Specialist Nurse-Developmental Paediatrics
This job is now closed
Job summary
An exciting development opportunity has arisen for two full time Band 6 Specialist Nurses within the Developmental paediatric service.
The Developmental Paediatric Service provides a wide range of specialities for patients from the St Helens & Knowsley area. This role is to support the Paediatric service in covering clinics from 09:00 - 17:00.
The service provides treatment and coordination for a range of neurodevelopmental diagnosis including Global development delay and complex chromosomal conditions such as Down syndrome as well as diagnostics and treatment for ADHD.
An Enhanced DBS Certificate, with the checking of the Children's Barred Lists is required for this post.
Main duties of the job
The Specialist Nurse will offer liaison, advice and support and clinical input to Patients with a diagnosis of ADHD, ASD and other Neurodevelopmental diagnoses. This will also include working with families and colleagues, both internally and externally to the Trust as required. The post holder will hold diagnostic clinics and initial assessments of children with a neurodevelopmental issues, as well as ongoing medication reviews.
About us
St Helens and Knowsley Teaching Hospitals NHS Trust is the only acute Trust in Cheshire and Merseyside, and one of the few in the entire country, to achieve the title of OUTSTANDING, rated by the Care Quality Commission.
We provide a full range of acute adult services to our local population of circa 360,000 and provide tertiary services across a much wider area in the North West, North Wales and Isle of Man. We are a Major Trauma Unit and the Mersey Regional Burns Unit.
Our '5 Star Patient Care' strategy is at the heart of all that we do; supporting our vision to provide world class services for all our patients by getting it right for every patient, every time.
Our latest achievements include:
- Acute Trust of the Year - HSJ Awards November 2019
- Trust rates Outstanding by the CQC - Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers and Health Service Journal)
- Best acute Trust in the North West for quality of care (NHS Staff Survey 2021)
- Best place to work in the North West (NHS Staff Survey 2021)
In the NHS Staff Survey 2021 the Trust scored the highest marks in the North West for the following areas;
- Standard of care
- Best place to work
- Care of patients being the Trust's priority
- Staff engagement
- Staff morale
- Compassionate and inclusive
- Providing a safe environment for staff
Details
Date posted
13 June 2023
Pay scheme
Agenda for change
Band
Band 6
Salary
£33,706 to £40,588 a year per annum
Contract
Permanent
Working pattern
Full-time
Reference number
409-5165463-B
Job locations
Millennium Centre
Corporation Street
St Helens
WA10 1HJ
Job description
Job responsibilities
KEY DUTIES
To deliver assessment, planning and implementation of packages of care for children / young people, up to 18 years of age, with a range of neurodevelopmental conditions (including attention deficit hyperactivity disorder and / or autism, severe and profound disability and other conditions).
To assess behaviour which challenges, identifying key factors and plan strategies to manage this effectively in a range of environments, in conjunction with parents / carers and relevant others and to support parents/carers to implement individualised programmes of intervention to maximise acquisition of new skills
To be an independent prescriber of medications for ADHD having undertaken appropriate training and to work with the Consultant prescriber to an agreed Clinical Management Plan
To develop care pathways with the advanced nurse practitioner / specialist nurse, the multi-disciplinary team and young person / family to ensure consistent approach to care.
To run nurseled diagnostic clinics, demonstrating the ability to work as an autonomous practitioner including the reading and recording of the clinical observations of each child and the ongoing assessment of the effectiveness of treatment packages, ensuring compliance with professional practice and NICE guidance
To provide advice to parents on behavioural management, including challenging behaviours at home and sleep problems in children and young people
To act as a link between home and school, ensuring expertise is focused on home management but able to advise in settings, where appropriate
To liaise and share appropriate information, at appropriate points in the child / young persons care, with other professionals.
To work closely with Community Paediatricians and Allied Health Professionals to support children with additional needs, including providing group support where appropriate.
To develop and manage own Nurse led ADHD clinics. To monitor and review progress in accordance with NICE guidance, local policies, or clinical condition, including monitoring blood pressure, heart rate, growth and behaviour and to provide required information for Community Paediatricians and other clinics, including side effects of medication.
To offer phone consultations in order to offer a fast response service
To take clinical responsibility for a varied paediatric caseload of differing complexities and to organise this effectively with regard to clinical priorities and use of time
To ensure that clients are involved in the planning and prioritisation of their treatment plans wherever possible.
