Lead Nurse for CNS Services, Emergency & Integrated Care

Job description

Job responsibilities

Expert Practice

• The Lead Nurse will employ highly developed, expert clinical skills to assess patient need, co-ordinate care, manage treatment and provide specialist clinical leadership
• The post holder will provide strategic and professional senior nursing leadership in the development and delivery of multi professional services and in the integration of care across departmental/organisational boundaries
• They will facilitate expert and autonomous nursing care and the provision of support to patients and families
• The post holder will provide and lead autonomous direct care and advice through various modalities including ward-based, outpatients, ward attenders, telephone clinics/support, community settings and domiciliary visits. The post holder may need to delegate patients to other members of the team but will supervise and retain responsibility for the management of their care whilst they are a patient of the Trust.
• They will raise the profile of specialist area and its work within and outside the Trust. The Lead Nurse will initially act as the first point of contact for clinical expertise for staff within the nursing team, and provide an experienced liaison route for all professionals in the MDT. They will work in collaboration with the MDT in order to achieve the highest standards of care for this patient group. This will involve teaching and supporting the early identification of pathways and treatment options, to ensure patients are being cared for in the most appropriate manner and environment
• The post holder will coordinate pathways and independently manage a challenging and diverse patient caseload and may make and receive referrals directly to doctors, GPs, Community Nursing Teams, hospices and Allied Health Professionals as appropriate. The post holder will promote communication between primary, secondary and community providers as well as the non-statutory sector, and will advise/lead on the discharge planning process for designated patients
• The post holder will support professionals, patient and families through periods of diagnosis, treatment and palliation
• The post holder will provide expert advice on issues of clinical governance and risk

Education and Training

• The education dimension of the role will include designing education programmes for multidisciplinary teams and the training and development of professionals. This may include mentorship, supervision and attachments/placements of junior nursing staff. The post holder will undertake regular assessments of the education needs of new and existing staff, in conjunction with the team

• The post holder will ensure the development and sustainability of information, skills and acquired knowledge for service. The development of staff and the transfer of skills and knowledge to improve standards, the scope of practice and professional judgement of others (as appropriate) forms a key part of the role
• As part of advising on practice, the post holder will be a key link with professional bodies and associations for the specialist area and will review and translate evidence-based recommendations and guidance into daily patient care. They will proactively keep up to date with new developments in research and best practice. Internally, the post holder will lead on internal policy and guideline development
• Formal and informal teaching sessions will be created and delivered. The post holder will collaborate with the post graduate medical education department to ensure junior medical staff have the necessary training and education to provide evidence based practice

Service Development, Research and Evaluation

• The role may include a significant research element, and the post holder will be actively involved in research locally and nationally, collaborating with research partners and robust evaluation. They will develop an effective model of multidisciplinary management across the pathway
• The Lead Nurse will regularly evaluate the service through audit, reviews and soliciting feedback to further the development of good practice and clinical effectiveness of the
• They will collaborate with other professionals to initiate and promote research which will form the Trusts research and development strategy
• They will contribute to the Trusts nursing strategy
• The post holder will develop and utilise benchmarking to internally appraise and externally compare the service
• They will identify and implement practice developments in response to incidents, reviews and complaints
• The Lead Nurse will report service information to observatories and regulators as required
• The post holder will work with colleagues to ensure that national and local targets are met

Management

• The post holder will line manage and appraise designated staff. This includes sickness management and performance management
• Where the post holder holds designated budgets and/or has signatory rights, they are responsible for the control and performance of that budget and associated resources
• The Lead Nurse will participate/lead in recruitment, selection and retention of staff as required
• The individual will be part of the out of hours on-call rota
• This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager
• All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff

Person Specification

Qualifications

Essential

• RN
• 8a experience
• management experience
• leadership
• acute provider exp

Desirable

• ward manager
• matron
• CNS

Education and Qualifications

Essential

• Registered Nurse with post registration experience
• Qualification or equivalent experience in teaching, mentorship and supervision
• Qualification in the specialty
• Demonstrable senior nursing experience in a relevant area with clinical leadership experience
• Has attained a Degree in a relevant subject area or is registered for and working towards a Master's degree or equivalent in a relevant subject area
• Leadership qualification
• Evidence of recent continuing professional development
• Ability to practice within the scope of the NMC Code of Professional Conduct
• Ability to demonstrate application of NICE guidance (or similar) to own sphere of practice

Desirable

• Registered for and working towards a Master's degree or PhD in a relevant subject area
• Non-medical prescribing
• Advanced skills certificate

Experience

Essential

• Significant nursing experience
• Experience of formulating and leading protocols and standards
• Experience of working within a multidisciplinary team
• Experience of research and audit, including implementation of findings and review of outcomes
• Experience of teaching and mentoring
• Experience of delivering nurse led services
• Experience in leading change management and quality improvement
• Developing and facilitating education and training programmes
• Publishing papers and presenting at conferences
• Networking at all levels
• Evidence of personal research or participation in collaborative research
• Evidence of teaching at post graduate/national level as well as teaching patients and families
• Active member of relevant forums
• Evidence of influencing service development and provision

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Cross Site: London and Isleworth

Chelsea and Westminster Hospital

London

SW109NH

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)