Role Description
Position:
Service / Directorate:
Responsible to:
Charge Midwife Manager, Wellington Regional
Hospital Maternity Unit
Women’s Health Service
Surgery, Women and Children’s Directorate
Operations Manager
Women’s Health Service
Our Mission:
Together, Improve the Health and Independence of the People of the District
Our Vision:
Better Health and Independence for People, Families, and Communities
Our Values:
Innovation
Action
A focus on People and Patients
Living the Treaty
Professionalism through Leadership, Honesty, Integrity and Collaboration
Excellence through Effectiveness and Efficiency
Role _Description _Charge Midwife Manager Wellington Regional Hospital
Created November 2016
Context
Organisation perspective
The Capital and Coast District Health Board (C&CD HB) covers a region extending from
Wellington to Otaki. It comprises key delivery arms in primary, secondary and tertiary
health. Hospital and Health Services (HHS) is primarily responsible for the hospital and
health services delivered via a new Wellington Regional Hospital (opened in March 2009); a
secondary and community facility at Kenepuru; a Forensic, Rehabilitation and Intellectual
Disability Hospital at Ratonga Rua-o- Porirua; and Kapiti Community Hospital. The total
operating budget for the provider arm is approximately $570M.
There is an ongoing change programme begun in 2008 to resolve HHS performance with a
target of achieving performance in the top five District Health Boards and a break even
operating result.
We are focused on improving the health of our local people, families and communities – and
reducing inequalities within our population. To support this we will ensure:

integrated delivery of services backed by sound infrastructure

financial and clinical viability of services, facilities and support

a “culture” that supports health improvement and addresses disability needs locally
and across our region

the development of clinical leadership

regional collaboration
Priorities in the current year for HHS are:

achieving an activity-led financial recovery

becoming an employer of choice

devolution of authority and decision-making
Directorate Perspective
The key areas of focus for the Surgery, Women’s & Children’s Health Directorate are:

To implement a productive operating theatre model that captures efficiencies and
delivers highest levels of service.

The establishment of sustainable nursing models within the in-patient wards and the
redevelopment of the paediatric facilities.

Prove clinical efficiencies and the effectiveness of clinical supply use across the
whole Directorate

To lead expanded collaboration with Hutt Valley and Wairarapa DHBs to establish
wider regional clinical services.

