Job summary
- To work as a lead clinical nurse specialist and effectively deliver an expert nursing service as part of the palliative care team working on the Lewisham Hospital site
- To contribute to the management of a caseload of patients with palliative care needs
- To ensure that patients and their families and fully supported and informed
- To assist in the development of evidence based clinical nursing practice in line with current research and guidelines
- To maintain clear lines of communication within palliative care to ensure cohesive multidisciplinary management of patients
- To link with other palliative care providers and primary care to facilitate the care of patients transferring to community settings
- To act as a role model for other nurses and support the delivery of palliative care education within the Trust
- To engage in Team and Trust Governance
- Particular emphasis is on Lewisham and Greenwich NHS Trust values and embodying them in every day working practice.
Main duties of the job
- To lead the team in providing a specialist nursing service to people identified with specialist palliative care needs
- To manage and work with the team in delivering responsibility for a daily patient caseload ensuring that all patients have a comprehensive plan of care which reflects the assessment undertaken and incorporates issues identified and recommendations made
- To accept responsibility for ensuring clear documentation in patients records and any other relevant trust systems
- To support a seamless service through the development of enhanced multidisciplinary (MDT) processes and communication
- To ensure that all new patients referred to the service are discussed at a weekly MDT and outcomes recorded in patients clinical record, to attend and actively participate in the MDT
- To work with local community services to support the development and maintenance of services for patients with specialist palliative care needs
- To ensure that all patients are fully informed to support informed consent
- To support agreed Trust processes for patients who lack capacity to ensure best interests are upheld
- To ensure that information is provided in a format that is acceptable and understandable for the individual patien
About us
Commitment to quality of care. We earn the trust placed in us by insisting on quality and striving to get the basics right every time: safety, confidentiality, professional and managerial integrity, accountability, dependable service and good communication. We welcome feedback, learn from our mistakes and build on our successes.
Compassion. We respond with humanity and kindness to each person's pain, distress, anxiety or need. We search for the things we can do, however small, to give comfort and relieve suffering. We find time for those we serve and work alongside.
Improving lives. We strive to improve health and well-being and people's experiences of the NHS. We value excellence and professionalism wherever we find it - in the everyday things that make people's lives better as much as in clinical practice, service improvements and innovation.
Working together for patients. We put patients first in everything we do, by reaching out to staff, patients, carers, families, communities, and professionals outside the NHS.
Everyone counts. We use our resources for the benefit of the whole community, and make sure nobody is excluded or left behind. We accept that some people need more help, that difficult decisions have to be taken - and that when we waste resources we waste others' opportunities.r.
Job description
Job responsibilities
To support information giving and follow up that allows patients to make informed choices about their treatment and future care
- To work with the wider MDTs, PDNs and link nurse groups to support the ongoing implementation of the Trusts Priorities for Care of the Dying Patient
- To participate in the development of strategies and clinical protocols to support standardisation of services and equity of access for those referred to our service
- To actively encourage feedback from service users to help support service development
- To work with ward and discharge teams to ensure timely and appropriate arrangements are in place for discharge/follow up in community
- To participate in relevant forums from Trust to National/International level to represent service perspectives when appropriate
- To ensure that all care given is in accordance with agreed protocols and guidelines
- To ensure that all patients are fully informed to support informed consent
- To support agreed Trust processes for patients who lack capacity to ensure best interests are upheld
- To ensure that information is provided in a format that is acceptable and understandable for the individual patient
Workforce
- To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities.
- In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
- To lead in the selection, orientation and development of relevant staff and students within the service.
- Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
- Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs in collaboration with Consultant and AHP leads
Financial
- Take budgetary responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
- Active participation in roster and sickness management in order to maintain budgetary controls
Job description
Job responsibilities
To support information giving and follow up that allows patients to make informed choices about their treatment and future care
- To work with the wider MDTs, PDNs and link nurse groups to support the ongoing implementation of the Trusts Priorities for Care of the Dying Patient
- To participate in the development of strategies and clinical protocols to support standardisation of services and equity of access for those referred to our service
- To actively encourage feedback from service users to help support service development
- To work with ward and discharge teams to ensure timely and appropriate arrangements are in place for discharge/follow up in community
- To participate in relevant forums from Trust to National/International level to represent service perspectives when appropriate
- To ensure that all care given is in accordance with agreed protocols and guidelines
- To ensure that all patients are fully informed to support informed consent
- To support agreed Trust processes for patients who lack capacity to ensure best interests are upheld
- To ensure that information is provided in a format that is acceptable and understandable for the individual patient
Workforce
- To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities.
- In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
- To lead in the selection, orientation and development of relevant staff and students within the service.
- Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
- Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs in collaboration with Consultant and AHP leads
Financial
- Take budgetary responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
- Active participation in roster and sickness management in order to maintain budgetary controls
Person Specification
Qualifications and Training
Essential
- MSc level learning RN- Part 1 Relevant specialist course or similar - palliative care Mentorship course
- supervising and assessing) Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality - palliative care In-depth knowledge of anatomy related to speciality
- Knowledge of conditions, management and treatment - Long Term Conditions including but not exclusively cancer, COPD, MND, dementia
Desirable
- Knowledge of quality standards Counselling course Non-Medical Prescribing Advanced Communication Skills Training Leadership course
Experience
Essential
- Proven clinical experience within their speciality- palliative and end of life care at Band 7 or above
- Experience in Practice Guideline Development Audit and Research Experience
- Evidence of clinical leadership experience Ability to prioritise and organise workload
- Ability to work autonomously and as a member of a multi- professional team
Desirable
- Experience in a current leadership role. Experience of service development Lead an audit and/or research study Presentation and publishing experience Caseload management
Knowledge
Essential
- Excellent verbal, written and interpersonal communication skills Counselling skills
- Computer Skills Ability to conduct own project successfully and follow them through
Desirable
- Change management Statistics and report writing
Person Specification
Qualifications and Training
Essential
- MSc level learning RN- Part 1 Relevant specialist course or similar - palliative care Mentorship course
- supervising and assessing) Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality - palliative care In-depth knowledge of anatomy related to speciality
- Knowledge of conditions, management and treatment - Long Term Conditions including but not exclusively cancer, COPD, MND, dementia
Desirable
- Knowledge of quality standards Counselling course Non-Medical Prescribing Advanced Communication Skills Training Leadership course
Experience
Essential
- Proven clinical experience within their speciality- palliative and end of life care at Band 7 or above
- Experience in Practice Guideline Development Audit and Research Experience
- Evidence of clinical leadership experience Ability to prioritise and organise workload
- Ability to work autonomously and as a member of a multi- professional team
Desirable
- Experience in a current leadership role. Experience of service development Lead an audit and/or research study Presentation and publishing experience Caseload management
Knowledge
Essential
- Excellent verbal, written and interpersonal communication skills Counselling skills
- Computer Skills Ability to conduct own project successfully and follow them through
Desirable
- Change management Statistics and report writing
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).
