The Maternity Nurse Second Issue - 2024
Crunching Numbers: Navigating Maternity Nurse Fees What’s It Going To Cost & Understanding Your Worth
The Celebrity
By Lottie P Fairfax
A Night in The Life The Night Nurse
The NNEB
National Nursery Examination Board
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EDITOR - PUBLISHER - FOUNDER Karen Carter NNEB maternitynursemagazine@gmail.com ADVERTISE To advertise in The Maternity Nurse Magazine visit our website or email us maternitynursemagazine@gmail.com www.thematernitynursemagazine.com/advertise AUNT AGATHA maternitynursemagazine@gmail.com www.thematernitynursemagazine.com/aunt CONTRIBUTORS E-mail the editor if you are interested in writing for the magazine or complete the form via the website. www.thematernitynursemagazine.com/contributor maternitynursemagazine@gmail.com.com SUBSCRIPTIONS www.thematernitynursemagazine.com Digital & UK Print STOCKING Contact maternitynursemagazine@gmail.com if you would like to stock The Magazine. Illustrations & Photographs All photographs and illustrations are the property of The Maternity Nurse Magazine or our suppliers. ©The Maternity Nurse Magazine 2024 All Rights Reserved. Reproduction in part or whole without permission is strictly prohibited. While every effort is made to ensure accuracy, we cannot take responsibility for losses resulting from publishing errors, however caused. The opinions in this publication are not necessarily to be considered those of the publisher, who accepts no liability of any nature arising out of or in connection with the contents of this magazine. The Maternity Nurse Magazine contains general information only and does not purport to be a substitute for health and parenting advice. The Maternity Nurse Magazine, on behalf of itself and the authors, asserts copyright on all material appearing in The Maternity Nurse Magazine and none of it shall be reproduced, wholly or in part, without the prior written consent of the publisher. The publisher reserves all rights in respect of all material received and accepted for publication. 85 Great Portland Street – London – W1W 7LT Telephone +44 07564683397
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Welcome
Greetings and a warm welcome to the second edition of The Maternity Nurse Magazine! After a long winter, we eagerly anticipate the arrival of spring and summer, hopeful that these seasons will be both glorious and lengthy. “Following the positive reception of our inaugural issue, I find myself reflecting on my career in childcare. Maternity nursing has always held a special place in my heart, and despite pursuing other endeavours throughout my working life, I always harboured the desire to return to this field. In 2019, by a twist of fate upon my return to the UK, I found myself back in the realm of maternity nursing—elaborating on that tale is best saved for another edition. There is much to cherish about maternity nursing - from supporting new families during their most vulnerable moments to caring for precious newborns. We serve as a beacon of knowledge for new parents, and we also enjoy the flexibility to pursue our own interests during breaks between clients while we recuperate from the booking. However, the landscape of maternity nursing has changed significantly over the
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past three decades. In the past, entering the homes of new parents as a maternity nurse required obtaining the gold standard National Nursery Examination Board Childcare and Education diploma via state or private colleges such as Norland. Today, the market is flooded with individuals claiming to be maternity nurses, often with minimal training or experience. This influx has led to a normalisation of poor pay and working conditions, diminishing the esteem once held by British qualified maternity nurses worldwide. Regrettably, we are now sometimes referred to as just babysitters. My colleagues and I frequently discuss strategies to restore the profession’s reputation to its former glory. Yet, this endeavour is challenging amidst the ongoing turmoil within the childcare industry. Constant changes in education policies and the proliferation of unrecognised training providers selling substandard courses have further complicated matters. To combat this, my peers and I offer a service to verify the validity of childcare certificates. If you have doubts about someone’s qualifications, you can utilise the government’s online childcare qualification checker for reassurance or via the NNEB OC network. Together, let us strive to uphold the standards of excellence in maternity nursing and reclaim the respect our profession deserves. I’m sure you’ll find the insights shared by our writers enriching. We start off with an article by Cheyenne Matthews NNEB about our cherished NNEB qualification, followed by a contribution from our esteemed colleague, Kathryn McHugh, who serves as a Principal in a Kindergarten in Hong Kong. Kathryn shares her experiences as an NNEB peer. It’s always fascinating to discover the paths our peers’ careers have taken, and Kathryn’s journey is truly remarkable. Continuing with our line-up, Siobhan Williams, an NNEB professional, offers a glimpse into the nightly routine of a maternity nurse who exclusively works night shifts with her clients.
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Trisha Mitchell, an NNEB maternity nurse, has shared valuable insights into Postnatal Depression and Postnatal Psychosis, offering essential information for parents and caregivers of newborns, highlighting the significance of her contribution to the maternity nurse industry. Lottie P Fairfax, also an NNEB, captivates us with her short story titled “The Celebrity,” a narrative that resonates with many of us in the self-employed childcare sector. Her account of a booking with a celebrity is sure to strike a chord with readers who share similar experiences. The article that my colleagues and I have been eagerly anticipating is our collaborative effort titled “Navigating Maternity Nurse Fees.” This piece has been meticulously researched over the past few years by myself and my peers. Our aim is for it to serve as a guiding light for clients, agencies, and fellow professionals within the industry. I trust you’ll find this edition both useful and informative. Your feedback is invaluable, and I welcome any contributions or ideas you might have for the magazine. Whether you’re interested in taking on a role or sharing your insights on a topic within our field, please don’t hesitate to reach out. Your input is greatly appreciated. Wishing you a lovely year ahead, Karen Carter NNEB
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Contents 04 Welcome
10 The NNEB: A Legacy of Excellence in Childcare 16 Kindergarten Principal in Hong Kong 22 A Night in the Life of a Night Nurse 26 Post-natal Depression and Psychosis 32 The Celebrity by Lottie P Fairfax 38 Aunt Agatha 40 Spring Astrology 43 Back Health: Nurturing your back bone 49 Rotational Childcare OPEN YOUR CAMERA AND SCAN ME
Social Media Facebook The Maternity Nurse Magazine Instagram The Maternity Nurse Magazine ISSN 2977-4039 Digital ISSN 2977 -4020 Print
54 Maternity Nurse Fees 58 The Directory 60 Positions Vacant With special thanks to Kathryn McHugh NNEB Principal at Jing Jing International Kindergarten & Nursery in Hong Kong Siobhan Williams NNEB Janice Cole NNEB Imogen Walters NNEB Sarah Fox NNEB Lottie P Fairfax NNEB Cheyenne Matthews NNEB Cambrian Printers The magazine is printed using recycled paper. We extend our sincere gratitude to all our contributors whose invaluable contributions have enriched the pages of the second edition of The Maternity Nurse Magazine. Your dedication, expertise, and passion have truly illuminated this publication, ensuring its excellence and value to our readership. We deeply appreciate your commitment to advancing the field of maternity nursing and look forward to continuing our collaboration in future endeavors.
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The NNEB: A Legacy of Excellence in Childcare For decades, the National Nursery Examination Board (NNEB) has stood as a beacon of excellence in the realm of childcare. Formed in 1945 to address the growing need for highly skilled professionals in the care of babies and young children, the NNEB quickly became synonymous with the gold standard in the industry. The NNEB wasn't just a qualification; it was a rigorous training and examination body, ensuring that individuals entering the field were equipped with the knowledge and expertise necessary to provide top-notch care. Over the years, the NNEB evolved alongside the childcare sector, adapting to changing needs and standards.
