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Pregnant Pregnant

Guidance for employees


Pregnancy
Helpful information if planning a pregnancy or when communicating with your employer about your pregnancy.
Telling your employer you are pregnant

There is no legal requirement to inform your employer that you are pregnant. The HSE states “While you do not have to inform your employer that you are pregnant, have given birth in the last six months or are breastfeeding, it is important (for you and your child’s health and safety) to notify them in writing as early as possible. Until your employer receives written notification from you, they are not required to take any further action, such as altering working conditions or hours of work. Your employer can also ask you to provide a certificate from your GP or registered midwife showing that you are pregnant”.

To qualify for maternity rights including statutory maternity leave (SML) and pay (SMP), employees must inform their employer of their pregnancy at least 15 weeks prior to their Estimated Week of Childbirth.

In equine veterinary practice it is advisable to inform your employer much sooner than 15 weeks prior to EDD. There may be, understandable, hesitance about informing an employer about pregnancy especially around the period of high risk for pregnancy loss. In this situation choosing one trusted individual who might be able to mitigate risks in practice, for example a line manager or practice manager, is often sensible.

Pregnancy in the veterinary workplace - Veterinary Woman states when an employer receives written notification (regulation 18 of MHSW) that their employee is pregnant, has given birth within the past six months, or is breastfeeding, the employer should immediately take into account the risks identified in their workplace risk assessment and implement any necessary changes.

Usually, it is possible to remove or adequately reduce the risks in most veterinary practices but if not, one of the following actions must be taken:

Action 1: Temporarily adjust working conditions and/or hours of work.

Action 2: Offer suitable alternative work (at the same rate of pay) if available.

Action 3: Suspend the employee from work on paid leave for as long as necessary, to protect her health and safety, and that of her child.

IVF treatment

If you become pregnant through IVF, you have all the same pregnancy and maternity rights as non-IVF pregnancies.

There is no legal right for time off work for IVF treatment or related sickness. But your employer should treat your IVF appointments and any sickness the same as any other medical appointment or sickness. You can check your contract for this.

You could talk with your employer about any time off you need during your IVF treatment. They might agree to you using: flexible working , paid time off, unpaid time off or holiday

Having IVF treatment: Your maternity leave, pay and other rights (ACAS)

Antenatal appointments

Pregnant employees are entitled to “reasonable” paid time off for antenatal care. This includes time spent travelling to the appointment and waiting to be seen.

Antenatal care can include hospital scans and midwife appointments, as well as, relaxation and parent classes. The appointment for care must relate to her pregnancy and have been made on the advice of a GP, nurse or midwife.

No proof is required for a first appointment. For subsequent appointments your employer can ask for proof of pregnancy and the appointment. You cannot unreasonably be refused paid time off for antenatal care or require her to “make-up” the time spent at appointments.

Your partner has the right to time off work to come with you to 2 antenatal appointments. This time off is usually unpaid and is for a maximum of 6.5 hours for each appointment.

If you're not ready to tell your employer you're pregnant, you can choose to take the antenatal appointment time as you would another medical appointment, for example to go to the doctor or dentist.

If your employer does not know it's a pregnancy-related appointment, they'll treat that time off as they would any other medical appointment. This means you might not get paid for it or you have to make up the time later, depending on your contract.

Time off for pregnancy appointments: Your maternity leave, pay and other rights (ACAS)

Prescriptions and dental treatment

During pregnancy you are entitled to free NHS prescriptions and NHS dental treatments under a Maternity Exemption Certificate (MEC). To apply for a MEC, contact your doctor, midwife or health visitor.

Your certificate will be sent to you by email or in the post. The certificate will last until 12 months after the expected date of birth of your baby. If your baby's born early, you can continue to use your certificate until it expires. If your baby is born late, you can apply for an extension. If you apply after your baby is born, your certificate will last for 12 months from your baby's birth.

Starting maternity leave (SML)

Deciding when Statutory Maternity Leave (SML) commences is up to the employee so long as the following applies. 

  • Usually, the earliest SML can be started is 11 weeks before the expected week of childbirth. 
  • It will automatically commence the day after the birth if the baby is early, or if the employee is off work for a pregnancy-related illness in the 4 weeks before the week (Sunday to Saturday) that the baby is due.

