Job summary
The purpose of this role is to provide strategic nursing leadership to the Enhanced Recovery After Surgery (ERAS) pathway development, implementation and evaluation across our division, Liver and Digestive Health (L&DH). Assisting with the harmonisation of policy and practice across all sites of Royal Free London including NMUH.
ERAS is the development and use of patient centred, evidence based, multidisciplinary developed pathways to reduce a patient's surgical stress response, optimise their physiologic function and facilitate recovery.
The post holder will work across three services within the division to develop, implement and evaluate pathways which encompass the principles of Enhanced Recovery. ERAS pathways developed will be in line with local and nationally agreed policies and guidelines and provide the highest quality of care. The candidate will work both collaboratively and independently, integrating into existing clinical structures to support nursing and medical teams, while creating and sustaining key relationships with the MDT. A multi-format education program will be developed, updated and delivered to staff and service users. Undertaking and presenting clinical audit is central to this role.
Main duties of the job
In the Hepato-Pancreato-Biliary (HPB) service you will work with a part time ERAS HPB Clinical Nurse Specialist (CNS) who delivers the clinical service. You will offer practical supportive leadership and you will have a central and active role within the Clinical Practice Group (CPG) evaluating and adjusting an ERAS pathway that has been in place for three years and is accessed by on average 20 patients a month.
In the Liver Transplant (LT) team you will be responsible for the implementation of an ERAS service that is in its pilot phase. This exciting development will see the Royal Free as one of the first LT units in Europe with an established ERAS pathway. The majority of clinical work will be carried out by a team of Liver Transplant CNS while you will focus on the strategic overview of the pathway, developing tools such as an electronic pathway, undertaking audit and evaluation, delivering education to a multi-disciplinary staff group and encouraging culture change.
In the Colorectal team you will be responsible for the ERAS programme from finalisation of the pathway to its digitalisation, implementation and evaluation. You will work with the CPG team to establish a group and take an active roll in moving forward the pathway. You will identify and educate interested individuals who will deliver the service with your leadership.
About us
Post holders will work closely with the CNS and ward nursing teams across Liver and Digestive Health. Clinical guidance and support will be available from the lead CNS, Ward Managers, Matrons, CPG leads and Medical Service Line Lead in each team (HPB, Colorectal and Liver Transplant).
Job description
Job responsibilities
For full details of this role, the main duties and responsibilities, please see the attached job description and person specification.
Job description
Job responsibilities
For full details of this role, the main duties and responsibilities, please see the attached job description and person specification.
Person Specification
Educational & Professional Qualifications
Essential
- 1st level Registered Nurse
- Relevant first degree
- Master's level education or desire to work towards.
- Appropriate teaching certificate or extensive teaching experience
- Advanced assessment qualification
- Evidence of recent professional / management / leadership development
Desirable
- Non-medical prescribing course or willingness to undertake
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Experience
Essential
- Substantial experience in a senior nurse role in an acute surgical setting
- Experience and understanding of ERAS
- Experience in participating in or running nurse led clinics
- Proven ability to initiate audits/research and asses evidence
- Knowledge and experience of leading significant change, delivering tangible and sustained improvements
- Ability to build rapport and credibility with senior clinical and managerial colleagues
Desirable
- Experience of developing business and workforce plans in line with future service requirements
- Extensive knowledge and experience of practice and policy across a broad range of responsibilities, eg finance system & budgetary control, corporate and clinical governance, health and safety and human resources
- Experience of motivating staff and improving individuals and teams perfomance
- Experience of managing employment relation issues
Skills and aptitudes
Essential
- Excellent communication skills and highly developed interpersonal and influencing skills
- Ability to act autonomously in planning & implementing tasks
- Ability to organise diverse teams to deliver high standard of patient care
- Evidence of participation in audit and the promotion of evidence based practice
- Proven ability to influence others through research findings
- Open participative, dynamic and supportive leadership with a flexible management style
Desirable
- Experience preparing written reports and contributing to business planning and service delivery
- Successful track record in conflict resolution and performance managemnt
Person Specification
Educational & Professional Qualifications
Essential
- 1st level Registered Nurse
- Relevant first degree
- Master's level education or desire to work towards.
- Appropriate teaching certificate or extensive teaching experience
- Advanced assessment qualification
- Evidence of recent professional / management / leadership development
Desirable
- Non-medical prescribing course or willingness to undertake
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Experience
Essential
- Substantial experience in a senior nurse role in an acute surgical setting
- Experience and understanding of ERAS
- Experience in participating in or running nurse led clinics
- Proven ability to initiate audits/research and asses evidence
- Knowledge and experience of leading significant change, delivering tangible and sustained improvements
- Ability to build rapport and credibility with senior clinical and managerial colleagues
Desirable
- Experience of developing business and workforce plans in line with future service requirements
- Extensive knowledge and experience of practice and policy across a broad range of responsibilities, eg finance system & budgetary control, corporate and clinical governance, health and safety and human resources
- Experience of motivating staff and improving individuals and teams perfomance
- Experience of managing employment relation issues
Skills and aptitudes
Essential
- Excellent communication skills and highly developed interpersonal and influencing skills
- Ability to act autonomously in planning & implementing tasks
- Ability to organise diverse teams to deliver high standard of patient care
- Evidence of participation in audit and the promotion of evidence based practice
- Proven ability to influence others through research findings
- Open participative, dynamic and supportive leadership with a flexible management style
Desirable
- Experience preparing written reports and contributing to business planning and service delivery
- Successful track record in conflict resolution and performance managemnt
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).
