Band 8a Lead Nurse Pulmonary Hypertension

Job description

Job responsibilities

JOB SUMMARY:

• The Pulmonary Hypertension (PH) Service at the Royal Free is part of the national service within the UK. The service is a designated treatment centre for PH by NHS England to diagnose, treat and monitor PH patients. As one of only eight adult centres in the UK, patients with suspected PH are referred to the Trust from across the England and Northern Ireland. Patients are treated with targeted commissioned therapies which may be given orally, intravenously or inhaled
• Develop new and improved care pathways through leadership and innovation within the trust and externally
• Contribute to service strategies for the PH patient pathway, quality standards, evidenced based practise and national shared care partners
• Facilitate the provision of high quality, autonomous, integrated nursing care to PH patients, in line with NHS England service standards
• Represent the nursing workforce in relation to pulmonary hypertension care at appropriate groups/committees both internally and externally
• The post holder is expected to spend 0.6 (WTE) of the role in clinical practise and undertake a clinical caseload

• Demonstrate an advanced level of knowledge, advanced assessment skills and expertise in clinical care, treatment and management of patients with PH, incorporating the physical, psychological and social impact on patient care
• Lead, negotiate, supervise, participate in, and manage a caseload of patients within nurse led clinics and service as a whole
• In conjunction with the multidisciplinary team (MDT) facilitate the pathway of care which includes relevant professionals within the Trust and external stakeholders for the management of patients requiring treatment for PH
• Liaise with the MDT, re MDT meetings, patient pathway tracking and communication to external Trusts
• Initiate/review relevant investigations, imaging and tests in conjunction with the MDT and with agreed guidelines

• Monitor and review the effectiveness of interventions with the patient and colleagues and modify this to meet changing needs and established goals of care

• Facilitate safe access to services should an acute situation arise by developing safe care strategies and effective workforce planning
• Attend ward rounds, to review and facilitate care pathways for PH patients on the ward
• Facilitate nursing care at shared care clinics by attending an agreed number of external clinics, held at other Trusts per year
• Make advanced, evidence-based decisions, in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedents

• Initiate, titrate and monitor PH therapies as per treatment plan and patient group directives

• Discuss/review patients on a weekly basis with the multi-professional team to address patients health needs through planning and delivering interventions which are based on best practice and clinical judgement
• Liaise with Home Care providers and Commercial Medicines Unit (NHSE) to ensure regular supplies of disease targeted therapies, pumps and consumables and contribute to national homecare framework specification
• Assess patients for suitability and supervise six-minute walk tests during out-patient clinics and prior to cardiac catheterisation
• Provide clinical information, advice on the use of specialist equipment and advice to patients, carers and other healthcare professionals through a telephone advice line/email service and escalate appropriate queries to the MDT
• Act as an advocate and empower patients, their families and other carers to participate in decisions concerning their care
• Monitor and audit all patients receive holistic needs assessment at the appropriate intervals in the pathway
• Complete advanced communication skills modules and proactively seek/attend clinical supervision sessions
• Ensure safe and timely follow up of patients back to local hospital / shared care team following diagnostic tests and treatment initiation or discharge

• Document and maintain accurate records in line with professional standards of record keeping.

• Act as a clinical expert role model in nursing care to other nurses within the Trust and externally

• Deliver compliance with patient experience gathering and nursing measures within the NHS England PH service specification and at Royal Free London NHS Foundation Trust
• Ensure the needs of the patient are placed at the centre of care delivery

• Lead the team on development of patient information across all platforms and ensure Royal Free London has information available along the patient pathway
• Be accountable for nursing care given

• Always behave in a manner that is professional, positive and polite

• Ensure all patients are admitted in a timely manner and are kept informed of progress of their treatment

• Communicate effectively with patients to ensure awareness of future plans of care and relevant discharge information

• Ensure patient confidentiality, privacy and dignity at all times to promote positive communication channels with patients, relatives and visitors, providing feedback for the senior matron and wider team