To demonstrate clinical effectiveness by use of outcome measures as necessary
To contribute to legal documents such as Education Health & Care Plans,
To maintain up to date and accurate case notes in line with NMC professional standards and local trust policies
To help to maintain EPR systems and waiting lists
To participate in NDP triage panel
To analyse QB testing results
CLINICAL & PROFESSIONAL RESPONSIBILITIES
Maintain Professional Registration and adhere to relevant Code of Practice of Professional body.
Received referrals into the service, triage and allocate appropriately to caseloads
Perform clinical skills in assessment, diagnosis, management and treatment of ADHD.
Performing and interpret complex skills in QB testing, Blood pressure and presentation of the child or young person.
Provide professional advice/ support / supervision / direction to junior members of the team
Establish and maintain effective communication with patients and carers/relatives and professionals across health and social care services.
Provide specialist clinical knowledge to primary health care teams and other health professionals, parents/carers and relatives seeking advice on the management of the child/young person where appropriate
Provide a package of care around the child to meet their varying needs in relation to their diagnosis of ADHD, and medication needs. Acting and advising appropriately to ensure they are supported within the community setting.
Deliver high quality care and training, by ensuring both clinical practice and all verbal and written information is evidence based
Escalate concerns in relation to management plans / treatment / safeguarding / social issues to ensure that child safety is paramount in accordance with legislation.
Actively participate within Audit, Paediatric Benchmarking and NICE guidance
Ensure expert knowledge, skills and competency are updated and maintained through appropriate CPD, training and development opportunities to enable effective care to be delivered in line with current research-based evidence and practice.
ADMINISTRATIVE RESPONSIBILITIES
Maintain accurate and contemporaneous and accurate clinical records recording all patient related activity on clinical systems as directed by NMC code of conduct, legal obligation, and local and national policies.
Keep patient records up to date on a regular basis and update IT systems as necessary to ensure records and information are accurate and concise.
Triage referrals to the service, to ensure they are delegated to the appropriate level of staff to meet the patients needs.
Complete KPIs ensuring KPIs are met by the team and report back to the service manager.
Complete appropriate referrals to other services where a need is identified to meet the needs of the patient holistically.
Complete and submit safeguarding reports as requested
TEACHING & TRAINING RESPONSBILITIES
Embrace training opportunities provided by others formally or informally in order to improve practice and patient care outcomes.
Participate in education programmes, seminars, and in-service training days
Develop effective education programmes to ensure children, families, and carers carefully informed about the health needs of the child/young person.
Act as a mentor to new staff members and students ensuring their individual learning needs are identified and programmes implemented to meet those needs.
Be responsible for identifying your own training and developmental needs ensuring they are met.
Keep up to date with and critically appraise current research and evidence-based care as well as contemporary issues relating to the development of childrens services.
Facilitate the acquisition of new skills and knowledge in order to meet the needs of individual children/young people, service needs and statutory requirements.
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
Represent the childrens nursing service within Developmental Paediatrics in the absence of the team leader.
Undertake clinical leadership for more junior staff members including, supervision, annual appraisal, setting individual performance plans and training
Support the team leader in the effective management of resources.
Organise clinics on a monthly basis and in the absence of a member of staff.
RESEARCH & AUDIT
Contribute towards research in area of expertise and critically appraise, evaluate, and apply knowledge of theoretical frameworks, evidence and research finding within own specialist area.
To participate/ conduct/ and report on research and audit projects and disseminate findings as required by the organisation to support the improvement of service delivery.
Support the development of a research culture within the service in order to bridge the gap between practice and theory.
To develop, deliver and evaluate tailored awareness training for ADHD, ASD, and other related conditions to members of the multi-disciplinary team and partner agencies.
To develop, deliver and evaluate group training to young people, parents/carers for ADHD, ASD and other related conditions.
To contribute to the development of parent/client information ensuring this is relevant, accessible, and up to date in a written and digital format.