For decades, the National Nursery Examination Board (NNEB) has stood as a beacon of excellence in the realm of childcare. In 1994, the NNEB merged with the Council for Early Years Awards (CEYA), later renamed the Council for Awards in Care, Health, and Education (CACHE). This transition marked a pivotal moment in the history of childcare education, paving the way for a more comprehensive approach to training and certification. Securing a place in an NNEB course was highly competitive, with applicants undergoing aptitude tests and panel interviews. Academic excellence, coupled with a genuine passion for working with children, was a prerequisite for acceptance. Those fortunate enough to enrol dedicated themselves wholeheartedly to a two-year immersion in the world of childcare. The NNEB curriculum was wide-ranging, covering all aspects of child develop-
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ment and care, from infancy to early childhood. Students delved into topics such as health, literature, art, child development, psychology, understanding how children learn, music and much more, gaining invaluable insights from respected theorists like Mary Sheridan and Maria Montessori. Practical experience was a cornerstone of the NNEB program, with students completing placements in various childcare settings such as schools, nurseries, private homes, and hospitals. These hands-on experiences provided invaluable opportunities for observation, reflection, and growth. Upon completion of the course, students faced a comprehensive final exam, testing their knowledge and understanding of childcare principles. Achieving NNEB certification was a testament to dedication and hard work, marking the beginning of a fulfilling career in childcare. Today, NNEB graduates hold diverse roles across the childcare spectrum, from maternity nurses, nursery schoolteachers, policy makers, nursery management, maternity nurses, nanny, community health visiting, maternity unit nursery nurses, college lecturers, trainers, assessors, night nanny, doulas, intervention worker, newborn care specialist and more. Their expertise is recognized and sought after both domestically and internationally, reflecting the enduring legacy of the NNEB. The NNEB was taught in private colleges such as Norland Nannies, Princess Christian and state colleges around the United Kingdom and some overseas countries.
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It's essential to acknowledge the contributions of pioneers like Bessie Wright MBE, whose dedication to early childcare laid the foundation for the NNEB's success. Bessie's tireless advocacy and leadership paved the way for future generations of childcare professionals, ensuring that the legacy of the NNEB lives on.
The NNEB was taught in private colleges such as Norland Nannies, Princess Christian and state colleges. As we look to the future of childcare education, we can take pride in the knowledge that the NNEB has set a standard of excellence that continues to inspire and guide us. In an ever-evolving field, the principles instilled by the NNEB remain as relevant as ever, shaping the way we care for and nurture the next generation. In conclusion, the NNEB stands as a testament to the power of dedication, passion, and expertise in the field of childcare. As we celebrate its legacy, we also look forward to the continued evolution and innovation in childcare education, guided by the timeless principles of the NNEB. Keep an eye out for future issues of The Maternity Nurse Magazine, where we'll explore other qualifications shaping the future of childcare. For more information about the NNEB visit – www.nneb-oc.co.uk Facebook group - www.facebook.com/groups/nneboc Facebook page - www.facebook.com/NATIONALNURSERYEXAMINATIONBOARDOLDCOLLEGEGIANS Written by Cheyenne Matthews NNEB
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Kathryn McHugh NNEB Kindergarten Principal in Hong Kong I am originally from Jersey, in the Channel Islands, qualifying in 1985 from Highlands College Jersey. I’ve been blessed to have a varied and rewarding professional career, enabled in part by my NNEB qualification. I believe the NNEB qualification is unrivalled in the field of Early Childhood education and has certainly afforded me the opportunity to work in a variety of occupations. It has also enabled me to travel and work in several countries, it’s recognised worldwide even to this day. I have worked in Jersey, England, Australia, and Hong Kong, not only as a live out nanny but in addition I’ve worked in the private sector, in nursery classes attached to schools, independent kindergartens, as an educational consultant, counsellor, with children and families ‘at risk’ and now as a Kindergarten principal. The NNEB gave me the knowledge, skills, and confidence in early childhood. It was a rigorous two years of full-time education. I still remember the workload, observations, placements, coursework, examinations, and assignments. The course was a hard slog, but I remember fondly the friendships formed and my pride in qualifying. A few years after qualifying, I went on to train as an assessor for the NVQ qualification and have spent many years assessing early childhood educators. I am passionate about youth mental health and am now a qualified Counsellor and Expressive Arts Therapist with my own successful private practice. These skills, along with my NNEB have helped me greatly, not only with working with children, but supporting families. I currently work in Hong Kong and am the founding Principal of an International Kindergarten, Nursery and playgroup which was set up 16 years ago. We follow The Foundation Stage of the British National Curriculum.
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Here in Hong Kong early childhood education is very different to the UK and it has been challenging at times advocating for a play-based curriculum. The push in many kindergartens is for academia with children as young as 2 attending phonics classes, accelerating reading programs, and interview technique classes. Children must sit interviews and assessments to gain entry into primary schools and I kid you not when I say that many children have their own CVs by the age of three. It is an extremely stressful process for families. Valuing, recognising, and promoting the importance of play is fundamental to my position as a principal of an international kindergarten. I am blessed to work with colleagues from all around the world with varying qualifications, but even now, when advertising I always ask for an NNEB above all qualifications!
Here In Hong Kong Early Childhood Education Is Very Different To The Uk
Founding Principal Of An International Kindergarten, Nursery And Playgroup Which Was Set Up 16 Years Ago
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Hong Kong is a vibrant multicultural city and a fabulous place to work and live. My school accepts children from the age of one until six years old. We are a small community focused school in the northern territories. We cater for children of many different backgrounds and nationalities, this year we have families from 19 countries. Hong Kong is a transient city with many of our families coming from overseas and moving on to different countries after a year or two. The COVID-19 pandemic significantly affected our lives, with Hong Kong experiencing particularly profound challenges. For three years, we were isolated with travel restrictions enforced, compulsory hotel quarantine, curfews, social distancing, mask wearing and daily RAT {Rapid Antigen testing} testing mandatory. Our children from two years upwards have had to undergo daily RAT testing and temperature checks in order for them to come into school. At our school each child has a health sheet that they must present to a member of staff on entry into school. The staff member will check that the temperature has been taken. They too will take the students temperature and then sign to say that the student has undergone a daily RAT. Then, only after the student has sanitized their hands and soles of their shoes can they enter the campus. In the height of the pandemic, it was not uncommon for classes of children, along with their teachers to be sent to isolation facilities for 7/14 days when one or two members of the class had tested positive for Covid. Mask wearing has been mandatory and a way of life. Our little ones have been brought up in this environment and it amazes me how they have willingly worn masks daily. In fact, since the mandate was lifted in only March 2023 many of our children have felt vulnerable, not wearing a mask. As staff we have had to help our students to feel less anxious. After all, for the last three years, they have been
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told by everybody that they must wear masks to keep safe and now it’s hard for them to understand when we say it’s okay not to wear one.
The Nneb Gave Me The Knowledge, Skills, And Confidence In Early Childhood. A delay in language acquisition, speech problems and an inability to deal with social situations have also been on the rise. It’s only been several months with us not wearing a mask and so time will tell how long it will take for our children to catch up to the developmental norm both socially and emotionally.
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In 2023 the school year was the first time in three years that our children have been in school for a whole year, prior to this, the children had spells of home learning and reduced hours. Home learning for a two-year-old as you can imagine was extremely difficult. Zoom lessons, Google classroom and learning packs do not lend themselves to a play-based curriculum. Our teachers worked so hard and had to adapt and find ways to engage our children. We joke that they have had to turn into entertainers/youtubers {something we were definitely not trained for in college!!} I feel strongly about the importance of excellent quality early childhood education and the need for staff to have the right skills, knowledge, and support. Early childhood teachers play an important role in shaping and nurturing our children and preparing them for the future. I mentor and assess students from the Hong Kong University who are studying for various early childhood diplomas or degrees as well as long distance learning students who are studying through the University of Sunderland or TES. And while these qualifications are also vigorous, I can say hand on heart I still believe the National Nursery Examination Board diploma to be a far superior qualification. I am proud to be an NNEB and know, without this qualification, I wouldn’t have had such a fulfilling journey in education. Written By Kathryn McHugh. Trained at Highlands College, Jersey, Channel Islands between1983-1985.
