Orientation and support for new staff


04 / 02 / 2009

  • SHA region
  • The organisation
  • What we did and why
  • How we did it
  • The results and next steps
  • Contact details and further information
  • SHA region

    NHS London

    The organisation

    North Middlesex University Associated Hospital Trust.

    What we did and why

    A review of services following a high vacancy rate in 2001 identified that the culture within midwifery was lacking support and leadership. A review of the Royal College of Midwives publication 'Why Midwives Leave' also took place.

    How we did it

    A session is held once a month for new staff followed by monthly reflection opportunities. The orientation session enables the trust to:

    • welcome all new staff
    • introduce them to colleagues
    • discuss the role of the supervisor of midwives
    • introduce the maternity unit profile and philosophy
    • explain emergency numbers and bleep system
    • provide a tour of the unit
    • explain what training is available
    • complete the record keeping audit tool
    • introduce the risk management strategy for maternity.

    The monthly reflective session is targeted at midwives and is for group reflection using a focus group approach. These meetings are confidential and ground rules are agreed within the group. Critical incidents are also reviewed in these sessions.

    As of 2005, monthly sessions have been planned for the following year and have been circulated to be included in the orientation pack.

    The results and next steps

    Evaluation and verbal feedback from those attending found the sessions helped them cope with issues and identify the way forward. Feedback from participants has been positive and these sessions are valued.

    Initial evaluation took place after 18 months using London Local Supervising Authorities (LSA) survey tool 'view of supervision' and verbal feedback.

    In the 2003 annual audit by LSA midwives reported a positive experience of supervision.

    The October 2004 annual audit by LSA and survey of midwives reported that the trust is a friendly environment with support from both supervisors of midwives and managers. Three of the main words used by midwives to describe the culture were 'friendly', 'supportive' and 'positive'.

    The June 2004 midwifery managers received the trust's team of the month award.

    Contact details and further information

    Morag Oldfield, Supervisor of Midwives, North Middlesex University Associated Hospital Trust, Sterling Way, Edmonton, London N18 1QX

    E-mail: alison.oldfield@nmh.nhs.uk

    Details were correct up to the time of publishing, NHS Employers does endeavour to check data on a six-monthly basis to ensure information and contact details are correct but cannot guarantee their accuracy.

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