Date posted: 01 July 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £55,524 to £62,652 a year
Contract: Permanent
Working pattern: Part-time
Reference number: 289-SC-380
Job locations: West Middlesex University Hospital, Twickenham Road, Isleworth, London, TW7 6AF, United Kingdom

Job summary
An exciting opportunity has arisen within our West Middlesex perinatal pelvic health service for an experienced specialist advanced practitioner (midwife), with expert knowledge and skills in the field of perineal pelvic health.

The successful candidate must have a drive for improving perineal and postnatal care of women as a whole and be willing to learn and become a specialist practitioner in this area.

As the post holder, you will be working as the lead midwifery practitioner responsible for the development and oversight of high quality midwifery led interventions which aim to reduce anal sphincter damage, perineal injury and improve repair during childbirth. You will also be responsible for ensuring appropriate care pathways for those women who experience pelvic girdle pain.

The post holder will work in partnership with the specialist physiotherapist within gynaecology and maternity outpatients and the Lead Nurse / Midwife for Perineal and Uro-gynaecology, whilst supporting the overall perineal / pelvic health service. You will also be teaching, training and auditing to support the ongoing innovative care for postnatal women.

The post holder will be working directly with complex patients, promoting health improvements for them in both prevention and recovery. You will be working at a strategic level to identify gaps in midwifery and obstetric practice and contribute to the improvement of services locally and nationally.

Main duties of the job
The key priority areas for action are:

• Antenatal: To set up and run a midwifery led clinic for pregnant women with complex needs (such as a previous anal sphincter injury) and recommend the mode of next delivery. Design and then use a clear pathway in collaboration with the colorectal and obstetric teams.
• Postnatal follow-up: Improve support for women who have sustained an Obstetric Anal Sphincter Injury (OASI) or have a perineal breakdown promoting a healthy and quick recovery using evidenced-based research and multidisciplinary working.
• Audit: Audit women who have sustained an OASI and integrate recommendations into colleagues training to reduce rates. Complete a service evaluation of the training programme and cascade to OASI care bundle if needed.
• Education: Teach OASI prevention and suturing skills to midwives, students and obstetricians.

The role of the perineal specialist midwife will not be limited to these priority areas but will develop overtime and may include developing FGM and uro-gynaecology skills to compliment the service.

About us
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Job responsibilities
The main duties of the role include clinical and direct care practice, leadership and management, monitoring and improving quality and developing practice, developing self and others, research and development. Please see attached job description.

Person Specification
Education and Qualifications
Essential

• Registered midwife
• Relevant degree in nursing / midwifery or health related field
• Recognised teaching qualification or equivalent

Desirable

• Commitment to undertaking nurse prescribing course
• Working towards master's level or equivalent experience
• Leadership and management qualification
• Specialist nursing or midwifery qualification specific to the area

Experience
Essential

• Acute intrapartum experience at band 6 level or above
• A detailed working knowledge of national guidelines and current research relating to the care or repair of perineal / labial tearing during childbirth, and risk factors for protective factors to reduce incidents of OASI.
• Experience of teaching on formal & informal education programmes
• Recent experience of research and audit
• Experience of working effectively as part of a multidisciplinary team.

Desirable

• Be able to evidence over 3 years midwifery experience at band 6 level or above working in labour ward
• Good understanding of Quality Improvement Methodology
• Experience of Health & Safety management
• Experience of research

Skills and Knowledge
Essential

• Excellent written and verbal communication and interpersonal skills
• A details knowledge of national guidelines and current research relating to the care of and repair of perineal / labial tearing during childbirth and risk factors for protective factors to reduce incidents of OASIE
• Ability to lead change / innovations in specialist practice
• Computer literate: able to use word, email, excel and manage databases
• Able to critically analyse and apply research to the clinical setting
• Ability to work autonomously and independently
• Management / organisational / prioritisation skills
• Awareness of current NHS issues and appreciation of the issues surrounding governance & quality initiatives
• Ability to recognise the contribution of members of the MDT

Personal Qualities
Essential

• Kind and respectful to patients, families, and staff
• Self-motivated and able to influence / empower others to deliver safe, patient-focussed care in specialist practice
• Act as a role model to others
• Good communication and interpersonal skills
• Manual dexterity
• Innovative and flexible working practices

Trust Values
Essential

• Putting patients first
• Responsive to, and supportive of, patients and staff
• Open, welcoming and honest
• Unfailingly kind, treating everyone with respect, compassion and dignity
• Determined to develop our skills and continuously improve the quality of care

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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).