SAFEGUARDING RESPONSIBILTIES
To be competent at safeguarding children and implementing the Child in Need and Child Protection, Looked After Children procedures as appropriate includes the following skills, competencies, and knowledge: -
- Be able to recognise child abuse
- Be able to document accurately, child protection concerns according to Laming recommendations, differentiating fact from opinio
- Know who to contact / inform / seek advice from; know how to contact them 24 hours a day, seven days a week, know when to contact them according to Trust and Local Safeguarding Childrens Boards policies and procedure
- Have understanding of own (and others) professional roles and boundaries, including the
- Named professionals, trust managers and social workers.
- Knowledge of the implications of key national document/reports
- Understand multi-agency frameworks, investigations, working and child protection assessment processes including the use of the Common Assessment Framework / investigation/working
- Be able to present child protection concerns in a child protection conference.
- Demonstrate ability to work with families where there are child protection concern
- Be able to advise other agencies regarding the health management of child protection concern
- Ability to contribute to serious case reviews or individual management reviews.
- Understand child protection investigation and the basics of forensic procedures.
- Aware of Local Safeguarding Childrens Board and its remit
Job description
Job responsibilities
KEY DUTIES
To deliver assessment, planning and implementation of packages of care for children / young people, up to 18 years of age, with a range of neurodevelopmental conditions (including attention deficit hyperactivity disorder and / or autism, severe and profound disability and other conditions).
To assess behaviour which challenges, identifying key factors and plan strategies to manage this effectively in a range of environments, in conjunction with parents / carers and relevant others and to support parents/carers to implement individualised programmes of intervention to maximise acquisition of new skills
To be an independent prescriber of medications for ADHD having undertaken appropriate training and to work with the Consultant prescriber to an agreed Clinical Management Plan
To develop care pathways with the advanced nurse practitioner / specialist nurse, the multi-disciplinary team and young person / family to ensure consistent approach to care.
To run nurseled diagnostic clinics, demonstrating the ability to work as an autonomous practitioner including the reading and recording of the clinical observations of each child and the ongoing assessment of the effectiveness of treatment packages, ensuring compliance with professional practice and NICE guidance
To provide advice to parents on behavioural management, including challenging behaviours at home and sleep problems in children and young people
To act as a link between home and school, ensuring expertise is focused on home management but able to advise in settings, where appropriate
To liaise and share appropriate information, at appropriate points in the child / young persons care, with other professionals.
To work closely with Community Paediatricians and Allied Health Professionals to support children with additional needs, including providing group support where appropriate.
To develop and manage own Nurse led ADHD clinics. To monitor and review progress in accordance with NICE guidance, local policies, or clinical condition, including monitoring blood pressure, heart rate, growth and behaviour and to provide required information for Community Paediatricians and other clinics, including side effects of medication.
To offer phone consultations in order to offer a fast response service
To take clinical responsibility for a varied paediatric caseload of differing complexities and to organise this effectively with regard to clinical priorities and use of time
To ensure that clients are involved in the planning and prioritisation of their treatment plans wherever possible.
To demonstrate clinical effectiveness by use of outcome measures as necessary
To contribute to legal documents such as Education Health & Care Plans,
To maintain up to date and accurate case notes in line with NMC professional standards and local trust policies
To help to maintain EPR systems and waiting lists
To participate in NDP triage panel
To analyse QB testing results
CLINICAL & PROFESSIONAL RESPONSIBILITIES
Maintain Professional Registration and adhere to relevant Code of Practice of Professional body.
Received referrals into the service, triage and allocate appropriately to caseloads
Perform clinical skills in assessment, diagnosis, management and treatment of ADHD.
Performing and interpret complex skills in QB testing, Blood pressure and presentation of the child or young person.
Provide professional advice/ support / supervision / direction to junior members of the team
Establish and maintain effective communication with patients and carers/relatives and professionals across health and social care services.
Provide specialist clinical knowledge to primary health care teams and other health professionals, parents/carers and relatives seeking advice on the management of the child/young person where appropriate
Provide a package of care around the child to meet their varying needs in relation to their diagnosis of ADHD, and medication needs. Acting and advising appropriately to ensure they are supported within the community setting.
Deliver high quality care and training, by ensuring both clinical practice and all verbal and written information is evidence based
Escalate concerns in relation to management plans / treatment / safeguarding / social issues to ensure that child safety is paramount in accordance with legislation.
Actively participate within Audit, Paediatric Benchmarking and NICE guidance
Ensure expert knowledge, skills and competency are updated and maintained through appropriate CPD, training and development opportunities to enable effective care to be delivered in line with current research-based evidence and practice.
