Miss Rao Lead Consultant for Obstetrics and Gynaecology August 2015

MANDATORY TRAINING POLICY FOR MATERNITY SERVICES (INCORPORATING TRAINING NEEDS ANALYSIS) CLINICAL GUIDELINES Register no: 09062 Status: Public Developed in response to: Contributes to CQC Regulation 18 NHSLA Risk Management Requirements Consulted With Individual/Body Date Anita Rao/ Alison Cuthbertson Vidya Thakur Alison Cuthbertson Paula Hollis Chris Berner Nicky Leslie Diane Roberts Sarah Moon Professionally Approved By Clinical Director for Women s, Children s and Sexual Health Directorate Consultant for Obstetrics and Gynaecology Head of Midwifery/Nursing for Women s and Children s Services Lead Midwife Labour Ward and Acute Inpatient Services Manager Lead Midwife Clinical Governance Antenatal and Newborn Screening Coordinator Lead Midwife Community Services; Named Midwife Safeguarding Specialist Midwife Guidelines and Audit August 2015 Miss Rao Lead Consultant for Obstetrics and Gynaecology August 2015 Version Number 5.1 Issuing Directorate Women s, Children s and Sexual Health Directorate Ratified By DRAG Chairman s Action Ratified On 23 rd September 2015 Trust Board Executive Date October 2015 Next Review Date September 2018 Author/Contact Ros Bullen-Bell, Practice Development Midwife Policy to be followed by Midwives, Obstetricians, Anaesthetists, Maternity Support Workers Distribution Method Related Trust Policies (to be read in conjunction with) Intranet & Website. Notified on Staff Focus 04071 Standard Infection Prevention 04072 Hand Hygiene 08902 Mandatory Training Policy 09110 Management of Artificial Feeding in the Postnatal Period 09111 Management of Breast Feeding in the Postnatal Period 10010 Diagnostic and Therapeutic Training Policy Version No Authored/Reviewed by Active Date 3.1 Clarification to Appendix B January 2010 3.2 Deb Cobie Review of TNA July 2011 4.0 Judy Evans September 2012 4.1 Sarah Moon October 2012 4.2 Sarah Moon - Clarification to 11.0, 10.2 February 2013 4.3 Sarah Moon - Clarification to Appendix B March 2013 4.4 Gemma King - Clarification to 11.5, Appendix C, D & E July 2013 4.5 Gemma King - Clarification to Appendix B and D January 2014 4.6 Gemma King - Clarification to Appendix C and D February 2014 4.7 Gemma King - Clarification to 11.4.1; 11.4.2; 11.4.3, 11.4.4,11.5.2; Appendix F, G, H, I September 2014 5.0 Ros Bullen-Bell, Practice Development Midwife 8 th October 2015 5.1 Susie Denhart Clarification to Appendix G 6 th February 2018 1

INDEX 1. Purpose 2. Equality and Diversity 3. Policy Statement 4. Scope 5. Definitions 6. Duties for the Provision of Training Needs Analysis (TNA) 7. Managerial Responsibility in Identifying Mandatory Requirements for Staff 8. The Role of the Training Administration Team 9. Follow up of Non-Attendees 10. Mandatory Provision Monitoring 11. Staff and Training 12. Supervisor of Midwives 13. Audit and Monitoring 14. Guideline Management 15. Communication 16. References 17. Appendices Appendix A - NHSLA minimum data set Appendix B - Training Grid to Satisfy Trust & NHSLA Appendix C - Clinical Practices Group Terms of Reference Appendix D - Mandatory Three Day Training Programme for Maternity Services, Multidisciplinary to include, Medical Staff, Anaesthetists (Drills and Skills only) Midwives and Maternity Care Assistants Appendix E - MCA Induction Pack, Skills Passport Document Appendix F - Return from Leave (prolonged absence checklist) Appendix G - Bank and Agency Only Midwives induction checklist Appendix H - Bank only midwives mandatory requirements to work within maternity services Appendix I - Midwives and MCA Rotation Competency Checklist Appendix J - Locum Checklist 2

