Emma Twine

Qualifications

BSc (Hons) Pre-registration Midwifery, Full member of the Expert Witness Institute (EWI), Independent Non-Medical Prescriber, Newborn Infant Physical Examination (NIPE) Practitioner

Specialisms

Community & Hospital Midwifery, includes Midwife-Led Units & Home Births. ENS Cases.

Introduction

I qualified as a midwife in 2009. During my career, I have developed a wide range of experience across all areas of midwifery care, including obstetric units, stand-alone midwife led units, and in the community. In addition, I completed my mentorship course for signing off student midwives in 2013, my newborn infant physical examination course in 2018, and my independent non-medical prescribing in 2022.

My current positions are as a Midwife Clinical Advisor for MNSI and as an Associate Trainer at Somek and Associates. Clinically I work in two maternity units both in the community and in the maternity unit in antenatal clinic and on labour ward, birth centre, ante/postnatal ward, triage/DAU and telephone triage. My particular areas of speciality are diabetes, homebirths, infant feeding, mode of birth counselling and birth planning outside of guidance, though I continue to work clinically in all areas of maternity.

Between 2009-2012 I worked in large maternity units in London and the Midlands within inpatient areas. Between 2012-2021 I worked in the community, where I worked clinically and managed community services. My clinical community work included caring for women in their antenatal and postnatal journeys and being on call for the free standing midwife led unit and for home births. During 2013-2016 whilst being a lead in the community, I also maintained my skills in the maternity inpatient areas due to working night shifts instead of doing on-call shifts. During 2021-2022 I worked on a quality improvement project which involved developing our telephone triage service across the county whilst continuing to work clinically.

I have also previously worked in an interim lead risk midwife position. In this role I was responsible for co-ordinating clinical risk and governance across maternity, as well as assisting in the implementation of care bundles such as Saving Babies’ Lives, developing guidelines, completing audits, and teaching non-obstetric staff who care for pregnant women and assisting with Coroner’s cases and HSIB investigations. I continued to work clinically during this role including throughout the pandemic.

Between 2022-2024 I worked in a transformation midwife position within maternity whilst working clinically on labour ward, in obstetric theatres, maternity triage/day assessment unit, telephone triage, caring for antenatal and postnatal inpatients and holding a caseload in the community. Between 2024-2025 I worked as the antenatal clinic lead midwife overseeing the operational management including the positive birth service (including counselling for mode of birth) and the maternity diabetes service. I also continued to work clinically through my band 6 midwife contract and my bank contract.

I have undertaken medico-legal training on the NHSR Early Notification Scheme and I am in a position to assist with casework of this nature. I accept instructions from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil Procedure Rules (CPR) pertaining to expert witnesses.