Clinical Nurse Specialist - Palliative and End of Life Care

Job description

Job responsibilities

Clinical Leadership and Managerial

To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care

Be responsible for assessing and recognising emergencies in the specialty. To interpret information and take appropriate action and to lead others to do the same.

Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.

Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.

Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.

Actively engage service users through the facilitation of user groups and open days.

Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues

Develop and run nurse led clinics where the post holder will co-ordinate the treatment in conjunction with medical staff, and provide treatment which may include minor surgical procedures for patients.

Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area.

Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care

Support and enable patients and carers to make informed decisions relating to their treatment and management.

Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards

Provide professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise in the hospital and community settings.

Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.

Responsible for the correct administration of prescribed medication including transfusion of blood

Responsible for the correct administration of blood products.

Promote and deliver high standards of care at all times, which utilises research based evidence, and is audited and improved accordingly

Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.

Act as a role model, demonstrating high standards of care and providing clinical leadership in the specialist areas.

Establish, develop and maintain effective working relationship between clinicians, practitioners and managers within the specialty, across the Trust and in the community

Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.

Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.

Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care.

Work in conjunction with a clinical consultant to lead a patient focuses service.

Act as patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.

To be designated to take charge of the area in the absence of the person holding continuing responsibility.

Education and Training

Act as a facilitator/mentor/preceptor to student nurses and others.

Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.

Develop the partnership between the Trust and academic staff at local Universities involved in pre-registration and post-registration nursing and medical programmes.

enting innovations and research findings locally and nationally.

Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.

Implement and work within the Trusts HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and the Matron.

Work with the Matron and Human Resources Department in the recruitment, selection, appointment and retention of staff.

Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.

Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.

Organise team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.

Assist the Head of Nursing, Clinical Lead and Delivery Manager with the strategic planning for the service within Guys and St Thomas Foundation Trust, as an expert practitioner.

Represent Guys and St Thomas Foundation trust as an expert practitioner in the speciality in external situations e.g. conferences, committees, etc.

Maintain up-to-date records. Ensuring that confidentiality is respected and that the standards for Record Keeping are met.

For full details please see the Job Description and Person Specification

Person Specification

Skills

Essential

• Advanced clinical, managerial and leadership skills in specialty
• Excellent verbal, written, interpersonal & communication skills
• Evidence of teaching skills in particular teaching patients in how to manage their conditions and raise their awareness of their condition
• Presentation skills
• Ability to conduct & evaluate own projects successfully

Desirable

• Ability to interpret and analyse complex data and findings
• Undertaken clinical & nursing research

Values and Behaviours

Essential

• Values and Behaviours

Experience

Essential

• Experience of audit, research & evidence based care
• Experience of delivering change management both personally and as a facilitator
• Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care.
• Proven evidence of management / leadership skills and autonomous practice

Knowledge

Essential

• BSC/1st degree (health related) or equivalent qualification/training and experience
• Mentorship Qualification

Desirable

• To have or working towards a masters degree
• To have or working towards a non medical physical assessment course

Professional/ Statutory Registration

Essential

• RN1 or RN Child Registered Nurse on the NMC register. To hold the appropriate level for the area of speciality.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's and St Thomas' Hospital

London

SE1 9RT

Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)