1.0 Purpose 1.1 To provide clear guidance, enabling all staff to be aware of what mandatory training they should undergo. This is based, as a minimum, on the NHSLA minimum data set. (Refer to Appendix A) 1.2 To fulfil the Trust s responsibility in ensuring that all members of the organisation are valued by attending mandatory training. Mandatory training provision should be part of the individual s working hours. 1.3 To set out the duties and responsibilities of the service to ensure staff attend mandatory training commensurate to their role 1.4 To set down the ideal standard for mandatory training monitoring 1.5 To provide a way for designated managers to schedule and track staff progress with mandatory training 2.0 Equality and Diversity 2.1 Mid Essex Hospitals Services NHS Trust is committed to the provision of a service that is fair, accessible and meets the needs of the individuals. 3.0 Policy Statement 3.1 Women s Children s and Sexual Health Directorate, in line with the generic Trust policy is committed to ensuring that all staff working within Maternity Services have the opportunity to attend the mandatory training programme to ensure they work effectively in their roles. 3.2 It recognises its legal and ethical responsibilities to create and maintain a working environment, which will ensure the welfare and health and safety of its employees, women, babies and families, who use our services. 3.3 Mandatory training takes place on the Maternity site. Attendance is both recorded and entered on both Trust and Maternity Databases. 4.0 Scope 4.1 This policy applies to all staff working in Maternity Services at Mid Essex Hospital Services NHS Trust. 4.2 The policy includes statements that relate to people who have disabilities or language difficulties and HR, Learning and Development, and Managers will address these needs as necessary, and wherever possible make reasonable adjustments to accommodate the need. 5.0 Definitions 5.1 Mandatory Training is defined as any training episode that has been agreed by the organisation as essential to the safe practice of an individual in the workplace (DOH). (Refer to Appendix B) 3

5.2 Staff Group Definitions to include: Midwives Medical staff Obstetricians Maternity care assistants, Anaesthetists All staff who have a permanent contract (full/part time, fixed term or Bank). All Staff with direct patient contact. 6.0 Duties for the Provision of the Training Needs Analysis (TNA) 6.1 Duties are divided between the Practice Development Midwife (PDM), Risk Management Midwife, Supervisors of midwives and Head of Midwifery (HoM) 6.2 The level of attendance at the mandatory 3 day training is set at 75% The PDM, Risk Management Midwife and HoM should review staff attendance 6 monthly and develop an action plan to address identified shortfalls in attendance. 6.3 For all other mandatory training, the attendance is for all relevant staff groups. Attendance will be on an allocation basis. 7.0 Managerial Responsibility in Identifying Mandatory Requirements for Staff 7.1 Line Managers must work through the TNA grid attached with their staff members, identify and agree a mandatory training schedule to be completed for staff members. (Refer to Appendix B) 7.2 Based on headcount for the Maternity Services, managers must calculate the numbers of hours of mandatory training provision that is required for each member of staff. Training commences from January. This will enable planning for a suitable training schedule. 7.3 Maternity Services must present the training template when required with uptake compliance against the training plan at the Maternity Services Risk Management meeting for discussion and appropriate corrective action to address any problems arising. 8.0 The Role of the Training Administration Team 8.1 Maternity secretaries will take bookings and maintain records. Staff will be emailed a week prior to training with a programme for information. 8.2 Cancellations will be accepted up to 24 hours prior to the date of session delivery. Did not attends (DNA) are those who do not arrive on the day or cancelled within 24 hours of the commencement of the course. 8.2 For mandatory 3 day training, maternity staff will be either rostered to attend or self roster allocated by the maternity secretaries on extension 3004 8.3 For mandatory 3 day training, medics will be rostered to attend. 4

