Clinical Site Manager (XR08)

Job responsibilities

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Monitor and maintain patient flow across the Trust sites.

On behalf of the Clinical Service Units actively manage and be accountable for the efficient and effective use of the Trusts bed base out of hours.

Act on the behalf of the Clinical Service Units when making decisions about the admission of unscheduled/elective patients.

Work with Clinical Directors, General Managers, Heads of Nursing and Matrons to ensure appropriate patient placement is delivered within Trust frameworks and to support the delivery of the Trusts short to medium term objectives.

Ensure that operational policies support effective processes and are communicated, implemented and audited.

Working with Trust colleagues, take a lead role in maintaining patient flow using the standard operating procedure for managing capacity and demand.

To monitor the trigger factors associated with the Trusts Acute Care Escalation Plan.

Working with internal and external colleagues/agencies, to maintain an effective discharge process that maximises the use of community provision.

Review of service delivery to ensure that delays in patient placement are identified and acted upon, ensuring ongoing improvement in patient access.

Maintain an overview of actual and potential bed capacity and ongoing demand across the Trust, analyse and mitigate pressures.

To maintain an overview of timely patient flow across the site with particular focus on admissions through the Emergency Department.

To determine the best use of available capacity

To consider the elective admission process reconciling the demand for optimal activity with the need to provide sufficient capacity for urgent admissions.

The immediate co-ordination and first line management of the Trusts emergency response to Fire, Major incidents, Security alerts and Serious Untoward incidents.

To be the on site management resource for staff out of hours utilising LTHT policies and procedures.

To liaise with Security manager and Public Relations and, on behalf of the Trust, external agencies such as the police and media.

To re deploy staff in order to cover for unexpected sickness or absence.

To provide support and advice to all Trust employees.

Liaise with managers regarding the clinical and operational management of their areas.

To ensure that critical/untoward incidents and safeguarding issues are reported as per locally agreed Trust Policies.

Value for Money

Out of hours be responsible for the allocation of staff to all areas, ensuring adequate staffing cover is provided on a daily basis. Review nursing/support staff establishments to ensure skill mix reflects current workload requirements and represents best use of resources.

Assess the impact of extra hours worked by staff on their performance and the needs of the service.

Quality of Care/Clinical Governance

Work with members of the Clinical Service Units to deliver high quality, timely health care. Contribute to the implementation of National Service Frameworks (where applicable) and National Policy.

Work closely with Clinical Service Units to secure and ensure the highest standard of clinical care is provided within available resources.

Ensure all processes encompass measures to ensure smooth transition of patients through the care pathway, for example, timely admission and discharge processes.

Ensure that clinical governance processes encompass measures to ensure the quality of the fundamental and essential aspects of care.

Ensure nurses work within the Trust Nursing Policy and Practice Guideline framework.

Communicate effectively through daily contact with all disciplines in the relevant site and associated sites. Attend the Daily Operational Performance meetings and chair the patient flow meetings.

Ensure clinical and non-clinical incidents are reported in accordance with Trust policy and agree actions in response to these.

Maintain a safe working environment, being aware of the requirements to comply with Health and Safety regulations. Ensure equipment is maintained according to manufacturers specifications and necessary repairs are undertaken. Ensure staff are trained and supervised where appropriate in the correct use of equipment.

Address the concerns of patients and service users and respond to their suggestions for local quality improvements. Lead the investigation and management of complaints out of hours through local resolution and in accordance with the Trust complaints procedure, liaising with the Patient Relations department where necessary.

Support the implementation of a Patient Advice and Liaison Service (PALS), being a focal point for advice to patients and carers and local resolution of complaints.

Work with Heads of Nursing and Matrons to ensure the implementation & delivery of the Nursing Strategy.

Act in accordance with the Nursing & Midwifery Code of Conduct.

Education and Training

Undertake relevant staff appraisals and ensure staff have personal development plans in accordance with Trust policy and support other senior staff in this process.

Promote evidence-based practice within the patient admission/discharge process. Support staff in undertaking research/project work.

Leadership

Act as a positive clinical role model through the provision of support and advice to staff. Lead by example through visible leadership to motivate and empower others.

Ensure that appropriate arrangements are in place to provide leadership, support and motivation to help immediate subordinates and others to understand and achieve the required results.

Ensure effective working relationships and communication is maintained between all grades of staff and professional groups within the designated area, working within a multidisciplinary team.

Act as a positive role model through the provision of support and advice to staff. Lead by example through visible leadership to motivate and empower others.

Contribute to the management of sickness absence and staff capability in accordance with Trust policy.

Skills and Behaviour

Essential

• Excellent interpersonal skills.
• Clinical credibility.
• Interaction with others - Influencing. Persuading. Self-reliance. Motivation. Leadership. Teamwork.
• Flexibility/adaptability
• Uses a range of influencing and negotiation strategies to bring about change in modernising services.
• Clarifies complexity.
• Articulates a compelling vision of change.
• Places a focus on improving performance.
• Sets boundaries for accountability.
• Is confident in own ability.
• Demonstrates resilience.
• Empowers others allowing freedom with accountability.
• Ability to analyse performance data to redesign services and improve performance management.

Desirable

• Able to complete tasks in a correct and timely way.
• Able to self-motivate and prioritise.
• Able to work well within a team and contribute to overall success of team.
• Presentation skills.
• Numeracy.
• IT skills.
• Administrative.
• Technical skills.
• Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy

Experience

Essential

• Experience of working within acute areas of patient care delivery.
• Experience of working within a multidisciplinary team.
• Experience of managing a team and leadership skills
• Able to work independently and Willing to accept additional responsibility.
• Knowledge of Health Service management.
• Current issues in Nursing and Midwifery/ Nursing Strategy
• Ability to cope under pressure and support colleagues in stressful situations.
• Positive role model and experience of complaints management.
• Understanding of the underlying social, political and historical factors shaping local and national realities of health services.
• Performance Management.
• Understanding of the politics with both a small and large p of the health and social care context.
• NHS Plan - Understanding of the underlying social, political and historical factors shaping local and national realities of health services.
• Essence of Care - benchmarking.
• Risk management
• Knowledge of NHS emergency planning responsibilities or major incident response procedures and Knowledge of change management acquired through training and experience.

Qualifications

Essential

• Registered general nurse.
• ENB 998, SLIP or equivalent Degree.
• Evidence of experience at Band 7 or above that includes: Experience managing and leading staff. Service development. Change management.
• Evidence of CPD.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).