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Cheyenne Matthews NNEB MNT BA Maternity Nurse Infant Care Specialist Mobile & WhatsApp +44 (0)7500 207 579 lovelylady64.ct@gmail.com - Enhanced DBS - First Aid - Fully Insured A versatile and highly trained Maternity Nurse with extensive experience in providing exceptional infant and post-natal care and guidance. If you’re in need of a skilled Maternity Nurse or seeking guidance and assistance in navigating the early stages of parenthood, I am here to support you every step of the way.
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A NIGHT IN THE LIFE OF A NIGHT NURSE All my bookings are via word of mouth I have been working with babies for several decades including raising my own family. I am 64 and I take on around three families per year as I like to have long gaps between my bookings so I can recuperate and spend time with my family. After the family contacts me, usually the mother but sometimes it can be the father or another relative. I ask them to complete a questionnaire and arrange a phone call with the family, preferably mum and dad together but that is not always possible. When we have confirmed dates, fees, discussed my contract, discussed how they would like me to serve them as their maternity nurse and I have answered their questions about my knowledge I will then wait for conformation for the booking. Sometimes I will have conformation during the getting to know you chat or interview. I prefer to call it a getting to know you chat. Once I have conformation, I will prepare the contract and issue an invoice for the full amount with a deposit to be paid by a specified time as well as information on when to pay the payments up to completion of the booking. I work from eight to twelve hours per night depending on the family’s needs and I charge a flat rate of £35 including travel and other expenses. I only work in the UK.
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Usually when I arrive at the family’s home around 9pm or 10pm everyone is in bed or settling down for the night. I usually have a room with the baby and mum is in her bed with dad or dad can be in another room depending on their accommodation. Sometimes I have had the baby in the lounge if in a small flat. Sometimes I have slept in mum and dads’ bed, and they have slept in their children’s beds, whatever works to help the family I try to go with it and fit in. I have worked in palaces and mansions with a whole floor to myself with my own bathroom and kitchen. I have also stayed in hotel rooms with babies for travelling families. In this profession you must be adept at being adaptable. I don’t sleep as in a deep sleep when on duty as I am constantly observing the baby. When mum and baby are settled, I might snooze, but I wake with the slightest noise, and I have a timer on my phone to check on the baby and mum throughout the night. Newborn breastfed babies can be feeding constantly throughout the night. This is normal and what is called bringing in the milk or cluster feeding. This is something mums need to get their heads around, that they will not get much sleep in the first few weeks if breastfeeding, this is biology and this is amazing. Your baby is training your body how to feed it and how to help her survive. I tell my mums and babies they are both amazing. This can be a challenging time for new mums, and it doesn’t last forever. Not all my clients are High Net Worth or Ultra High Net Worth. Some have been gifted me from friends and family, some of my clients are desperate for help due to them being unwell. Some just need moral support and a confidence boost. All my clients have the same needs and are never judge. I am grateful to all of them, and I will try and help financially where I can for my less well-off clients.
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I arrive at my family’s home a few minutes early and the first thing I do is take my outdoor shoes off and put slippers on or just socks. I change into my clean work clothes if I have arrived by public transport and thoroughly wash my hands. I will then go and collect baby from mum and have a quick chat with her if she is awake and work out when babies next feed is due either by breast or bottle. I will also get any night bottles prepared or wash and sterilise any dirty ones from the day if mum is feeding the baby. Throughout the night I will take care of all the babies needs except breastfeeding so that mum can have as much rest as possible. If mum is breastfeeding, I will take baby into her bedroom and she will feed the baby and she will text me when baby has finished feeding and I will collect baby, wind, change nappy and put baby in her Moses basket to sleep. Sometimes mum and baby will fall asleep, so I always put a 40-minute timer on my phone and go check on them after 40 minutes, take the baby and let mum sleep on. Some mums would rather sit in a comfy armchair and feed the baby in a room with me so that dad can sleep if he must work the next day. Often mum’s will use this time as an opportunity to ask me questions and test my knowledge. I encourage mums to not chat to much as I’m there so that she can get some sleep as before you know it, she has been talking for well over an hour. However, I am happy to answer any questions or concerns she may have and ask her to seek a second or third opinion on any concerns I have with either her or the baby’s health. In the morning, I will give mum and dad the record book I have kept updated during the night and will discuss what to do and who to see if I have any concerns about the baby, I feel they should get checked. Depending on how long I am booked for I may have time to make a cup of tea and make mum some breakfast. Sometimes I may spend time with their other children in the house making breakfast or reading a story to them while mum is feeding the baby. But always
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before I leave, I clean the nursery, empty the nappy bin, and take the laundry to wherever it goes and wash and sterilise the baby bottles. I always ask my families how they are feeling mentally and physically and that there is no shame in talking about their mental health and I will try and get them professional help if they are struggling with anything. All my conversations with my clients are confidential. During my booking I never leave the baby unattended she is either with me or her parents. Babies under 3 months should never be left alone, babies under six months should share a bedroom with the parents or a qualified and trained professional. Baby monitors or cctv should not be used as human replacement. They do not pick up all the movement or sounds a baby makes and if on WIFI this can be glitchy. The welfare of the baby and mother is paramount above all nursery duties when I am with a family. I do not engage in any housework or any other chores a client might try and ask for while the baby is my responsibility. When a client books me, I am with the family for what I am qualified and trained for and that is the care of the baby. My top advice is to communicate with your maternity nurse ask everything you want too; a childcare qualified and experienced maternity nurse should be able and willing to ask all your questions. If in doubt seek a second opinion. Written by Siobhan Williams NNEB
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Regency Nannies Placing Nannies and Maternity Nurses Worldwide for over 30 years
UK: +44 207 225 1055
Mobile: +44 7768 202 609
E-mail - regencynannies@aol.com www.regencynannies.com/
Regency Nannies is listed in Who’s Who 2003 The Good Nanny Guide We are also proud to be recommended by - Leading Obstetricians and Clinicians in Private Maternity Hospitals as a preferred Agency for booking Maternity Nurses Also reccomended by The NNEB Old Collegians
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POSTNATAL DEPRESSION & POSTNATAL PSYCHOSIS During a maternity nurse’s career, she may find herself assisting a client who begins to display indications of Postnatal Depression or Postnatal Psychosis. Both expectant parents and those in the role of maternity nurses should possess the awareness to identify these signs and take appropriate actions. It’s worth noting that parents of adopted or surrogate babies can also encounter similar challenges, known as post-adoption depression. Social workers typically equip prospective adoptive parents with the knowledge to recognise these symptoms as part of their preparation for adoption. Postnatal Depression (PND) and Postnatal Psychosis (PNP) are both mental health conditions that can affect individuals after childbirth, but they differ in terms of severity, symptoms, and impact. Postnatal Depression: 1. Severity: Postnatal Depression is generally less severe than Postnatal Psychosis. 2. Onset: It often develops within the first few weeks or months after childbirth but can occur later. 3. Symptoms: Common symptoms include persistent feelings of sadness, fatigue, irritability, changes in appetite and sleep patterns, feelings of worthlessness, and difficulty bonding with the baby. 4.
