Job summary
To work closely with the multidisciplinary team including specialist palliative care providers to ensure high quality, holistic care delivery throughout palliative stages of illness through to end of life. The post holder will manage a caseload of patients with palliative needs and require symptom management and psychological support/advice to meet their individual needs. The post holder will support patients on discharge from hospital including rapid discharges and will aim to prevent unnecessary admissions to hospital through holistic assessment within community if deterioration occurs.
We have 2 x part time posts (32.5 hours). These are permanent posts to be worked over 7 days but Saturday/Sunday shifts are on alternate weekends and end at 1400.
NHS/UK healthcare experience is essential as is the ability travel across Trust independently. You must be able make multiple domiciliary visits every day whilst transporting all required clinical equipment.
Main duties of the job
- To attend arranged daily multi-disciplinary team meetings
- Collaborate with the multi-disciplinary team on the daily meetings.
- To plan, prioritise and manage episodes of care, referring onto other agencies as required.
- To complete clinical visits for palliative / end of life patients
- Use professional skills and judgement
- To promote a high standard of advanced nursing through evidence-based practice following agreed policies, protocols and guidelines.
- To maintain effective patient documentation to NMC requirements
- Prevent unnecessary hospital admissions
- Implementation of national standards and frameworks at a local level.
- Identify any areas of risk / poor quality
- Support with Datix incident reports and investigations.
- To support organisation and delivery of the end-of-life link nurse meetings.
- To supply required activity data
- To provide leadership and support
About us
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.
Job description
Job responsibilities
Duties and Responsibilities
- To attend arranged daily multi-disciplinary team meeting as required to discuss / triage WHISPAR (Wigan Healthier Partnership Integrated Specialist Palliative Care Active Response) referrals.
- Collaborate with the multi-disciplinary team on the daily WHISPAR meetings to ensure effective discharges from hospital setting.
- To plan, prioritise and manage episodes of care, referring onto other agencies as required to optimise care delivery.
- To complete clinical visits demonstrating holistic assessment skills for palliative / end of life patients.
- To plan, prioritise and manage episodes of care, referring onto other agencies as required to optimise care delivery.
- Use professional skills and judgement to manage complex and unpredictable care events.
- To promote a high standard of advanced nursing by initiating and co-ordinating the assessment, planning, delivery and evaluation of the holistic needs of patients / families through evidence-based practice following agreed policies, protocols and guidelines.
- To maintain effective patient documentation to NMC requirements for all patients seen and advice given in any practice setting.
- Work with all district nurse teams to ensure complex patients are reviewed as required to aim to prevent unnecessary hospital admissions.
- Actively participate in the development of the team and the service to continuously improve patient care.
- Ensure participation in implementation of national standards and frameworks at a local level.
- Identify any areas of risk / poor quality and ensure appropriate actions implemented to address these effectively.
- Support palliative care lead as required to deal with Datix incident reports and investigations.
- To support the palliative care lead with organisation and delivery of the end-of-life link nurse meetings.
- To ensure as far as possible that the working environment is safe, adhering to the lone worker policy.
- To supply required activity data related to patient care.
- To provide leadership and support by promoting professional development and encourage clinical supervision.
Professional
- To support the clinical governance agenda by benchmarking best practice, identify any inequalities in service delivery.
- In depth knowledge of the legal, ethical, moral and accountability issues related to District Nursing.
- To maintain a personal, professional portfolio by collecting evidence of personal development through reflective practice.
- To attend mandatory training in accordance with Trust policies.
- To work within Nursing and Midwifery Council (NMC) guidelines and abide by the NMC Code of Professional Conduct, scope of professional practice and administration of medicines records and record keeping.
- Identify any limitations / gaps in professional or clinical knowledge.
- Access and promote clinical supervision within the team.
- Undertake rapid review, case note review or root cause analysis if appropriate as per Datix management guidelines.
- Promote peoples equality, diversity and rights.
- To contribute to the development of and adhere to Trust policies and procedures, NICE Guidelines and NSF initiatives relevant to own area of work to ensure best practice.
- To share best practice and undertake all activity within the framework of Clinical Governance.
- To participate in the staff appraisal scheme.
- To report sickness/absence in accordance with the Trust Policy.
- To bring professional practice issues to the attention of the Palliative Lead.
