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Macmillan Specialist Palliative Care Clinical Nurse Specialist
4 months ago
Job summary
Band 6 Macmillan Clinical Nurse Specialist for CHFT Specialist Palliative Care service
An exciting opportunity to join an established Specialist Palliative Care Team to provide excellent palliative & end of life care interventions across CHFT, typically based within the Calderdale Community setting with opportunity to experience hospital palliative care service delivery.
The service operates over a 7 days, providing proactive input during week days and reactive service at the weekend. The team work in close collaboration with the local hospice, a wide range of community services and the voluntary are opportunities for professional development and service improvement initiatives.
Main duties of the job
To work within the multi-professional team to manage the caseload of patients presenting with specialist palliative care needs. To undertake an effective nursing assessment and intervention service within CHFT. To liaise and work alongside the appropriate multi-professional teams to support patients' needs to ensure admission avoidance from home. Act as a resource for patients, families, carers and health professionals about diagnosis, treatment, follow-up, and end of life care needs. To ensure that the key worker role and holistic needs assessment are identified and undertaken at appropriate points of the patient care pathway in liaison with other site specific multi-professional teams. Liaise with other specialist palliative care teams within the locality to ensure timely referral/review of patients with specialist palliative care/end of life care needs. To support advance care planning as appropriate. To help the development of a sustainable and effective nursing assessment and intervention service across the Trust. Provide symptom management and control advice. Support integration of end-of-life care tools.
About us
We employ more than 6,500 staffwho deliver compassionate care from our two main hospitals,Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, healthcentres and in patients' homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.
We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.
We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.
We continue to modernise and invest in our health services to build on our strong reputation.Foundation trusts are public leaders in improving quality in health services. They are part of the NHS- yet decisions about what they do and how they do it are driven by independent boards. Boardslisten to their Council of Governors and respond to the needs of their members - patients, staff andthe local community.
Foundation trusts provide what the health service wants, yet are also free to invest quickly in thechanges to the local community needs, in striving to be the best, and in putting their patients first.
Job description
Job responsibilities
Clinical Duties
Provide specialist palliative care advice to clinical teams. Undertake comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs. Demonstrate specialist skills and knowledge. Use advanced communication skills to impart information, advice and support at all levels. To provide timely holistic assessment of physical, social, emotional, psychological needs of patients at presentation and other points of contact as appropriate, ensuring early initiation of investigation, referral or management. Work with clinical teams to facilitate individualised patient care based on principles of evidence-based practice. Involve patients, their families and carers in the planning and delivery of their care. Monitor investigation results, initiating further assessment/review of treatment pathway as required. Liaise with all service areas to ensure timely review/treatment of patients with specialist palliative care needs. Engage in service development as appropriate. Provide guidance and support for patients making choices relating to preferred place of care and advance care planning. Provide symptom management advice. Utilise Independent prescribing skills to improve patient care delivery, undertaking all necessary clinical governance policies. Support the Macmillan specialist palliative care nursing team leader to initiate service change. Liaise with key partners in primary and tertiary care to ensure patients/families receive timely, effective specialist palliative care intervention. Manage and maintain own clinical caseload, prioritising workload responsibilities and ability to work flexibly to meet the changing needs of patients, escalating significant concerns to the line manager or Senior Clinician. Effectively record all activities in patient documentation, utilising a variety of electronic systems (eg Systmone / EPR ) and ensure professionals involved in care are updated on patient progress.Professional Duties
Act as a role model for quality nursing care at all times, promoting the need for effective evidence-based interventions and compassionate care. Act as patient advocate at all points of the care pathway. Work within the NMC Code of Conduct at all times. Adhere to national, local and professional standards, guidance and directives relevant to their sphere of practice.Managerial Duties
