Job summary
An exciting opportunity has arisen for a dynamic and highly motivated Nurse Consultant to clinical lead the Palliative Care Coordination Hub for SHC. This role and the team are part of a unique partnership between primary care, community services, social care, the voluntary sector, ESTH and St. Raphael's Hospice.
As Nurse Consultant for palliative care in the Palliative Care Coordination Hub (PCCH), the role will centre around the four pillars of advanced practice; notably clinical practice, leadership and management, education and research. The role will involve approximately 80% clinical practice and leadership/management with the remainder of the time spent on education and research.
Main duties of the job
The Nurse Consultant will be expected to undertake clinical practice at a specialist advanced level (including non-medical prescribing skills). The post holder will also be required to have excellent leadership, collaboration and communication skills to ensure an efficient and effective patient centred service.
The clinical lead role within the PCCH will be instrumental in supporting the delivery of:
- Strategic vision and delivery of transformational joined up end of life care across Sutton, including support for families/carers
- Clinical leadership/management of the PCCH team, working with partner organisations to deliver the coordinated response required from this team
- In conjunction with the operational lead, support the development of the PCCH ensuring that the Hub develops strong clinical pathways and integrated working between all partner organisations across the Sutton Place
- Provide advanced level, expert clinical practice in palliative care for patients wishing to remain in their own homes and provide support to professionals across Sutton
- Develop and implement palliative care education/updates ensuring that all community teams are supported to develop their learning
- Work with the Palliative Care Nurse Consultant Network across SW London for Sutton to ensure practice is stepped in high quality, evidence-based practice, tools disseminated and the Sutton community professionals practice is up to date
- Lead for Nurse Prescribing across Sutton Health and Care (SHC).
About us
Sutton Health and Care (SHC) is a pioneering partnership made up of the Sutton Primary Care Networks, London Borough of Sutton, South West London and St. George's Mental Health Trust and Epsom and St. Helier University Hospitals NHS Trust (ESTH). Working together, we provide community services to the people of Sutton. Hosted by ESTH, the model ensures the breaking down of traditional organisational barriers to enable the provision of care that is centred on the patient and their families.
This partnership team has been developed to ensure services across the pathways of care are joined up to improve the quality of care for patients wanting to spend their last twelve months, after a terminal diagnosis, at home with families, carers and loved ones.
The post holder will be instrumental in delivering on this vision for Sutton's population through the ongoing development of the service.
The pioneering partnership of SHC is truly exciting and, together, we can achieve more for the people we care for. We pride ourselves in having a highly dedicated team and offer a stimulating and dynamic working environment with a wide range of staff benefits and development opportunities. We are looking for employees who aspire to excellence, share our vision and values and can play a crucial role in our ongoing achievements.
Job description
Job responsibilities
Service Delivery
Working with the existing SHC Single Point of Access, the Nurse Consultant and team will provide hands on coordination and care delivery for end of life care. Critically, the Nurse Consultant and team will also support the early identification of those who need the service and meet the criteria and provide proactive case management and advance care planning with the aim of preventing unnecessary admissions and facilitating timely discharge from hospital after an admission.
Clinical Leadership
- Expert clinical leadership to self and team members, providing sound leadership to the team and expert specialist palliative care support and advice to the team and SHC nursing professionals to inform them of the management of patients on the respective caseloads.
- Oversight for clinical governance of the service and staff.
- To undertake hands on clinical practice at a specialist advanced level (including non-medical prescribing skills) and provide clinical advice and care delivery for complex palliative care and end of life care to the team, professionals and others as requested.
- To act as a clinical role model across SHC and external to SHC providing credible support and advice
- To lead on standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care.
- To work with colleagues, patients and the voluntary sector across the Sutton system to develop clinical care pathways and promote a coordinated approach to delivery care that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to need.
- To lead/support on the development of initiatives to reduce and avoid unnecessary hospital admissions and reduce length of stay in hospital for patients identified as end of life.
