Head of Clinical Services

St Cuthberts Hospice is seeking an experienced palliative careprofessional to lead its clinical services on the continuing journey towards excellence,helping to ensure that people in Durham with life-limiting illnesses, and thosewho care for them, have the best possible outcomes. As a member of the HospiceSenior Management Team, and as the Hospices Registered Manager, you will haveoverall responsibility for clinical governance and will contribute to thestrategic development of the Hospice, as well as provide effective leadershipand management to the staff and volunteers who are involved in the delivery ofits clinical services. You will also take an active role in promoting andsupporting the development of palliative care across the County.

Interviews for this role will be held the 20th and 21st of June.

Main duties of the job

Ensure through effective clinical leadership,that all Hospice clinical services are safe, caring, responsive, effective, andwell-led and lead, promote and operationally manage service developments thatdefine St Cuthberts Hospice as an outstanding provider of specialistpalliative care services.

As a registered manager deliver the clinicaland operational imperatives of clinical services and ensure that every aspectof the organisation complies with CQC regulations.

About us

At St Cuthberts, we provide specialist palliativeand end of life care services, at a time and a place that is right for theperson. As a centre of excellence within our community we provideall-embracing, compassionate, and individualised care to all those affected bylife-limiting illnesses. Our services can also extend to families and carerswho have a care and support role and who, in turn, could benefit from supportand advise. Accessibility and high quality are some of our key objectives. Ourclinical staff have the enhanced skills to deliver the specialist care acrossour services. For over thirty years we have put patients and those important tothem at the heart of everything we do. We exist to ensure that people withlife-limiting illnesses in County Durham can make every day count.

Job responsibilities

Communication and relationships

• Reporting directly to the Chief Executive, the HoCS will manage all aspects of clinical / care service delivery to meet the outcomes of the Operational Plan.
• As registered manager, oversee day to day management and help deliver the vision for the Hospices Clinical Services
• Together with the CEO acting as Responsible Person/Nominated Individual, ensure the organisation is well managed in order to deliver the regulated activity.
• Liaise with clinical colleagues including the Medical Director, Clinical Practice Development Nurse and key nursing, allied health and social care professional leads to ensure adequate resources are available to support delivery of and improved access to Hospice clinical services.
• Liaise with the Head of Enabling Services to ensure adequate resources are available to support the delivery of and improvement to Hospices clinical services.
• Effective and sensitive communication with patients, carers, all staff and volunteers is an essential component of this role to ensure smooth delivery on a day-to-day basis of all clinical services.
• Develop relationships with key external stakeholders including the Integrated Care Board and other services providers, working with the CEO and to identify and implement a stakeholder engagement plan.
• Manage the key partnerships and relationships with the clinical staff based within the Hospice from other employers e.g. County Durham and Darlington Foundation Trust (CDDFT).
• In partnership with the Lead Hospice Doctor and the Responsible Officer, ensure Hospice employed medical staff fulfil their statutory requirements for PREP and revalidation.
• Chair the Clinical Governance Group and Medicines Optimisation Group and report to the Clinical Governance Sub Committee (CGC) of the Board.
• Prepare detailed and accurate reports, including the Quality Account to assure NHS England, CGC and the Board of Trustees that all clinical services are well led and provide high quality care to all services users.
• Represent the Hospice at external events as required, including delivering presentations to groups and conferences.
• Via membership of the Senior Management Team, contribute to the overall effective management of the Hospice and ensure compliance with CQC regulations.
• Fulfil role as on-call manager

Analytical and judgemental skills

• Continuous and consistent management of all Hospice clinical services to ensure service needs are met within resourcing limits.
• Be the Accountable Officer in relation to Controlled Drugs and ensure effective medicines management throughout the Hospice and through membership of the Local Intelligence Network.
• Act as Registered Manager and lead the clinical team to ensure the maintenance of Care Quality Commission Registration. Act as Caldicott Guardian, ensuring the Hospice meets its responsibilities in relation to maintaining patient confidentiality and implementing effective information governance.
• Co-ordinate the investigation and audit of clinical services and any accidents/incidents/complaints that relate to clinical services and report as applicable i.e.:
• Fulfil CQC statutory reporting requirements i.e. service user notification of injury / harm
• STEIS incident reporting to North East Commissioning Support
• Quarterly Controlled Drug Local Intelligence Network (CD-LIN) returns
• Develop, maintain and advise on clinical risk assessment processes and procedures.
• Collate and report findings from validated palliative care outcome measures and acuity and dependence data
• Arrange and conduct evaluations of clinical services in order to improve efficiency and effectiveness

