Job summary
An exciting opportunity has arisen to join the busy and progressive Stoma Care Department at Queen Alexandra Hospital. Due to restructuring of the team, we have opportunity to recruit a new Band 7 position to lead the team and develop the team in the future. If you have experience as an existing Stoma Care nurse then we will be keen to hear from you.
The new post holder will be responsible for the management of the existing team and actively take part in service development of the service and the team members. As the team leader, the service requires the post holder to have the Clinical Acumen and skills to guide and support all the team members and support the patients through their journey.
We are currently running a 7-day week service to provide continuity and support for patients and their support network to promote timely discharges. The service runs Nurse-led clinics and is responsible for the follow-up of patients post discharge as well as counselling patients prior to the formation of Stomas for complex cancer surgery benign conditions.
Main duties of the job
- An autonomous practitioner, responsible for assessment, management and evaluation of treatment and/or care for a caseload of Stoma care patients.
- Through effective leadership, ensure the clinical multidisciplinary team deliver a safe, effective, responsive, caring and well-led service where compassion is embedded and a positive patient experience is achieved.
- Provide a strong professional clinical and managerial leadership and act as a professional role model.
- Work across organisational and professional boundaries.
- Support and run Nurse-led pre and post operative clinics.
- Point of contact and support for Stoma care patients.
- Prevent admissions and facilitate early discharge.
About us
Here at Portsmouth Hospitals University NHS Trust, we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation. Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.
Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust.
Job description
Job responsibilities
Clinical/Professional
- Act as a specialist clinical practitioner, in a variety of settings (ward/clinic/virtual)- demonstrating expert clinical skills and knowledge in the field of stoma care in line with trust policies, protocols and guidelines.
- Provide stoma care teaching and support to patients whilst upholding the Trust's 'values and beliefs', ensuring that they are embedded into stoma care practice.
- Proactively support patients by providing ongoing support, empathy, and reassurance throughout their recovery and life with a stoma.
- Make independent clinical, psychological and social assessment of patients and initiate/interpret appropriate evidence-based investigations/treatments as required.
- Delivering quality stoma care both independently and as part of the team, prioritising workload to ensure patients are seen and any issues are resolved in a timely manner.
- Act as an advocate and assist patients to make informed decisions concerning their treatment (use of suitable products etc.) by providing expert advice and guidance.
- Provide high quality verbal and written information to patients, families, carers and members of the multidisciplinary team. Make use of the resources available (interpreters, written documents etc.) for service users who do not speak English. Ensure to confirm understanding wherever possible.
- Lead the wider multidisciplinary team by providing expert advice in relation to care plans and discharge planning for stoma care patients, ensuring that patient safety is at the centre of any decisions made.
- Ensure the multidisciplinary team are competent in the delivery of basic stoma care through leading on the delivery of relevant training and monitoring of compliance.
- Reduce emergency admissions by safely providing timely telephone advice to patients and their families. In addition, provide education to health care professionals both in hospital and in the community.
- Accept referral and refer patients to other health care professionals/external companies as required in the hospital and or in the community.
- Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the findings.
- Communicate effectively with all members of the multidisciplinary team involved in patient pathway to ensure quality of care is maintained throughout different areas. Ensure that communication is clear, accurate and timely.
- Lead in and promote participation in benchmarking and quality audits to measure effectiveness of current practices and development of the department wherever necessary.
- Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with Trust policies, procedures and Duty of Candour legislation.
- Practice within the scope of the NMC's code for professional standards of practice and behaviour at all times.
Management/Leadership
- Responsible
for the organisation and management of the stoma care service.
- Demonstrate
awareness of national and local stoma care guidelines (e.g. Association of
Stoma Care Nurses UK) and influence departmental developments in accordance
with these.
- Identify,
contribute to, or lead on the development and dissemination of evidence-based
guidelines, standards and protocols as required and implement change to improve
the quality of the stoma care service.
- Contribute
to trust peer reviews and any focused CQC style reviews where required.
- Actively
contribute to achieving the clinical governance goals/targets set by the trust
and department and comply with reporting schedules for monitoring and reporting
on clinical outcomes. Includes auditing
of services.
- Implement
the Nursing Strategy by setting clear achievable objectives into staffs annual
performance and development reviews, evaluate performance and assist staff to
achieve.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and when they occur investigate and respond
in a timely manner.
- Responsible
for the management of staff performance and attendance in line with trust
policies.
- To ensure
continued work with stoma link nurses, in conjunction with their line manager, to
enhance patient experience where possible.
- Promote
the health and well-being of the multidisciplinary team, patients and their
carers.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Take
appropriate action to address unexpected changes and situations within the
department, informing the Matron/HoN or manager if unable to resolve/assistance
is required.
- Responsible
for any pay and non-pay budgets to ensure good housekeeping and economic use of
resources.
- Attend
relevant department and management meetings with the team and wider
organisation as required.
- Network
with other specialty teams (i.e. Wessex stoma care meetings) to share good
practice and bring back new ideas to improve the local service.