8.4 For 6 monthly CTG update, midwives will be informed 1 month in advance as a reminder, in the event of non compliance, a follow up letter will be sent and their named supervisor of midwives will be informed. 8.5 Staff attendance will be entered onto the local database by the maternity secretary. The PDM will send attendance to training and development for entry onto the Trust database. 9.0 Follow- up of Non Attendees 9.1 Managers will be notified of non attendance within one week of training event in order for corrective actions and further bookings to be arranged. The Clinical Director will be notified of medic non attendance. 9.2 Areas of concern with staff who DNA 3 times will be escalated to Line Management for corrective action to be taken. 9.3 For 6 monthly CTG update, the midwife s named supervisor of midwives will be informed. 10.0 Review of Mandatory Training Provision and TNA 10.1 Annual Review 10.1.1 The Training Needs Analysis is formally reviewed annually to ensure it meets all legislative and regulatory requirements. This review is undertaken by the Practice Development Midwife (PDM) with the Trust Mandatory Training Manager, Risk Management Midwife, Supervisors of Midwives, Named Midwife Safeguarding and Clinical Practices Group (CPG). The annual TNA will then be formally approved by the Multidisciplinary Risk Management Group. 10.1.2 The CPG is drawn from practitioners within the service, Anglia Ruskin University and Lay Representation. The terms of reference for the group are covered in Appendix C 10.1.3 Training information is available from the PDM, Maternity Secretaries and circulated on email. It will also be posted on the Intranet for information on the Maternity webpage. (Refer to Appendix D) 10.2 Ongoing Review of the TNA and Attendance at Training by Multidisciplinary Risk Management Group 10.2.1 The multidisciplinary risk management group with the responsibility for risk locally within maternity will monitor and discuss mandatory training attendance as a minimum of 6 monthly. Where concerns relating to attendance are identified, the group should make recommendations for actions. 10.2.2 The Multidisciplinary Risk Management Group review learning from incidents, complaints and claims and other sources in accordance with the Maternity Risk Management Strategy and Policy. 10.2.3 In addition the Directorate Audit Lead will submit key learning from clinical audit activity on an ad hoc basis. 5

10.2.4 Where review of learning from audits, incidents, complaints and claims identifies training deficiencies, the Lead Midwife for Clinical Governance will develop and implement changes to the TNA with the Practice Development Midwife (PDM). 6

11.0 Staff and Training 11.1 All midwifery and obstetric staff must attend yearly mandatory training which includes skills and drills training, including both basic adult and maternal life support update. There is a multi-disciplinary approach to the delivery and participation of training. Immediate life support training is also available in the Trust. 11.2 In addition, multi-disciplinary live drills to be conducted in clinical areas bi-annually and attendance registered. 11.3 All midwifery and obstetric staff are to ensure that their knowledge and skills are up-to-date in order to complete their portfolio for appraisal. 11.4 Anaesthetists must attend annually obstetric skills and drills training. This can be accessed through maternity mandatory training, live drills or the Multidisciplinary, Obstetric, Midwifery and Anaesthetic Simulation (MOMAS) course delivered at Anglia Ruskin University. 11.5 All midwives must complete a return from leave form on return to work from either long term sickness or maternity leave. This form is to address their individual learning needs and areas of consolidation on return to work. A copy of this should be kept in the midwives personal file and be signed by their line manager. (Refer to Appendix F) 11.6 All agency and bank only midwives must complete a midwives induction checklist on joining the trust (Refer to Appendix G). New bank only midwives must also complete an orientation programme and mandatory Proforma before being able to work on the wards independently. A copy of the Bank Midwives Proforma must be send to the bank office and an additional copy returned to the practice development midwife (Refer to Appendix H) 11.7 All locum doctors must complete the Essential Information for Locum/Agency/Bank Staff document which provides a brief induction to help orientate the locum doctor to the Trust. Patient safety is a priority at MEHT and thus the Patient Safety Charter should also be read. (Refer to Appendix J) 11.8 It is the locum doctor s responsibility to complete the Essential Information for Locum/Agency/Bank Staff document. The document should be used at the beginning of the first shift only on a ward/department. The document must be returned to Medical Resources/ Clinical Operations Centre at the end of the shift. 11.9 All Midwives on rotation to update their skills must complete a rotation competency checklist with the aim to consolidate areas for development in each new rotation and address their learning needs (Refer to Appendix I). If additional support or the rotation does not address their learning needs please refer to their line manager as soon as possible 11.10 Maternity Care Assistants - all maternity care assistants on induction to the Trust will attend a core skills training session with the Practice Development Team within maternity before working on the wards. At the induction session, MCA s will receive an induction pack and skills passport to complete and use as a tool for further development. (Refer to Appendix E) 11.11 Commencing in July 2013, all maternity care assistants will be issued with a maternity passport to guide there professional development and give guidance to ensure all staff are working within their sphere of practice. The passport consists of a traffic light code, 7

