Hospital Specialist Palliative Care CNS - Acute In-Reach

Job description

Job responsibilities

Clinical Duties

The successful candidate will:-

Work within the multi-professional team to manage the caseload of patients presenting with specialist palliative care needs in the acute setting (Emergency Department, Acute floor and SDEC)

Be able to triage and holistically assess patients with life-limiting conditions, that may not necessarily require prolonged stay in hospital and facilitate a rapid discharge to preferred place of care.

Provide symptom management advice.

Be able to triage, assess and escalate patients with specialist palliative care needs to the Hospital specialist palliative care team when necessary.

Work alongside an allocated palliative care social worker to facilitate social care and FT funded needs.

Liaise and work alongside the multi-professional teams including liaison with community palliative care team to support patients' needs to ensure admission avoidance in acute setting and from home.

Act as a resource for sign posting, patients, families, carers and health professionals about palliative care services in Hospital and in the community.

Provide guidance and support for patients making choices relating to preferred place of care and advance care planning.

Involve patients, their families and carers in the planning and delivery of their care.

Assess and facilitate rapid assessment to hospice when appropriate.

Support advance care planning as appropriate and record in System One EPaCCS when consenting to share information.

Will support integration of end-of-life care tools (eg. SPICT / Gold Standards Framework)

Have the ability to audit performance of the project in order to participate in service review and development alongside you Macmillan palliative care team leader.

Professional Duties

Work within the NMC Code of Conduct at all times.

Ensure adherence to all CHFT protocols, policies and directives within service delivery.

Act as a role model for quality nursing care at all times, promoting the need for effective evidence-based interventions and compassionate care.

Demonstrate specialist skills and knowledge.

Act as patient advocate at all points of the care pathway.

Managing self

Participate in regular supervision.

Attend all mandatory training.

Participate annually identifying, developing and agreeing your own development plan with your Line Manager using the Trust Appraisal.

Comply with all Trust policies, procedures and protocols.

Carry out duties with due regard to the Trusts Equal Opportunity Policy.

Seek advice and support from Line Manager whenever necessary.

Maintain professional conduct including appearance at all times.

Ensure maintenance of Professional Registration.

Managerial Duties

Participate in service review and development alongside the specialist palliative care team.

To ensure that continuity of care for patients and appropriate specialist nursing or other health and social support is available and accessible as appropriate, liaising where appropriate with other care settings and professionals.

Work with other disease specific clinical teams to ensure equity of access to specialist palliative care for patients with both malignant and non-malignant conditions.

Support CHFTs aims and objectives around service delivery and achieving targets.

Working with the Specialist palliative care nursing team by taking part in weekly Clinical review meetings to discuss complex cases, reflect and ensure best possible outcomes.

Promoting excellence in palliative care via evidence based practice with measurable standards of care and outcomes. Have involvement in audit projects to measure standards of care.

Help to identify and highlight any gaps in the evidence/service provision under the supervision of the Macmillan specialist palliative care nursing team leader.

Attend regular relevant meetings (internal and external) and provide effective channels of communication within the team as required.

Maintain a flexible approach and develop the role according to needs.

Work alongside the Macmillan specialist palliative care nursing team leader to support the division/Trusts annual plan and strategic vision in all care settings.

Work towards supporting the Trusts cost efficiency programme by correct use of resources and identifying areas for further improvement.

Financial Duties

There are no financial duties required in this post.

Person Specification

QUALIFICATIONS / TRAINING

Essential

• RGN - with Degree Level study (and above)
• Mentorship experience
• Advanced communication training
• Palliative care training, Trust EoL champions or postgrad Oncology or palliative care

Desirable

• Independent prescribing

KNOWLEDGE, EXPERIENCE & EXPERTISE

Essential

• Evidence of skills in assessment and management of patients with specialist palliative care needs.
• IT Skills, EPR and System one or the willingness to receive training
• Knowledge and experience in palliative/Fast track discharge planning
• Demonstrate advanced knowledge in symptom management, for patients with palliative needs

Desirable

• Ability to demonstrate understanding of audit, including implementation of findings and outcome reviews
• Experience and Knowledge about organisations and support networks available in and out of hospital for patients and families affected by life limiting conditions

COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)

Essential

• Advanced communication skills/Breaking bad news.
• Ability to coordinate caseloads and other workload demands
• Ability to work independently (as loan worker) and as part of a team

Desirable

• Ability to perform Advance Care Planning / DNA CPR discussions
• Experience in service development/change management and audit

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).

Employer details

Employer name

Calderdale and Huddersfield NHS Foundation Trust

Address

CHFT

Huddersfield Royal Infirmary

Huddersfield

HD3 3EA

Employer's website

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