- To advise on changes required to policy/procedure due to change in practice and be actively involved in any working parties as requested.
- To promote integrated working through pro-active networking with other professionals and agencies to enhance service delivery.
- To accept responsibility for own professional practice as a reflective, accountable practitioner.
Key results from the job holder
- Support the development, review and monitoring of operational policies, standard operating procedures and clinical guidelines.
- To have knowledge of the trust corporate end of life objectives and to support the palliative care lead in ensuring these are achieved.
- To support the palliative lead to ensure there is a shared and consistent approach to end-of-life care, which is responsive to patients needs and National Guidance.
- To support where required in regular end of life audits to ensure high quality end of life care is achieved and maintained.
- To support with the on-going roll out of the EPaCCS throughout the community division.
Planning and Organisational Duties
- To have an understanding of the palliative and end of life elements of the preparation for CQC inspection.
Communications and Key Working Relationships
- To be able to communicate highly sensitive and complex information to all relevant professionals as well as patients, families and carers.
- Practice advanced communication skills including highly sensitive and complex information to develop and sustain partnership working with individuals and other agencies.
- To communicate effectively with patients, families and carers to develop agreed care plans.
- To utilise effective communication skills to overcome barriers and complex situations when dealing with palliative / end of life patients and families/ carers.
- To attend hospital multi-disciplinary meetings to facilitate effective discharges for palliative and end of life patients and to aim to meet their preferred place of care and death.
- The post holder will be involved within the complex / gold standards framework meetings to ensure patients are discussed within a multi-disciplinary approach and appropriate wrap around end of life services are involved as required.
- To undertake Advance care planning and EPaCCS to ensure all end of life / palliative patients wishes and needs are clearly identified, documented and shared as appropriate.
- To ensure patients and those important to them are involved in any decision making ensuring all decisions made are informed and meet their needs and wishes.
- Work alongside palliative care lead to deal with any complaints relating to palliative and end of life care and to provide support for patients, families / carers involved.
- To promote effective communication to empower patients when appropriate.
- To ensure complex situations relating to anticipatory grief or bereavement are managed effectively with referral onto appropriate counselling services as required.
- To support the palliative lead with regards to end of life link nurse meetings to communicate relevant updates and changes within practice.
Responsibility for Finance
- Have an understanding of budgetary constraints related to district nursing and palliative / end of life care.
Responsibility for Human Resources
- To ensure within practice that appropriate standards of care and support are maintained in line with internal policies, procedures and clinical guidelines.
- Empower the community teams to identify their own training and development needs and work alongside the Wigan Borough Education Hub to support and educate.
- Ensure staff are supported for continued professional development within palliative and end of life care.
- To provide support for all staff following difficult and emotive circumstances related to end of life care delivery.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
- Maintain and develop own knowledge to ensure high levels of clinical competence and professional development through attendance at relevant study days.
- To attend annual PDR, agree objectives which reflect own personal development goals alongside local service requirements.
- Contribute to a working environment that promote continuous learning and development and evidence-based practice.
- Identify and support the educational needs of patients, families, carers and staff members involved in the delivery of palliative and end of life care.
- Contribute to providing education and support for staff and other members of the multi-disciplinary team as required.
- To provide an environment for all staff that is conducive to learning and developing skills.
- Contribute to delivery and development of relevant educational programmes and trust study days.
Work Circumstances & on-call
- Shifts are worked over 7 days but Saturday/Sunday shifts are on alternate weekends and end at 1400.
Job description
Job responsibilities
Duties and Responsibilities
- To attend arranged daily multi-disciplinary team meeting as required to discuss / triage WHISPAR (Wigan Healthier Partnership Integrated Specialist Palliative Care Active Response) referrals.
- Collaborate with the multi-disciplinary team on the daily WHISPAR meetings to ensure effective discharges from hospital setting.
- To plan, prioritise and manage episodes of care, referring onto other agencies as required to optimise care delivery.
- To complete clinical visits demonstrating holistic assessment skills for palliative / end of life patients.
- To plan, prioritise and manage episodes of care, referring onto other agencies as required to optimise care delivery.
- Use professional skills and judgement to manage complex and unpredictable care events.