highlighting skills they can perform within MEHT Maternity Services, skills they can perform once further education has been completed and skills maternity care assistance can not perform. The Skills passport can contribute to their yearly appraisal and is encouraged to be used as a base for their personal development portfolio. (Refer to Appendix E) 11.12 All new Maternity Care Assistants (Bank only) will need to complete an orientation programme and complete both the Skills passport (Refer to Appendix D) and Bank MCA proforma before being able to work on the wards independently. A copy of the Bank MCA proforma must be sent to the Bank office and an additional copy returned to the Practice Development Midwife (Refer to Appendix E) 11.13 All Maternity Care Assistants on rotation to update their skills must complete a rotation competency checklist with the aim to consolidate areas for development in each new rotation and address their learning needs (Refer to Appendix I). If additional support or the rotation does not address their learning needs please refer to their line manager as soon as possible 12.0 Supervisor of Midwives 12.1 The supervision of midwives is a statutory responsibility that provides a mechanism for support and guidance to every midwife practising in the UK. The purpose of supervision is to protect women and babies, while supporting midwives to be fit for practice'. This role is carried out on our behalf by local supervising authorities. Advice should be sought from the supervisors of midwives are experienced practising midwives who have undertaken further education in order to supervise midwifery services. A 24 hour on call rota operates to ensure that a Supervisor of Midwives is available to advise and support midwives and women in their care choices. 13.0 Audit and Monitoring 13.1 Audit of compliance with this guideline will be undertaken on an annual audit basis in accordance with the Clinical Audit Strategy and Policy, the Maternity annual audit work plan and the NHSLA/CNST requirements. The Audit Lead in liaison with the Multidisciplinary Risk Management Group will identify a lead for the audit. 13.2 As a minimum the following specific requirements will be monitored: A completed training needs analysis (TNA), which as a minimum must include the list of topics in the TNA Minimum Data Set Process for checking that all staff attend and complete the relevant training programmes in accordance with the training needs analysis Process for following up those who fail to attend and complete relevant training programmes System for coordinating records of training and archiving System for ensuring that the results of audits, learning from incidents, complaints and claims and other information sources, are considered as part of the ongoing review of training by the overarching committee with responsibility for risk locally How the maternity service intends to achieve a multidisciplinary approach to training, including emergency drills 8

How training will be delivered System for regular review of attendance at skills and drills training, by the overarching committee with responsibility for risk locally, as a minimum six monthly 13.3 The findings of the audit will be reported to and approved by the Maternity Risk Management Group (MRMG) and an action plan with named leads and timescales will be developed to address any identified deficiencies. Performance against the action plan will be monitored by this group at subsequent meetings. 13.4 The audit report will be reported to the monthly Maternity Directorate Governance Meeting (MDGM) and significant concerns relating to compliance will be entered on the local Risk Assurance Framework. 13.6 Key findings and learning points from the audit will be submitted to the Patient Safety Group within the integrated learning report. 13.7 Key findings and learning points will be disseminated to relevant staff. 14.0 Guideline Management 14.1 As an integral part of the knowledge, skills framework, staff are appraised annually to ensure competency in computer skills and the ability to access the current approved guidelines via the Trust s intranet site. 14.2 Quarterly memos are sent to line managers to disseminate to their staff the most currently approved guidelines available via the intranet and clinical guideline folders, located in each designated clinical area. 14.3 Guideline monitors have been nominated to each clinical area to ensure a system whereby obsolete guidelines are archived and newly approved guidelines are now downloaded from the intranet and filed appropriately in the guideline folders. Spot checks are performed on all clinical guidelines quarterly. 14.4 Quarterly Clinical Practices group meetings are held to discuss guidelines. During this meeting the practice development midwife can highlight any areas for future training needs will be met using methods such as workshops or to be included in future skills and drills mandatory training sessions. 15.0 Communication 15.1 A quarterly maternity newsletter is issued to all staff with embedded icons to highlight key changes in clinical practice to include a list of newly approved guidelines for staff to acknowledge and familiarise themselves with and practice accordingly. Midwives that are on maternity leave or bank staff have letters sent to their home address to update them on current clinical changes. 15.2 Approved guidelines are published monthly in the Trust s Staff Focus that is sent via email to all staff. 15.3 Approved guidelines will be disseminated to appropriate staff quarterly via email. 9

