Haematology Outreach CNS

Job summary

The Haematology Outreach Service delivers specialist haematology treatment to patients within their own home. We are treat both malignant and non-malignant conditions and work hard to provide a seamless link between the hospital and community setting. Our Service allows patients to have a choice as to where they receive their treatment and it is essential that care received by patients is of the same standard as if they were to attend the hospital. We are a unique Service, and one of only a handful throughout the United Kingdom.

As joint team leader for this service, alongside clinical expertise the post holder must have a proven track record of clinical leadership. The successful candidate will be an individual with a background of working within Haematology at a senior level with experience of service development and implementing new ways of working.

The nurse specialist will also provide ongoing supervision and support, participating in the induction and training of the multi-disciplinary team. As a senior member of the team, the nurse specialist will also play a pivotal role in the operational development of their specialty. They will initiate, manage and drive change within the department, innovating changes in practice for the benefit of patient care in line with current trust and local programmes.

Main duties of the job

The successful candidate will jointly lead a team of 4 nurses and 2 support workers to administer chemotherapy and other treatments to haematology patients in their own homes.

Knowledge of haematology conditions and experience of working with this patient group is essential. The post holder will need to be an experienced chemotherapy nurse with competencies in venepuncture and cannulation.

The Haematology Outreach Service visit patients independently in their homes and so an ability to work autonomously and a full driving license with access to a car for work purposes is necessary.

About us

With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Job description

Job responsibilities

KEY JOB RESPONSIBILITIES

Clinical

Utilising a highly developed specific body of knowledge, works within a clinical team to deliver a service based on principles that are research based and which enhance the quality of patient care.

Assess and interpret patients / clients with undifferentiated or unstable problems within scope of practice.

Undertakes high level complex decision making, managing risk but may defer to others for overall plan.

Be a visible point of contact for patients, visitors, relatives, and staff, acting as the patients advocate

Ensure that patient records and documentation are maintained and current, with changes implemented, in accordance with NUH Clinical record keeping policy.

Organise meetings to discuss patient management as required.

Provide highly specialist support to clinical teams in dealing with the complex needs of different client groups.

Liaise closely with other health and social care professionals to ensure a coordinated approach and high quality care is provided for patients.

Discuss alternative treatment options and facilitate clinical management decisions.

Obtain informed consent for procedures as required, in accordance with the Trust consent policy.

Participate in research studies in conjunction with the specialty team and lead studies as appropriate.

Promote and support personalised care in line with the NHS long term plan including the components of the comprehensive model for personalised care.

Provide clinical support to wards/departments in times of increased clinical pressure or staffing shortages as requested, ensuring that patient safety is the priority at all times.

Education, Learning & Development

Undertakes, and can assess those undertaking, any Working in New Ways Packages, which have been identified as integral to the role requirements and specialty area.

Provide a credible source of highly specialist clinical knowledge and advice, taking an active role in the development of self and others. Review the performance of self and others, identifying development needs and taking active measures to meet those needs.

Carry out formal and informal teaching to a range of health care professionals and in a range of subjects. Develop and deliver educational and training programmes as requested and as appropriate

Create a positive learning environment within clinical settings, to encourage and facilitate individual and shared learning and professional development.

Participate, in the education of patients and the general public, developing resources as necessary.

Maintain an awareness and understanding of relevant, up to date research studies within the clinical field.

Supports and leads as required, on the development of WINW packages related to the individuals highly developed specific body of knowledge.

Leadership and Management

Directly line manage members of the team. Including; managing sickness, annual leave, e-roster, appraisals

Manage caseload to ensure that service is working efficiently, yet within the limits of a small team.

Support the senior team as appropriate.

Respond to and lead as necessary on clinical governance initiatives eg complaints, datix

Initiate and implement change effectively in response to clinical or organisational demands. React positively to, lead and facilitate the process of effective change through a culture of Shared Governance and frontline leadership.

Be a representative at a local level and participate as a member of the senior nursing team/ Speciality, making positive contributions to the strategic planning of the service.

Ensure clinical supervision within the clinical area or department is actively supported and staff encouraged to avail themselves of it.

Lead on the development of team objectives.

Participate in interviewing and selection of new staff.

Be aware of the impact of service changes across the organisation.

Participate in the managerial duties at Specialty level as required in the absence of the Matron.

Audit the service to aid in the improvement of continuous patient care

Service Development and Use of Resources

Identify and implement innovative ways of working within the speciality

Share and promote good practice through involvement with local groups, including presentations, publication and dissemination of role evaluation.

In collaboration with the Service Lead and colleagues, take a leading role in ensuring that the patient has a satisfactory experience by assessing and evaluating patient processes and redesigning the pathway of care when appropriate.

Contribute to the monitoring and control of expenditure and the use of resources.

Participate in objective setting and business planning for the Service.

Implement change in response to clinical, organisational and national demands; in agreement with appropriate others in the unit. Support others to lead or participate in the management of change.

Respond to change initiatives in a positive manner

Lead and participate in audits, research and the development of evidence based patient care guidelines, protocols, policies and procedures where appropriate and ensure they are implemented.

Ensure that the clinical team or department is kept informed of the policies, direction and strategy of the directorate and division.

Critically appraise and evaluate research findings and lead on the application of these to clinical practice.

Lead practice developments, through specific research and audit projects.

Collect and analyse information related to patient and carer satisfaction and evaluation of the service initiating service development strategies as indicated.

Develop mechanisms to measure outcomes and evaluate the service to assist with service development

Lead on the production of an Annual Report each year, ensuring it is submitted to Matrons and Divisional Team.

Communication and Professional Behaviour

Be a role model to ensure that the dignity, rights and confidentiality of the patient and individual team members are protected and maintained in accordance with Trust and national policy on Information Governance.

Convey and present complex and sensitive information, written or verbal, formally or informally, as appropriate. Report appropriate clinical information to senior staff. Ensure that written documentation is kept in respect of all investigations and incidents.

Establish professional relationships and maintain effective communication

Link with, and where required lead, professional networks across the Trust and wider health community, in order to develop and exchange ideas for improving clinical care

Provide ongoing liaison and support for patients /clients within care pathways.

Mental Effort

- Concentrate for frequent periods with a predictable work pattern clinics, assessments, report writing etc.,

Physical Effort

- Lift and manoeuver patients as required

- Handle equipment as required

Emotional Effort

- Handle challenging behaviour from patients this may be frequent

- Share and impart unwelcome news bereavement

Working Conditions

- There may some exposure to unpleasant working conditions body odours, body fluid etc.,

Person Specification

Haematology Experience

Essential

Evidence of experience working with haematology patients and awareness of their complexities

Evidence of Clinical Competencies

Essential

Evidence of Chemotherapy WINW or UKONS packages Evidence of competencies in venepuncture & cannulation

Leadership

Essential

Evidence of leadership skills/experience

Clinical Environment

Desirable

Experience of working with outpatients and/or the community setting

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