- To promote a high standard of advanced nursing by initiating and co-ordinating the assessment, planning, delivery and evaluation of the holistic needs of patients / families through evidence-based practice following agreed policies, protocols and guidelines.
- To maintain effective patient documentation to NMC requirements for all patients seen and advice given in any practice setting.
- Work with all district nurse teams to ensure complex patients are reviewed as required to aim to prevent unnecessary hospital admissions.
- Actively participate in the development of the team and the service to continuously improve patient care.
- Ensure participation in implementation of national standards and frameworks at a local level.
- Identify any areas of risk / poor quality and ensure appropriate actions implemented to address these effectively.
- Support palliative care lead as required to deal with Datix incident reports and investigations.
- To support the palliative care lead with organisation and delivery of the end-of-life link nurse meetings.
- To ensure as far as possible that the working environment is safe, adhering to the lone worker policy.
- To supply required activity data related to patient care.
- To provide leadership and support by promoting professional development and encourage clinical supervision.
Professional
- To support the clinical governance agenda by benchmarking best practice, identify any inequalities in service delivery.
- In depth knowledge of the legal, ethical, moral and accountability issues related to District Nursing.
- To maintain a personal, professional portfolio by collecting evidence of personal development through reflective practice.
- To attend mandatory training in accordance with Trust policies.
- To work within Nursing and Midwifery Council (NMC) guidelines and abide by the NMC Code of Professional Conduct, scope of professional practice and administration of medicines records and record keeping.
- Identify any limitations / gaps in professional or clinical knowledge.
- Access and promote clinical supervision within the team.
- Undertake rapid review, case note review or root cause analysis if appropriate as per Datix management guidelines.
- Promote peoples equality, diversity and rights.
- To contribute to the development of and adhere to Trust policies and procedures, NICE Guidelines and NSF initiatives relevant to own area of work to ensure best practice.
- To share best practice and undertake all activity within the framework of Clinical Governance.
- To participate in the staff appraisal scheme.
- To report sickness/absence in accordance with the Trust Policy.
- To bring professional practice issues to the attention of the Palliative Lead.
- To advise on changes required to policy/procedure due to change in practice and be actively involved in any working parties as requested.
- To promote integrated working through pro-active networking with other professionals and agencies to enhance service delivery.
- To accept responsibility for own professional practice as a reflective, accountable practitioner.
Key results from the job holder
- Support the development, review and monitoring of operational policies, standard operating procedures and clinical guidelines.
- To have knowledge of the trust corporate end of life objectives and to support the palliative care lead in ensuring these are achieved.
- To support the palliative lead to ensure there is a shared and consistent approach to end-of-life care, which is responsive to patients needs and National Guidance.
- To support where required in regular end of life audits to ensure high quality end of life care is achieved and maintained.
- To support with the on-going roll out of the EPaCCS throughout the community division.
Planning and Organisational Duties
- To have an understanding of the palliative and end of life elements of the preparation for CQC inspection.
Communications and Key Working Relationships
- To be able to communicate highly sensitive and complex information to all relevant professionals as well as patients, families and carers.
- Practice advanced communication skills including highly sensitive and complex information to develop and sustain partnership working with individuals and other agencies.
- To communicate effectively with patients, families and carers to develop agreed care plans.
- To utilise effective communication skills to overcome barriers and complex situations when dealing with palliative / end of life patients and families/ carers.
- To attend hospital multi-disciplinary meetings to facilitate effective discharges for palliative and end of life patients and to aim to meet their preferred place of care and death.
- The post holder will be involved within the complex / gold standards framework meetings to ensure patients are discussed within a multi-disciplinary approach and appropriate wrap around end of life services are involved as required.
- To undertake Advance care planning and EPaCCS to ensure all end of life / palliative patients wishes and needs are clearly identified, documented and shared as appropriate.
- To ensure patients and those important to them are involved in any decision making ensuring all decisions made are informed and meet their needs and wishes.
- Work alongside palliative care lead to deal with any complaints relating to palliative and end of life care and to provide support for patients, families / carers involved.
- To promote effective communication to empower patients when appropriate.
- To ensure complex situations relating to anticipatory grief or bereavement are managed effectively with referral onto appropriate counselling services as required.
- To support the palliative lead with regards to end of life link nurse meetings to communicate relevant updates and changes within practice.