- To ensure that every patient referred onto the service has a Urgent Care record and advance care planning document completed, working closely with the patient and respective Sutton GPs to agree the plans sign off
- Coordinate and develop a rapid response service to complement the existing SPC rapid response provided by the Hospice and generalist urgent response provided by the community nurses. This will be for patients needing palliative and end of life care, where professionals and/or the patient needs urgent changes to their management plan or professional need specialist support
- Participate in the PCN, Community Response Team (CRT), Multidisciplinary Team (MDT) and virtual ward meetings when patients discussed are within the care setting of the PCC Hub
- Lead on the development of robust patient and carer feedback on the efficacy of the service and how the service could improve
- Ensure that arrangements are in place for out of hours (OOH) provision of palliative care medications, supported by the OOH GP including ensuring that arrangements are reviewed and communicated to relevant end of life care system providers
- Ensure that accurate, contemporaneous records are kept that facilitates safety and continuity of care
- Facilitate the use of information technology and ensure that relevant and up to date information on clinical and service developments are provided to agreed timescales
- Participate in investigating complaints and clinical incidents within SHC Policy, procedures and timescales, making recommendations about changes to practice and service and set action plans to ensure that identified weaknesses are resolved
- Assist in ensuring that clinical risk is assessed and managed in line with ESTH standards and to ensure that risk and adult safeguarding is appropriately managed within teams to ensure patient and staff safety and that adverse incidents are reported and investigated with an open reporting and learning culture being fostered
- Regularly participate in clinical supervision and act as the lead clinical supervisor of junior staff
- Take the lead for defined clinical projects at a corporate level as required and at a level appropriate to the post.
Managerial Leadership
- Lead the team within the PCCH; this includes regular appraisals, 1:1s and performance management where necessary
- Support in conjunction with the Operational Lead performance reporting and reports on the development of the service, as well as anything else requested by the corporate team for the Board and monthly assurance meetings.
- Agree with the team members, clinical performance objectives to reflect both Trust and national strategies and priorities.
- Ensure that absence levels for direct reports are monitored and managed
- Ensure that individuals within the team are aware of and work within the Trust policies and procedures
- Ensure that the care given meets the standards and policies set by the Trust
- Develop and maintain effective and appropriate communication systems with staff and colleagues within SHC
- Take every reasonable step to see that the working environment is safe, healthy and hazard free for staff and users
- Chair and lead meetings and working parties where appropriate
- Undertake mandatory training as required for the role
- Be aware of ones own continuous professional development needs and maintain an annual personal development plan.
Quality
- Review, develop and maintain the annual audit programme for the service
- Be responsible for maintaining accurate records of ongoing clinical supervision, actively ensuring and monitoring that appropriate arrangements are in place for all nursing staff in the team
- Lead/ support on quality improvement projects for the service as determined by key partners or internal colleagues
- Lead on learning from serious incidents and complaints ensuring that this is factored into BAU for the service
- Take a role in leading the patient experience strategy for the service, ensuring that Friends and Family Test results are collated and acted upon and that creative ways of understanding patient feedback and involvement are implemented.
Education and Development
- Act as an expert clinical resource and clinical facilitator to educate and train other more junior staff including clinical members of SHC and members of the PCH Primary Care teams across Sutton
- Develop and facilitate high quality education events supporting knowledge development of palliative care/end of life care across Sutton to include carer and family events
- Take responsibility for own professional development including keeping up to date with relevant professional/practice issues at local and national levels
- Identify own learning needs and pursue educational and training opportunities
- Participate in clinical supervision as required.
Professional Responsibilities
- Be aware of and act in accordance with agreed policy and procedures, legislation and NMC standards
- To adhere to Trust policies and procedures at all times.
Audit and Research
- To actively participate in audit as required.
- To actively promote and seek out opportunities for research and publication in relation to the successes from the PCCH.
Job description
Job responsibilities
Service Delivery
Working with the existing SHC Single Point of Access, the Nurse Consultant and team will provide hands on coordination and care delivery for end of life care. Critically, the Nurse Consultant and team will also support the early identification of those who need the service and meet the criteria and provide proactive case management and advance care planning with the aim of preventing unnecessary admissions and facilitating timely discharge from hospital after an admission.
Clinical Leadership
- Expert clinical leadership to self and team members, providing sound leadership to the team and expert specialist palliative care support and advice to the team and SHC nursing professionals to inform them of the management of patients on the respective caseloads.
- Oversight for clinical governance of the service and staff.
- To undertake hands on clinical practice at a specialist advanced level (including non-medical prescribing skills) and provide clinical advice and care delivery for complex palliative care and end of life care to the team, professionals and others as requested.
- To act as a clinical role model across SHC and external to SHC providing credible support and advice
- To lead on standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care.
- To work with colleagues, patients and the voluntary sector across the Sutton system to develop clinical care pathways and promote a coordinated approach to delivery care that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to need.
- To lead/support on the development of initiatives to reduce and avoid unnecessary hospital admissions and reduce length of stay in hospital for patients identified as end of life.