ADMINISTRATIVE RESPONSIBILITIES
Maintain accurate and contemporaneous and accurate clinical records recording all patient related activity on clinical systems as directed by NMC code of conduct, legal obligation, and local and national policies.
Keep patient records up to date on a regular basis and update IT systems as necessary to ensure records and information are accurate and concise.
Triage referrals to the service, to ensure they are delegated to the appropriate level of staff to meet the patients needs.
Complete KPIs ensuring KPIs are met by the team and report back to the service manager.
Complete appropriate referrals to other services where a need is identified to meet the needs of the patient holistically.
Complete and submit safeguarding reports as requested
TEACHING & TRAINING RESPONSBILITIES
Embrace training opportunities provided by others formally or informally in order to improve practice and patient care outcomes.
Participate in education programmes, seminars, and in-service training days
Develop effective education programmes to ensure children, families, and carers carefully informed about the health needs of the child/young person.
Act as a mentor to new staff members and students ensuring their individual learning needs are identified and programmes implemented to meet those needs.
Be responsible for identifying your own training and developmental needs ensuring they are met.
Keep up to date with and critically appraise current research and evidence-based care as well as contemporary issues relating to the development of childrens services.
Facilitate the acquisition of new skills and knowledge in order to meet the needs of individual children/young people, service needs and statutory requirements.
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
Represent the childrens nursing service within Developmental Paediatrics in the absence of the team leader.
Undertake clinical leadership for more junior staff members including, supervision, annual appraisal, setting individual performance plans and training
Support the team leader in the effective management of resources.
Organise clinics on a monthly basis and in the absence of a member of staff.
RESEARCH & AUDIT
Contribute towards research in area of expertise and critically appraise, evaluate, and apply knowledge of theoretical frameworks, evidence and research finding within own specialist area.
To participate/ conduct/ and report on research and audit projects and disseminate findings as required by the organisation to support the improvement of service delivery.
Support the development of a research culture within the service in order to bridge the gap between practice and theory.
To develop, deliver and evaluate tailored awareness training for ADHD, ASD, and other related conditions to members of the multi-disciplinary team and partner agencies.
To develop, deliver and evaluate group training to young people, parents/carers for ADHD, ASD and other related conditions.
To contribute to the development of parent/client information ensuring this is relevant, accessible, and up to date in a written and digital format.
SAFEGUARDING RESPONSIBILTIES
To be competent at safeguarding children and implementing the Child in Need and Child Protection, Looked After Children procedures as appropriate includes the following skills, competencies, and knowledge: -
- Be able to recognise child abuse
- Be able to document accurately, child protection concerns according to Laming recommendations, differentiating fact from opinio
- Know who to contact / inform / seek advice from; know how to contact them 24 hours a day, seven days a week, know when to contact them according to Trust and Local Safeguarding Childrens Boards policies and procedure
- Have understanding of own (and others) professional roles and boundaries, including the
- Named professionals, trust managers and social workers.
- Knowledge of the implications of key national document/reports
- Understand multi-agency frameworks, investigations, working and child protection assessment processes including the use of the Common Assessment Framework / investigation/working
- Be able to present child protection concerns in a child protection conference.
- Demonstrate ability to work with families where there are child protection concern
- Be able to advise other agencies regarding the health management of child protection concern
- Ability to contribute to serious case reviews or individual management reviews.
- Understand child protection investigation and the basics of forensic procedures.
- Aware of Local Safeguarding Childrens Board and its remit
Person Specification
Qualifications
Essential
- Registered children's nurse (RSCN or RN (child) or Learning disability Nurse with extensive children's experience
- Post registration training in independent prescribing (or willing to undertake V300 non- medical prescribing course)
- Relevant degree or proven experience of working in the community with children with a demonstrable equivalent theoretical knowledge base.
Desirable
- Evidence of additional training / continuing professional development in Children's disabilities
Knowledge and experience
Essential
- Substantive years post qualification experience
- Experience of working with families with children with behaviour difficulties, including Autism / ADHD
- Experience of working within a community, Children's multi-disciplinary and multi-agency environment
- Involvement in training/coaching other professionals / parents
- Experience of conducting clinical assessments including risk assessments
- Experience of multidisciplinary and multiagency working
- Experience of working autonomously and lone working
- Knowledge of relevant current legislation - e.g. Data protection, Child Protection, Consent.
