Maternity Telephone Line Midwife | Croydon Health Services NHS Trust

Posting date:	11 May 2026
Salary:	Not specified
Additional salary information:	£45,953 - £54,254 pro rata, per annum ( incl HCAS)
Hours:	Full time
Closing date:	10 June 2026
Location:	Croydon, CR7 7YE
Company:	Croydon Health Services
Job type:	Permanent
Job reference:	7947834/199-7947834-RB-HM

Summary

An exciting opportunity has arisen for an experienced midwife to join the Maternity Triage Team as a Maternity Telephone Advice Line Midwife. This role is central to delivering safe, responsive, and compassionate maternity care through high‑quality telephone triage and clinical assessment.

The post holder will work autonomously within a busy maternity service, providing timely clinical advice, risk assessment, reassurance, and escalation for women and birthing people contacting the maternity service with antenatal, intrapartum, and postnatal concerns. Using structured maternity triage frameworks and evidence‑based guidance, the midwife will determine urgency, support appropriate decision‑making, and coordinate onward care where required.

The role requires excellent communication, clinical judgement, and documentation skills, with a strong focus on patient safety, experience, and continuity of care. The post holder will work closely with multidisciplinary teams to ensure effective escalation and seamless pathways, while contributing to service improvement, audit, and quality initiatives. This is an ideal opportunity for a confident Band 6 midwife seeking to develop advanced triage, leadership, and decision‑making skills within maternity services.

• Provide safe, timely and evidence‑based telephone triage and clinical assessment for women and birthing people contacting the maternity service with antenatal, intrapartum and postnatal concerns, ensuring care is person‑centred, compassionate and responsive.
• Undertake structured remote clinical assessments using the Birmingham Symptom Specific Triage System (BSOTS), including comprehensive history taking, symptom analysis, risk identification and prioritisation of care.
• Make autonomous clinical decisions regarding advice, reassurance, self‑care, urgent attendance or escalation to senior midwives, obstetricians or emergency services, in line with local and national guidelines.


Croydon Health Services NHS Trust provides hospital and community services across Croydon through a range of clinics and specialist centres. Formed in August 2010 from the integration of Croydon Community Health Services and Mayday Healthcare NHS Trust, we employ around 4,100 staff serving a diverse population of over 360,000 people.

Our main site, Croydon University Hospital, is one of the busiest in London. We are also leading the way in delivering more healthcare in community settings and people’s homes. Our district nursing teams, Allied Health Professionals and community matrons care for people of all ages across the borough.

Like the wider NHS, we are working hard to meet increasing demand. With the right people on board, we continue to innovate and transform our services to provide the highest quality care for local residents. We place strong emphasis on education, training and career development for all staff.

If you want to make a real difference, challenge yourself and be part of a Trust that’s shaping local healthcare, Croydon Health Services could be the place for you.

At Croydon Health Services NHS Trust, we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

· Provide safe, timely, and evidence‑based telephone triage and clinical assessment for clients and birthing partners contacting the maternity service with antenatal, intrapartum, or postnatal concerns.

· Undertake structured remote clinical assessments using BSOTS framework, including accurate history‑taking, symptom analysis, risk identification, and prioritisation of care.

· Make autonomous clinical decisions regarding advice, reassurance, self‑care, urgent attendance, or escalation to senior clinicians in line with local and national guidelines.

· Deliver clear, individualised advice and safety‑netting, ensuring women understand when and how to seek further help and feel confident in the guidance provided.

· Recognise and respond appropriately to clinical deterioration, red‑flag symptoms, and safeguarding concerns, escalating promptly to obstetric, senior midwifery, or emergency services as required.

· Maintain accurate, contemporaneous documentation of all telephone contacts, assessments, decisions, advice, and escalation in line with NMC standards and trust policy.

· Liaise effectively with multidisciplinary teams, including labour ward coordinators, obstetricians, day assessment units, community midwives, neonatal teams, and emergency services to ensure seamless care pathways.

· Support the safe flow and coordination of maternity services by directing women to the most appropriate care setting and reducing unnecessary attendances while prioritising safety.

