Audit And Guideline Midwife

Bedfordshire Hospitals Nhs Foundation Trust; Luton; On-site; GBP 49,000 - 57,000; Part time

Job summary

Bedfordshire Hospitals NHS Foundation Trust is seeking a Governance and Quality professional to coordinate clinical audits and drive quality improvement across the division.

You will work with clinical services to develop, guide and report on audit activities, ensuring high standards and alignment with national guidelines. The role involves training staff, maintaining records, and reporting risks to governance boards as part of a proactive quality culture.

Qualifications

• Registered Midwife and degree-level educated.
• Audits and effectiveness knowledge or experience desirable.
• Ability to coordinate audits and guideline development.

Responsibilities

• Coordinate multi-professional clinical audits, service evaluation and effectiveness initiatives.
• Provide specialist advice and training on clinical audit and quality improvement.
• Ensure compliance with national standards (NICE, CQC, HQIP) and maintain robust records.
• Monitor divisional audit activity and report to governance boards.
• Support guideline development and implementation across the division.

Skills

Computer literacy

Organisational skills

Leadership

Education

Registered Midwife

Degree level education

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

Job summary

Under the direction of the Head of Governance and Quality the post holder will:

• Be responsible for providing expertise, advice and practical support and reporting to the Head of governance and quality to coordinate a portfolio of specific audit projects which may arise from National/Regional/Trust/Local priorities and from Risk issues.
• Ensure the development and dissemination of the clinical guidelines and audit quality improvement strategy and will work with agreed clinical services, specialities and professional groups to develop; plan, guide, support and report on related activities. The post holder will ensure the highest standards of quality are maintained.
• Ensure clinical quality, clinical effectiveness and priorities for improving patient clinical outcomes remain one of the top priorities within the clinical area and department and shall facilitate and support the adoption of this culture.
• Coordinate the guideline development and implementation programme across the division and maintain a robust audit trail.
• Ensure staff are actively involved in the Trust's vision to have a proactive rather than a reactive approach to quality and safety management across the organisation.

Main duties of the job

The post holder will work closely with the Head of Governance and Quality, Consultant Midwife, operational and corporate teams, and staff at all levels, both independently and collaboratively. They will coordinate the development and implementation of multi-professional clinical audit, service evaluation, and effectiveness initiatives across the division, ensuring alignment with the Trust's overarching audit programme. Responsibilities include liaising with clinical leads and national bodies, supporting staff in designing and conducting audits, analysing and disseminating findings, and facilitating implementation of improvements. The post holder will provide specialist advice and training on clinical audit and quality improvement, ensure compliance with national standards (NICE, CQC, HQIP), support guideline development and implementation, and maintain robust records and databases. They will monitor divisional audit and guideline activity, provide regular reports to governance boards, and elevate risks or anomalies. The role requires participation in research, service development, and continuous professional development, while demonstrating flexibility, organisational skills, and adherence to Trust policies and values. The post holder may also provide clinical care as required, co-chair guideline meetings, and contribute to Trust-wide quality and safety initiatives.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Our values

We not only recruit based on qualifications and experience – we attract individuals who demonstrate the behaviours which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity, and creating a culture that values differences.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job.

Details

Date posted: 16 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year pa
Contract: Permanent
Working pattern: Part-time
Reference number: 418-MAT76386-EH

Person Specification

Essential qualifications

• Registered Midwife
• Educated to Degree level

Desirable qualifications

• Qualifications in audit and effectiveness or relevant experience

Essential experience

• Experience working in relevant field
• Experience working in an environment with conflicting pressures and changing workload
• Experience of working within a team and of developing good working relationships with internal and external staff at all levels
• Experience of guideline development

Desirable experience

• Experience of change management initiatives
• Experience of managing staff

Essential knowledge

• Demonstration and application of audits / coordinating and undertaking audits
• In depth knowledge of midwifery
• Current issues in health service, profession, and evidence based knowledge in all matters impacting on midwifery practice

Essential skills

• Computer literate with experience of Microsoft Word, Outlook, Excel and excellent and accurate typing skills
• Robust organisational skills with the ability to prioritise workload and meet tight timescales
• Leadership skills and ability to motivate others

Desirable skills

• Ability to articulate strategic vision

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name: Bedfordshire Hospitals NHS Foundation Trust
Address: Luton and Dunstable Hospital, Lewsey Road, Luton, LU4 0DZ, United Kingdom
Employer's website: Apply through our website

For questions about the job, contact

Deputy Head of Governance and Quality, Catherine Hudson, [e-mail]

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