Holiday/annual leave can be taken before starting SML. This should be discussed with your practice.

Statutory Maternity Pay (SMP)

Take time to understand your maternity rights and pay entitlement. 

Your contract will disclose whether your practice provides company maternity pay or just the legal minimum of Statutory Maternity Pay (SMP).

All employees qualify for Statutory Maternity Leave (SML) but you need to have been in employment for more than 26 weeks and earn more than £123 per week, and give your employer suitable notice (15 weeks prior to estimated due week) to qualify for the legal minimum statutory maternity pay (SMP).

Early births

You are entitled to SML and SMP if your baby is born early. 

SML will automatically commence the day after the baby was born.

Maternity pay and leave: Eligibility (www.gov.uk)

Stillbirth or death

If your baby is stillborn after the start of your 24th week of gestation or dies after being born, you remain entitled to Statutory Maternity Leave and Statutory Maternity Pay if you were already qualified to receive it. 

Miscarriage or stillbirth prior to 24 weeks gestation means you won’t qualify for maternity benefits. Statutory Sick Pay and Compassionate Leave should be provided by your employer.

The following charities can offer support and guidance:

Your rights and benefits after a stillbirth | Tommy's (tommys.org)

Sands | Saving babies' lives. Supporting bereaved families

Working whilst pregnant
Working whilst pregnant as an equine vet or vet nurse presents particular challenges due to the nature of the work involved. Aspects such a lone-working can make for additional considerations which are best discussed and managed as soon as possible.
Risk assessment

The Management of Health & Safety at Work Regulations 1999 require employers and the self-employed to further assess any risks which affect pregnant women specifically.

Once you have informed your employer of your pregnancy the employer should complete a pregnancy risk assessment. Practices will have their own risk assessment document or templates can be downloaded from the HSE website Protecting pregnant workers and new mothers - HSE

This risk assessment must be continuously reviewed and it's the pregnant employees responsibility to bring any changes in their health and safety to the attention of the employer so appropriate workplace adjustments can be made.

The HSE says “Employers are required by law to review general workplace risks. Your employer should regularly monitor and review any risk assessment as circumstances may change, particularly at different stages of your pregnancy. If you think you are exposed to a risk at work, you need to talk to your employer about it so they can review the risk assessment. You may also wish to talk to your safety representatives. Any written advice from your GP to your employer may help."