• In conjunction with the multi-professional team develop annual objectives and strategies for the Royal Free PH service
• Alongside the lead consultant and directorate team, contribute to the development of national network care pathways for patients under the care of the PH service
• Develop and implement guidelines for referral and follow up across national group and in conjunction with shared care partners

• Lead, develop and innovate to provide an autonomous nursing service using advanced clinical judgement and knowledge for patients from referral decision to treat, treatment options, surveillance, follow up to discharge
• Identify and lead potential service improvements via Quality improvement methodology within the PH service
• Develop and monitor visits/care standards by Clinical Nurse Specialists to hospitals within the shared care network
• Co-ordinate the review, development and audit of research-based policies within the PH service working with the Clinical Nurse Specialists, Matrons and Sisters and Charge Nurses and national PH group
• Be an advocate for service users to highlight service deficiencies to improve patient centred care. Collaborate with the MDT and shared care partners to complete annual patient experience survey and develop an action plan
• Lead on compliance of nursing measures in peer review process at the Royal Free London and NHS England, Quality Surveillance Team
• Participate in Specialist /Advanced nursing practices for the Trust and national PH group

• Be responsible for collaboration with senior matron/head of nursing for budgetary nursing management
• Actively manage resources including human (staffing), material, equipment and financial

• Liaise closely with cardiology/PH specialist pharmacist and RFL commissioners regarding high-cost funding and on-going treatment regimes

• Ensure a high-quality service is delivered within agreed budget by optimising all available resources representing value for money

• Support the Directorate team in the development and implementation of the annual cost improvement programme in accordance with the trust targets and timetable

• Line management responsibility for the Clinical Nurse Specialists in the PH service
• Through effective leadership ensure patients are receiving high quality, appropriate nursing care within all areas of responsibility working with the Clinical Nurse Specialists
• Co-ordinate and lead the PH service contribution to nursing practice policies & procedures across nurse led clinics, outpatient areas and inpatient wards
• Exercise leadership and inspire colleagues, to feel confident to improve standards, quality and to develop professional practice
• Support in the recruitment, selection and orientation of new staff including shortlisting, question setting and interviewing
• Provide support to Divisional team for the planning for future service developments and the strategy for the PH service
• Attend and be an active participant in relevant clinical and managerial groups within directorate, NHS England, corporately and externally
• Act as expert for PH service in the implementing relevant National Service Frameworks across the Trust and outside organisations

1. CONSULTANCY

• Initiate and develop collaborative care strategies by using expertise in relevant multidisciplinary meetings, both internally and externally
  • Work with the senior matron for the Trust to develop robust services for patients with PH treated at the Royal Free London.
  • Act as a resource and promote the PH service within the Trust, national networks and partner organisations
• Lead in developing strong communication / educational links to staff in all clinical areas caring for patients within the PH service

• Collaborate with the national PH clinical group, NHS England, pharmaceutical companies and patient organisations on patient/therapy pathways

• Share expertise with healthcare professionals on a nationwide level through professional conferences, forum and bodies

Person Specification

Royal Free World Class Values

Essential

• Demonstrable ability to meet the Trust Values

Education & professional Qualifications

Essential

• Registered Nurse (Adult)
• Relevant first degree (or equivalent)
• Teaching/mentoring qualification or extensive teaching experience
• Advanced clinical assessment qualification
• Leadership/management modules

Desirable

• Masters degree or working towards
• Non- medical prescribing course or willingness to undertake

Experience

Essential

• Proven ability to initiate audits/research & assess evidence
• Significant experience as a band 7 CNS
• Experience of leading change, delivering tangible and sustained improvements
• Practical experience of policy development/project management
• Managing and/or leading a team
• Evidence of participation in audit & promotion of evidenced based practice
• Understanding of clinical risk, clinical governance and national benchmark s

Desirable

• Experience of developing business and workforce plans in line with future service requirements
• Experience of managing employment relation issues
• Experience with budgetary management

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).

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

Royal Free London NHS Foundation Trust

Address

Royal Free London NHS trust

Pond street

London

NW3 2QG

Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)