Clinical Head of Community Specialist Nursing

1 month ago

Blackburn, United Kingdom East Lancashire Hospice Full time

Job summary

We have an exciting opportunity for a forward thinkingindividual, passionate about the development of excellence in palliative careand with substantial post-registration experience to have overallresponsibility for the clinical leadership and management of the hospiceclinical nurse specialist team.

You will drive the development and delivery ofthe service in keeping with the clinical strategy while ensuring high qualityevidence based specialist palliative care is delivered with care, compassionand dignity to patients and those that matter to them.

Please get in touch if you have not got all relevant qualification as a secondment opportunity will be considered.

Main duties of the job

To work as a Head of thehospice community team, providing the clinical leadership, caseload managementand coordination necessary to ensure high quality, evidence based specialistand supportive palliative care is delivered with care, compassion and dignity, topatients and those that matter to them

Whilst leading an internal team ofHCNS Associates and support staff, work as a positive, pro-active role modeland autonomous practitioner demonstrating excellent standards of specialist assessment,care planning and evaluation of interventions to evidence the needs and choicesof people accessing hospice community services are met.

About us

The hospice offers manybenefits to staff and these are summarised below for your information27 days annual leave pro rata (thestatutory is 20 days per annum) plus 8 statutory public holidays pro rata,Membership to Benenden Health Care Scheme,The benefits and how to access the services they offer will be sent to you atyour home address, Access to subsidised meals, drinks andrefreshments,Subsidised car parking in the hospicegrounds, Sickness absence benefits, A supportive teamwork culture promotingcreativity and involvement, Employer pension contributions up to 7% (thenational average is 5%) and there is no limit on the amount you can personallycontribute £50 per month, £500 per month, etc.Occupational health and wellbeing services ,Development opportunities maximised withaccess to high quality education

Equality and Diversity

We support an inclusive and holistic working environment and aim to empower our people to bring their authentic self to work. We are committed to this and so encourage applications from all individuals with the required skills for the role inclusive ofage, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race,colour, caste, nationality, ethnic or national origin, religion or belief, socio-economic background, trade union membership status,marriage, and civil partnerships. ELH iscommitted to equality of opportunity for all staff and volunteers."

Job description

Job responsibilities

KEY PERFORMANCE AREAS

· Be an inspirational leader and exemplar role model whoclearly and consistently role models, supports and articulates the hospicevision, values and expectations regarding service quality to team members andnurtures their development to enable delivery of exceptional care

· Holding a reduced/time limited caseload and acting asnamed worker, undertake comprehensive specialist assessment of complexpalliative care needs and provide excellent clinical care

· Using clinical and analytical skills alongside ethicaland legal reasoning formulate, with the patient and their family,individualised recommendations/care plans and evaluate their effectiveness

· Effectively manage the care of patients with advanceddisease and complex needs who require specialist palliative care includingadvance care planning, symptom management and end of life care that meets theneeds of the individual and those important to them, promotes choice andempowers people to live life to the full and die with dignity in theirpreferred place of care

· Collaborate effectively with primary and communitycare colleagues and other partners to identify those individuals in the last 12months of life, promote awareness of and access to hospice services, encouragereferrals and reduce the fear associated with death and dying

· Work across departmental boundaries and with allrelevant professionals, groups and individuals to achieve awareness of hospiceservices, the community team model of provision, its outcomes and impact forpatients and those that matter to them

· Ensure effective systems are in place and maintainedto respond to referrals in a timely manner ensuring delegation takes account ofthe capacity and capability of team members to meet the needs of patients andthose important to them

· Develop, manage and maintain the service to be able torespond to patients and their families experiencing crisis situations withincommunity to prevent avoidable hospital admissions/readmissions negotiatingadmission to ELH inpatient beds where this can better meet patient need

· Lead on non-medical prescribing (NMP) within the team,including the development, implementation and review of NMP policy andprocedures

· Take a lead on specific projects and workcollaboratively with others making a significant contribution to the deliveryof hospice strategic objectives, governance agenda and local initiatives toimprove specialist and supportive palliative care across our community

· Develop and motivate team members to ensure thedelivery of high quality care and support that meets the standards set out inlegislation, national and local best practice guidance, clinical guidelines andhospice policies and procedures

· Manage the organisation, coordination and delivery ofclinical care ensuring patients, staff, volunteers and the public are supportedin ways that maximise health, safety, wellbeing and self-determination

· Function as a recognised specialist resource, withinand beyond the hospice, and ensure the community team provide professionaladvice and interventions in order to improve quality of life through palliationof symptoms and individualised end of life care to meet people’s wishes andneeds.