- Attend and/or
present at seminars/conferences/meetings to raise profile of team and
department. Promote the team to consider
submitting articles for publication in peer- reviewed or other appropriate
journals.
Research and Education
Research
- Develop
a research culture within the team to identify gaps in current practice and
deliver quality evidence-based stoma care.
- Actively
contribute to local department multidisciplinary audits, represent the stoma
department at governance meetings and highlight areas for change where required.
- Liaise
with the relevant research nurses to ensure appropriate patients are identified
to take part in any relevant clinical research studies and that research is
delivered safely to all involved.
Education
- Lead
the development and delivery of training to the multidisciplinary team. Utilise a mixture of learning materials such
as E-learning, face to face study days, shadowing days and trolley dashes etc.
to ensure that staff can access an appropriate level of training of them.
- Lead on
and encourage the education of stoma link nurses to act as a resource in
absence of stoma team.
- Responsible
for ensuring staff who the post holder line manages undertake essential
training in a timely manner.
- Succession
plan with the specialty Matron for replacement of CNS posts and use talent management
skills to identify key staff for further development.
Communication and Working Relations
- Communicate
highly sensitive and complex information with empathy, ensuring that
information is understood.
- Ensure
patients, their carers and the multidisciplinary team have access to specialist
information and provide care that meets the needs of each individual patient. This includes the provision of support/advice
when the stoma team may be unavailable.
- Communicating
and co-operating with other members of the multidisciplinary team, promoting
and maintaining good working relationships within own clinical area and across
the organisation.
- An
active member of the clinical nursing team contributing to Trust wide nursing
groups and meetings.
- Develop
expertise in dealing with interpersonal conflict and be responsible for the
resolution of any adverse situation/incidents. Comply and promote compliance to
Trust policies e.g. Harassment and Bullying.
Working Conditions
- Working
within the stoma team, as an individual and part of the team.
- Caring
for patients in the inpatient (wards) and outpatient (clinic) settings that
require timely interventions.
- Working
within an environment that requires rapid response to unpredictable events.
Job description
Job responsibilities
Clinical/Professional
- Act as a specialist clinical practitioner, in a variety of settings (ward/clinic/virtual)- demonstrating expert clinical skills and knowledge in the field of stoma care in line with trust policies, protocols and guidelines.
- Provide stoma care teaching and support to patients whilst upholding the Trust's 'values and beliefs', ensuring that they are embedded into stoma care practice.
- Proactively support patients by providing ongoing support, empathy, and reassurance throughout their recovery and life with a stoma.
- Make independent clinical, psychological and social assessment of patients and initiate/interpret appropriate evidence-based investigations/treatments as required.
- Delivering quality stoma care both independently and as part of the team, prioritising workload to ensure patients are seen and any issues are resolved in a timely manner.
- Act as an advocate and assist patients to make informed decisions concerning their treatment (use of suitable products etc.) by providing expert advice and guidance.
- Provide high quality verbal and written information to patients, families, carers and members of the multidisciplinary team. Make use of the resources available (interpreters, written documents etc.) for service users who do not speak English. Ensure to confirm understanding wherever possible.
- Lead the wider multidisciplinary team by providing expert advice in relation to care plans and discharge planning for stoma care patients, ensuring that patient safety is at the centre of any decisions made.
- Ensure the multidisciplinary team are competent in the delivery of basic stoma care through leading on the delivery of relevant training and monitoring of compliance.
- Reduce emergency admissions by safely providing timely telephone advice to patients and their families. In addition, provide education to health care professionals both in hospital and in the community.
- Accept referral and refer patients to other health care professionals/external companies as required in the hospital and or in the community.
- Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the findings.
- Communicate effectively with all members of the multidisciplinary team involved in patient pathway to ensure quality of care is maintained throughout different areas. Ensure that communication is clear, accurate and timely.
- Lead in and promote participation in benchmarking and quality audits to measure effectiveness of current practices and development of the department wherever necessary.
- Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with Trust policies, procedures and Duty of Candour legislation.
- Practice within the scope of the NMC's code for professional standards of practice and behaviour at all times.
Management/Leadership
- Responsible
for the organisation and management of the stoma care service.
- Demonstrate
awareness of national and local stoma care guidelines (e.g. Association of
Stoma Care Nurses UK) and influence departmental developments in accordance
with these.
- Identify,
contribute to, or lead on the development and dissemination of evidence-based
guidelines, standards and protocols as required and implement change to improve
the quality of the stoma care service.
- Contribute
to trust peer reviews and any focused CQC style reviews where required.
- Actively
contribute to achieving the clinical governance goals/targets set by the trust
and department and comply with reporting schedules for monitoring and reporting
on clinical outcomes. Includes auditing
of services.
- Implement
the Nursing Strategy by setting clear achievable objectives into staffs annual
performance and development reviews, evaluate performance and assist staff to
achieve.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and when they occur investigate and respond
in a timely manner.
- Responsible
for the management of staff performance and attendance in line with trust
policies.