· Provide emotional support, reassurance, and compassionate communication, ensuring women feel listened to, respected, and involved in decisions about their care.

· Act as a professional role model, supporting junior staff, students, and new team members in telephone triage practice, documentation standards, and escalation processes.

· Contribute to clinical governance, including incident reporting, reflective practice, audit participation, and learning from feedback, complaints, and adverse events.

· Participate in service development, audit, and quality improvement initiatives related to maternity triage activity, outcomes, patient experience, and safety.

· Ensure practice is compliant with NHS, NICE, CNST, SBLCBv3, and trust‑wide maternity safety standards, contributing to a culture of continuous improvement and kindness.

· Maintain own professional development, competency, and mandatory training relevant to maternity triage and remote clinical decision‑making.

Clinical

· Undertake comprehensive remote clinical assessments of women and birthing people contacting the maternity service, using structured maternity triage BSOTS frameworks

· Perform timely telephone risk assessment to identify urgency, clinical acuity, red‑flag symptoms, and safeguarding concerns, determining the appropriate level of care required.

· Assess a wide range of antenatal, intrapartum, and postnatal presentations, including but not limited to: Reduced or altered fetal movements, Abdominal pain or contractions, Vaginal bleeding or discharge, Possible rupture of membranes, Hypertensive symptoms, Postnatal complications or concerns, Complex obstetric or medical risk factors

· Use advanced clinical judgement to provide appropriate advice, reassurance, self‑care guidance, or direction to attend for face‑to‑face assessment.

· Deliver clear, individualised safety‑netting advice, ensuring women understand symptoms requiring urgent review and how to re‑access care.

· Identify and respond promptly to clinical deterioration, escalating concerns to senior midwives, obstetricians, or emergency services in line with local escalation pathways.

· Coordinate and facilitate onward referral and admission to appropriate maternity or emergency care settings, ensuring timely and safe transfer of care.

· Review available clinical records and relevant history during telephone assessment to inform decision‑making and care planning.

· Ensure accurate, contemporaneous documentation of all telephone contacts, assessments, advice, decisions, and escalation in line with NMC standards and trust policy.

· Apply national and local clinical guidelines, including NICE, SBLCBv3, CNST, and trust maternity triage policies, to all clinical decision‑making.

· Provide clinically safe reassurance where appropriate, balancing reassurance with vigilance to avoid missed or delayed diagnosis.

· Maintain awareness of capacity and acuity across maternity services (e.g. triage, DAU, labour ward) to support safe and effective clinical flow.

· Contribute to the delivery of a safe, responsive, and woman‑centred triage service, ensuring equity of access and inclusive care.



Managerial

· Support theday‑to‑day coordination and safe runningof the maternity telephone advice line service.

· Prioritise triage activity andescalate staffing, capacity, or safety concernsto senior midwifery leadership as required.

· Act as aclinical and operational supportfor staff undertaking telephone triage, providing guidance on escalation and documentation standards.

· Contribute torota cover and service continuity, identifying and raising risks to safe staffing.

· Promote and maintainhigh standards of clinical documentation, accountability, and governancewithin telephone triage.

· Supportincident reporting, review, and learning, contributing to service improvement and quality assurance.

· Participate inaudit, service evaluation, and quality improvementrelated to telephone triage activity and outcomes.

· Support theimplementation of policies, SOPs, and pathwaysrelevant to maternity telephone triage.

· Provideleadership, supervision, and supportto junior staff and students, fostering a positive and compassionate team culture.



Leadership

· Providevisible clinical leadershipwithin the maternity telephoneadvice line service, acting as a role model for safe, compassionate, and evidence‑based practice.

· Support and mentorjunior staff and students, promoting confidence and consistency in telephone triage decision‑making.

· Championhigh standards of communication, professionalism, and documentationacross the triage service.

· Foster apositive culture of learning, reflection, and kindness, encouraging learning from incidents, feedback, and patient experience.

· Contribute toservice improvement and quality initiatives, supporting changes that enhance safety, flow, and patient experience.


This advert closes on Monday 18 May 2026