Job summary
The EoLC Discharge Nurse will: Support others to, and facilitate timely, coordinated and appropriate discharges for those patients at University Hospital Lewisham who are at the end of life, regardless of diagnosis, to their preferred place of care wherever possible. Support patients and their carers/families in having conversations about advance/ future care planning / access and application to CHC funded care and discharge planning. Establish and develop relationships with those involved in delivering health and social care to patients at the end of life in all settings and work collaboratively to achieve appropriate care for the patient. Develop efficient protocols and pathways with appropriate information which prioritise palliative care patients and address the particular needs of this vulnerable group of patients Actively disseminate best practice through example, education and training, professional development and learning, participation in audit. Work cohesively as part of the multiprofessional team.
Facilitate ward staff to initiate the discharge planning process through effective education, training and leadership.
Work closely with primary care colleagues in continuing health care/ integrated care boards to design appropriate packages of care.
To act as a resource and advocate for patients and their relatives/carers.
To participate in audit/research.
Main duties of the job
Clinical Practice & Leadership
Provide a high standard of holistic and individualised patient care to patients with palliative care needs by:
Acting as a role model for others to emulate, exhibiting high standards of professional behaviour and competence and providing leadership, support, advice and education to colleagues caring for people at the end of life in all settings.
Making assessments of patients and carers, identifying their psychological, physical, social, practical and spiritual needs in accordance with palliative care philosophy and demonstrating and applying knowledge of the options for discharge in order to develop a discharge plan to meet their needs.
Acting as a reflective practitioner, applying evidence-based practice and critical thinking to all practices and processes of care.
Working collaboratively with other professionals involved in the patient's care in any setting, to provide a co-ordinated, high quality service. This will involve working with statutory, independent, charitable and voluntary agencies in health and social services.
Prioritising own workload according to the day to day needs of the service.
Providing guidance, support, advice and information to patients and their family / carers throughout their illness. Know when to refer on to other professionals for additional guidance, support, advice and information.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Job description
Job responsibilities
The Marie Curie Delivering Choice project for SE London highlighted the need to improve hospital discharge for those at the end of life. This post has been developed to complement the work of the complex discharge and palliative care team members to improve and expedite discharge of patients approaching end of life from UHL.
Job Summary:
The EoLC Discharge Nurse will: Support others to, and facilitate timely, coordinated and appropriate discharges for those patients at University Hospital Lewisham who are at the end of life, regardless of diagnosis, to their preferred place of care wherever possible. Support patients and their carers/families in having conversations about advance/ future care planning / access and application to CHC funded care and discharge planning. Establish and develop relationships with those involved in delivering health and social care to patients at the end of life in all settings and work collaboratively to achieve appropriate care for the patient. Develop efficient protocols and pathways with appropriate information which prioritise palliative care patients and address the particular needs of this vulnerable group of patients Actively disseminate best practice through example, education and training, professional development and learning, participation in audit. Work cohesively as part of the multiprofessional team.
Facilitate ward staff to initiate the discharge planning process through effective education, training and leadership.
Work closely with primary care colleagues in continuing health care/ integrated care boards to design appropriate packages of care.
To act as a resource and advocate for patients and their relatives/carers.
To participate in audit/research.
Key Result Areas & Performance:
Duties and Responsibilities:
Clinical Practice & Leadership
Provide a high standard of holistic and individualised patient care to patients with palliative care needs by:
Acting as a role model for others to emulate, exhibiting high standards of professional behaviour and competence and providing leadership, support, advice and education to colleagues caring for people at the end of life in all settings.
Making assessments of patients and carers, identifying their psychological, physical, social, practical and spiritual needs in accordance with palliative care philosophy and demonstrating and applying knowledge of the options for discharge in order to develop a discharge plan to meet their needs.
Acting as a reflective practitioner, applying evidence-based practice and critical thinking to all practices and processes of care.
Working collaboratively with other professionals involved in the patients care in any setting, to provide a co-ordinated, high quality service. This will involve working with statutory, independent, charitable and voluntary agencies in health and social services.
Prioritising own workload according to the day to day needs of the service.
Providing guidance, support, advice and information to patients and their family / carers throughout their illness. Know when to refer on to other professionals for additional guidance, support, advice and information.
Promoting patient autonomy, providing information, empowerment and acting as an advocate so that the person is able to make informed choices about their own care.
Ensuring that all necessary written documentation is completed and that appropriate data is collected.
Demonstrate a knowledge of the Mental Capacity Act, Best interest decision making.
Job description
Job responsibilities
The Marie Curie Delivering Choice project for SE London highlighted the need to improve hospital discharge for those at the end of life. This post has been developed to complement the work of the complex discharge and palliative care team members to improve and expedite discharge of patients approaching end of life from UHL.
Job Summary:
The EoLC Discharge Nurse will: Support others to, and facilitate timely, coordinated and appropriate discharges for those patients at University Hospital Lewisham who are at the end of life, regardless of diagnosis, to their preferred place of care wherever possible. Support patients and their carers/families in having conversations about advance/ future care planning / access and application to CHC funded care and discharge planning. Establish and develop relationships with those involved in delivering health and social care to patients at the end of life in all settings and work collaboratively to achieve appropriate care for the patient. Develop efficient protocols and pathways with appropriate information which prioritise palliative care patients and address the particular needs of this vulnerable group of patients Actively disseminate best practice through example, education and training, professional development and learning, participation in audit. Work cohesively as part of the multiprofessional team.