- To ensure
continued work with stoma link nurses, in conjunction with their line manager, to
enhance patient experience where possible.
- Promote
the health and well-being of the multidisciplinary team, patients and their
carers.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Take
appropriate action to address unexpected changes and situations within the
department, informing the Matron/HoN or manager if unable to resolve/assistance
is required.
- Responsible
for any pay and non-pay budgets to ensure good housekeeping and economic use of
resources.
- Attend
relevant department and management meetings with the team and wider
organisation as required.
- Network
with other specialty teams (i.e. Wessex stoma care meetings) to share good
practice and bring back new ideas to improve the local service.
- Attend and/or
present at seminars/conferences/meetings to raise profile of team and
department. Promote the team to consider
submitting articles for publication in peer- reviewed or other appropriate
journals.
Research and Education
Research
- Develop
a research culture within the team to identify gaps in current practice and
deliver quality evidence-based stoma care.
- Actively
contribute to local department multidisciplinary audits, represent the stoma
department at governance meetings and highlight areas for change where required.
- Liaise
with the relevant research nurses to ensure appropriate patients are identified
to take part in any relevant clinical research studies and that research is
delivered safely to all involved.
Education
- Lead
the development and delivery of training to the multidisciplinary team. Utilise a mixture of learning materials such
as E-learning, face to face study days, shadowing days and trolley dashes etc.
to ensure that staff can access an appropriate level of training of them.
- Lead on
and encourage the education of stoma link nurses to act as a resource in
absence of stoma team.
- Responsible
for ensuring staff who the post holder line manages undertake essential
training in a timely manner.
- Succession
plan with the specialty Matron for replacement of CNS posts and use talent management
skills to identify key staff for further development.
Communication and Working Relations
- Communicate
highly sensitive and complex information with empathy, ensuring that
information is understood.
- Ensure
patients, their carers and the multidisciplinary team have access to specialist
information and provide care that meets the needs of each individual patient. This includes the provision of support/advice
when the stoma team may be unavailable.
- Communicating
and co-operating with other members of the multidisciplinary team, promoting
and maintaining good working relationships within own clinical area and across
the organisation.
- An
active member of the clinical nursing team contributing to Trust wide nursing
groups and meetings.
- Develop
expertise in dealing with interpersonal conflict and be responsible for the
resolution of any adverse situation/incidents. Comply and promote compliance to
Trust policies e.g. Harassment and Bullying.
Working Conditions
- Working
within the stoma team, as an individual and part of the team.
- Caring
for patients in the inpatient (wards) and outpatient (clinic) settings that
require timely interventions.
- Working
within an environment that requires rapid response to unpredictable events.
Person Specification
Qualifications
Essential
- Current RN registration with NMC and any other relevant post-registration qualifications
- BSc Degree in relevant field
- Post Reg. qualification(s) in stoma care
- Leadership development programme
- Teaching qualification/experience with an accredited NMC mentorship course
Desirable
- Masters degree or evidence of working towards
Experience
Essential
- Evidence of change management with relevant management/leadership course
- Evidence of developing policy, guidelines and managing resources
- Counselling and research awareness
- Clinical supervision- where applicable monthly attendance
Skills and Knowledge
Essential
- Clinically competent in stoma care
- Clinical decision making skills
- Experience of patient advocacy
- Advanced communication skills verbal, written and interpersonal communication
- Effective leadership skills
- Organisational skills and forward planning
- Flexibility (flexible working, including weekends)
- Able to support development of others
- Coaching and mentoring skills
- Critical appraisal skills
- Strong customer service skills
- IT literate
- Understanding of the principles and application of effective budgetary management
- Understanding of the principles and application of effective staff / HR management
- Understanding of the theory and application of Clinical Governance
- Demonstrable experience of effective management and supervision of staff and taking charge of unit
Person Specification
Qualifications
Essential
- Current RN registration with NMC and any other relevant post-registration qualifications
- BSc Degree in relevant field
- Post Reg. qualification(s) in stoma care
- Leadership development programme
- Teaching qualification/experience with an accredited NMC mentorship course
Desirable
- Masters degree or evidence of working towards
Experience
Essential
- Evidence of change management with relevant management/leadership course
- Evidence of developing policy, guidelines and managing resources
- Counselling and research awareness
- Clinical supervision- where applicable monthly attendance
Skills and Knowledge
Essential
- Clinically competent in stoma care
- Clinical decision making skills
- Experience of patient advocacy
- Advanced communication skills verbal, written and interpersonal communication
- Effective leadership skills
- Organisational skills and forward planning
- Flexibility (flexible working, including weekends)
- Able to support development of others
- Coaching and mentoring skills
- Critical appraisal skills
- Strong customer service skills
- IT literate
- Understanding of the principles and application of effective budgetary management
- Understanding of the principles and application of effective staff / HR management
- Understanding of the theory and application of Clinical Governance
- Demonstrable experience of effective management and supervision of staff and taking charge of unit
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