Specific considerations for pregnant vets and their employers - Veterinary Woman

Medicines
  • Safe handling of medicines is important to everyone but certain chemical agents including hormones, corticosteroids, anaesthetics, chemotherapy & cytotoxic drugs should be discussed & considered.
  • If possible allow another member of the team to administer these medications under guidance.
  • Read data sheets before use of medicines & chemicals. E.g. Norodine 24 injectable data sheet has recently been updated to state “women of childbearing age, pregnant women or women suspecting of being pregnant should use the veterinary medicinal product with serious caution to avoid accidental self-injection” due the evidence of potential fetotoxic effect of the excipient N-methyl pyrrolidone.
  • Take a look at the BUMPS (Best Use of Medicines in Pregnancy) webpage for more information about use of medicines in pregnancy.
Ionising radiation
  • Contrary to popular belief, as long as standard procedures are followed then vast changes are not required.
  • Exposure for fetus should be below 1mSV and it is strongly suggested working practices are checked to ensure they are meeting these requirements.
  • 1mSV is about the amount that would naturally be incurred through natural radiation during practice.
  • Most risk to foetus from ionising radiation in first 12 weeks of pregnancy - some advocate not partaking in radiography altogether during the first trimester, although this is not a legal requirement.
  • With radiography, aside the radiation risk the effects of heavy lifting and potential increased risk of injury due to reduced mobility & increased ligamentous laxity should also be considered.
  • Pregnant women should be supported if they choose not to work with ionising radiation.
  • See the HSE guidelines 'Working safely with ionising radiation'.
Manual handling
  • Lifting: Ask for help with lifting and carrying heavy objects. Consider whether assistance by another member of the practice (Vet, RVN, student) or owner could be obtained.
  • Animal handling: Avoiding being kicked, barged or squashed should be avoided. Consider assistance from other members of the practice (Vet, RVN or student) and consider if certain premises might carry increased risk to pregnant personnel. Consider roles which might be lower risk during pregnancy and would allow immediate assistance if required.
Zoonoses
  • Considerations equine practice might include Ringworm, Salmonella, E Coli, Giardia and although may not harm the feotus directly, they may cause in case of GI pathogens may cause severe gastroenteritis for pregnant woman and lead to more severe complications than would otherwise have been the case.
  • Further info can be found at HSE: Zoonoses - Agriculture
Inhaled anaesthetics
  • Potential teratogenic effects and a higher risk of abortions are reported at high concentrations but be aware most of this data was collected in 1970-80s prior to modern anaesthetic agents and suitable scavenger systems. 
  • However, it is essential that anaesthetic scavenging is used and regular safety checks are performed to ensure a leak-free system. EH40/2005 Workplace exposure limits (hse.gov.uk)
Lone working
  • Lone working can pose extra challenges when avoiding risk during equine veterinary work and can be exacerbated during pregnancy.
  • It can be helpful to assess whether there are any specific increased procedural risks associated with lone working.
  • Discuss whether these might be mitigated by support by another VS, VN or student.
  • Lone working poses the challenge that no immediate support might be available in the situation of ambulatory practice.
  • Pre planning for these scenarios as a team is appropriate.
On call
  • Discuss the risks associated with being on call.
  • Again a pre-prepared contingency plan is recommended if short notice changes are required.
  • Equine ambulatory practice is faced with extra challenge that certain premises or patients may present higher risk during pregnancy.
Driving
  • Long periods of sitting (or standing) can increase the risk of musculoskeletal pain or injury, or thrombosis.
  • Increased tiredness may be experienced during pregnancy which should be considered carefully in ambulatory roles.
Rest breaks
  • The Workplace Regulations require employers to provide suitable rest facilities for workers who are pregnant or breastfeeding.
  • The facilities should be suitably located and, where necessary, should provide appropriate facilities for the expectant or new mother to lie down.
Contingency planning
  • We may not realise what we are unable to perform until it is upon us but this situation should be avoided if at all possible. 
  • It is better to be safe than to regret an injury that could have been preventable.
  • All members of the practice staff should be aware of which tasks are not suitable to avoid the scenario of turning up to visit only to find they are unable to carry out the job due to safety concerns.
Parental leave
Both parents are legally entitled to parental leave, and some employers offer enhanced packages.
Maternity leave and pay

Maternity Leave – Entitlement of Leave & Pay?

Statutory Maternity Leave (SML) entitlement is 52 weeks. This is made up of Ordinary Maternity Leave- first 26 weeks and Additional Maternity Leave- last 26 weeks.

You do not have to take the full 52 weeks, but you must take 2 weeks’ leave after your baby is born.

SML entitlement is available from first day of employment- it does not matter how long you’ve been with your employer, how many hours you work or how much you get paid. You will qualify for SML if you are an employee and give your employer appropriate notice.

You must tell your employer you are pregnant at least 15 weeks before your baby is due and when you want to start maternity leave. Your employer may request this in writing. Your employer must write to you within 28 days confirming your start and end dates.

Your employer might ask to see a medical certificate or 'MAT B1' form. You can get this from your doctor or midwife once you're 20 weeks' pregnant.

During SML you may also be eligible for Statutory Maternity Pay (SMP). If you’re legally classed as an employee, you get SMP when both apply;

1.You have been working continuously for 26 weeks for the same employer before your ‘qualifying week

2.You earn at least £123/week on average for 8 weeks before your ‘qualifying week’

Statutory Maternity Pay (SMP) is paid for up to 39 weeks. You get 90% of your average weekly earnings (before tax) for the first 6 weeks then £172.48 or 90% of your average weekly earnings (whichever is lower) for the next 33 weeks.

SMP is paid in the same way as your salary is paid. Tax and National Insurance will be deducted. Your employer can claim your SMP back from HMRC.

If you are not eligible for SMP you may be able to get Maternity Allowance.

Maternity Allowance is payable to self-employed women if you have been self-employed for at least 26 weeks in the 66 weeks before your baby is due. You must be registered as self-employed with HMRC.

Many companies offer better than the legal minimum. Details of any enhanced maternity package will be stated in your contract and through your HR department.

Maternity pay questions - Maternity Action
Maternity pay and leave: Overview - GOV.UK (www.gov.uk)
Time off work for parents | Acas

What are my rights?