- Knowledge of a wide range of children's illness and their treatments and in depth knowledge in a particular field.
- Knowledge of multidisciplinary and multiagency working.
- Evidence of recent and continuing professional development
- Ability and experience to manage own diary to meet the needs of the case load
- Ability and experience in managing junior staff to support their caseloads
- Work with children/young people with learning disability
- Experience/training in the monitoring of medication side-effects
Desirable
- Knowledge of relevant support groups, benefits and other means of financial support for families.
- Experience of involving users of the service in a meaningful way in shaping service initiatives and delivery
- Previous experience in CAMHS or relevant experience of work with adolescents
Skills
Essential
- Highly Competent in working therapeutically with children and young people experiencing complex difficulties and their families throughout the process of assessment, planning, intervention and evaluation.
- Ability to independently make clinical decisions, generate treatment options, plan and review treatment programme
- Excellent interpersonal skills - including observation, listening and empathy skills Good presentation skills, both written and verbal
- Good organisational and prioritisation skills
- Excellent IT skills
Other
Essential
- Able to travel across the St Helens borough.
- Car driver/ owner
- To work standard office hours of 9am - 5pm however flexibility to meet the needs of the service
- Flexibility
Person Specification
Qualifications
Essential
- Registered children's nurse (RSCN or RN (child) or Learning disability Nurse with extensive children's experience
- Post registration training in independent prescribing (or willing to undertake V300 non- medical prescribing course)
- Relevant degree or proven experience of working in the community with children with a demonstrable equivalent theoretical knowledge base.
Desirable
- Evidence of additional training / continuing professional development in Children's disabilities
Knowledge and experience
Essential
- Substantive years post qualification experience
- Experience of working with families with children with behaviour difficulties, including Autism / ADHD
- Experience of working within a community, Children's multi-disciplinary and multi-agency environment
- Involvement in training/coaching other professionals / parents
- Experience of conducting clinical assessments including risk assessments
- Experience of multidisciplinary and multiagency working
- Experience of working autonomously and lone working
- Knowledge of relevant current legislation - e.g. Data protection, Child Protection, Consent.
- Knowledge of a wide range of children's illness and their treatments and in depth knowledge in a particular field.
- Knowledge of multidisciplinary and multiagency working.
- Evidence of recent and continuing professional development
- Ability and experience to manage own diary to meet the needs of the case load
- Ability and experience in managing junior staff to support their caseloads
- Work with children/young people with learning disability
- Experience/training in the monitoring of medication side-effects
Desirable
- Knowledge of relevant support groups, benefits and other means of financial support for families.
- Experience of involving users of the service in a meaningful way in shaping service initiatives and delivery
- Previous experience in CAMHS or relevant experience of work with adolescents
Skills
Essential
- Highly Competent in working therapeutically with children and young people experiencing complex difficulties and their families throughout the process of assessment, planning, intervention and evaluation.
- Ability to independently make clinical decisions, generate treatment options, plan and review treatment programme
- Excellent interpersonal skills - including observation, listening and empathy skills Good presentation skills, both written and verbal
- Good organisational and prioritisation skills
- Excellent IT skills
Other
Essential
- Able to travel across the St Helens borough.
- Car driver/ owner
- To work standard office hours of 9am - 5pm however flexibility to meet the needs of the service
- Flexibility
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).
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.
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
St Helens and Knowsley Teaching Hospitals NHS Trust
Address
Millennium Centre
Corporation Street
St Helens
WA10 1HJ
Employer's website
https://www.sthk.nhs.uk (Opens in a new tab)
Employer details
Employer name
St Helens and Knowsley Teaching Hospitals NHS Trust
Address
Millennium Centre
Corporation Street
St Helens
WA10 1HJ
Employer's website
https://www.sthk.nhs.uk (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
13 June 2023
Pay scheme
Agenda for change
Band
Band 6
Salary
£33,706 to £40,588 a year per annum
Contract
Permanent
Working pattern
Full-time
Reference number
409-5165463-B
Job locations
Millennium Centre
Corporation Street
St Helens
WA10 1HJ
Supporting documents
Privacy notice
St Helens and Knowsley Teaching Hospitals NHS Trust's privacy notice (opens in a new tab)