- To ensure that every patient referred onto the service has a Urgent Care record and advance care planning document completed, working closely with the patient and respective Sutton GPs to agree the plans sign off
- Coordinate and develop a rapid response service to complement the existing SPC rapid response provided by the Hospice and generalist urgent response provided by the community nurses. This will be for patients needing palliative and end of life care, where professionals and/or the patient needs urgent changes to their management plan or professional need specialist support
- Participate in the PCN, Community Response Team (CRT), Multidisciplinary Team (MDT) and virtual ward meetings when patients discussed are within the care setting of the PCC Hub
- Lead on the development of robust patient and carer feedback on the efficacy of the service and how the service could improve
- Ensure that arrangements are in place for out of hours (OOH) provision of palliative care medications, supported by the OOH GP including ensuring that arrangements are reviewed and communicated to relevant end of life care system providers
- Ensure that accurate, contemporaneous records are kept that facilitates safety and continuity of care
- Facilitate the use of information technology and ensure that relevant and up to date information on clinical and service developments are provided to agreed timescales
- Participate in investigating complaints and clinical incidents within SHC Policy, procedures and timescales, making recommendations about changes to practice and service and set action plans to ensure that identified weaknesses are resolved
- Assist in ensuring that clinical risk is assessed and managed in line with ESTH standards and to ensure that risk and adult safeguarding is appropriately managed within teams to ensure patient and staff safety and that adverse incidents are reported and investigated with an open reporting and learning culture being fostered
- Regularly participate in clinical supervision and act as the lead clinical supervisor of junior staff
- Take the lead for defined clinical projects at a corporate level as required and at a level appropriate to the post.
Managerial Leadership
- Lead the team within the PCCH; this includes regular appraisals, 1:1s and performance management where necessary
- Support in conjunction with the Operational Lead performance reporting and reports on the development of the service, as well as anything else requested by the corporate team for the Board and monthly assurance meetings.
- Agree with the team members, clinical performance objectives to reflect both Trust and national strategies and priorities.
- Ensure that absence levels for direct reports are monitored and managed
- Ensure that individuals within the team are aware of and work within the Trust policies and procedures
- Ensure that the care given meets the standards and policies set by the Trust
- Develop and maintain effective and appropriate communication systems with staff and colleagues within SHC
- Take every reasonable step to see that the working environment is safe, healthy and hazard free for staff and users
- Chair and lead meetings and working parties where appropriate
- Undertake mandatory training as required for the role
- Be aware of ones own continuous professional development needs and maintain an annual personal development plan.
Quality
- Review, develop and maintain the annual audit programme for the service
- Be responsible for maintaining accurate records of ongoing clinical supervision, actively ensuring and monitoring that appropriate arrangements are in place for all nursing staff in the team
- Lead/ support on quality improvement projects for the service as determined by key partners or internal colleagues
- Lead on learning from serious incidents and complaints ensuring that this is factored into BAU for the service
- Take a role in leading the patient experience strategy for the service, ensuring that Friends and Family Test results are collated and acted upon and that creative ways of understanding patient feedback and involvement are implemented.
Education and Development
- Act as an expert clinical resource and clinical facilitator to educate and train other more junior staff including clinical members of SHC and members of the PCH Primary Care teams across Sutton
- Develop and facilitate high quality education events supporting knowledge development of palliative care/end of life care across Sutton to include carer and family events
- Take responsibility for own professional development including keeping up to date with relevant professional/practice issues at local and national levels
- Identify own learning needs and pursue educational and training opportunities
- Participate in clinical supervision as required.
Professional Responsibilities
- Be aware of and act in accordance with agreed policy and procedures, legislation and NMC standards
- To adhere to Trust policies and procedures at all times.
Audit and Research
- To actively participate in audit as required.
- To actively promote and seek out opportunities for research and publication in relation to the successes from the PCCH.
