What does a Director of Midwifery do:

Directors of midwifery have three broad areas of responsibility:

• Professional and clinical leader of midwives
• Operational manager who may manage a budget
• Advocate for maternity services through the education and training of self and others; research and evaluation

The DoM practices midwifery with an enhanced scope of practice and commands a high level of clinical credibility. It is key that they are able to work with the wider multidisciplinary and professional team to ensure delivery of high quality, safe clinical care, education and research.

To support and influence the broader corporate leadership they work closely, collaboratively and productively with the Consultant Midwife, Head of Midwifery (HoM), Chief Nurse and the Clinical Director in influencing and providing safe, high-quality care across the trust, community and Local Maternity and Neonatal Systems.

The DoM is accountable for:

• the professional and clinical leadership and governance of practice
• the provision of high-quality midwifery care to women and their families that reinforce
• the compassion, values and standards of care of where they work in the NHS
• leading, managing and delegating to a team of highly experienced and clinically skilled
• midwives such as consultant midwives and professional/clinical leads/matrons/senior
• midwives and ward managers
• the provision of high-quality nursing care to women and their babies if the responsibility
• includes disciplines such as gynaecology and neonatal services

The DoM should provide:

• strategic, professional leadership to ensure an appropriate focus on professional midwifery matters and maternity service delivery. To achieve this, they should be
• enabled to report directly to board level
• transformational, compassionate and focussed leadership that empowers the midwifery
• management team and staff with responsibility, accountability and freedom to act (leadership and improvement capability)
• positive, equitable professional role modelling and mentoring that develops clinical competencies, leadership and management skills within the team

Organisational and operational manager

The DoM is accountable for:

• the organisational and operational management and control of the maternity unit and other services where appropriate including safe staffing
• building and sustaining a positive work culture in which staff thrive, perform at their optimum, are engaged with their organisation, are energised to contribute and derive personal and professional fulfilment
• ensuring sustainable, high quality, safe care is always provided
• ensuring that proper governance of resources is applied at all times
• is experienced in operational services – at least 3 years’ experience in a senior midwifery management role
• advising the chief nurse and board on all matters related to maternity care

Education training and development

• The nature of the Director of Midwifery role requires a portfolio that demonstrates career long
• learning and development.
• In order to effectively lead and manage at this level they must be
• able to demonstrate their academic and clinical credibility.

Research and evaluation

Research and evaluation are key for best practice and the provision of high-quality standards of care. Directors of midwifery are central in promoting research across the profession and must have the skills to be:

• leaders with responsibility to use appropriate resources to evaluate, develop and
• improve service provision
• ensure that services are based on high quality evidence through the implementation of
• research activity, findings and recommendations
• use evaluation findings to improve future education and training interventions
• Issues for some