Facilitate ward staff to initiate the discharge planning process through effective education, training and leadership.
Work closely with primary care colleagues in continuing health care/ integrated care boards to design appropriate packages of care.
To act as a resource and advocate for patients and their relatives/carers.
To participate in audit/research.
Key Result Areas & Performance:
Duties and Responsibilities:
Clinical Practice & Leadership
Provide a high standard of holistic and individualised patient care to patients with palliative care needs by:
Acting as a role model for others to emulate, exhibiting high standards of professional behaviour and competence and providing leadership, support, advice and education to colleagues caring for people at the end of life in all settings.
Making assessments of patients and carers, identifying their psychological, physical, social, practical and spiritual needs in accordance with palliative care philosophy and demonstrating and applying knowledge of the options for discharge in order to develop a discharge plan to meet their needs.
Acting as a reflective practitioner, applying evidence-based practice and critical thinking to all practices and processes of care.
Working collaboratively with other professionals involved in the patients care in any setting, to provide a co-ordinated, high quality service. This will involve working with statutory, independent, charitable and voluntary agencies in health and social services.
Prioritising own workload according to the day to day needs of the service.
Providing guidance, support, advice and information to patients and their family / carers throughout their illness. Know when to refer on to other professionals for additional guidance, support, advice and information.
Promoting patient autonomy, providing information, empowerment and acting as an advocate so that the person is able to make informed choices about their own care.
Ensuring that all necessary written documentation is completed and that appropriate data is collected.
Demonstrate a knowledge of the Mental Capacity Act, Best interest decision making.
Person Specification
Qualifications and Training
Essential
- oEvidence of further study in Palliative Care
- Registered Nurse oPost registration qualification in relevant area
Desirable
- Degree in relevant area oCommunication skills training
Experience
Essential
- oExperience of working with multiple stakeholders oAudit experience
- oExperience of Specialist Palliative Care and/or Long-Term Conditions Management
Desirable
- oExperience of delivering Teaching/ Training oWorking in Discharge Liaison/Planning
- oExperience of working in a variety of healthcare settings including hospital, community, care home and/or hospice
Skills, Knowledge and abilities
Essential
- oAble to demonstrate a good working knowledge of local discharge procedures and an understanding of external organisations in relation to discharge planning. oAwareness of continuing health care funding and eligibility via the fast trach route. oKnowledge of Use of Tools for Advanced Care Planning (at the End of Life)
- oUnderstanding of loss and grief and its impact on individuals and families and their social networks oAn awareness of the issues related to provision of specialist palliative care in a variety of settings including care homes, the home and hospital environment and an understanding of some of the challenges that may arise
- oAn awareness of current legislation and policy relevant to end of life care oExcellent communication and negotiation skills oComputer literacy with knowledge of Windows based applications
Desirable
- oAble to demonstrate effective working with members of a variety of professional groups at varying levels of seniority across a number of different organisations oAn understanding of community services and structures. oAwareness of relevant statutory and voluntary agencies and organisational structures
Aptitude, Personal Characteristics
Essential
- oAbility to work independently and as a member of the multi-disciplinary team oAble to manage time and meet deadlines oAdaptable, pro-active and responsive to environment.
- oAssertive and persuasive skills. oProblem-solving skills oApproachable and adaptable. oMotivated and enthusiastic. oAbility to manage the emotional impact of working with the dying and bereaved
- oDemonstrable commitment to anti-discriminatory practice and equal opportunities oA flexible approach to work including an ability to potentially work occasional weekends. oAbility to undertake training and direct own learning.
Person Specification
Qualifications and Training
Essential
- oEvidence of further study in Palliative Care
- Registered Nurse oPost registration qualification in relevant area
Desirable
- Degree in relevant area oCommunication skills training
Experience
Essential
- oExperience of working with multiple stakeholders oAudit experience
- oExperience of Specialist Palliative Care and/or Long-Term Conditions Management
Desirable
- oExperience of delivering Teaching/ Training oWorking in Discharge Liaison/Planning
- oExperience of working in a variety of healthcare settings including hospital, community, care home and/or hospice
Skills, Knowledge and abilities
Essential
- oAble to demonstrate a good working knowledge of local discharge procedures and an understanding of external organisations in relation to discharge planning. oAwareness of continuing health care funding and eligibility via the fast trach route. oKnowledge of Use of Tools for Advanced Care Planning (at the End of Life)
- oUnderstanding of loss and grief and its impact on individuals and families and their social networks oAn awareness of the issues related to provision of specialist palliative care in a variety of settings including care homes, the home and hospital environment and an understanding of some of the challenges that may arise
- oAn awareness of current legislation and policy relevant to end of life care oExcellent communication and negotiation skills oComputer literacy with knowledge of Windows based applications
Desirable
- oAble to demonstrate effective working with members of a variety of professional groups at varying levels of seniority across a number of different organisations oAn understanding of community services and structures. oAwareness of relevant statutory and voluntary agencies and organisational structures
Aptitude, Personal Characteristics
Essential
- oAbility to work independently and as a member of the multi-disciplinary team oAble to manage time and meet deadlines oAdaptable, pro-active and responsive to environment.
- oAssertive and persuasive skills. oProblem-solving skills oApproachable and adaptable. oMotivated and enthusiastic. oAbility to manage the emotional impact of working with the dying and bereaved
- oDemonstrable commitment to anti-discriminatory practice and equal opportunities oA flexible approach to work including an ability to potentially work occasional weekends. oAbility to undertake training and direct own learning.
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).