Planning and organisational skills

• Provide the Chief Executive with an annual Clinical Operational Plan to inform the budget and Operational Plan.
• Produce Clinical Commissioning Group quarterly service contract quality reports and the annual account.
• Ensure correct staffing levels across all Clinical Services to meet clinical needs.
• Contribute to the Hospice Business Planning Cycle, including Operational Plans, annual appraisal and budget planning process

Physical skills

• Requirement to be able to travel to events and meetings off site.
• Lead care teams to ensure the highest standards of patient care are achieved.by regularly reviewing and updating standards of care and clinical practice against best practice, research and where appropriate NICE Guidance.
• Lead delivery of the Carer Strategy.
• Ensure that an effective weekly multi-disciplinary team meeting takes place.
• Actively seek and respond to feedback from people who use and benefit from Hospice services and use this to drive service development and improvement.

Job description Job responsibilities

Communication and relationships

• Reporting directly to the Chief Executive, the HoCS will manage all aspects of clinical / care service delivery to meet the outcomes of the Operational Plan.
• As registered manager, oversee day to day management and help deliver the vision for the Hospices Clinical Services
• Together with the CEO acting as Responsible Person/Nominated Individual, ensure the organisation is well managed in order to deliver the regulated activity.
• Liaise with clinical colleagues including the Medical Director, Clinical Practice Development Nurse and key nursing, allied health and social care professional leads to ensure adequate resources are available to support delivery of and improved access to Hospice clinical services.
• Liaise with the Head of Enabling Services to ensure adequate resources are available to support the delivery of and improvement to Hospices clinical services.
• Effective and sensitive communication with patients, carers, all staff and volunteers is an essential component of this role to ensure smooth delivery on a day-to-day basis of all clinical services.
• Develop relationships with key external stakeholders including the Integrated Care Board and other services providers, working with the CEO and to identify and implement a stakeholder engagement plan.
• Manage the key partnerships and relationships with the clinical staff based within the Hospice from other employers e.g. County Durham and Darlington Foundation Trust (CDDFT).
• In partnership with the Lead Hospice Doctor and the Responsible Officer, ensure Hospice employed medical staff fulfil their statutory requirements for PREP and revalidation.
• Chair the Clinical Governance Group and Medicines Optimisation Group and report to the Clinical Governance Sub Committee (CGC) of the Board.
• Prepare detailed and accurate reports, including the Quality Account to assure NHS England, CGC and the Board of Trustees that all clinical services are well led and provide high quality care to all services users.
• Represent the Hospice at external events as required, including delivering presentations to groups and conferences.
• Via membership of the Senior Management Team, contribute to the overall effective management of the Hospice and ensure compliance with CQC regulations.
• Fulfil role as on-call manager

Analytical and judgemental skills

• Continuous and consistent management of all Hospice clinical services to ensure service needs are met within resourcing limits.
• Be the Accountable Officer in relation to Controlled Drugs and ensure effective medicines management throughout the Hospice and through membership of the Local Intelligence Network.
• Act as Registered Manager and lead the clinical team to ensure the maintenance of Care Quality Commission Registration. Act as Caldicott Guardian, ensuring the Hospice meets its responsibilities in relation to maintaining patient confidentiality and implementing effective information governance.
• Co-ordinate the investigation and audit of clinical services and any accidents/incidents/complaints that relate to clinical services and report as applicable i.e.:
  • Fulfil CQC statutory reporting requirements i.e. service user notification of injury / harm
  • STEIS incident reporting to North East Commissioning Support
  • Quarterly Controlled Drug Local Intelligence Network (CD-LIN) returns
• Develop, maintain and advise on clinical risk assessment processes and procedures.
• Collate and report findings from validated palliative care outcome measures and acuity and dependence data
• Arrange and conduct evaluations of clinical services in order to improve efficiency and effectiveness

Planning and organisational skills

• Provide the Chief Executive with an annual Clinical Operational Plan to inform the budget and Operational Plan.
• Produce Clinical Commissioning Group quarterly service contract quality reports and the annual account.
• Ensure correct staffing levels across all Clinical Services to meet clinical needs.
• Contribute to the Hospice Business Planning Cycle, including Operational Plans, annual appraisal and budget planning process

Physical skills

• Requirement to be able to travel to events and meetings off site.
• Standard keyboard skills.

