Deputy Head of Clinical Services

2 weeks ago


Carlisle, United Kingdom Hospice at Home Carlisle and North Lakeland Full time

**Job title**: Deputy Head of Clinical Services Organisation: Hospice at Home Carlisle and North Lakeland Managerially Accountable to : Head of Clinical Services Location: Valley Court, Dalston 2. JOB SUMMARY To work in a specialised Hospice at Home team as a Registered Nurse, without direct supervision, to lead on the assessment and re-assessment of patients and carers receiving home nursing and volunteer support from Hospice at Home Carlisle and North Lakeland. To coordinate and manage the Hospice at Home Day Night Nursing Team, acting as Line Manager and co-ordinating Day Night Nursing Service in the absence of the Head of Clinical Services. Assist the Head of Clinical Services to develop and support nurses and the wider team through an effective appraisal and development review process, identifying learning needs and provide training opportunities.

Liaise with the Head of Clinical Services as appropriate to review care provision. Participate in direct provision of patient care and liaise with members of the multi-disciplinary team and palliative care team in order to achieve this. 3. ROLE OF ORGANISATION To provide an expert and comprehensive Hospice service to enhance the experience of patients with cancer from diagnosis through treatments to palliative and end of life care and to others with progressive life threatening conditions.

The service also supports relatives and carers providing care predominately in the home or within the local community. Hospice at Home Carlisle and North Lakeland is a charitable organisation working alongside and in collaboration with other specialist palliative care providers, local primary care services and adult social care as well as acute settings and residential care. The service provides nursing care and support, respite, specialist services of lymphoedema and occupational therapy, family and bereavement support, counselling and complementary therapy. The service utilises Registered Nurses, Nursing Associates, and Assistant Practitioners.

Health Care Assistants, Volunteers, Counsellors and Allied Health Care Professionals supported by administrative staff. 4. DUTIES AND RESPONSIBILITIES OF THE POST Responsibilities for Patients Using a holistic palliative approach, assess, plan and implement individualised patient care plans. Regularly re-assess care and support needs of both patient and family and support them during their illness, being perceptive to their changing physical and emotional/health needs.

On a day to day basis prioritise care arrangements for patients receiving home nursing, deploying staff appropriately and informing relatives as to why changes have been made. To have a problem solving approach both internally and liaising externally to the wider MDT. Provide direct clinical nursing care when required. Undertake and regularly review risk assessments for patients and carers being supported by the Hospice at Home nursing and support team.

Be able to use own judgement to assess, plan and prioritise workload. Liaise with the wider multi-disciplinary team about patients, ongoing care needs and provide reports where necessary for patients being considered for continuing care. Be frequently exposed to upsetting emotional situations. Undertake lone working in environments that may expose the service to abusive, violent or challenging behaviours.

To record data/information accurately and clearly in nursing/computer records, maintaining patient confidentiality and data protection. Document patient records following visits made to patients. Report identified safeguarding concerns appropriately using guidelines and procedures. Responsibility for Families and Carers Monitor standards of care being provided to patients by the Hospice at Home clinical staff.

Attend referral/discharge meetings when appropriate. Attend, participate or facilitate de-briefs and case conferences for patients their relatives and carers. To be aware of young families and children within care environment and refer on to appropriate service as required. Responsibility for Administration Monitor staff attendance for mandatory training.

Ensure that the Hospice at Home team uses resources effectively and in sustainable and environmentally friendly manner. Identify problems with resources and resource use promptly and recommend corrective action. Responsible for authorising staff annual leave. Responsible for initially checking staff time sheets on a monthly basis.

To attend designated meetings in the absence of the Head of Clinical Services. To deliver talks and presentations to the general public, trustees and others as appropriate. Responsibility for Self-Development Demonstrate clear understanding and awareness of own responsibilities under the NMC Code, working within the parameters set, linking own practice to The Code at all times. Participate in regular supportive conversations.

Take a proactive approach to own annual appraisal and development needs. Attend study days in line



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