Responsibility for Finance
- Have an understanding of budgetary constraints related to district nursing and palliative / end of life care.
Responsibility for Human Resources
- To ensure within practice that appropriate standards of care and support are maintained in line with internal policies, procedures and clinical guidelines.
- Empower the community teams to identify their own training and development needs and work alongside the Wigan Borough Education Hub to support and educate.
- Ensure staff are supported for continued professional development within palliative and end of life care.
- To provide support for all staff following difficult and emotive circumstances related to end of life care delivery.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
- Maintain and develop own knowledge to ensure high levels of clinical competence and professional development through attendance at relevant study days.
- To attend annual PDR, agree objectives which reflect own personal development goals alongside local service requirements.
- Contribute to a working environment that promote continuous learning and development and evidence-based practice.
- Identify and support the educational needs of patients, families, carers and staff members involved in the delivery of palliative and end of life care.
- Contribute to providing education and support for staff and other members of the multi-disciplinary team as required.
- To provide an environment for all staff that is conducive to learning and developing skills.
- Contribute to delivery and development of relevant educational programmes and trust study days.
Work Circumstances & on-call
- Shifts are worked over 7 days but Saturday/Sunday shifts are on alternate weekends and end at 1400.
Person Specification
Knowledge
Essential
- Awareness of current national and local agenda in relation to palliative and end of life care
- Understanding of multi-disciplinary palliative / end of life services
- Knowledge of palliative safeguarding issues
- Knowledge of current issues affecting district nursing and community services
Skills
Essential
- Evidence of influencing, motivating and negotiating with others to achieve change in relation to palliative / end of life care
- Evidence of being able to communicate complex, sensitive information and advice on palliative / end of life to patients / carers/colleagues
- Ability to challenge practice with regards to palliative / end of life care and encourage learning
- Excellent interpersonal skills including negotiating and influencing
- Risk assessment skills
- Self-management and motivation skills
- IT literate able to navigate and use Microsoft office
Experience
Essential
- Extensive demonstrable post registration experience
- Demonstrable experience in community palliative and of life care
- Experience of working autonomously
- Experience of successful multi-disciplinary working
- Experience in supporting colleagues / students within a learning environment
- NHS experience in primary/acute/community setting
- Experience with clinical governance
Qualifications
Essential
- Registered Nurse
- Degree (or equivalent experience)
- Evidence of recent CPD
Desirable
- V300 non-medical prescribing
- Post-registration palliative care qualification
- Advanced communication skills course
- SPQ
Additional
Essential
- Flexible to meet service need
- Able to travel across Trust
- Speaks English to appropriate degree
- Able to work weekend shifts
Person Specification
Knowledge
Essential
- Awareness of current national and local agenda in relation to palliative and end of life care
- Understanding of multi-disciplinary palliative / end of life services
- Knowledge of palliative safeguarding issues
- Knowledge of current issues affecting district nursing and community services
Skills
Essential
- Evidence of influencing, motivating and negotiating with others to achieve change in relation to palliative / end of life care
- Evidence of being able to communicate complex, sensitive information and advice on palliative / end of life to patients / carers/colleagues
- Ability to challenge practice with regards to palliative / end of life care and encourage learning
- Excellent interpersonal skills including negotiating and influencing
- Risk assessment skills
- Self-management and motivation skills
- IT literate able to navigate and use Microsoft office
Experience
Essential
- Extensive demonstrable post registration experience
- Demonstrable experience in community palliative and of life care
- Experience of working autonomously
- Experience of successful multi-disciplinary working
- Experience in supporting colleagues / students within a learning environment
- NHS experience in primary/acute/community setting
- Experience with clinical governance
Qualifications
Essential
- Registered Nurse
- Degree (or equivalent experience)
- Evidence of recent CPD
Desirable
- V300 non-medical prescribing
- Post-registration palliative care qualification
- Advanced communication skills course
- SPQ
Additional
Essential
- Flexible to meet service need
- Able to travel across Trust
- Speaks English to appropriate degree
- Able to work weekend shifts
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).
Employer details
Employer name
Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
Address
Ashton Medicentre
Council Avenue
Wigan
WN4 9AZ
Employer's website
http://www.wwl.nhs.uk/ (Opens in a new tab)
