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Specialist Midwife in Domestic Abuse and Homelessness

Nottingham University Hospitals NHS Trust
£43,742 to £50,056 per annum pro rata
Closing date
29 Nov 2023
We are looking for a motivated and passionate experienced midwife, who has an interest in working with Vulnerable women with complex needs, specifically Domestic Abuse and Homelessness.

You will be working as part of a well-established but expanding team. Alongside other midwives with specialist interests who are passionate in delivering the best research based care.

The Specialist Midwifery Team at Nottingham University Hospitals NHS Trust (NUH) provides care to vulnerable pregnant women. Complexities of care concerns may include domestic abuse, substance misuse, mental health problems, homelessness and vulnerable pregnant migrants.

We are looking for a leader, who with expert knowledge and skills will drive the service forward in providing antenatal and postnatal care in a variety of settings with opportunities to provide intrapartum care in line with Better Births. You will provide visible leadership. Supporting your colleagues by sharing specialist knowledge through coordinating and providing training and guidance in Domestic abuse and homelessness for maternity staff, to enable them to provide holistic care that optimises maternity outcomes, also holding a small caseload of complex vulnerable women.

You will be required to be a car driver and have access to a car for work purposes as you will be based in a community setting.

Main duties of the job

You will be responsible for providing extra support and care to some pregnant women experiencing high risk Domestic Abuse, in partnership with their own midwife and other partnership agencies.

You will be responsible for providing extra support and care to some pregnant women who are Homeless or at risk of Homelessness, in partnership with their own midwife and other partnership agencies.

You will provide a link between the maternity service and other services involved in providing care and services for women and their families affected by Domestic Abuse and/or Homelessness

You will ensure that relevant pathways, policies and processes for women with, or at risk of, Domestic Abuse and Homelessness are developed, implemented and audited. This will involve working with a range of relevant professionals, services and agencies.

You will support your colleagues by sharing specialist knowledge through coordinating and providing training and guidance in the providing of care and support for women affected by Domestic Abuse and/or Homelessness, to enable them to provide holistic care that optimises good outcomes for Mother and child.

About us

With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Job description

Job responsibilities

Support, assist and advise women affected by Domestic Abuse and/or Homelessness, and their families to supplement the care provided by their midwives where necessary, for example, working with women and their midwives to develop individual care plans, and making referrals to additional specialist services where required.

Case hold the most complex women affected by Domestic Abuse and Homelessness and support the engagement and retention in midwifery services of the most vulnerable pregnant women affected by Domestic Abuse and/or Homelessness, enabling flexible access to maternity care.

Provide clinical input, professional leadership, support and specialist knowledge when women are not accessing mainstream midwifery care and work in partnership with colleagues where women are experiencing complex issues affecting their lives.

Work within the Nottingham University Hospital Trust providing midwifery led care. More complex women will receive care in obstetric consultant antenatal specialist clinics for Vulnerable women, involving working in partnership with Obstetric consultants to develop a plan of care, ensuring that appropriate professionals and agencies (e.g. midwifery, obstetrician, HV, GP, Police, Womens Aid and Childrens Social care) are aware of current status and management plans

Ensure effective joint working across the NHS, public health, local authority and voluntary sector to ensure women and babies needs are met.

Act as an advocate for women to ensure they get the specialist care they need taking into consideration their culture, customs, values, and spiritual beliefs. Able to manage effectively expectations of women and their families.

Liaise with partner agencies, safeguarding and social care teams within multi-disciplinary and multi-agency teams to ensure that women with complex needs and vulnerabilities are receiving high quality, evidence based and effective care.

Provide and receive highly complex, sensitive, or contentious information from women and third parties using communication and counselling skills to establish and maintain relationships and using effective communication to share information with agencies and organisations as appropriate.

Understand and engage with The Multi-Disciplinary Risk Assessment Conference (MARAC) Understand the roles and responsibilities of being Midwifery MARAC representative. Attend Conference when Clients open to maternity services are heard in Conference. Present to conference and participate in safety planning.

Adhere to and encourage others to utilise appropriate NMC and local standards for record keeping and all written documentation ensuring client and colleague confidentiality at all times.

Person Specification

Commitment to Trust Values and Behaviours


  • Must be able to demonstrate behaviours consistent with the Trust's We are here for you behavioural standards

Training and qualification


  • Registered Midwife
  • Evidence of recent relevant CPD in area of expertise
  • Specialist knowledge and experience in delivering maternity care to women affected by domestic abuse, developed through training and practice
  • Specialist knowledge and experience in delivering maternity care to women affected by homelessness, developed through training and practice



  • Extensive clinical midwifery knowledge and understanding of clinical pathways of antenatal, Intrapartum and postnatal care
  • Ability to convey sensitive information in an empathetic manner to patients with complex needs and relative/carers and staff.
  • Understand the impact of domestic abuse and /or homelessness on infants and other family members, and the role that maternity services can play in mitigating this.
  • Evidence of responding appropriately to child protection concerns and knowledge of Child protection procedures


  • Experience of delivering training to Midwives and the Multi-disciplinary team in in all aspects of domestic abuse.
  • Experience of partnership working with agencies associated with women with complex needs and vulnerabilities. Specifically Domestic abuse and homelessness. Juno womens Aid, Karma Nivara, Police, Childrens Services, The homeless health team. Housing Aid. Voluntary and statutory services.

Communication and relationship skills


  • Demonstrate effective written and verbal communication skills
  • Use appropriate communication skills to maximise engagement of women with complex needs requiring maternity and mental health services.
  • Can minimise interpersonal conflict and barriers to communication


  • Proven experience of exposure to clients with complex social circumstances using highly developed specialist knowledge to manage care.

Analytical and judgement skills


  • Experience and knowledge of clinical Governance frameworks
  • Participate in undertaking an investigation to improve care for women with complex social needs
  • Collate, analyse and report on information about the quality of service provided to women with complex needs


  • Experience/participation in audit or research

Planning and Organisational skills


  • Able to identify risks and respond to problem situations and to ensure that effective interventions are put in place
  • Demonstrates an ability to organise own work schedule managing time effectively and displays initiative
  • Plan and coordinate multi-disciplinary/multi agency work


  • Evidence of being able to respond to complex situations in a rapidly changing workload.

Other requirement


  • Provide Midwifery care in a variety of different locations
  • Full driving licence, with access to a car for business use.

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


Sherwood Rise Health Centre

29 Nottingham Road



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