance.
  • Ensure women are communicated with in a sensitive and effective manner and problems are dealt with promptly and efficiently.
  • Play a key role in the further implementation of digital technolog

Please see attached Job description for full details.

Person Specification

Education & Qualifications


  • NMC Registered Midwife
  • Degree in midwifery
  • SSSAP/Mentorship/997


  • NCSCT - Stop Smoking Practitioner Training
  • Public Health qualification or working towards
  • Behaviour Change Level 2 HEE

Knowledge & Skills


  • Knowledge of national ambitions for smoke free pregnancies
  • Knowledge of the Saving Babies Lives Care bundle
  • IT and computer skills (Excel, Power point, MS Teams)


  • Presentation skills



  • Post registration experience in all areas of midwifery


  • Experience of audit and research
  • Experience of inter-professional teaching and learning in the clinical
  • Experience of implementing and motivating change

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust


St Thomas's Hospital

Westminster Bridge Road



Any attachments will be accessible after you click to apply.


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