Awareness: Individuals with PND are usually aware of their condition and
may feel guilty or distressed about their inability to cope with the challenges of motherhood.
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If reaching a GP proves challenging or you are uncertain about the next steps, calling 111 is an alternative option. Postnatal Psychosis: 1. Severity: Postnatal Psychosis is a more severe and a rare condition compared to Postnatal Depression. 2. Onset: It typically occurs within the first two weeks after childbirth but can develop within the first few months. 3. Symptoms: Symptoms are more severe and can include hallucinations, delusions, extreme mood swings, confusion, and signif-
icant
changes in behaviour. There may be a loss of touch with reality, and individuals with PNP may be at risk of harming themselves or their baby. 4. Awareness: Unlike PND, individuals with Postnatal Psychosis may have impaired insight into their condition and may not recognise the severity of their symptoms. Both conditions require professional intervention and support, but Postnatal Psychosis is considered a psychiatric emergency due to its potential for serious harm. If you or someone you know is experiencing symptoms of either condition, it’s important to seek help from a healthcare professional as soon as possible. Partners or spouses of mothers exhibiting unusual behaviour should be attentive to the aforementioned symptoms. In instances where maternity nurses identify clients displaying signs of Postnatal Depression (PND) or Postnatal Psychosis (PNP), it is not uncommon to observe a state of denial among parents, with fathers potentially
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being influenced by their wives to believe everything is well when, in reality, it is not. If you are a husband or a maternity nurse sensing that something might be amiss, it is crucial to initiate a conversation with the mother. Encourage her to schedule a GP appointment. In cases where the mother may be hesitant to seek help, as a partner or maternity nurse, you can proactively communicate with her GP or health visitor, seeking guidance and expressing your concerns. It is especially important that if you suspect that your wife or client may be experiencing symptoms of postpartum psychosis, it is imperative to promptly consult with a GP. Request an urgent assessment on the very same day to ensure timely intervention. If reaching a GP proves challenging or you are uncertain about the next steps, calling 111 is an alternative option. Additionally, your midwife or health visitor may offer assistance in accessing the necessary care.
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It is not only mothers who can experience PND, Men experiencing postnatal depression often feel hesitant to seek help due to societal expectations. However, it’s crucial for them to understand that seeking support is a sign of strength, not weakness. Men can get help by reaching out to their healthcare providers, joining support groups specifically tailored for fathers experiencing postnatal depression, confiding in trusted friends or family members, and considering therapy or counselling sessions. Additionally, engaging in self-care practices such as regular exercise, proper nutrition, and sufficient rest can also aid in managing symptoms. It’s important for men to prioritiSe their mental health and seek the assistance they need to navigate through this challenging period. Written by Janice Cole NNEB
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THE CELEBRITY Written by Lottie P Fairfax
Crafted from real-life experiences, yet purely fictional: A brief tale. Emma was approaching the end of her second week in a nursery when she heard her name being called from down the corridor of the London council day nursery where she was working. Her colleague informed her that someone named Madge was calling her from the staff communal payphone. Emma asked her assistant to keep an eye on the children in her classroom while she took the call. She took a fast-paced walk down the hallway, hoping the nursery manager wouldn’t see her, as she had been explicitly informed on her first day that only emergency calls were allowed on the staff payphone. “Hello, Emma here,” she answered as Madge’s voice crackled through the receiver. Madge, in her typical brisk fashion, spilled the beans about a celebrity maternity nurse booking. How’s it going there? I bet you’re ready for a change. I’ve got a nice booking for you with a celebrity, and I’ve said yes you can do it, so please don’t let me down.” “Oh, hi Madge. It’s been a challenging booking, but I have survived, and the
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manager has asked if she can book me for another two weeks as it turns out the permanent is off for stress-related illness.” “No, you don’t want to do that. I’ve got you a nice booking with a celebrity family, only a short bus trip away from your flat. You don’t have to get there until mid-morning, and you can finish around 7 pm, so you will miss all the rush hour traffic.” “Ok, what are they willing to pay, and why do they want me?” “Well, here’s the interesting part. They have put the maternity nurse on sick leave as she has a humongous cold sore, and if they like you, you might get the whole 3-month booking if the maternity nurse doesn’t go back.” “Alright, what’s the hourly rate?” “It’s £5 an hour, but it could lead to great clients who will pay more. They will put the rate up if the other maternity nurse doesn’t go back and you stay on. Please do it for me, as a favour.” “No flipping way, Madge. You get me better-paid bookings or do not call me. I have done enough favours for you.” “Please go and meet them this afternoon when you have finished there”. They are only a short tube trip from your nursery.” “Ok, I will go and meet them, since they are on my way home.” Emma returned to her charges, and upon entering the room, her assistant informed her that she was feeling unwell and must go home. That afternoon, the manager asked Emma if she could confirm she could book her for another two weeks, working alone with 8 little ones as the assistant said she was taking at least a week off. Emma informed the manager that unfortunately, or fortunately, she had just been booked for a maternity nursing gig (for the pittance fee of £5 an hour, thought Emma to herself, however, it must be better than working here with everyone going off with stress-related illnesses). It was the eighties, and Emma had been qualified and working in London for over a year, going from one end of society to another, working in deprivation and despair one week and for the wealthiest people in the UK in luxury surroundings the next, all temporary positions. Sometimes these affluent clients were just around the corner from the deprived council estate nurseries and schools Emma was working in. In fact, one of her affluent clients asked if her offspring could get a place in the
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council nursery Emma was often booked to work in. Emma informed her that unless she was suffering from a mental health condition and had been sectioned under the mental health act, was a refugee, her child was on the at-risk register, if she was a single mother living in poverty in a tower block, or was a drug addict, she had zero chance of a place in that nursery, and nor would she want to if she met some of the fellow parents whose children were often at the nursery by order of the court and being monitored by social services. It was autumn, and the leaves on the trees of the leafy affluent central London borough that Emma arrived in to meet the celebrity clients were a beautiful golden yellow, orange, and brown. Emma loved this time of year as London started to cool down from the summer heat. She loved the sound of the leaves crunching beneath her feet, and with winter and Christmas approaching, she was looking forward to the smell of chestnuts roasting on street corners, putting on her Hobbs winter coat with fluffy hats, scarves, and gloves, and sitting next to a log fire in her favourite pub. Emma arrived at the celebrity client’s townhouse; it wasn’t much to look at from the outside, but it had good public transport links. The street was lined with shiny new Rolls Royce’s with private number plates. One of which she recognised as the grandmother of one of her previous clients. Emma instinctively knew that the patrons of these vehicles were visiting the client she was about to meet. Emma rang the doorbell of the client’s premises and was greeted by a smiley PA. “Hello, you must be Emms, do come in and have a seat over there and help yourself to a drink from the bar.” The first thing that hit Emms was the aroma, the smell of quality products, champagne, and the well-heeled. There was a hive of organised activity going on, and as Emma was figuring out what was happening, the grandmother of her previous client started walking towards the door Emma had just entered. Emma was wondering whether to call out to her and say hello or just pretend to be invisible. Emma
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was starting to feel a little anxious in an environment she was unfamiliar with. Emma was also wondering if maybe Lady M would recognise or remember her.