Person Specification
Education and Qualifications
Essential
- Full NMC Registration and current revalidation
- Masters level qualification in a relevant area of equivalent experience
- Advanced nursing practice as per registration with the NMC
- Independent Nurse Prescriber
- Recognised teaching/assessment qualification
Desirable
- Recognised management or leadership certificate or equivalent experience
Experience
Essential
- Substantial experience within specialist palliative and end of life care at Band 8A
- Thorough understanding of palliative care and end of life care pathways, models and service provision
- Experience of effective leadership and team development with a focus on a multidisciplinary approach
- Knowledge of quality, standard setting, benchmarking and audit
- Evidence of applying national policy locally and involvement in strategic initiatives
- Evidence of visible clinical leadership and motivating multidisciplinary staff within a team environment
- Evidence of improvement in the patient experience and that of carers or significant others
- Experience of delivering education at a local level
- Proven ability to lead clinical care across professional and organisational boundaries
- Ability to work with sensitivity within a multicultural society
- Proven ability to efficiently manage patients with complex physical, psychological, spiritual and social needs and to respond sensitively to the needs of carers
- Ability to prioritise workload and to delegate responsibilities as appropriate
Desirable
- Previous experience in a similar role
- Knowledge of current issues both within healthcare and the speciality
- Experience in development and delivery of clinical projects
- Experience of managing change through working with others
- Knowledge of commissioning process
- Experience of effective organisation, planning and monitoring of service delivery
- Knowledge and experience of budgets and value for money
- Evidence of identifying risks and developing/maintaining a service risk register
- Experience in the collection and analysis of data from national and local sources and translating this data for use at Board level
Skills and Abilities
Essential
- Ability to lead and influence change in the field of specialist palliative and end of life care
- Passionate about the provision of excellent patient care with the ability to ensure that care meets the highest standard
- Ability to lead and work in partnership with a multidisciplinary team and with different organisations
- Advance clinical expertise in chosen field with proven ability to fully understand the context in which complex problems arise
- Ability to produce and manage reports as required
- Good IT skills to enable the provision of data capture and translation into performance reports
Personal Attributes
Essential
- Excellent oral, written communication and presentation skills
- Passion and commitment to delivering high standards of care ensuring delivery of the 6Cs at all times
- Ability to remain calm under pressure
- Ability to make informed and measured clinical decisions in all circumstances
- Ability to manage conflicting priorities
- Commitment to continued professional and personal development
- Enthusiastic and self-motivated
- Full driving licence and access to own transport to ensure travel across the borough to include personal homes and care homes
Person Specification
Education and Qualifications
Essential
- Full NMC Registration and current revalidation
- Masters level qualification in a relevant area of equivalent experience
- Advanced nursing practice as per registration with the NMC
- Independent Nurse Prescriber
- Recognised teaching/assessment qualification
Desirable
- Recognised management or leadership certificate or equivalent experience
Experience
Essential
- Substantial experience within specialist palliative and end of life care at Band 8A
- Thorough understanding of palliative care and end of life care pathways, models and service provision
- Experience of effective leadership and team development with a focus on a multidisciplinary approach
- Knowledge of quality, standard setting, benchmarking and audit
- Evidence of applying national policy locally and involvement in strategic initiatives
- Evidence of visible clinical leadership and motivating multidisciplinary staff within a team environment
- Evidence of improvement in the patient experience and that of carers or significant others
- Experience of delivering education at a local level
- Proven ability to lead clinical care across professional and organisational boundaries
- Ability to work with sensitivity within a multicultural society
- Proven ability to efficiently manage patients with complex physical, psychological, spiritual and social needs and to respond sensitively to the needs of carers
- Ability to prioritise workload and to delegate responsibilities as appropriate
Desirable
- Previous experience in a similar role
- Knowledge of current issues both within healthcare and the speciality
- Experience in development and delivery of clinical projects
- Experience of managing change through working with others
- Knowledge of commissioning process
- Experience of effective organisation, planning and monitoring of service delivery
- Knowledge and experience of budgets and value for money
- Evidence of identifying risks and developing/maintaining a service risk register
- Experience in the collection and analysis of data from national and local sources and translating this data for use at Board level
Skills and Abilities
Essential
- Ability to lead and influence change in the field of specialist palliative and end of life care
- Passionate about the provision of excellent patient care with the ability to ensure that care meets the highest standard
- Ability to lead and work in partnership with a multidisciplinary team and with different organisations
- Advance clinical expertise in chosen field with proven ability to fully understand the context in which complex problems arise
- Ability to produce and manage reports as required
- Good IT skills to enable the provision of data capture and translation into performance reports
Personal Attributes
Essential
- Excellent oral, written communication and presentation skills
- Passion and commitment to delivering high standards of care ensuring delivery of the 6Cs at all times
- Ability to remain calm under pressure
- Ability to make informed and measured clinical decisions in all circumstances
- Ability to manage conflicting priorities
- Commitment to continued professional and personal development
- Enthusiastic and self-motivated
- Full driving licence and access to own transport to ensure travel across the borough to include personal homes and care homes
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