Maternity Leave: What are my rights?

You are entitled to all conditions of your contract when on maternity leave. The employment terms and conditions are protected and employees are entitled to any pay rises and improvements in terms and conditions given during the leave.

Employment benefits stated in your contract such as a company car, mobile phone, professional or club memberships, health and other insurance should continue as normal during maternity leave. You should be able to keep a company car or mobile phone if provided for personal use by your company throughout the time you are off. Also, participation in share schemes, professional subscriptions, free or subsidised travel, and subsidised childcare should continue.

During Ordinary Maternity Leave (OML) your employer must continue to pay full pension contributions as though you were working normally, whether or not you plan to return to work afterwards. Pension contributions usually stop if a period of leave is unpaid (for example during unpaid periods of maternity or parental leave), unless your contract says otherwise. Your employer’s contributions must be based on your normal pay.

Working Families maternity calendar 2024-2025 (workingfamilies.org.uk)

Employee rights when on leave - GOV.UK (www.gov.uk)

Checking your pregnancy and maternity rights: Your maternity leave, pay and other rights - Acas

Holiday

Maternity leave: Holiday

You still accrue your usual holiday entitlement while you're on maternity leave. This includes bank holidays. You cannot take holiday or get holiday pay while on maternity leave but you can arrange with your employer for you to take it before or after maternity leave.

Talk with your employer to agree how and when to take your holiday entitlement.

How much holiday you should get: Checking holiday entitlement - Acas

Student loan repayments

Maternity Leave- Student Loan Repayments?

Whether or not you pay your student loan while on maternity leave depends on your maternity package.

If your employer offers enhanced maternity you need to check what that amount will be and whether its above the student loan minimum repayment threshold. If you are on SMP only you won’t need to make any repayments as you will be below the threshold.

You don’t need to do anything yourself to stop or restart the repayments, it will be done automatically as your earning change each month. It is important to note interest will still accrue on student loan repayments during any periods of non-payment.

Student Loans Company - GOV.UK (www.gov.uk)

Contact with work

Maternity Leave- Contact with Work?

Your employer has the right to a reasonable amount of contact with you during your maternity leave. Before you go on maternity leave, your employer or manager should have a meeting with you to talk about how you'd like to stay in touch.

By law, while you're on maternity leave your employer must tell you if jobs are being advertised, of any promotion opportunities and if they're planning redundancies or reorganisation.

You can also agree with them what else you'd like to hear about, for example staff bulletins or social events, how you'd like to communicate, for example by email/call/text or keeping in touch (KIT) days and how often you'd like to be in touch.

KIT days

Maternity Leave- KIT days?

Employees can work up to 10 days during their maternity, adoption or additional paternity leave. These days are called ‘keeping in touch’ (KIT) days.

KIT days are optional - both the employee and employer need to agree to them.
It's up to you to agree with your employer: if you want to work KIT days, how many days you want (upto maximum of 10), what type of work you'll do on the days and how much you'll be paid for the work (this cannot be below the National Minimum Wage)

It still counts as a full KIT day even if you only work part of it, for example a half day. If you work more than 10 KIT days, your maternity leave and pay automatically end by law.

CPD requirements

Maternity Leave and CPD requirements?


RCVS annual CPD requirements remain at 35 hours for VS and 15 hours for VN, regardless of whether they are working full or part-time. If you’re absent from work and unable to meet the minimum CPD requirements you can apply to pause your CPD for up to 6 months. This means you only have to fulfil half of the annual CPD requirement if you take the full 6 month pause.

You can apply to pause your CPD through the online RCVS CPD recording platform, 1CPD. There are no restrictions on how many times you can apply to pause your CPD.

CPD Flowchart - Professionals (rcvs.org.uk)

Remember KIT days count towards CPD allocation. Anything that is relevant to you, as a veterinary professional, can be counted as CPD- it does not have to be clinically related or formal course attendance.

It is possible to change RCVS registration category during maternity leave to ‘non practising’ whilst remaining on the RCVS register. Members are reminded that they are required to notify the RCVS within 28 days of any amendments to their Register entry (ie from UK practicing to Non-Practicing) and ensure you are reinstated to ‘UK practicing’ category before return to any type of veterinary work or doing any KIT days. Employers who pay RCVS registration as a part of your employment contract should continue to do so during maternity leave.