As Lady M was about to open the door and leave, the client with a baby in arms rushed up to Lady M and offered her goodbyes. She informed her that now she was going to have a chat with Emma as she had to let the last maternity nurse go. Lady M did a full 360-degree turn, looked at Emma, and shrieked so the whole building could hear, “Emmaaa! How lovely to see you.” She grabbed Emma and kissed her on both cheeks and started singing her praises to her client, who was now grinning from ear to ear. Lady M talked about what a fabulous maternity nurse Emma is and how fortunate she is to have found her because poor Penny, her granddaughter,
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had an oversupply of breast milk. A midwife gave her bad advice on how to handle it, and Emma sorted her granddaughter out. Lady M couldn’t understand why anyone would want to breastfeed anyway and not go straight to the bottle so you can start baking the next heir or at least get a wet nurse! Emma had a little giggle as Lady M was a lady of humour, and Emma loved to hear stories from her about how they raised children in her day. Lady M only employed girls that had proper nursery nursing training for her own, as Emma was. Emma asked Lady M to pass on her love and best wishes to her family and that she looks forward to joining her family again in the country when the next heir has finished baking and is ready to enter the world. More kisses and keep in touch by letter; after all, it was the eighties. As Lady M departed in her chauffeur-driven Rolls Royce, Emma recalled a time when lady M insisted on Emma being driven to her modest flat in a less affluent area of West London for her weekends off. Emma would feel a pang of embarrassment when they arrived, and onlookers peered through their curtains, amazed at the unexpected visitor. This scenario became commonplace due to Emma’s financial mismanagement, often leaving her without a vehicle or with an unreliable Mini, a result of prioritising socialising over necessary car repairs. Returning to the present, Emma introduced herself to her clients and toured their recently renovated but sterile home. The kitchen boasted unused appliances, and the nursery, adorned with murals by a renowned artist, lacked practical essentials. Despite its appearance in a prestigious homes and gardens magazine, functionality was sacrificed for aesthetics. After the tour, Emma was bid farewell at the entrance with a casual “see you on Monday” from her mother client. Trying to address payment logistics and contract signing, Emma navigated the delicate issue of receiving cash upfront due to past unreliable clients. This proved a contentious matter, and Emma developed a thick skin to handle these aspects of her job. This particular booking presented challenges as Emma found herself micromanaged, restricted from entering the clients’ studio and compelled to follow a strict
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baby care schedule. Her mummy client was habitually late, and compensation for Emma’s time was never offered. The micromanaging and stressful atmosphere prompted Emma to question her decision to take this booking, but it served as a valuable learning experience. Her charge was adorable, and she alone kept Emma with the family for the agreed two week booking. On Emma’s last day with her celebrity clients, frustration peaked when she was kept waiting for over 30 minutes without receiving her fee. The client entered her lounge where Emma was waiting, her clients baby bathed and sleeping serenely in the luxurious confines of her opulent nursery suite. The client Mrs Von thanked Emma for being a star and informed her she had booked Emma for the next 3 months via the agency and that she looks forward to seeing Emma on Monday and will have her fee for her then. Politely but firmly, she declined the extended booking, expressing dissatisfaction with the experience. Threatening legal action finally compelled the client to produce the fee, allowing Emma to part ways with a parting shot of advice. For more tales from Lottie, look out for the next copy of The Maternity Nurse Magazine.
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AUNT AGATHA Allow us to introduce Sarah Fox, our Agony Aunt Agatha, an expert in Maternity Nursing, distinguished by her gold-standard qualifications, extensive experience, and an impeccable reputation in the realm of infant care. Sarah is semi-retired and has led a fulfilling career in Childcare and Education since she qualified as an NNEB childcare and education professional over four decades ago. She has a wealth of knowledge and expertise and is here to provide insightful answers to your enquiries concerning all aspects of infant care. Whether you are a parent seeking guidance or a professional working in the field of infant care, Sarah is your trusted source of wisdom and advice for this issue of The Maternity Nurse Magazine. Send your questions to thematernitynursemagazine@gmail.com We can’t guarantee we can answer them all in the magazine, but we will try and answer some via our social media and you can choose to be anonymous.
Question from Maternity Nurse Susan. Dear aunt Agatha a family I have worked for previously have asked if I could return for the birth of their next baby, they expect me to charge the same rate. How can I graciously inform them that my rate has gone up without sounding greedy. Answer Dear Susan, It’s a common challenge that every Maternity Nurse encounters at some point in their career, and I’m intrigued by the assumption from clients that our fees will stay constant even a decade after their initial booking. Another frustration arises when they share our contact information with friends, only to express disappointment upon discovering our increased fees.
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It’s understandable that your rates may have changed since you last worked for them, especially considering the value you bring to their family. Here’s a suggested letter for how you could approach the situation: Dear [Family’s Name], I wanted to express my gratitude for considering me to return for the birth of your next baby. It was such a lovely experience being a part of your family during that special time, and I would be honoured to assist you once again. Since my last engagement with your family, I have updated my rates to reflect the current market and to ensure that I can continue providing the highest level of care and support to the families I work with. While there has been an adjustment in my rates since we last worked together, please know that I am committed to providing exceptional service and care to your family during this important time. I understand that budget considerations are important, and I am open to discussing how we can find a solution that works for both of us. I value our relationship and the opportunity to be a part of your family’s journey once again. Thank you for your understanding, and I look forward to the possibility of working together again soon. Warm regards, [Insert Your Name] This message conveys your appreciation for the opportunity while also gently informing them of the rate adjustment. It also leaves room for further discussion or negotiation if needed.
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Question from Mum Annabelle Dear Aunt Agatha, I am trying to decide how to book a Maternity Nurse. Please could you let me know the advantages and disadvantages of booking someone for nights only or for 24 hours. Dear Annabelle, Thank you for your question this is a dilemma faced by many parents seeking assistance for their newborn. The advantages and disadvantages of booking a maternity nurse for nights only versus 24 hours: Night Only Maternity Nurse: The Advantages: 1. Focused Support: You get dedicated support during the night hours, allowing you to rest and recover from childbirth with all care of the baby provided by the maternity nurse. 2. Cost-effective: Generally, hiring a maternity nurse for nights only tends to be less expensive compared to 24-hour care. 3.Flexible Schedule: You can have the maternity nurse come in solely during the night, allowing you to manage your daytime routines independently. 4. Specific Expertise: Night maternity nurses often specialise in establishing sleep routines for newborns, helping parents manage sleep deprivation. This depends on how long they are with you and if you can work in harmony with the maternity nurse on the baby’s routine during the day as the baby gets older.
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Utilizing both strategies, agency placement and self-promotion, can be an effective approach for gaining clients.
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Disadvantages: 1.Limited Availability: Finding a qualified maternity nurse who only works nights might be challenging, especially during peak seasons. 2. No Assistance During the Day: You’ll have to manage daytime responsibilities and childcare without the support of the maternity nurse. 3.You may become attached to your maternity nurse and not want her to leave. 24-Hour Maternity Nurse: Advantages: 1. Continuous Support: You have round-the-clock assistance and guidance for both night-time and daytime care. 2. Enhanced Rest and Recovery: With continuous support, you can rest assured that both you and your baby are cared for at all times, aiding in faster recovery post-childbirth. 3.Comprehensive Care: A 24-hour maternity nurse can assist with feeding, nappy changes, bathing, and establishing routines throughout the day and night. 4.Peace of Mind: Knowing there’s always someone qualified, experienced and knowledgeable attending to your and your baby’s needs can reduce parental stress and anxiety. Disadvantages: 1.Higher Cost: Booking a maternity nurse for 24 hours typically comes at a higher cost due to the extended hours and comprehensive care provided. 2. Limited Privacy: Having someone in your home continuously may impact your privacy and family dynamics. 3.Dependency: Constant support might lead to dependency, making it challenging for parents to develop their caregiving skills and routines. You may find it hard to part with your maternity nurse when the booking comes to an end especially if you have not taken a proactive approach to bond with your baby. Ultimately, the decision depends on your personal preferences, budget, and
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specific needs. Consider your support system, your health, the baby’s health, and your comfort level with either arrangement before making a choice. It might also be helpful to discuss these options with your partner or family members to ensure you make the best decision for your family. You should also talk to the maternity nurse as much as you can before confirming a booking to make sure you both have a clear understanding of your booking requirements and if there is any room for negotiation. Some maternity nurses may offer a reduction for an extended booking.
