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Midwifery Quality and Leadership Programme (QLP)

The Quality and Leadership Programme (QLP) is the national career pathway for employed midwives which is easily transferrable between DHBs.

There are three domains of practice

  • Competent –A midwife who is competent to practise but needs to develop skills and experience to function effectively in the role.This includes new graduates, new staff members, return to practice midwives and overseas midwives with conditions on their practising certificates. Midwives are encouraged to progress to the confident domain after their first year of practice.
  • Confident – A midwife with the necessary skills and experience to function confidently within their employed practice area. Midwives on the confident domain will have a minimum of 12 months’ clinical practice experience and no conditions on their annual practising certificate.
  • Leadership – A midwife with significant midwifery experience who acts as a role model and resource within the maternity service. These midwives take a lead role in quality improvement, innovation and practice development within their practice area.

Applying for domains

All midwives will be appointed to the competent domain until they decide to submit their portfolio for progression to the confident or leadership domain.

Progression and revalidation

  • Confident – to remain on the confident domain the midwife must ensure that she has a current performance appraisal.The midwife’s portfolio is revalidated at the time of her annual performance appraisal.
  • Leadership – to remain on the leadership domain the midwife must ensure that she has an annual performance appraisal.The midwife’s portfolio must be resubmitted to the Clinical Midwife Specialist for revalidation every three years.

QLP portfolio days

Clause 27.7 of the MECA and Part Five (h) of the MERAS MECA  entitles staff working on preparing a portfolio, obtaining or maintaining skill levels associated with the QLP to additional leave in order to undertake research or study associated with meeting the QLP requirements...(Confident 1 day p.a.,leadership 2 days p.a.) This means you can take leave to obtain or maintain your QLP level. The days are for research or study (including writing up your research or study) associated with meeting QLP requirements and does not include the preparation of the actual portfolio.

Who to contact

For advice or to submit a completed portfolio contact the Clinical Midwife Specialist, on extension 80895 or 021 733 695.

QLP documents

  1. QLP Revsion November 2014

  2. QLP Application Form

  3. QLP Assessment Form Confident Domain

  4. QLP Assessment Form Leadership Domain

  5. QLP Leadership Peer Review Form

  6. QLP Leadership Activity Report

  7. Generic Midwife Role Description
  8. Midwife Performance Appraisal Form


Professional development and career planning

The Ministry of Health and CCDHB require all health professionals and staff to have a career plan in place. A career Plan reflects your values, choices, goals, actions and its part of your professional development.

The Midwifery Performance Appraisal and Development form is used for midwives to record their goals and action plan. This document is used across the 6 DHBs of the central region.

Professional development funding

Midwives can apply for professional development funding.

Read more about what is available

Midwifery graduate programme

The Graduate Midwifery Programme runs for 54 weeks and its purpose is to help you develop and consolidate your midwifery knowledge and practice within a supportive environment, working across the scope of practice.

Each year the Women’s Health Service offer six fixed term positions to graduate midwives. Each graduate midwife will work 64 hours per fortnight on rostered and rotating shifts. All graduate midwives who have successfully completed a Bachelor in Midwifery, have New Zealand Midwifery Council Registration, an annual practising certificate and are seeking employment during their first year of practice are welcome to apply for a position on the Graduate Midwifery Programme.

The Graduate Midwifery Programme begins with two weeks generic orientation to Wellington Regional Hospital, orientation to the Womens Health Service and a series of compulsory study days and core competencies.

All graduate midwives will rotate throughout the maternity service including:

  • Community Midwifery Team – supernumerary for one week.One day is spent with the Community breastfeeding team during this placement.
  • Women’s Clinics – one week supernumerary placement in the Acute Assessment Unit, Diabetic Clinic and Maternal Fetal Medicine.
  • Kenepuru primary birthing facility – spend two weeks working alongside the core midwife.
  • Antenatal pod – one week supernumerary followed by eight weeks clinical placement.
  • Postnatal – one week supernumerary followed by 16 weeks clinical placement.
  • Delivery Suite – four weeks supernumerary followed by 20 weeks clinical placement.

A clinical midwife educator is responsible for organising and facilitating the Graduate Midwifery Programme. Each clinical area has experienced midwives who will be assigned to support the graduate midwife during her initial orientation period, during each rotation and continue to support the graduate midwife in her day to day practice.

The Graduate Midwife will:

  • Participate in prescribed study days
  • Gain confidence in clinical decision making and the management of complex situations.
  • Develop sound clinical judgement and communication skills
  • Become an autonomous practitioner within the multidisciplinary team.

At the completion of the programme the graduate midwife will complete an annual performance appraisal, and be eligible to submit her portfolio to attain the Confident domain on the Quality and Leadership Programme.Those midwives who wish to gain permanent employment within the Service are encouraged to apply for vacant positions.

Midwifery First Year of Practice (MFYP)

Each graduate midwife offered a position on the Graduate Midwifery Programme will be supported to participate in the Midwifery First Year of Practice programme. The Midwifery First Year of Practice Programme is a compulsory, national programme for all New Zealand registered midwifery graduates, irrespective of workplace setting. Further information about the programme can be found at


Māori and Pacific support

Aniva qualifications

The Aniva programme offers NZQA approved qualifications with a specific focus on Pacific health for midwives, nurses and unregulated health workers. It aims to support Pacific Health professionals and providers to meet the needs of Pacific communities with more effective, culturally competent practice and provides workforce development for Pacific health workers as part of the Ministry of Health’s Pacific Health Strategy. For more information visit

Ngā Manukura o Āpōpō

Ngā Manukura o Āpōpō offers Clinical and Advanced Clinical Leaders in Māori nursing and midwifery the opportunity to participate in a Māori clinical leadership programme. Over the next four years, there will be four Clinical Leader cohorts and four Advanced Clinical Leader cohorts. The Clinical Leadership Training starts this year with the Advanced Clinical Leader cohort, which is now fully subscribed. The 8-day Clinical Leadership training consists of four 2-day noho marae spread over a 4-month period. The sessions are designed to stimulate learning, discussion, debate and action.


Capital & Coast DHB provides primary, secondary and tertiary level maternity care. Each year approximately 3600 women give birth; and most of these births take place at Wellington Regional hospital, Kenepuru and Paraparaumu maternity units.CCDHB are a tertiary referral centre for women/unborn babies with complex medical and obstetric complications who require access to the specialist maternal-fetal medicine (MFM) team and Neonatal Intensive Care Unit.

Midwives employed by the DHB provide care to women across the full scope of midwifery practice and support to the Lead Maternity Carers accessing the facilities.

Last updated 17 September 2019.