To ensure in the expenditure areas of Nursing Labour, Midwifery Labour, Medical
Labour and Management/Administration Labour that we are within benchmark of
our peer DHBs.
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Service / Department Perspective
The Women’s Health Service provides Obstetric and Gynaecology care and associated
support services on an acute or elective, inpatient, day patient or outpatient basis.
Secondary, Tertiary and some Primary obstetric and gynaecology services are located on
three sites, Wellington, Kenepuru and Paraparaumu comprising:
1. Obstetric services
 Primary maternity services
 Comprehensive secondary and tertiary care and support to women and also support
to primary maternity providers
 Maternal Fetal Management (MFM) services, focusing on the wellbeing of women
and newborn infants who have maternal fetal complications or complex health
needs.
 A midwifery team sharing the Lead Maternity Carer (LMC) role for women with
complex needs.
 Inpatient postnatal care at Wellington and the Level 0 birthing facilities at Kenepuru
and Paraparaumu.
2. Secondary and Tertiary Gynaecological services
 A gynaecological oncology service (in liaison with Wellington Cancer Centre)
 A general gynaecological service offering surgery at Wellington and Kenepuru, plus
outpatient services at Wellington, Kenepuru and Paraparaumu
 The Level J Unit offers counselling and termination of pregnancy services.
3. Acute Assessment service
 Five days a week, ten hours a day, this service operates for women requiring rapid
assessment of obstetric and gynaecological conditions.
4. Ultrasound
A comprehensive diagnostic and therapeutic ultrasound service for Women’s Health
Service.
The client community are the women and their referring Practitioners.
Role Perspective
The Charge Midwife Manager will coordinate the delivery of patient care in the Wellington
Regional Hospital Maternity Unit, enhancing continuity, facilitating clinical excellence and
improved health outcomes. The CMM is primarily responsible for the effective allocation of
resources to provide delivery of midwifery care to facilitate efficient management of the
Maternity Unit. The role’s key focus is on improving delivery of patient care.
The CMM models quality practice and care and is involved with development of staff and
systems. The CMM facilitates teamwork and integration of service provision.
The CMM demonstrates substantial theoretical knowledge, extensive successful experience
and leadership skills and is responsible for performance management professional
development and identifying continuing education needs of all staff.
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Purpose of the role
To lead the implementation of organisational initiatives, provide day-to-day management
and clinical governance of all midwifery areas (people, process, and physical resources) to
ensure a safe patient journey within the area of responsibility.
Key Accountabilities
Key Accountability
Deliverables / Outcomes
Key Performance Indicators /
Measures
1. Leadership
 Contributes to achievement of strategic
direction for defined care area(s)
 Achievement of relevant goals in
service plan
 Manages systems, processes &
resources that enable staff to meet the
needs of the women and babies in an
efficient & effective manner.
 Quality and Patient Safety
Indicators
 Patient Satisfaction
 Complaint Rates
 Rostering Compliance and
requirements met
 Staff feedback
 Organisational advocacy
 Success indicators for organisational
initiatives
 Monthly meetings with staff to
share organisational values / vision
/ goals / messages
 Clinical coordination/visibility
 Wider organisational involvement
 Provides clinical leadership for staff
 All new midwifery staff have
 Promote and encourage high standards
appropriate orientation to all
of midwifery care and accountability
facilities with support midwife from
through role modelling clinical expertise.
educators.
 Actively promote clinical care that is
 HR processes and Annual
consistent with established protocols
Performance reviews completed for
and guidelines
all direct reports
 HR/Performance Management
 100% new staff oriented to
organisation and unit
 Reporting
 Reports provided complete and on
time
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Key Accountability
Deliverables / Outcomes
2. Quality and Risk
 Professional leadership to the midwifery
team, developing midwifery services &
monitoring quality, including standards
of practice & service standards
 Management of people, systems &
resources within a defined care area to
ensure that service delivery is of a high
standard.
3. Change
Management
4. Workforce
Key Performance Indicators /
Measures
 Audits schedule
 Midwifery Sensitive Indicators
 Service plans
 Risk Register
 Reportable Events response and
completion of process
 Complaints response
 Access to the services is maintained at
all times
 Speciality standard compliance
 Line Manager informed of areas of risk
and strategies adopted to eliminate or
mitigate risk
 Accreditation compliance
 Quality Framework
 Certification compliance
 Quality improvement activities
 Leadership of the implementation of
organisational changes as they apply
within ward / service
 Meets management of change
requirements (legal, contractual
and policy)
 On a day to day basis identifies,
supports and implements initiatives to
enhance service quality, effectiveness
and efficiency, including allocation and
delegation of duties to team members
 Ongoing improvement is evidenced
 Planning Resources
 Evidence of workforce plans
 Staff will be engaged in appropriate
education
 All midwifery staff are on the QLP
 Appropriate skill mix
 NHPPD
 Contingency planning
 All midwifery staff have Portfolio
evidence of ongoing competence
requirements.
 All midwives meet organisational
core competency
 Actively builds succession plans and
supports leadership and
management development in senior
teams.
 Participates in staff recruitment and
selection processes
 Staff recruitment undertaken on
time and in accordance with CCDHB
standards/best practice
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Key Accountability
Deliverables / Outcomes
5. Financial
Management
 Management of people, systems &
resources within a defined budget
 Plans and prioritises annual Capex
requirements liaising with all members
of the MDT
 Ensures that all team members are
aware of costs and implications of usage
of supplies
Key Performance Indicators /
Measures
 Manages within budget
 Understands and can explain
variances to line by line budget
 Initiates actions to address budget
variances
 Plans to minimise waste are evident
 Contribute to budget planning processes
6. Professional
Development
 Maintenance of personal annual
practising certificate
 Postgraduate / Advanced study
 Portfolio evidence of ongoing
midwifery competence
requirements.
 Evidence of study relevant to
leadership role
 Evidence of reading and currency of
knowledge
7. Occupational
Health & Safety
 Safety Management
- proactive Health & Safety systems are
in place
 Hazard registers are complete and
reviewed 6 monthly in consultation
with staff
 H&S objectives are specific,
measureable, achievable, realistic
and time-framed and set as part of
the service planning cycle and
reviewed annually in consultation
with staff
 All new staff undergo pre
employment screening
 All staff have completed H&S
orientation (questionnaire repeated
annually) and know what to do in
the event of an injury which
occurred at work
 Injury Management
- reactive safety management systems
are in place
 An Initial Needs Assessment (INA) is
completed within 48 hrs of staff
work injury notification
 Weekly monitoring is carried out
with staff away from work with an
injury
 A reportable event and review is
completed for work accidents
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Key Relationships & Authorities
Reports to:
 Operations
Manager