Ensure adherence to all CHFT protocols, policies and directives within service delivery. Participate in service review and development alongside the specialist palliative care team. Work with other appropriate professionals to ensure holistic, comprehensive nursing assessment, care planning, care delivery and referral mechanisms are in place to support patients at appropriate points of their care pathway, ensuring advice and information is available to both patients and carers in all care settings. Work within the specialist palliative care team to ensure effective communication with other appropriate services, patients and carers takes place in a timely and effective way in all care settings. To ensure that continuity of care for patients and appropriate specialist nursing or other health and social support is available and accessible as appropriate, liaising where appropriate with other care settings and professionals. Work with the lead cancer nurse and other key cancer care professionals to support and develop cancer nursing and supportive care for cancer patients in Calderdale and Huddersfield. Work with other disease specific clinical teams to ensure equity of access to specialist palliative care for patients with non-malignant conditions. To act as a role model for other nurses caring for patients in the specialist palliative care setting. Support CHFTs aims and objectives around service delivery and achieving targets. Work closely with the appropriate nurses, matrons/community nurses/Allied Health Care professionals to influence the nursing service and care provision for patients accessing specialist palliative care services. Under the supervision of the Macmillan specialist palliative care nursing team leader, review protocols and policies and help develop new ones where appropriate. Working with the Macmillan cancer information centre manager and Macmillan specialist palliative care nursing team leader where appropriate support the reviews of all patient/carer information and the production of appropriate new information as identified, ensuring these are offered at all appropriate points of the pathway of care in line with local, network and national guidelines and initiatives as appropriate. Within the framework of clinical governance, work continuously to improve quality and safeguard standards of care, maintaining a patient focused service, promoting and implementing evidence-based practice with measurable standards of care and outcomes. Be involved in audit projects to measure standards of care. Help to identify and highlight any gaps in the evidence/service provision under the supervision of the Macmillan specialist palliative care nursing team leader. Attend regular relevant meetings (internal and external) and provide effective channels of communication within the team as required. Maintain a flexible approach and develop the role according to needs. Work alongside the Macmillan specialist palliative care nursing team leader to support the division/Trusts annual plan and strategic vision in all care settings. Participate in service review and development under the guidance of the Macmillan specialist palliative care nursing team leader and cancer management team/community services manager. Participate in and promote patient and public involvement in specialist palliative care services as appropriate. Work towards supporting the Trusts cost efficiency programme by correct use of resources and identifying areas for further improvement.Financial Duties
To be aware of the financial implications of the service needs and specific budgetary requirements related to specialist palliative care. To manage resources appropriately Awareness of the appropriate use of charitable fundsManaging Self
Participate in regular supervision. Attend all mandatory training. Participate annually identifying, developing and agreeing your own development plan with your Line Manager using the Trust Appraisal. Comply with all Trust policies, procedures and protocols. Carry out duties with due regard to the Trusts Equal Opportunity Policy, with advice and support from Line Manager whenever necessary. Maintain professional conduct, including appearance at all times. Ensure maintenance of Professional Registration.This job description is an outline only and is not definitive or restrictive in any way. It will be regularly reviewed and may be amended in the light of changing circumstances following consultation with the post holder.
Person Specification
QUALIFICATIONS / TRAINING
Essential
RGN Degree level studies or Masters level degree. Post Grad qualification / attendance of study in oncology/palliative care Teaching Qualification / experience of mentorship
Desirable
Advanced Communication Skills Training Independent Prescribing qualification - Masters level
KNOWLEDGE, EXPERIENCE & EXPERTISE
Essential
Community AND / OR Acute Hospital experience Recent experience of working in caring for patients with cancer/ palliative care /end of life needs Experience of liaison with other health professionals and multi-agency partnership working Ability to demonstrate sound clinical decision making Proven ability to case-manage patients with complex needs Ability to identify own learning needs and engage in self-directed development Demonstrates reflective practice Computer literacy (and willingness to develop required IT skills)
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
Ability to work independently (as loan worker) and as part of a team Teaching/presentation skills and experience High level of personal/professional autonomy and accountability Ability to manage complex situations effectively and influence change. Excellent communication skills and ability to communicate effectively with people with complex difficulties Knowledge of relevant legislation, local & national guidelines and initiatives Access to transport to undertake multiple visits to patient homes
Desirable
Ability to contribute to service improvement /development /audit