Urogynaecology Link Midwife

This autonomous midwifery role provides specialist care to women with obstetric anal sphincter injuries (OASI) and bladder dysfunction during the antenatal and postnatal periods. The post-holder supports, educates, and debriefs women, coordinating care with obstetricians, urogynaecologists, midwives, GPs, health visitors, and physiotherapists.

Main duties of the job

Identify and review women with obstetric anal sphincter injuries (OASI) prior to discharge, providing verbal and written information, care plans, and early debriefing to support recovery and reduce anxiety.

Conduct structured follow-up at 6-8 weeks postnatal, including symptom assessment, perineal examination, EPAQ completion, and referral to appropriate services.

Arrange and undertake 6-month anorectal investigations (endoanal ultrasound and anal manometry), and coordinate consultant review for symptom management and future birth planning.

Provide antenatal and postnatal bladder care, including assessment of referrals, development of management plans, bladder scanning, uroflowmetry, and teaching of clean intermittent self-catheterisation (CISC).

Liaise with the multidisciplinary team to coordinate holistic care, including physiotherapy, health visitors, obstetricians, and urogynaecology consultants.

Deliver formal and informal teaching sessions on OASI and bladder care to midwifery and wider clinical staff, and contribute to the delivery of the annual OASI education course.

About us

Liverpool Women\’s NHS FT became part of NHS University Hospitals of Liverpool Group (UHLG) in November 2024, following the coming together with Liverpool University Hospitals NHS FT. UHLG was born from a shared aim to improve the care we provide to our patients.

UHLG is one of the largest employers in the region, with over 16,800 colleagues who are dedicated to caring for our communities – from birth and beyond. For the 630,000 people across Merseyside, UHLG is also their local NHS, providing general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.

At Liverpool Women\’s Hospital, each year we deliver approximately 7,500 babies, carry out around 50,000 gynaecological inpatient and outpatient procedures, care for over 1,000 poorly and premature newborns, perform around 1,000 IVF cycles, and conduct over 4,000 genetic appointments.

We believe that this, along with a strong dedication to research and innovation, makes us the specialist health provider of choice in Europe for women, babies and families.

For roles at Liverpool University Hospitals, visit their careers page.

UKVI guidelines prohibits sponsorship for all Band 2 posts. Guidelines state that many non-clinical posts are not eligible for sponsorship. Please use UKVI guidance on Skilled Worker Visas to determine your eligibility for sponsorship if you were to gain a conditional offer for this role.

Job responsibilities

Main Duties and Responsibilities

Clinical Care OASI

Identify and review women with OASI prior to discharge, providing verbal/written information and early debriefing.

Follow up postnatally at 68 weeks to assess perineal healing, review symptoms, complete EPAQ, and coordinate referrals.

Teach pelvic floor exercises and refer to physiotherapy as needed.

Arrange and perform 6-month anorectal investigations (endoanal ultrasound and anal manometry).

Support consultant-led reviews for long-term care planning and mode of future delivery.

Clinical Care Bladder Dysfunction (Antenatal & Postnatal)

Assess referrals and provide management plans for women with bladder dysfunction.

Undertake bladder investigations (e.g. uroflowmetry, bladder scans) and teach clean intermittent self-catheterisation (CISC).

Coordinate care with urogynaecology consultants and support outpatient follow-up as required.

Education & Training

Deliver teaching sessions on OASI and bladder care to midwives and other healthcare professionals.

Contribute to the development and delivery of the annual OASI education course.

Provide on-the-job education and support to postnatal ward staff.

Communication & MDT Working

Act as a liaison between services to ensure seamless care across hospital and community settings.

Support information sharing and collaborative care within the MDT.

Professional Practice

Work within NMC code and Trust guidelines, promoting evidence-based practice and safe standards of care.

Contribute to clinical audit, service evaluation, and the development of care pathways and patient information.

Act as a role model, supporting staff development, supervision, and student midwife education.

Person Specification

Qualifications

• Registered Midwife / BSc midwifery studies.
• Evidence of continuous and recent professional development.
• Commitment to midwifery
• Commitment to promotion of breastfeeding and support of breast‑feeding mothers
• Experience of recruitment/selection
• Knowledge of audit and research
• Awareness of Government documents
• Working knowledge and experience of safeguarding children and vulnerable adults
• Knowledge of public health/midwifery issues
• Up to date professional knowledge
• A general understanding of payment by results and maternity pathways
• Counselling and bereavement skills
• Knowledge and experience of the CAF process
• Personal developmental review training and experience

Experience

• Demonstrable and recent relevant experience of working in community or hospital or birth centre setting
• Competent in all aspects of Midwifery practice including intrapartum care and perineal suturing
• Evidence of a desire to work as an integrated midwife
• Working knowledge / experience of multiagency working

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.