15.4 Regular memos are posted on the guideline and audit notice boards in each clinical area to notify staff of the latest revised guidelines and how to access guidelines via the intranet or clinical guideline folders. 16.0 References Clinical Negligence Scheme for Trusts (2012) Maternity, Clinical Risk Management Standards Version 1 2012/13 NHS Litigation Authority January. Royal College of Anaesthetists. (2009). Guidelines for the provision of Anaesthetic Services (GPAS).Chapter 10.Obstetric Services. London: RCOA. King s Fund. (2008). Safe Births: Everybody s Business - Independent Inquiry Into The Safety Of Maternity Services In England. London: King s Fund. Available at: www.kingsfund.org.uk Royal College of Anaesthetists, Royal College of Midwives, Royal College of Obstetricians and Gynaecologists, Royal College of Paediatrics and Child Health. (2007). Safer Childbirth: Minimum Standards For The Organisation And Delivery Of Care In Labour. London: RCOG Press. Available at: www.rcog.org.uk Maternity Care Working Party. (2006). Modernising Maternity Care - A Commissioning Toolkit For England (2 nd Edition). London: The National Childbirth Trust, The Royal College of Midwives, The Royal College of Obstetricians and Gynaecologists. Available at: www.rcog.org.uk 10

Appendix A Minimum Data Set as outlined by NHSLA Within the NHSLA Risk Management Standards there are key subject areas in relation to risk which incorporate aspects of training. The organisation must therefore ensure it considers the following areas of risk management training for inclusion on the training needs analysis at 1.1.9 As a minimum the following should be considered: Standard 1 1.10 Skills & Drills Training Cord Prolapse Shoulder Dystocia Vaginal Breech Antepartum and Postpartum Haemorrhage Eclampsia Standard 2 2.3 Continuous electronic fetal monitoring 2.8 Early recognition of severely ill pregnant women 2.8 Maternal resuscitation Standard 3 3.5 Assessment & management of all types of perineal trauma 3.6 Shoulder Dystocia 3.7 Postpartum Haemorrhage Standard 4 4.5 Maternal, Antenatal Screening Tests 4.6 Mental Health Training to include as a minimum: maternal mental health disorders, risk assessment methods and referral route Standard 5 5.2 Newborn Life Support 5.5 Newborn Feeding 5.6 Full Physical Examination of The Newborn 5.10 Care of women following operative interventions * * It is not intended that this training includes staff who are employed in a recovery role 11

Maternity Care Assistants Anaesthetists SHO's Registrars Consultants Midwives Update Frequency Included in Trust Corporate Induction Appendix B Training Grid to Satisfy Trust & NHSLA Staff Group Medical Staff Training topic Notes MINIMUM Data Set as outlined by NHSLA Standard 1 Drills & Skills Training Annually All Staff Cord Prolapse Annually All Staff Shoulder Dystocia Annually All Staff Vaginal Breech Annually All Staff Antepartum & Postpartum Haemorrhage Annually All Staff Eclampsia Annually All Staff Standard 2 Continuous electronic fetal monitoring Annually Midwives & Medics Early recognition of severely ill pregnant women Annually Midwives & Medics Maternal resuscitation Annually Midwives & Medics Standard 3 Assessment & Management of all types of perineal trauma Annually Midwives & Medics Shoulder dystocia Annually Midwives & Medics Postpartum Haemorrhage Annually Midwives & Medics Standard 4 Maternal, Antenatal Screening Tests Annually Midwives & Medics Mental Health Training - to include as a minimum: maternal mental health disorders, risk assessment methods and referral route Annually Midwives, Medics and MCA's Standard 5 Newborn Life Support Annually Newborn Feeding Annually Full Physical Examination of the Newborn Annually Midwives, Medics & MCA's Midwives, Medics & MCA's Midwives, Medics & MCA's Care of women following operative interventions (it is not intended that this training includes staff who are employed in a recovery role) Annually Midwives & Medics 12

