Placenta Accreta Spectrum Specialist Midwife - pending AFC evaluation'
Job overview
This role supports the multidisciplinary PAS pathway and provides specialist midwifery input across key clinical areas.
The post‑holder will assist with the weekly FMU scan list, providing counselling to women undergoing PAS‑related imaging. A foundational understanding of ultrasound findings will support effective communication and patient preparation.
They will contribute to the PAS complex surgery list, offering continuity and specialist midwifery presence.
The role includes supporting the antenatal clinic where PAS patients are routinely reviewed, ensuring coordinated care, timely follow‑up, and clear communication across the MDT.
Dedicated admin time will involve triaging referrals, contacting patients, coordinating and sharing relevant reports, maintaining data collection, auditing outcomes, reviewing unnecessary referrals, and monitoring late referrals to support pathway improvement.
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Clinical Practice
Assess, plan, implement and evaluate midwifery care for women on the PAS pathway, ensuring privacy, dignity and personalised support throughout their antenatal and postnatal journey.
Provide specialist clinical expertise and guidance to midwifery and medical colleagues involved in the care of women with suspected or confirmed PAS, supporting safe, coordinated decision‑making.
Prioritise and develop individualised care pathways based on comprehensive risk assessment, ensuring that plans reflect each woman’s clinical needs, wellbeing and preferences.
Analyse and evaluate the effectiveness of PAS care pathways, identifying areas for improvement and providing professional advice to enhance safety, quality and consistency.
Maintain accurate, timely and professional documentation in line with Trust policies, national standards and regulatory requirements.
Apply counselling skills when delivering difficult news, supporting bereavement, or discussing outcomes related to antenatal screening and PAS‑associated risks.
Work collaboratively with specialist teams and other relevant MDT members to ensure seamless care.
Maintain up‑to‑date knowledge of PAS guidelines, quality standards and best practice, ensuring care delivery remains evidence‑based and aligned with national recommendations.
Monitor and evaluate the quality of PAS care, identifying variances, addressing concerns, and taking proactive steps to improve pathway performance and patient experience.
Working for our organisation
The Royal Wolverhampton NHS Trust is one of the largest NHS trusts in the West Midlands providing primary, acute and community services and we are incredibly proud of the diversity of both our staff and the communities we serve. We are building a workforce that can help us to fulfil our values, improve the quality of care for patients, and solve the health care problems of tomorrow. We’re passionate about the value that diversity of thinking and lived experience brings in enabling us to become a learning organisation and leader in delivering compassionate care for our patients.
We are delighted that we have been rated as “Good” by CQC. We have achieved numerous awards; The Nursing Times Best Diversity and Inclusion Practice and Best UK Employer of the Year for Nursing Staff in 2020.
The Trust is a supportive working environment committed to creating flexible working arrangements that suit your needs and as such will consider all requests from applicants who wish to work flexibly.
Detailed job description and main responsibilities
Clinical Practice
Assess, plan, implement and evaluate midwifery care for women on the PAS pathway, ensuring privacy, dignity and personalised support throughout their antenatal and postnatal journey.
Provide specialist clinical expertise and guidance to midwifery and medical colleagues involved in the care of women with suspected or confirmed PAS, supporting safe, coordinated decision‑making.
Prioritise and develop individualised care pathways based on comprehensive risk assessment, ensuring that plans reflect each woman’s clinical needs, wellbeing and preferences.
Analyse and evaluate the effectiveness of PAS care pathways, identifying areas for improvement and providing professional advice to enhance safety, quality and consistency.
Maintain accurate, timely and professional documentation in line with Trust policies, national standards and regulatory requirements.
Use advanced interpersonal and communication skills when supporting women and families experiencing complex issues such as safeguarding concerns, domestic violence, mental health challenges, substance misuse or sexual health matters.
Communicate complex and sensitive information with empathy and clarity, ensuring women and their families feel supported and reassured during discussions about diagnosis, treatment plans and potential complications.
Apply counselling skills when delivering difficult news, supporting bereavement, or discussing outcomes related to antenatal screening and PAS‑associated risks.
Work collaboratively with specialist teams and other relevant MDT members to ensure seamless care
Maintain up‑to‑date knowledge of PAS guidelines, quality standards and best practice, ensuring care delivery remains evidence‑based and aligned with national recommendations.
Monitor and evaluate the quality of PAS care, identifying variances, addressing concerns, and taking proactive steps to improve pathway performance and patient experience.
Management
Ensure that the day-to-day service delivered as required by the service needs
Promote best practice in health, safety and security.
