Josephine qualified as a midwife in 2014. Prior to this, from 2005 she supported women and families as a breastfeeding counsellor with La Leche. In 2019 she qualified as a Professional Midwifery Advocate to provide supervision to midwives. She has predominantly worked as a community midwife providing integrated care across the whole perinatal journey. Josephine now works as the lead Retention Midwife in an NHS Trust in the South West of England. She established a Birth Afterthoughts clinic in 2022, to support people who have experienced birth trauma. In 2023 she collaborated with Dr C. Feeley and Dr T. Stacey on a research project exploring the attrition and retention of midwives. Josephine won a SW Maternity & Neonatal Innovation Award for her work in retention and in 2024 was invited by the RCM to speak to the APPG in parliament on retention of midwives. In 2024 she designed and taught a day at Plymouth University entitled ‘Providing choice within a culture of fear’. She has recently produced a short documentary on ‘Freebirthing’, which is now being used as an education tool within NHS maternity services and affiliated universities. Josephine’s retention work has focused on the psychological harm, such as moral injury and vicarious trauma maternity professionals are experiencing, the erosion of the role of the midwife and the impact that under resourced services are having on the midwifery profession.