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LITTLE ZODIAC WONDERS: YOUR BABY’S COSMIC BLUEPRINT MARCH - APRIL
Astrology is for fun and entertainment, and it’s not a reliable predictor of a person’s future. With that in mind, here’s a light hearted astrology forecast for babies to be who will be born between March and April. Born to Blaze: The Aries Baby’s Astrological Adventure. Babies born at the end of March and early April fall under the zodiac sign Aries. Here’s a general fun horoscope for Aries babies: “Welcome to the world, little Aries! Born with the fiery energy of Mars, you are a natural-born leader with a zest for life. As an Aries baby, you possess a sense of adventure and curiosity that will guide you through life’s exciting journey. From an early age, you’ll showcase independence and determination. Your boundless energy and enthusiasm will make you stand out in any crowd. You have a pioneering spirit, always eager to explore new territories and take on challenges head-on. Your natural charisma will draw people towards you, and your courage will inspire those around you. As you grow, you’ll likely be drawn to activities that allow you to express your competitive and dynamic nature. However, it’s essential for your parents and caregivers to nurture your sense of patience and teach you the value of cooperation. Your enthusiasm can sometimes lead to impatience, and learning to work with others will be crucial for your personal and social development.
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As you navigate through life, remember to balance your boldness with a bit of reflection. Channel your passion into constructive endeavours, and you’ll find success in whatever you set your sights on. With your Aries spirit, the world is yours to conquer. Embrace the challenges, cherish the victories, and let your unique personality shine brightly. Happy adventures, little Aries!”
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Back Matters
Ensuring Health and Safety: Safeguarding Your Back. Consider the case of a Maternity Nurse who faced a back injury while leaning over a cot to attend to a baby. Unfortunately, the insurance company she was relying on for job-related accidents refused to provide compensation. This left her unemployed and facing financial strain for an extended period. Despite a prolonged struggle, the insurance company eventually agreed to a meagre pay-out. It’s crucial to recognise that maternity nurses operate as self-employed individuals, which means that any injury preventing them from working leaves them without income. Prioritising back care isn’t solely a matter of personal well-being; it also holds significant importance for financial security within this profession. Moreover, it’s not exclusive to maternity nurses; even parents can find themselves at risk. Last summer, I received a call from a mother who had slipped two discs in her back while bending over a bath to bathe her baby. She was experiencing excruciating pain and urgently sought to hire a maternity nurse. This highlights the pervasive nature of back injuries in the realm of baby care, affecting both professionals and parents alike.
Taking Care Of Your Back Is Crucial Taking care of your back is crucial, especially in a physically demanding job like being a maternity nurse or parent. Here are some tips: 1. Proper Lifting Techniques: Always bend at your knees, not at your waist, when picking up a baby. Keep the baby close to your body and use your leg muscles to lift. 2. Use Supportive Gear: Invest in good quality shoes with proper arch support. Consider wearing a supportive back brace to help maintain proper posture.
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Changing Positions When Holding A Baby Can Relieve Strain On Your Back And Hips 3. Avoid Prolonged Standing: Take short breaks to sit and rest whenever possible. Changing positions when holding a baby can relieve strain on your back and hips. 4. Exercise and Stretching: Engage in exercises that strengthen your core and back muscles. Stretch regularly to improve flexibility. A spot of yoga or a silent disco dance when baby is sleeping or with mum together. 5. Utilise Baby Gear: Use equipment like prams and cots that have adjustable height, reducing the need for excessive bending and reaching. Use a baby bath that comes with a bath stand instead of bending over a bath or place a baby bath on a chest of draws or countertop. 6. Maintain Proper Posture: Be mindful of your posture while feeding or changing a baby. Keep your back straight and avoid hunching over. Invest in a comfortable
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armchair for you and the maternity nurse. You will spend many hours sitting in it. Pillows and cushions, you can never have enough. Choose a variety of V pillows, square pillows, and smaller cushions to pack around you and prop yourself up. 7. Stairs: If you live in a flat with stairs, consider where you are going to keep the pram. If you are going to have to carry the pram up the stairs you ought to consider something lightweight or leave it in the boot of your car or garage if you can’t store it in your home. 8. Baby slings, choose one that suits your body shape and doesn’t pull your shoulders forward and doesn’t have the baby dangling down by your knees. Look for good padding on the shoulders and back support making sure baby’s face isn’t covered up. Remember, taking care of your well-being is essential to provide the best care for you and others. For help choosing products for the arrival of your little one contact Karen for more information on her concierge nursery preparation services or for her product recommendation list, it covers everything from furniture to first aid. If you have any infant care tips you would like to share, send an email to be featured in the magazine. Written by Karen Carter NNEB
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Rotational Childcare Nanny Or Maternity Nurse
As the demand for round-the-clock childcare grows among professionals throughout the entire year, an increasing number of families are exploring the option of employing at least two child carers who work on a rotational basis. However, this arrangement is primarily feasible for high net worth and ultra-high net worth families, given that it essentially involves covering the costs of an annual salary for multiple child carers. In the past, when the maternity nurse profession operated with a strong moral compass, families would secure the services of a National Nursery Examination Board qualified maternity nurse from the baby’s birth, and the nurse would remain with the family for a duration ranging from 3 to 12 months. Subsequently, the responsibility for the baby’s care would transition to a nanny. This luxurious arrangement was exclusive to the wealthy. In contrast, contemporary clients, some of whom can only just afford the indulgence of hiring a maternity nurse, opt for shorter engagements, spanning a few days, nights, or weeks, to provide temporary relief. Consequently, these days professional maternity nurses may experience significant gaps in their annual schedule. Working in a rotation is becoming an attractive work-life option for maternity nurses, especially those with their own families or those who wish to pursue other interests during their off-duty periods. If you are a parent, maternity nurse or nanny considering this type of childcare arrangement, there are several factors to consider. Below is information that you and the maternity nurse or nanny should consider.
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Rota job descriptions Crafting a well-thought-out job description is the initial and crucial step in the hiring process. It serves as the first point of contact for potential candidates, providing them with essential information to evaluate the suitability of the role. By presenting clear and concise details, you enable candidates to make informed decisions, saving both their time and yours. An effective Rota job description should encompass key responsibilities, qualifications, and expectations, painting a comprehensive picture of the position. This proactive approach not only attracts qualified candidates but also streamlines the recruitment process, ensuring that individuals who apply are genuinely aligned with the demands of the role. Agencies rarely provide enough information on roles they advertise so make it your priority and take the lead. Many maternity nurses especially those who are qualified and with decades of experience welcome direct enquiries from clients.
Working in a rotation is becoming an attractive work-life option Location Include information about where the booking will take place. Salary expectations What is the proposed salary range for the position. Will you provide an hourly rate in net or gross amount. Will you PAYE or will the candidate need to be self-employed, responsible for paying her own tax and National Insurance. Will you pay overtime if the other rota nanny or maternity nurse can’t do her rotation. Will you provide sick pay and at what rate. Are you offering any benefits such as a pension and private health insurance.
