Job summary
The post holder will work within the Community Services Division using advanced skills to identify, assess, diagnose, treat and manage patients with palliative care needs. You will be expected to work within the patient's own home, care home settings and hospital 7 days a week. The post holder will work as part of a multi-disciplinary team and will be highly accessible within the division. The post holder will be responsible for rapidly assessing patients already known to the community specialist palliative care team, who deteriorate unexpectedly at home or in a care home setting, to help make decisions in line with the patient's wishes and negotiate a management plan based on appropriate ceilings of care. This may then lead to Hospital or Hospice admission, or enhanced interventions and treatment at home under a virtual ward environment, with support from advanced clinical practitioners in the admissions avoidance and other community teams. In hospital, the post holder will be responsible for proactively screening patients presenting to the admitting areas for unmet palliative care needs, This may then lead to ongoing hospital admission and support from the hospital specialist palliative care team, rapid discharge home, hospice admission, or admission home with enhanced interventions in the virtual ward environment.
Main duties of the job
The post holder will ensure high quality patient care is delivered and to take appropriate steps if this is not the case, by monitoring and challenging the practice of others, and taking a proactive approach in order to identify patients who are sick enough to die and improve their experience by advocating for care in line with their wishes.
The post holder will lead and participate in the delivery and organisation of formal and informal teaching, working with colleagues both across the community, neighbourhoods and within the hospital to improve palliative care knowledge and enhance support for generalist staff. They will also have a key role in providing and supporting advance care planning and education. The post holder will work closely with the Matron for Specialist Palliative care, advanced clinical practitioners in the hospital and community, Consultants in palliative medicine and other medical staff, nursing staff, Allied Healthcare Professionals and all applicable support staff, with the aim of supporting enhanced care at home. The aim of this role to prevent unnecessary admissions to hospital for patients in the last 90 days of life, meet the patient's wishes and preferences and reduce length of stay in those needing hospital admission.
About us
Bolton NHS Trust is an integrated provider of acute, intermediate and community health care, serving the population of Bolton. This provides us with an opportunity for our services to work closely with our partners in primary care and the local authority to ensure a seamless service for our patients. If you want to work in an organisation that has strong ambitions and a passion to do the very best for Bolton people and their families, this could be the role for you.
Bolton NHS Foundation Trust is a major provider of hospital and community health services in the North West Sector of Greater Manchester, delivering services from the Royal Bolton Hospital and also providing a wide range of community services from locations across Bolton.
Job description
Job responsibilities
The Job description has been attached in documents tab to be added to the advert for when this is advertised
Job description
Job responsibilities
The Job description has been attached in documents tab to be added to the advert for when this is advertised
Person Specification
Qualifications
Essential
- Registered Nurse or AHP Non-Medical Prescriber / V300
- Mentoring and Teaching Qualification or equivalent
- MSc in Integrated palliative and end of life care or equivalent, or willingness to undertake/working towards
Desirable
- Leadership Management Qualification
- Level 7 module in Transforming Integrated Palliative & End of Life Care or equivalent
- Clinical skills module or equivalent
Experience
Essential
- Post registration experience working in Specialist palliative Care acute and/or community
- Evidence of on-going relevant professional development. Experience of working within a multi-disciplinary workforce
- Change management experience. Involvement in service improvement and the implementation of change Experience of leading on quality improvements
Desirable
- Experience of leading and managing a team
Skills
Essential
- Ability to make complex clinical decisions. Advanced history taking and clinical assessment skills
- Excellent leadership skills Excellent team working skills
- Demonstrates specialist clinical expertise.
- Ability to motivate others Analytical skills Decision making skill Able to prioritise
Desirable
- Research Skills
- Managerial skills
Knowledge
Essential
- Up to date in specialty service development and quality improvement
- Detailed knowledge of professional accountability, and impact of NHS issues.
- Understands strategic local and national health agenda
- Importance of equality, diversity and rights.
Desirable
- Understanding of Integrated Community Partnerships
Communication
Essential
- Excellent communication skills in highly complex and difficult situations
- Excellent written and verbal communication skills
- Good interpersonal skills
- Understand complex and scientific information. Basic IT skills
Desirable
- Presentation and public speaking experience
Person Specification
Qualifications
Essential
- Registered Nurse or AHP Non-Medical Prescriber / V300
- Mentoring and Teaching Qualification or equivalent
- MSc in Integrated palliative and end of life care or equivalent, or willingness to undertake/working towards
Desirable
- Leadership Management Qualification
- Level 7 module in Transforming Integrated Palliative & End of Life Care or equivalent
- Clinical skills module or equivalent
Experience
Essential
- Post registration experience working in Specialist palliative Care acute and/or community
- Evidence of on-going relevant professional development. Experience of working within a multi-disciplinary workforce
- Change management experience. Involvement in service improvement and the implementation of change Experience of leading on quality improvements
Desirable
- Experience of leading and managing a team
Skills
Essential
- Ability to make complex clinical decisions. Advanced history taking and clinical assessment skills
- Excellent leadership skills Excellent team working skills
- Demonstrates specialist clinical expertise.
- Ability to motivate others Analytical skills Decision making skill Able to prioritise
Desirable
- Research Skills
- Managerial skills
Knowledge
Essential
- Up to date in specialty service development and quality improvement
- Detailed knowledge of professional accountability, and impact of NHS issues.
- Understands strategic local and national health agenda
- Importance of equality, diversity and rights.
Desirable
- Understanding of Integrated Community Partnerships
Communication
Essential
- Excellent communication skills in highly complex and difficult situations
- Excellent written and verbal communication skills
- Good interpersonal skills
- Understand complex and scientific information. Basic IT skills
Desirable
- Presentation and public speaking experience
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).