· Monitor the teams clinical caseloads, includingadmissions, episode closures and outcomes to provide assurance of a costeffective and equitable service that complements generic provision and isappropriate to the specific purpose, roles and skills of the hospice communityteam

· Lead on the development and provision of high qualityformal and informal education to all involved in the delivery of palliative andend of life care as identified by organisational training needs analysis

· Manage the service budget in line within agreeddepartmental limits, financial policies and procedures

· Be accountable and responsible for a defined portfoliodirected by service need which might include for example, clinical supervision,safeguarding.

Person Specification

Knowledge

Essential

K1 Current interventions and strategies for palliative care K3 Current palliative care research/ developments and implications for patients K4 Governance priorities, and the standards and expectations of regulatory bodies K5 Practical use of computer systems and Microsoft packages

Desirable

K2 Knowledge of national and local drivers and developments within palliative and end of life care K6 Project management K7 Audit K8 Change management strategies

Qualifications

Essential

Q1 RN (Adult) with valid NMC registration Q2 Level 7 degree/study in a relevant clinical field or nearing completion Q3 Recognised post-registration qualification(s) / in field relevant to role Q4 V300 Non-Medical Prescribing or willing to undertake Q5 Advanced assessment/clinical examination skills or willingness to undertake Q6 Advanced communication skills Q7 Leadership / Management qualification Q8 Teaching/Assessing qualification Q9 Evidence of professional development including validated clinical development or courses Q10 Educated to a minimum GCSE/ NVQ Level 2 level in English/Maths Q11 ECDL or equivalent certificates/experience using Microsoft / office packages

Desirable

See above

Experience

Essential

E1 Substantial post-registration experience E2 Recent post-registration interest and experience in the delivery of specialist palliative care for a range of life limiting illness E3 Experience working with a wide range of people in a variety of settings to improve patient outcomes including patients, carers, the multidisciplinary team and other providers including wider health and social care professionals E4 Advance care planning and supporting patients, relatives and others through life changing situations, impending grief and bereavement E5 Caseload management including the planning, supervising and organising of work E10 Development and mentorship of clinical staff/volunteers E12 Complex case management

Desirable

E6 Experience of providing clinical advice and/or triaging referrals E7 Community nursing experience E8 Team leadership/ supervisory experience E9 Formal/Informal teaching/education provision E11 Leading and managing change

Skills

Essential

S1 Ability to take full responsibility for the management of a service and caseload S2 High level of clinical skills relevant to the speciality with an understanding of reversible causes, integrating theory to practice S3 Understanding of the clinical rationale for the pharmacological and non-pharmacological management of symptoms utilised within palliative care S4 Excellent written and verbal communication skills with report writing and presentation skills S5 Ability to effectively time manage and plan, prioritise and coordinate workload S6 Excellent organisational and interpersonal skills with the ability to establish effective working relationships with the multidisciplinary team and wider stakeholders S7 Leadership skills/qualities S8 Change management experience/skill S9 Critical thinking with the ability to think objectively and laterally, recognising internal and external influences on service provision and development S10 Proficient with the keyboard and Microsoft office applications with the ability to record/deal with accurate facts, figures and information to support clinical and managerial activity S11 Well developed approach to customer care with the ability to influence, negotiate and deal with conflict situations S12 Good budget management and housekeeping skills S13 Car driver with full UK license and access to a vehicle for work purposes

Desirable

S14 Project management

Personal Attributes

Essential

PA1 Awareness of the Hospice charitable status and influence of service delivery and professionalism on charitable donations PA2 Able to work as part of a rota over 7 days, contribute to the on-call rota and be flexible to meet changing service need PA3 Self-motivated, confident and decisive with the ability to work alone and manage own time without direct supervision PA4 Able to recognise own and others limitations and pro-actively seek guidance and/or support where necessary PA5 Team player with commitment to multi-professional working and ability to network/establish effective working relationships PA6 Enthusiastic and motivated to engage with/drive change and innovative practice PA7 High level of personal integrity and professionalism displaying behaviour and an attitude to work that is consistent with organisational values PA8 Expert and effective role model and motivator, able to take and provide constructive feedback PA9 Good sense of humour and a genuine and non-judgemental approach to others

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