Brent Community Team Clinical Nurse Specialist

Job responsibilities

Job Title Clinical Nurse Specialist Brent Community Specialist Palliative Care Team

Salary Range St Lukes Hospice Clinical Nurse Specialist (See advert)

Location St Lukes Hospice, HA3 0YG

Reporting to: Brent Community Team Lead

Hours of work The post holder will be expected to work as part of a provision of a 7-day service and may be expected to work as part of an 8am-8pm rota as part of service development in line with the NWL ICB New Model of Care.

1. Job Purpose and scope

The clinical nurse specialist is a key worker role. The clinical nurse specialist acts a keyworker for the person living with cancer and other life limiting illnesses. They hold regular supported conversations with the person, identifying their wide range of needs through a holistic needs assessment. They develop a comprehensive care and support plan for the person living with cancer, and other diseases, addressing their health concerns and working to promote their health, wellbeing and independence. Using their skills and expertise in cancer/palliative care, the clinical nurse specialist delivers high standards of personalised care, providing physical and emotional support to their patients, coordinating their care services, and informing and advising them on clinical and practical issues associated with their illness. This leads to a more positive outcome for patients.

Leadership

Demonstrate leadership through clinical expertise, delivering high standards of personalised care by acting as a key worker identifying needs through a holistic needs assessment and co-creating a care and support plan with people living with cancer and other life limiting illnesses.

Provides a recognisable experience by ensuring people living with cancer /limited life expectancy are aware they are interacting with a specialist professional and know the full range of resources and services available through, navigating and coordinating where necessary.

Works in collaboration with services across the cancer/and other disease pathways, to implement plans and to monitor their effectiveness in improving service delivery and meeting the needs of people living with cancer and other palliative diagnosis.

Leads by example, contributes to the delivery of specialist education and training to other professionals involved in patient care; promotes best practice; supportsand coaches less experienced colleagues to achieve high quality, personalised care for people living with cancer and other life limiting illnesses.

Supports in demonstrating the impact of the post, contributing to progress reviews and regularly capturing and returning outcome and performance metrics.

Act as a role model, demonstrating high standards of care and providing clinical leadership to others.

Promotes a culture that supports and enables self-management.

Supports St Lukes strategy and vision by leading the development, management and promotion of services, ensuring the delivery of high quality, cost effective care.

Embeds patient and public involvement within the sphere of practice.

Leads on the implementation and monitoring of adherence to relevant clinical guidelines.

Takes professional responsibility for ensuring effective communication between all service providers across the care pathway.

Actively participates in multi-professional meetings, acting as patient advocate and representing nursing views.

Acts as a role model for excellent advanced communication skills and expertise.

Demonstrates skills in conflict resolution and negotiation skills when dealing with difficult or challenging situations.

Leads the development of patient focused education, including training to self-manage ongoing consequences of treatment.

Develop new skills in response to emerging knowledge and techniques.

Works across professional boundaries using creative reasoning and problem solving.

Instigates and manages change within a complex environment.

Perform duties according to the values of St Lukes Hospice acting at all times to safeguard the interests of the individual patients, and their families.

Influences the development of others through education and training.

Promotes patient and public experience feedback through local initiatives to drive innovation and change.

Expertise

Takes personal responsibility for life-long learning and personal development through clinical supervision, and appraisal, and Knowledge & Skills Framework and actively engages with the learning and development opportunities offered by St Lukes Hospice.

Demonstrates high level clinical, technical and research skills through breadth and depth of knowledge.

Uses creative reasoning, experience and vision to advance care. Attending relevant CCG/ locality meetings, using expert knowledge to support and advise on the development of patient services and pathways.

Demonstrates continuous evaluation of nursing practice and makes changes where appropriate.

Act as practice assessor/supervisor for learner nurses.

Contribute to the hospice education program liaising with the Education and Professional Development Managers to ensure this is current and addresses the needs of our own staff and those who work in external teams and organisations

Provide mentorship and support when required to junior staff, staff undertaking the hospice development program and student nurses allocated to the hospice from our local partner Higher Education Institutes ensuring timely assessment and completion of clinical competencies.

Clinical Excellence

Delivers personalised care through regular supported conversations with the person living with a palliative diagnosis, identifying needs through a holistic needs assessment, and addressing patients health care needs.

Following a holistic needs assessment, develops a comprehensive care and support plan with the person living with a terminal illness. Reviews and updates the plan every time a supportive conversation takes place, which should be regularly and evaluates the impact of care interventions.

Actively integrates theory and practice.

Act as a key worker for a clinical caseload, working to coordinate care and provide easy access for ongoing support for patients.

Participates in a 7-day service as part of a rota.

Assesses peoples information needs and provides information, to determine their own future.

Enables people to access, identify, appraise and interpret complex technical information to help them to determine their own future.

Provides clinical expertise, specialist advice and support across service boundaries.

Leads the nursing contribution to service development, ensuring the pursuit of excellence in care.

Defines a clear care pathway, refers to other professionals and signposts to other agencies as appropriate.

Promotes the service and clinical excellence by contributing to publishing and presenting innovations, audit and research locally, regionally and nationally.

Influences and develops policy and clinical guidelines internally and externally.

Promotes self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-manage and those who will require ongoing, face-to-face support, to support people to live with their diagnosis and the choices available to them.

Qualifications

Essential

• NMC Registration RGN/RN Level 1
• Degree/Masters level of study in Health related topic (or willing to work towards)
• Post registration qualification in palliative care and or oncology / dementia / (or willing to work towards appropriate levels )
• Independent Nurse Prescribing (or willing to work towards)

Desirable

• MSC in related Health Topic
• Teaching Qualification
• Leadership training course
• Advanced communication skills training

Experience

Essential

• Knowledge of palliative care and symptom management and the ability to use in care planning
• Experience of working at Band 6 or above
• Experience of leading and managing
• Experience of working as part of a multi professional team
• Experience of mentorship and teaching
• Evidence of Holistic assessment skills and clear decision making skills
• IT skills Education/ presentation skills
• A working knowledge of clinical governance and evidence based practice

Desirable

• Experience in Oncology / Dementia / chronic conditions and or palliative care
• Specialist knowledge of palliative care and symptom management Experience of clinical supervision
• Experience of Community Nursing
• Awareness of the use of clinical supervision in practice
• Experience of working as a Specialist Palliative Care CNS
• Experience of audit and research

Other

Essential

• Car owner/driver
• Willingness to work to meet the demands of the service

Skills / Personal Attributes

Essential

• Ability to communicate effectively and sensitively
• Ability to work as part of a team
• Effective time management skills
• Ability to manage conflict
• Ability to demonstrate organisational skills
• Ability to manage time
• Excellent written, and verbal communication skills
• Ability to work in a confident and professional manner
• Self aware, reflective and proactive identifying and meeting own development needs
• Ability to practice safely and autonomously
• Be resourceful flexible and resilient.
• Demonstrate the ability to innovate and motivate others

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).