Key relationships within
service:
 Associate Director of
Midwifery
 Clinical Leader
 Other Charge Midwife
Managers
 Midwife
Educator/Specialist
 Quality Manager
 Human Resources
Manager/Advisor
 Multi Disciplinary Team
 SMOs/RMOs
 Gynaecology Staff
 Multi Disciplinary Team
 Ward support team –
cleaners, food service,
orderlies etc.
Charge Midwife
Manager

Maternity Unit
Wellington Regional
Hospital

Key relationships outside
service:
 Clinical Leaders and
Executive Directors
(Clinical)
 Director of Nursing and
Midwifery
 Director of Nursing /
Midwifery Office
 Professional
Development Unit
 Recruitment &
Selection
 Patient Services
Coordination Unit
 Neonatal Intensive
Care Unit Staff
 Lead Maternity Carers
 Access Holders
 Maori and Pacific
Health Units

Has these direct
reports:
 Registered
Midwives
 Health Care
Assistants
 Administration Staff
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Capability Profile
Competencies
Solid performance in the role requires demonstration of the following competencies. These
competencies provide a framework for selection and development.
Competency
Behaviours
Problem Solving

Priority Setting
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Delegation
Motivating Others
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Managing Vision
and Purpose
Customer Focus
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Uses rigorous logic and methods to solve difficult problems with
effective solutions
Probes all fruitful sources for answers
Can see hidden problems
Is excellent at honest analysis
Looks beyond the obvious and doesn’t stop at first answers
Spends his/her time and the time of others on what’s important
Quickly zeroes in on the critical few and puts the trivial many aside
Can quickly sense what will help or hinder in accomplishing a goal
Eliminates roadblocks
Creates focus
Clearly and comfortably delegates both routine and important tasks
and decisions
Broadly shares both responsibility and accountability
Tends to trust people to perform
Lets direct reports and others finish their own work
Creates a climate in which people want to do their best
Can motivate many kinds of direct reports and team or project
members
Can assess each person’s hot button and use it to get the best out of
him/her
Pushes tasks and decisions down
Empowers others
Invites input from each person and shares ownership and visibility
Makes each individual feel his/her work is important
Is someone people like working for
Communicates a compelling and inspired vision or sense of core
purpose
Talks beyond today
Talks about possibilities
Is optimistic
Creates mileposts and symbols to rally support behind vision
Makes the vision sharable by everyone
Can inspire and motivate entire units or organisations
Is dedicated to meeting the expectations and requirements of
internal and external customers
Gets first-hand customer information and uses it for improvements
in products and services
Acts with customers in mind
Establishes and maintains effective relationships with customers and
gains their trust and respect
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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Competency
Behaviours
Building Effective
Teams
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Blends people into teams when needed
Creates strong morale and spirit in her/his team
Shares wins and successes
Fosters open dialogue
Lets people finish and be responsible for their work
Defines success in terms of the whole team
Creates a feeling of belonging in the team
Other aspects of capability not covered by the above competencies
a) Knowledge and Experience:
 Significant midwifery experience and knowledge
 Management and leadership experience and knowledge
b) Essential Professional Qualifications / Accreditations / Registrations:
 Registration with the Midwifery Council of New Zealand
 Current practising certificate
 Masters qualification or working towards
c) Someone well-suited to the role will place a high value on the following:
 High quality care for the women and babies/client/whanau
 Coordination of services to women and babies/client/whanau
 Efficient and effective ward and service management
 Prioritising workload and adhering to deadlines
 Knowledge of Key Performance Indicators (KPIs)
 Measurement and monitoring of KPIs
 Clinical leadership and coordination
 Contributes to the strategic direction of the Women’s Health Service and the
maternity unit.
 Ensuring professional development and education of their staff
 Promotion of the Maternity Facilities to ensure optimum take up and usage
Capital and Coast District Health Board (C&C DHB) is committed to supporting the principles
of Equal Employment Opportunities (EEO) through the provision and practice of equal
access, consideration, and encouragement in the areas of employment, training, career
development and promotion for all its employees.
C&C DHB is committed to Te Tiriti o Waitangi principles of partnership, participation, equity
and protection by ensuring that guidelines for employment policies and procedures are
implemented in a way that recognises Maori cultural practices.
The role description will be reviewed regularly in order for it to continue to reflect the
changing needs of the organisation. Any changes will be discussed with the position holder
before being made. Annual objectives and performance measures will be set each year
during the annual performance planning and development meeting.
Role _Description _Charge Midwife Manager Wellington Regional Hospital
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