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Holidays pay Pay 13 months instead of 12 to compensate for holiday entitlement, separate from the off-duty break. Alternatively provide 28 days holiday separate from the rota schedule. Overtime Rates for working bank holidays and Christmas. Usually 100% - 200% the hourly rate. Childcare arrangements Sole charge or shared care. Rotation schedule Days and hours of duty. Is there a need for flexibility of the rota to fit in with the family’s travel work arrangements. How long is the rotation. Is it consistent. Example: 30 days including travel days on 30 days off. Travel on the job When, where and to which countries or continents
This arrangement is primarily feasible for high net worth and ultra-high net worth families
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Travel Arrangements To and from the client’s address - are the clients open to covering business class or first-class flights for travel to and from the UK if the position is outside the UK. Will the client contribute to travel to work costs if in the UK. Do you require your nanny to permanently relocate outside the UK. Will you pay for all visa costs and any other expenses while relocating and travelling such as business insurance. What type of client are you UHNW, works full time, works from home or VIP. Skills you require Such as a swimmer, skier, cook, driver, sailor, and academic skills. Will a car be provided for the maternity nurse or nanny’s time off. Communication and keeping records Who should the nanny or maternity nurse liaise with regarding keeping the client updated about the welfare, needs and development of the child. Health Coverage Is the family willing to provide private health coverage if the role is outside the UK. Candidate Preferences What specific qualities and skills are the clients looking for in the ideal rota nanny. Would they prefer a mature candidate with decades of experience and qualifications or someone less experienced and unqualified. Client dynamics Provide information about the household. Fully staffed or partially staffed. Is it formal or informal and any cultural preference the candidates need to be aware of. Dress code, formal or informal or would the client prefer a uniform. Family communication Describe how your family or PA will communication with candidates throughout the hiring process and during the employment. Is there’s a work phone to pass
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between the nannies or maternity nurses, useful to liaise with people outside the family for making appointments, arranging tutors etc GP appointments etc. Handovers When are they / how long is the handover. Accommodation arrangements Live in or live out. Provide information about accommodation and sleeping arrangements. Will you provide the nanny with her own room and en-suite, including when travelling. Do you require the nanny to share a room with the child. Can the nanny or maternity nurse store personal items at the house such as uniform, toiletries, etc. Food Is it provided and prepared for the nanny, if not is there access to a kitchen. Cleaning Cleaning the nanny’s room, washing & drying clothes, is she responsible or is someone else. About the children Age, gender, and additional needs. If not babies, are the children sleep trained. Do they nap to a schedule and sleep through the night. Do the children follow a strict routine. What activities do they take part in. Are they in school. Duties What are the daily and or night duties. Is the position already an established rota position or are they transitioning to a rota. Will the nanny train on the job or be offered a trial with the existing nanny if there is one to learn the routines, to make sure they are both on the same page, share the same values and for consistency for the children. Will you provide the nanny the opportunity to privately speak to the existing nanny about the position.
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Will you inform the candidate how long the current nanny has been with the family. This list is not exhaustive, and it is recommended to regularly review job descriptions and terms in collaboration with the family, particularly during appraisals for long-term positions. The foundation of a successful relationship with your child carer and client lies in unwavering trust. Written by Imogen Walters NNEB & Karen Carter NNEB
Rota Schedule Communication
Resillience Skills Salary Expectations - 52 -
Duties
Sole Charge Or Shared Care
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Navigating Maternity Nurse Fees Unveiling Insights and Guidelines Embarking on a career in Maternity Nursing requires resilience and a strong heart. Maternity nurses must excel in multitasking, tending to the needs of both newborns and mothers while seamlessly integrating into the fabric of the family’s life. Just as the challenges of sleepless nights weigh heavily on new mothers, so too do they affect maternity nurses. These dedicated professionals enter your world to offer expert guidance, provide much-needed respite, address any concerns about your newborn, and offer unwavering care and support to both mother and child. The journey of parenthood comes with a myriad of considerations, and securing the services of a skilled maternity nurse is undoubtedly one of them—a luxury few can afford. At The MNM HQ, we've delved into the realm of maternity nurse fee charges, bringing you an insightful overview of what to expect in terms of both payment and earnings.
Embarking On A Career In Maternity Nursing Requires Resilience And A Strong Heart. INDUSTRY DYNAMICS In an industry often touted as non-regulated, our research reveals an interesting twist. While there may not be official regulations, certain agencies seem to dictate the playing field, influencing the earnings of maternity nurses. Unfortunately, some agencies prioritise their bottom line over client needs, leading to a surge in complaints and exploiting maternity nurses. It's a reminder that, in this realm, transparency and client satisfaction should always be paramount. AGENCIES Childcare agencies often advertise maternity nurse positions, seeking top-tier experience and qualifications while claiming that pay is commensurate with these
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standards. However, upon closer examination, it becomes evident that they offer meagre hourly rates. This deceptive practice not only undermines the professionalism of dedicated individuals who have invested years in their careers, boasting a premier education and essential skills for newborn care, but it also disrespects their expertise. Maternity Nurses after all dedicate themselves to the safety, wellbeing, and care of our most fragile, delicate, and vulnerable members of society. Many highly qualified and experienced maternity nurses opt not to work with agencies due to the insultingly low fees they offer. Consequently, parents and infants are exposed to risks as they may be assigned caregivers lacking formal qualifications, experience, essential certifications such as paediatric first aid, enhanced DBS checks, insurance coverage, and more.
In An Industry Often Touted As Non-Regulated, Our Research Reveals An Interesting Twist. Another frustration faced by maternity nurses is agencies advertising bookings at a flat 24-hour rate without accounting for breaks within that period. Upon calculation, this rate often falls below minimum wage, neglecting expenses like travel to and from the booking location. Maternity nurses globally strongly advocate for an end to this practice. Furthermore, agencies often refrain from presenting maternity nurses to their clients at the nurses’ desired rates. Consequently, clients may find themselves deprived of access to the agency’s full pool of qualified maternity nurses. Instead, they may be assigned a nurse who falls short of their expectations or who is merely motivated by financial desperation to accept a booking temporarily, only to abandon the client when a more lucrative opportunity arises. This practice undermines the quality of care and the trust between clients and agencies. SELF-EMPLOYED REALITIES Crucially, maternity nurses operate as self-employed professionals, shouldering the responsibility of managing their own finances. From taxes, national insurance,
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indemnity insurance, advertising, continuous professional development, updating paediatric first aid, enhanced DBS, police check costs, travelling expenses, accountants and uniform costs to name a few, these dedicated caregivers navigate a complex financial landscape. CONCLUSION As you delve into the realm of maternity nurse salaries, armed with our insights, remember that transparency and communication should be paramount in any agreement, whether you are booking a maternity nurse through an agency or directly.
Rarely Will A Maternity Nurse Be Paid Her Worth Working Via An Agency Whether you’re seeking the services of a maternity nurse or considering a career in this field, let these guidelines serve as your compass, ensuring a smooth journey into the world of parenthood or working as a maternity nurse. Also, remember that you can bypass the services of an agency and book a maternity nurse directly. Many have their own websites, and they can also be found via social media and The Maternity Nurse Magazine website. Outlined below are indicative rates that serve as a compass in understanding maternity nurse fees. It’s essential to note that these figures are guidelines, subject to potential variations based on factors such as travel expenses, overseas insurance, and visas. Rarely will a maternity nurse be paid her worth working via an agency.
