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Standards for Supervision of Midwives

Standard 1 - Women Focused Maternity Services

Supervisors of Midwives are available to offer guidance and support to women accessing a midwifery service that is evidence based in the provision of women centred care.

Criteria

1.1       Supervisors of Midwives participate in ‘Maternity User forums’ to ensure that the views and voice of service users inform the development of maternity services.

1.2       Information available to women includes local arrangements for statutory supervision.

1.3       There is a working philosophy that promotes women and family centred care enabling choice and decision making in individualised clinical care.

1.4       Supervisors support midwives promote informed decision–making about care for women and families.

1.5       Supervisors support midwives in respecting the right of women to refuse any advice given and develop an individualised care plan.

Standard 2 - Supervisory Systems

Supervisors of Midwives are directly accountable to the Local Supervising Authority for all matters relating to the statutory supervision of midwives and a local framework exists to support the statutory function.

Criteria

2.1       The supervisory team should be such as to provide a ratio no greater than 1:15 supervisors to midwives.

2.2       Employers provide designated time for Supervisors of Midwives to undertake their role.

2.3       LSA processes are followed in the nomination and selection and appointment of Supervisors of Midwives.

2.4       Supervisors of Midwives work within the framework of LSA standards, policies and guidelines.

2.5       LSA guidelines and policies are accessible to midwives and the public.

2.6       Supervisors of Midwives receive the Intention to Practise (ITP) forms, check for accuracy and validity prior to forwarding them to the LSA, or entering on the LSA database, within the agreed time frames.

2.7       Supervisors of Midwives review midwives’ eligibility to practise annually, confirming such through the NMC registration service.

2.8       Supervisors of Midwives maintain records of supervisory activities that are stored for seven years in such a way as to maintain confidentiality.

                         

2.9       Regular meetings between Supervisors of Midwives are convened to share information in a timely fashion and the proceedings are recorded.

2.10     Evidence exists that all Supervisors of Midwives engage in networking locally, regionally and nationally.

2.11     There is a local strategy for supervision and an action plan is developed following audit.

2.12     Each Supervisor of Midwives has a direct line of communication to the LSA for support and advice.

2.13     Each Supervisor of Midwives completes at least 15 hours of approved study in each registration period.

2.14     Each Supervisor of Midwives meets with the LSA Midwifery Officer locally and through LSA events.

2.15     Secretarial support is provided for Supervisors of Midwives in their administrative role.

2.16     The practice of statutory supervision by each Supervisor of Midwives is subject to audit by the LSA and removal from appointment if their performance falls below an acceptable standard.

Standard 3 - Leadership

Supervisors of Midwives provide professional leadership and nurture potential leaders.

Criteria

3.1       Supervisors of Midwives are perceived as innovators and leaders of midwifery.

3.2       Through peer or self-nomination future Supervisors of Midwives are identified and supported in their nomination.

3.3       Appropriate mentorship mechanisms are in place to provide leadership for student supervisors undertaking the preparation course.

3.4       Preceptorship is provided for newly appointed Supervisors of Midwives to enable their development as leaders.

3.5       There are supervisory mechanisms to support leadership development in a variety of ways.

3.6       Supervisors of Midwives contribute to the development, teaching and assessment of programmes of education leading to registration as a midwife and the continuous professional development of all midwives.

Standard 4 - Equity of Access to Statutory Supervision of Midwives

Supervisors of Midwives are approachable and accessible to midwives to support them in their practice.

Criteria

4.1       There is 24-hour access to Supervisors of Midwives for all midwives irrespective of their employment status.

4.2       Each midwife has a named Supervisor of Midwives, of her/his choice, with the option to change to another.

4.3       Each midwife attends a supervisory review, at least annually, in which her/his individual practice is reviewed and any education and development needs are identified and a written action plan agreed.

4.4       Midwives’ views and experience of statutory supervision are elicited regularly, at least once in every 3 years, and outcomes inform the local strategy for supervision.

4.5       Confidential supervisory activities are undertaken in rooms that ensure privacy.

4.6       Supervisors support midwives in maintaining clinical competence and the development of new skills.

4.7       Student midwives are supported by the supervisory framework.

Standard 5 - Midwifery Practice

Supervisors of Midwives support midwives in providing a safe environment for the practice of evidence based midwifery.

Criteria

5.1       Supervisors of Midwives are involved in formulating policies, setting standards and monitoring practice and equipment.

5.2       Supervisors of Midwives participate in developing policies and evidence-based guidelines for clinical practice.

5.3       Supervisors of Midwives ensure that midwives are made aware of new guidelines and policies and that all midwives have access to documentation in electronic or hard copy.

5.4       Supervisors of Midwives participate in reflective activities that inform and support midwives in practice.

5.5       Supervisors undertake audit of the administration and destruction of controlled drugs.

5.6       Supervisors of Midwives make their concerns known to their employer in the maternity service when inadequate resources may compromise public safety.

5.7       When allegations are made of suspected sub-optimal care an investigation is undertaken by a Supervisor of Midwives and the midwife is offered the support of a named Supervisor of Midwives.

5.8       Pro-active approaches are used to support midwives when deficiencies in practice have been identified.

5.9       The recommendation for a midwife to undertake a period of supervised practise is discussed with the LSA Midwifery Officer, who is also informed when such a programme is completed.

5.10     Allegations of serious professional misconduct are reported to the LSA Midwifery Officer together with a full written report and recommendations and these records are retained for 25 years.

5.11     Supervisors of Midwives notify managers of investigations being undertaken and of action plans agreed.

5.12     Clinical Governance strategies acknowledge statutory supervision of midwives.

5.13     The LSA Midwifery Officer is informed of any serious incident relating to maternity care or midwifery practice.

5.14     Audit of record-keeping of each midwife takes place annually and outcome feedback is provided.

5.15     Supervisors support midwives participating in clinical trials ensure that the Midwives rules and standards and the Code of Professional Conduct are adhered to.

Adopted with permission of the South of England LSAMO