Patient/Client Care

• Lead care teams to ensure the highest standards of patient care are achieved.by regularly reviewing and updating standards of care and clinical practice against best practice, research and where appropriate NICE Guidance.
• Lead delivery of the Carer Strategy.
• Ensure that an effective weekly multi-disciplinary team meeting takes place.
• Actively seek and respond to feedback from people who use and benefit from Hospice services and use this to drive service development and improvement.

Policy and Service Development

• Responsible for the development, review and effective implementation of all clinical policies.
• Contribute to the development of the Hospice Strategic Plan
• Contribute to the development and review and implementation of all non-clinical policies.
• Comply with all Hospice Policies and procedures.

Financial and Physical Resources

• Overall budgetary responsibility for clinical services encouraging staff to be engaged with budgetary decisions ensuring best value at all times.
• Advise on the specification of clinical equipment for those responsible for income generation and purchases.
• Advise on the effectiveness of all equipment in the clinical areas.

Responsible for ensuring medical devices are managed in line with statutory requirements.

Human Resources

• Responsible for overseeing all aspects of the management of staff and volunteers working in the clinical areas including recruitment, appraisal, management of sickness, disciplinary and grievance.
• Agree service and individual objectives and prioritise and allocate activity across all aspects of clinical services.
• Participate in the induction programme for new staff and volunteers (including Trustees).
• Lead development and implementation of a clinical workforce strategy which incudes competency assessment and continued professional development.
• Deliver induction on clinical services to all staff and volunteers.
• Carry out investigations across the Hospice if required (eg complaints, incidents, grievance, disciplinary).
• Attend appropriate training when mandatory and when identified and agreed at Individual Performance Review.

Information Resources

• Advise on the use of information technology systems in relation to clinical requirements.
• Preserve confidentiality of any information regarding patients, staff, volunteers and the business of the Hospice.

Research and Development

• Support any audit or surveys taking place in any operational area.

Freedom to Act

Guided by policy and legislation, manage all clinical activities across all Hospice services

Person Specification Skills and Knowledge

• Ability to deliver presentations and training
• Ability to use Microsoft office and other software packages
• Able to meet the requirements of registration and periodic re-validation with a recognised professional body including DBS, and CQC
• Ability to fulfil the Registered Manager role
• Ability to act as Accountable Officer in relation to controlled drugs
• Knowledge of how to set and monitor a departmental budget
• Sound knowledge of the national palliative care agenda
• Excellent communication and negotiation skills
• Audit skills
• Ability to appraise and manage staff performance
• Ability to work alongside and motivate and reward volunteers
• Sound knowledge of the local palliative care agenda
• Ability to use Systmone (clinical recording software)

Qualifications

• Registered Nurse or Allied Health or Social Care Professional
• Cancer or Palliative Care related post registration qualification e.g. Certificate in Palliative Care
• Masters Degree in Nursing or health related subject or First Degree in Nursing or health related subject together with relevant experience at Masters level.
• Management Qualification
• Recognised training in Communication skills
• Clinical skills
• Prescribing

Personal Attributes

• Ability to deal with all issues sensitively and in a confidential manner
• Ability to work individually, confidently, out of hours and also to motivate and inspire confidence in the team
• Ability to communicate convincingly and effectively to all users of the Hospice, staff and volunteers
• A solution-focussed and creative approach to work
• Commitment to behaviour consistent with the Hospice values of professionalism, choice, integrity. Respect, compassion and reputation

Experience

• Significant experience in palliative care or a related field
• Demonstrable experience of working within a multidisciplinary team
• Experience of operating as a Senior Manager, including planning and project management
• Experience, understanding and application of the principles of clinical governance to drive continuous clinical / care quality and service improvement
• Experience of change management
• Risk assessments in a clinical / care setting
• Experience in a Hospice or other Specialist Palliative Care setting
• Experience of clinical / Care / Service related Audit
• Experience of being accountable to Trustees
• Experience of using information derived from:
• NICE Guidance
• Use of recognised and validated palliative outcomes
• Conducting clinical audits and incident investigations
• Using patient and carer experience to drive improvement in clinical quality
• Experience of meeting commissioner quality contract reporting requirements and producing the annual Quality Account

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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