Registration categories - Professionals (rcvs.org.uk)

Change of category fees - Professionals (rcvs.org.uk)

Ordinary parental leave (OPL)

Ordinary Parental Leave

Parents also have the right to 'ordinary parental leave' (OPL) or ‘unpaid parental leave’. This is unpaid time off work to be with their child.

Parental leave is additional to other types of time off employees are usually entitled to, such as: maternity, paternity and adoption leave and shared parental leave or holiday

Parental leave is usually unpaid but some employers might offer pay. This should be written in the employment contract.

Each parent is entitled to take up to 18 weeks for each child or adopted child up to their 18th birthday. Each parent can take a maximum of 4 weeks a year for each child (unless the employer agrees otherwise). You must take parental leave as whole weeks rather than individual days. A ‘week’ equals the length of time an employee normally works over 7 days.

Taking parental leave: Ordinary parental leave - Acas

Unpaid parental leave: Entitlement - GOV.UK (www.gov.uk)

Paternity leave and pay

Paternity Leave

Partners may be eligible for 1 or 2 weeks statutory paternity leave following the birth of a child. You can choose to take either 1 or 2 weeks. You get the same amount of leave if your partner has a multiple birth (such as twins). You must be an employee, give the correct notice and have been continuously employed by your employer for at least 26 weeks upto any day in the ‘qualifying week’

Paternity pay and leave: Overview - GOV.UK (www.gov.uk)

You must take your leave in one go. A week is the same amount of days that you normally work in a week - for example, a week is 2 days if you only work on Mondays and Tuesdays.

Leave cannot start before the birth. It must end within 56 days of the birth (or due date if the baby is early).

You must give your employer 28 days’ notice if you want to change your start date.

You do not have to give a precise date when you want to take leave (for example 1st February). Instead you can give a general time, such as the day of the birth or 1 week after the birth.

Paternity Pay

Statutory Paternity Pay (SPP) is £172.48 per week. You must be employed by your employer up to the date of birth, earn at least £123 a week (before tax), give the correct notice and have been continuously employed by your employer for at least 26 weeks up to any day in the ‘qualifying week’.

Paternity pay and leave: How to claim - GOV.UK (www.gov.uk)

Shared parental leave

Shared Parental Leave & Pay ?

Shared Parental Leave (SPL) enables eligible parents to choose how to share the care of their child. You can share up to 50 weeks of leave and up to 37 weeks of pay.

You and your partner may be able to get Shared Parental Leave (SPL) and Statutory Shared Parental Pay (ShPP) if you’re having a baby, using a surrogate to have a baby, adopting a child or fostering a child who you’re planning to adopt.

You need to share the pay and leave in the first year after your child is born or placed with your family.

You can use SPL to take leave in blocks separated by periods of work, or take it all in one go. You can also choose to be off work together or to stagger the leave and pay.

Shared Parental Leave and Pay: How it works - GOV.UK (www.gov.uk)

Legal advice

BEVA Members can receive free legal telephone advice as one of your membership benefits. To speak to the legal helpline team please call 01753 300 584 quoting PGM/PG Mutual

Membership | BEVA

Illness during pregnancy
What happens if I’m ill due to my pregnancy but aren’t due to go on maternity?
Starting maternity leave early

The government website Maternity pay and leave: Leave - GOV.UK (www.gov.uk) states maternity leave and statutory maternity pay will start automatically if the employee is off work for a pregnancy related illness in the 4 weeks before the baby is due.

ACAS provide some useful information on illness during pregnancy. Maternity leave can be delayed if both the employer and employee agree together.

Employers cannot discriminate and it is against the law (Equality Act 2010) to treat an employee unfairly because of a pregnancy related illness.

Sick leave and sick pay

Illness during pregnancy can affect people at any stage and in different ways. If an employee cannot work because of a pregnancy related illness they should report in sick to their work in the usual way and receive their usual sick pay. An employee can be asked to provide a fit note from their GP. Pregnancy related illness should be recorded separately from other sick leave.

Health and safety risks

If due to pregnancy the employee cannot continue in her work due to health and safety risks the employer, once informed in writing of the employees pregnancy, must change the work, offer a different suitable job or suspend her on full pay. An employer cannot ask the employee to go off on sick leave due to health and safety.