MANDATORY TRAINING REQUIREMENTS Corporate Induction One-off All Staff Local Induction One-off All Staff Equality & Diversity Once in Induction All Staff Fire Training Annually All Staff Infection Prevention including hand hygiene Annually All Staff Information Governance (IG) Annually All Staff VTE Annually All Staff Moving & Handling 2 Yearly All Staff Aseptic Non Touch Technique (ANTT), Blood Transfusion Annually All Staff Three Yearly Domestic Violence, Forced Marriage, Female Genital, with Annual All Staff Mutilation Updates Mental Health Training Annually All Staff Breast Feeding Management Training One-off All Staff Innoculation Incident, Sharps Training Annually All Staff SAFEGUARDING CHILDREN & YOUNG PEOPLE Level 1 Safeguarding Children & Young People Three-Yearly All Staff Level 2 Safeguarding Children & Young People Three-Yearly All Staff Level 3 Safeguarding Children & Young People Three-Yearly All Staff Level 4 Safeguarding Children & Young People Three-Yearly Staff with specialist roles in safeguarding MIDWIFERY STAFF SPECIFICS Medicines Management Intravenous Drugs, Cannulation & Venepuncture Perineal Assessment & Repair Workshop Examination of the Newborn Course Once face to face & then annual update One-off & update as identified One-off & update as identified One-off with biannual updates or as required Midwives Midwives & MCA's Midwives Midwives Mentorship One-off, then entered onto mentor register Midwives after 1 year registration Mentorship Update Annually Midwives with the qualification RESUSCITATION ILS Optional Midwives & Medics ILS Update Annually Midwives & Medics NLS Oneoff/Optional Midwives & Medics 13

Appendix C Clinical Practices Group TERMS OF REFERENCE 2015 Aim To provide appropriate, relevant accessible up to date information for practitioners working within Maternity Services. Full Membership Specialist Risk Management midwife Midwife Labour Ward Midwife Co-located Birthing Unit Midwife Postnatal Ward Midwife Day Assessment Unit Midwife Antenatal Clinic Midwife Community Midwife St Peters Midwife WJC Lay membership Specialist Midwife Practice Development Supervisor of Midwives Obstetric Registrar/Consultant Neonatal Nurse Specialist University Link Student Midwife Representative Objectives will be achieved by: Identifying practice issues raised by staff & action to be taken accordingly. Establishing what is already provided within the service that meets with NICE guidelines and Trust Policy. Referring to guidelines enabling that they comply with Trust documentation and clinical guidelines format Ensuring action is taken with information from clinical audit on practice and untoward incident reporting Guidelines to be reviewed on a three yearly basis or when there are changes in practice or new recommendations made On implementing new guidance, account to be taken for specific training requirements and issues By establishing what guidelines are in progress, when due for review and when new guidelines need to be introduced 14