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18-year-olds
Without UK recognised infant care qualifications or experience
Minimum wage £7.49 Minimum wage from April ’24 From April £8.60
5 + years experience
With or without UK recognised infant care qualifications or experience
£12 - £15 an hour
10 + years experience
With or without UK recognised infant care qualifications or experience
£15 - £18 an hour
25 + years experience
With UK recognised infant care qualifications or experience
£25 - £35 an hour
30 + years experience
With UK recognised infant care qualifications gold standard NNEB
£30 - £55 an hour plus
High Profile Maternity Nurses
With large social media presence, not necessarily with UK recognised infant care qualifications
£35 - £55 an hour plus
Expect to add on £5 - £10 an hour or more if booking or working for nights or days only and with multiples and short-term bookings.
AGENCY FEES Each agency has its own established rates, which can vary. Below are approximate charges for agencies operating in and around London. Registration Free Payable before searching for a maternity nursre
£100 - £150
Daily fee on top of what you pay the maternity nurse
£20 - £100 per day
If the agency is VAT registered add 20% on top of the registration and daily booking fee
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Cost to pay the agency on top of what you will pay the maternity nurse for 30 days - upto £450 + vat £540
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Minimum Wage and London Living Wage From 1 April 2024, if you’re aged 21 and over you will be entitled to the National Living Wage if employed. If you are self employed here it gets confusing. For more information, check out acas.or.uk. Because the information is shady on working via an agency this is where the agency can advertise jobs below minimum wage when they are not employing people and only act as an introduction service. It is up to parents to decide what they want to pay and for the maternity nurse and for the maternity nurse to decide on her fee charges. Although employers are not obliged to pay a London Living Wage the cost of booking a maternity nurse if you live in London or if you are working and living in London should be taken into consideration.
Minimum Wage Band
Rate From 1st April 2024
Age 21 or over (National Living Wage)
£11.44
Age 18 - 20
£8.60
London Living Wage
£13.15
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The Directory
The Maternity Nurse Magazine
Welcome To The Directory. Here you will find information about organisations and services we recommend. NHS Baby Guide www.nhs.uk/conditions/baby/ The Lullabye Trust The Lullaby Trust raises awareness of sudden infant death syndrome (SIDS) www.lullabytrust.org.uk/ Medela Breastfeeding Tips www.medela.co.uk/breastfeeding/mums-journey/breastfeeding Twins Trust They provide information for families expecting twins or more. www.twinstrust.org/ NCT - National Childbirth Trust- Support for pregnancy, birth and early childhood www.nct.org.uk/ ACAS - Advice for emplyers and employees workers rights www.acas.org.uk/ The National Nursery Examination Board Old Collegians network for NNEB’s and parents seeking gold standard childcare. Also on facebook. www.nneb-oc.co.uk/
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Bliss - For babies born premature or sick www.bliss.org.uk/ Second Issue 2024 The Maternity Nurse Magazine Pandas - Foundation (Pre And PostNatal Depression Advice and Support) pandasfoundation.org.uk/ Action on Postpartum Psychosis (APP) www.app-network.org/ UK government childcare qualification checker www.gov.uk/guidance/early-years-qualifications-finder Nursring and Midwifery Council www.nmc.org.uk/registration/search-the-register/ Money Helper - Information for the self employed moneyhelper.org.uk Citizens Advice - help with disputes and other consumer advice www.citizensadvice.org.uk/ The National Nursery Examination Board Old Collegians Network free job advertisng for parents www.nneb-oc.co.uk ANDYSMANCLUB is a men’s suicide prevention charity, offering free-to-attend peer-to-peer support groups across the United Kingdom and online. andysmanclub.co.uk/ The Maternity Nurse for UK international mother and baby care in the UK, EU & Internationally. www.thematernitynurse.co.uk
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Vacancies Wanted: Social Media Expert!
At The Maternity Nurse Magazine. Visit the website www.thematernitynursemagazine.co.uk/jobs or email for more info thematernitynursemagazine@gmail.com
Wanted: Maternity Nurse A family in the South of France is seeking to book a Maternity Nurse from June - October 2024. For more info visit www.thematernitynursemagazine.co.uk
Wanted: Staff Writer The Maternity Nurse Magazine. Visit the website www.thematernitynursemagazine.co.uk/jobs or email for more info thematernitynursemagazine@gmail.com PRIVATE MATERNITY NURSE - for International Travel (EU Passport Holder) Visit the website www.thematernitynursemagazine.co.uk/jobs or email for more info thematernitynursemagazine@gmail.com
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The Maternity Nurse Magazine
Advertise
All enquiries for classified job advertisements for maternity nurses are sent directly to the advertiser via The Maternity Nurse Magazine. Adertisments from parents are free and are shared via our website and social media with a 48 hour turn around. o advertise jobs in our classifieds contact - maternitynursemagazine@gmail.com T Visit www.thematernitynursemagazine.com/advertise
Contribute We very much welcome working with writers with expertise in infant care. Perhaps you are a qualified Maternity Nurse with sound knowledge and years of experience to share? You could have a medical background with a paediatric speciality? Maybe you are a certified lactation consultant or a college lecturer? If you have a speciality relating to the care and development of infants we would love to hear from you. We are always on the lookout for proof readers, acting editors and photographers. If you have a passion for periodical publishing, would like to collaborate or would just like to help with the magazine in some way, please visit www.thematernitynursemagazine.com/contributor. To advertise jobs in our classifieds, contact maternitynursemagazine@gmail.com
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Second Issue 2024
The Maternity Nurse Magazine
How to Secure the Services of a Maternity Nurse or Nanny While many childcare professionals secure employment through agencies, there are alternative routes for both experts and parents in the UK and internationally. The childcare sector is brimming with agencies, making it a daunting task for both childcare professionals and parents to decide which one to register with. Many parents opt to source childcare independently, thereby saving money and reducing hassle. This approach often leads to finding the most qualified and experienced professionals, as the top-tier childcare experts, at the zenith of their careers, typically do not work through agencies. Here are our top tips for locating the perfect match for your family.
Saving Money and Reducing Hassle Tip One: Utilise the pay scale featured in this magazine to determine your budget and the level of childcare expertise it can afford you. Tip Two: Begin drafting a comprehensive job advertisement and description. Include details such as dates, hours, location, fees, and pertinent information about your family (e.g., first-time parents, non-smokers, driving requirements, qualifications, experience, paediatric first aid certification, pets in the home, insurance coverage, travel expectations, language proficiency, Enhanced Disclosure and Barring Service (EDBS) checks, police checks, passport requirements, driver's license, accommodation arrangements for the maternity nurse during baby care and breaks). Tip Three: Initiate your search by sending your job advert to The Maternity Magazine. Your advertisement will be promoted through the magazine's website and social media channels, with all expressions of interest forwarded to you via email. Alternatively, candidates can reach out to you directly if your contact details are included in the advertisement. If you prefer a comprehensive vetting service provided by the magazine's experts, contact the editor to arrange this service.
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Second Issue 2024
The Maternity Nurse Magazine
Tip Four: Explore online platforms such as individual websites of maternity nurses and nannies, Facebook pages and groups, and Instagram profiles dedicated to childcare professionals. These avenues can help you discover qualified candidates who may not be affiliated with agencies.
Send your job advert to The Maternity Magazine
If you prefer a comprehensive vetting service provided by the magazine's experts, contact the editor to arrange this service. maternitynursemagazine@gmail.com
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The Maternity Nurse Guiding you through Parenthoods first steps with care and expertise OPEN YOUR CAMERA AND SCAN ME
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globalmaternitynurse@gmail.com www.thematernitynurse.co.uk +44 07857117630