Senior Complex Needs Nurse

Come and join the Lewisham and Greenwich NHS Trust integrated

Lewisham Children and Young People's Community Nursing Service (LewCYPCNS)

The Lewisham & Greenwich NHS Trust Children's and Young People Community Services was given a rating of "outstanding" in the most recent CQC report.

Make a difference with us. We are looking to expand our Children's Complex Needs Nursing Team and recruit a highly skilled, forward thinking and enthusiastic children's nurse. Our friendly team is looking for a registered children's nurse with experience in caring for children with complex needs, particularly in the community.

Based from Kaleidoscope, Lewisham's dedicated Children's Centre. Our passionate and dedicated team work collaboratively with community paediatrician's, therapist staff and education staff to ensure the best possible outcomes for children and their families is achieved.

As a Senior Nurse you will have a key role in empowering families/carers, leading care planning, training and multi disciplinary liaison for children and young people with a range of needs within their home, school and community settings. You will work autonomously and as part of a team fully dedicated to the needs of children and young people with SLD, PMLD, sensory impairment, learning and behaviour difficulties.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development

Widening access (anchor institution) and employability

Improving the experience of staff with disability

Improving the EDI literacy and confidence of trust staff through training and development

Making equalities mainstream

To act as an exemplar and exercise clinical leadership in the delivery and evaluation of healthcare interventions for children and young people with complex needs in community settings e.g. Home, school, nursery.

Be confident and competent in the management of a wide range of complex care needs. E.g. ASD, Seizures, Airway management, Enteral feeding, allergy, tracheostomy care

Provide training on the above

Working across the community setting provide assessment and planning of care, supporting colleagues in the management and delivery of direct care including the administration of medicines, enteral feeds and management, dressings etc in the special school and nursery and other community settings.

Safeguarding of children, provide assessment of need, conference reports, attend and participate in safeguarding meetings including child protection conferences, core groups and strategy planning meetings.

Demonstrate an understanding and promote awareness of abuse issues relating to children with disability.

Provide skilled continence assessments, advise families and other professionals on the promotion and management of continence for children and young people.

Responsible for specialist assessment, planning, implementing, supervising and evaluating programmes of care for children and young people (0-19 years) with bladder and bowel dysfunction and complex needs. Providing each with an individualised holistic programme of care.

To provide nurse led clinics for treatment and management of nocturnal enuresis.

Work collaboratively within the Complex Needs Nursing Team and with the wider children's services including special needs schools, portage, health visitors, school nurses, paediatricians, therapists an education to ensure effective joint working in a team around the child approach.

Support the team leader in ensuring that all children and young people with complex care needs have up to date care plan in place in the nursery or school setting. Maintain a positive, effective and timely communication with all appropriate professionals, parents, carers.

Act a key worker.

Support the recruitment and retention of team members.

Stand in for the team leader at meetings required. Provide support and line management for junior team members.

Be a competent computer user with word and excel, be able to collate data.

To Use RIO electronic record system.

Provide counselling and support for families in managing their child's diagnosis.

Develop knowledge of support networks that are available and how Disability Living allowance can support families where a child has additional needs.

Lead the development of a designated care pathway within the team.

Demonstrate an understanding of the issues impacting on families relating to the identified pathway. Work closely with young people and their families in the development of care pathways.

Support the team in the ongoing development and delivery of Transitional Health Care Planning for children and young people across the 0-19 age range and transferring to adult services.

Support the team in the ongoing development and delivery of the Continuing care pathway working under the guidance of the specialist nurse for continuing care and within the MAPP process.

Support joint working on health promotion for pupils with complex needs with teachers and other professionals working in both mainstream and special needs schools. Work closely with the Healthy School Partnership to ensure the public health needs of school aged children with complex needs are addressed.

Deliver national immunisation programmes and promotion of these in schools as set out by the DH.

Demonstrate Knowledge of key professionals involved in the management of children and young people with complex needs and life limiting conditions.

To act as an educator and advisor to other community professionals including health visiting and school nursing teams on care pathways e.g. Autistic spectrum disorder, Cerebral Palsy, Allergy and Epilepsy to enable staff to deliver high quality care within community settings.

To keep staff updated on current, national and local initiatives that impact on children special needs in Lewisham, E.g. Lewisham Children and young people's plan , NSF and ECM, Aiming High, Better care Better Lives and Framework for continuing Care (draft 2008).

Deliver training in nursery, school and other community settings (e.g. respite, holiday clubs) to non-clinical staff in the management and delivery of specific aspects of care and administration of medicines. Asses understanding of training at a level set out as agreed in individual guidelines (e.g. the management of allergy, seizures, tracheotomy in the community setting).

To identify unmet health needs for this client group.

To monitor performance and evaluate outcomes in order to ensure quality of service.