To review the current systems for distribution of guidelines to ensure ease of access i.e. public folders, notice boards, hard copy files via managers to all areas and signed in receipt by managers plus the Trust Intranet and website Ensure that approval and ratification of guidelines are by the appropriate parties and are approved by the clinical effectiveness committee All guidelines to be archived in accordance with Trust policy Managers to return hard copies from files to Maternity Risk Management. Establishing a procedure to audit compliance To review the terms of reference on an annual basis To form part of the governance structure Involving key stake holders as per guideline / practice requirement i.e. Paediatricians, Neonatal Unit, Obstetricians, Anaesthetists, Ultrasound, Pharmacy, Physicians, Surgeons To report all information gained to the following staff members or committees: Head of Midwifery The Multidisciplinary Risk Management Group The Senior Midwife for Risk Management The Supervisors of Midwives The Labour Ward Forum Accountability This multi-professional Group is accountable to the Head of Midwifery and will oversee all aspects of clinical practice, with a direct line of communication to the Multi-disciplinary Risk Management Group The Clinical Practices Group will report issues by exception to the Multi-disciplinary Risk Management Group Individual and Group Responsibilities It is the professional responsibility of all midwives to practice within the NMC standards and to keep up to date and to work with those nominated to the clinical practices group. The group to identify and maintain clear responsibility for attendance of the representation from the professional arenas. Ensure the development of a clear structure for the feedback of information to all the relevant areas: Head of Midwifery Consultant Obstetricians Practitioners at St Peters Maternity Unit Practitioners at WJC Maternity Unit Midwives representing each ward, department and the community Practice Development Midwife Link Lecturer at ARU and Student Midwives 15

Quorum: 4 representatives to include: Chair (or Deputy), Lead Midwife for Guidelines and Audit and Maternity Risk Team Reporting Arrangements: The Clinical Practices Group will ensure that minutes of the quarterly meetings are received by the Risk Management Group; who will then escalate their minutes to the Maternity Directorate Governance and the Executive Group meetings thereafter. Frequency of meetings: Quarterly 16

Appendix D Statutory 3 Day Training Programme for Maternity Services 2016 Maternity Mandatory Training 2016 17

Appendix E MCA Induction Pack, Skills Passport Document MCA Induction Pack, Skills Passport MCA induction MCA Skills Passport MCA Passport 18

Appendix F Jason Dover Return from Prolonged Absence Checklist i.e. sickness / maternity leave Name Band Period of Absence Checklist Ensure an appropriate return to work program is in place via your manager / HR / Occupational Health Attend Mandatory Training Attend Safeguarding level 2 / 3 if out of date Complete Blood Competencies Complete Equipment Competencies Revise Hot Topics circulated during your absence Revise new / amended clinical guidelines and policies during your absence Ensure ITP is signed and given to your SoM Arrange your annual leave Ensure your IT access is valid and attend PAS training if required Ensure your staff email is working and you are on the distribution list (Maternity PA s) Ensure your Obvue login is active and attend training if required Area you feel you need to consolidate in and why Initial Date Date Consolidated Area you feel you need to consolidate in and why Date Consolidated Area you feel you need to consolidate in and why Date Consolidated Manager Signature on Completion Signature Date Retain 1 copy for personal use and return 1 copy for your personal file File: 09062 Maternity MandatoryTraining Policy 5.1 Version: 1.0 Author: Gemma May, Maternity Services, MEHT NHS Last Reviewed / Next Review Date:June 2014 / June 2017

Appendix G Bank and Agency Only Midwives induction checklist Bank and Agency Only Midwives Induct 20

Appendix H Bank only midwives mandatory requirements to work within maternity services Bank Midwife Requirements.pdf 21

Jason Dover Appendix I Midwives and MCA Rotation Competency Checklist Name Last Rotation Rotation Start Date Band Ward Area Ward Area Checklist Complete Blood Competencies and Blood Fridge training if required Update on new equipment and complete your Equipment Competencies Passport Revise Hot Topics circulated during your absence Revise new / amended clinical guidelines and policies pertinent to your rotational needs Ensure your IT access is valid and attend PAS training if required Ensure your Obvue login is active and attend training if required Area you feel you need to consolidate in and why Initial Date Date Consolidated For example; caring for a woman with an epidural Area you feel you need to consolidate in and why Date Consolidated Area you feel you need to consolidate in and why Date Consolidated Area you feel you need to consolidate in and why Date Consolidated Area you feel you need to consolidate in and why Date Consolidated Manager Signature on Completion Signature Date Retain 1 copy for personal use and return 1 copy for your personal file 22

Appendix J Locum Checklist Locum sheet - need in each pack.pub 23