Monitor and maintain the efficient use of physical and/or financial resources within the current financial constraints reporting any deviances to the manager promptly.
Liaise with the multidisciplinary team and multi-agencies co-coordinating and participating in case discussions as required.
Ensure that the service is a positive learning experience for students and junior staff and meet the necessary standards for placement.
Identify and manage challenging behaviours as directed by trust policies
Recognize, communicate and reward the achievements of staff in a learning capacity and provide constructive feedback, advice and on-going practice.
Provide professional leadership and support to colleagues.
Lead and develop the implementation of care pathways for the services of women on the PAS care pathway.
Ensure that essential information on the client’s condition and progress is recorded appropriately according to NMC guidelines.
Monitor progress of work recognising changing priorities and implement corrective actions within own limits and informing the relevant people.
Act as a mentor and assessor to assigned learners and teach and support them through their competency assessments as required.
Lead in the appraisal process for a defined group of staff in accordance with trust policies.
Communicate clearly with colleagues and provide them with opportunities to contribute to the planning and organization of work.
Deal personally with clients, families and carers in order to aid resolution of complaints. Report all incidents, complaints or accidents to the Matron and assist in their investigation and resolution.
Monitor and manage sickness and absence in accordance with trust policies.
Have active involvement in the recruitment and selection process.
Monitor, control and store resources/supplies according to the requirements and specifications of the clinical environment.
Implement and propose changes to policies/practices in own area.
Participate effectively to evaluation studies (e.g. patient satisfaction surveys and audit).
Identify and take action in accordance with trust policy where necessary to address discrimination and oppression.
Monitor and maintain health, safety and security of self and others in own work area. Adhering to lone worker policy.
Take immediate and appropriate action including supporting others to manage risks in relation to adverse incident reporting via the hospital incident reporting system.
Identify training needs in health and safety whilst identifying appropriate resources.
Professional Development
Undertake Midwifery care consistent with evidence-based practice, transferring and applying knowledge and skills to meet client/family’s needs.
Influence and prioritize the development of knowledge, ideas and work practice in self and others.
Maintain a high clinical standard and facilitate application of theory to practice.
Assess, identify and evaluate own knowledge and practice needs in relation to knowledge and skills required to meet the demands of the job.
Undertake annual mandatory training updates and other relevant courses in line with Trust and local policies.
Promote the profession of Midwifery and ensure midwifery care is evidence-based and in line with best practice.
Take an active role in the implementation of the emerging Nursing and Midwifery agenda.
Embrace the public health agenda and support the delivery of local plans e.g. breastfeeding, smoking cessation.
Undertake data collection effectively using the agreed systems.
Contribute to audit/benchmarking within the clinical area supporting the introduction of a change in practice if indicated.
Accountable for own professional actions undertaking all duties having regard to the NMC ‘Code of Professional conduit’ for the nurse, midwife and health visitor and their professional contribution to Clinical Governance
Lead and develop in new service innovations as required
Child Protection
All employees have a duty and a responsibility to protect and safeguard children.
Have a working knowledge of the child protection procedures and contacts within the Trust for further help and guidance.
To effectively communicate to their team, sharing inter-agency child protection correspondence
Responsibility for instigating and communicating child protection issues to professionals within the maternity unit, ensuring documentation follows agreed pathways.
Flexible Working - As a major employer in the Black Country and West Birmingham region we are committed to supporting all employees to achieve a healthy work life balance. We want the Black Country and West Birmingham region to be the best place to work and as such will consider all requests to work flexibly taking into account personal and individual circumstances alongside the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the Recruiting Manager as part of the on-boarding process.
Qualifications - Please be advised that if the post that you are applying for requires any level of qualification (e.g. A-Levels, Degree etc) or Professional Registration (e.g. Nursing and Midwifery Council, General Medical Council etc) you will be required to provide proof as part of the pre-employment process. By submitting your application you are giving the Trust permission to check the qualification certificates provided back to the source provider. Please note that a sample of all applicant’s qualifications will be checked with the educational institution or provider. Furthermore, a sample of all applicants’ qualifications will be checked back to the educational institution or provider to interview letters to further deter fraud.
Visa/Sponsorship Information
In line with UKVI requirements, the Trust is unable to sponsor any applicants for Skilled Woker Visas who do not meet the minimum eligibility requirements including applicable salary thresholds and concessions. Before applying, please ensure that you have the right to work in the UK, or that the role is eligible for sponsorship. For more information, please visit: Health and Care Worker Visa or Skilled Worker Visa .