Clinical Nurse Specialist (XR06)

Job description

Job responsibilities

JOB PURPOSE/SUMMARY

The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care.

The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources.

The job holder will support the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients and families/carers.

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Leadership

Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care.

Support staff to provide efficient, effective, safe and quality care to patients as an expert practitioner.

Deliver a positive patient experience.

Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope.

Provide support to the clinical teams to develop new ways of working.

Provide effective leadership in the development of staff at all levels.

Responsible for the day to day supervision of junior clinical staff and students within the specialist team.

Motivate staff in the delivery of quality patient care.

Contribute to the recruitment and selection process.

Contribute to Nursing and Midwifery objectives and service improvement.

Supervise clinical delivery of care competencies.

Anticipate problems and take preventative or mitigating actions, or have contingency plans available.

Investigate and respond to accidents, complaints, untoward incidents and other significant events.

Maintains record of workload and performance monitoring information and reviews this on a regular basis with team manager.

Under the direction of the Team Manager participates in or lead the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health Professionals business plans.

Engage users and carers views on service delivery and development.

Contribute to and implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate.

Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately.

Clinical

Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people; including support for transition, as they move from childrens into adult services between the ages 11-25 years.

Participates in the setting, monitoring and improvement of standards and quality of patient care.

Undertake clinical procedures where dexterity and accuracy are required.

Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills.

Make clinical assessments and treatment decisions within clearly defined policies and protocols.

Organises own clinical workload.

Undertake duties on wards or departments as and when required by service demands or patient need.

Supervise clinical staff to promote the delivery of excellent clinical standards.

Receives supervision of clinical care and outcomes from nurse specialist team leader.

Act in accordance with the relevant professional code i.e. NMC,

Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration.

Ensure and promote the maintenance of a safe, clean and secure working environment.

Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.

Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes.

Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised.

Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients.

Communication

Maintains accurate clinical and other records using the LTHT documentation.

Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery.

Deliver complex information to patients and staff.

Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery.

Quality Improvement & Research

Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method.

Contribute to quality improvement programmes as required.

Keep up to date with and communicate service developments, advances and research.

Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan.

Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area.

Undertake audit programmes specific to client group, treatments and developments.

Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance.

Participate in clinical trials as appropriate.

Work closely with Research and Innovation to promote research , disseminate outcomes and findings to support evidence based practice.

Education and Training

Provide training and education of learners and other junior staff

Participate in own and others appraisals and in the development of own personal development plan and performance review.

Undertake role specific training and competencies.

Provide education and training to patients and their carers.

Keep up to date with developments, advances within the specialty.

Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust.

Mentorship and supervision of junior staff.

Support staff to deliver evidence based practice and research activities to further enhance patient care.

Undertake mandatory and priority training within the required time scales

This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments

COMMUNICATION & WORKING RELATIONSHIPS

Matron

All grades nursing staff

All Healthcare professionals and Learners

Members of Clinical Management Team

External partners

Primary Care Trust

11. SPECIAL WORKING CONDITIONS

i) PHYSICAL EFFORT:

There is a frequent requirement for job holder to spend a substantial proportion of their working time sitting or standing in a restricted position and an occasional requirement to exert moderate physical effort.

ii) MENTAL EFFORT:

There is a frequent requirement for the job holder to concentrate where their work pattern may be unpredictable.

iii) EMOTIONAL EFFORT:

The nature of the clinical and none clinical duties will require the job holder to be involved in distressing or emotional circumstances on a frequent basis.

iv) WORKING CONDITIONS:

The nature of the clinical and none clinical duties will require the job holder to be involved in occasional exposure to unpleasant or highly unpleasant working conditions.

Person Specification

Experience

Essential

• Awareness of current issues in healthcare
• Significant and recent relevant experience working as a Band 5 Staff Nurse or equivalent post registration
• experience within speciality
• Evidence of quality assurance work (e.g. audits/standard setting)

Desirable

• Evidence of Service development and/or change management

Skills & behaviours

Essential

• Compassionate and caring
• Capable of lateral thinking
• Motivator of self and others
• Positive approach to change
• Assertive/courageous
• Flexible
• Adaptable
• Able to manage stress in self and others
• Excellent written and verbal skills
• Ability to organise and prioritise own and others workload

Desirable

• Skills and knowledge required to lead and develop team members
• Good IT skills

Qualifications

Essential

• NMC registered Nurse (provide PIN number)
• Recognised teaching/assessing qualification or equivalent experience of teaching and assessment
• Evidence of continued professional development
• Willing to undergo training as necessary

Desirable

• Nurse prescribing qualification
• Post registration qualification in specialty
• Degree Level Education or evidence of working towards

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

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