Familial Hypercholesterolaemia (FH) Service Lead Nurse

Job responsibilities

PRINCIPAL ACCOUNTABILITIES

CLINICAL

1. Work autonomously as practitioner with extensive skills within the specialty, managing a caseload of patients delivering individualised direct patient care.

2. Direct responsibility for further developing the FH service in Cheshire and Merseyside.

3. Direct responsibility for assessment, examination, investigation and diagnosis of patients including cascade testing, advice and guidance and management of the FH database.

4. Appropriately treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

5. Receive referrals via a variety of sources and take steps to ensure appropriate referrals. Manage own caseload and clinical priorities according to agreed protocols and working practices.

6. Participate in multidisciplinary clinics, patient reviews and multidisciplinary team meetings with primary and secondary care

7. Undertake a variety of clinical skills and provide treatment/ advice and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within an acute secondary healthcare facility or in primary, community.

8. Within scope of practice and clinical competence request and / or undertake diagnostic procedures and clinical investigations related to plans of care.

9. Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Trust policy for Medicines Management.

10. Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other professional groups on the basis of patient assessment.

11. Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation.

12. Lead in the development and updating of referral guidelines and policies for the service.

13. Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.

14. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the nursing / professional structures as required.

15. Work towards safe and timely discharge and/ or transfer of care of patients from or between hospitals and services and healthcare professionals, ensuring barriers to discharge / transfer are identified and acted upon appropriately.

16. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Trust policies for safeguarding including the assessment of mental Capacity, and consideration of Deprivation of Liberty Safeguards(DOLS) and the application of the principles of Prevent (counter terrorism awareness).

17. Ensure effective and accurate verbal or written handover of patients between healthcare professionals.

18. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards.

19. Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate discipline (primary, secondary care).

20. Identify own development needs and set personal development objectives in discussion with his/her reviewer keeping abreast of any new trends and developments and incorporate them as necessary into their work.

21. Take responsibility for own personal development and maintain own PDP supported by line manager.

22. Practice within the scope of professional registration (i.e. NMC, HCPC).

MANAGERIAL/LEADERSHIP

1. Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice.

2. Lead and develop Familial Hypercholesterolaemia Service, promoting interdisciplinary team and collaborative working practices

3. Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development.

4. Promote team working, build rapport and collaborative working practices with multidisciplinary team. Liaise with inter-hospital departments and personnel across organisational and professional groups. Ensuring effective communication and interpersonal skills with other disciplines and organisations.

5. Act as a clinical role model demonstrating high standards of advanced clinical practice and provide support or advice to other staff when necessary.

6. Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.

7. Lead and actively participate in service/ departmental projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care.

8. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.

9. Adhere to all relevant Trust policies and procedures and to ensure that they are correctly implemented.

10. Lead in the implementation of multidisciplinary service objectives that reflect Trust strategies for patient care.

11. Demonstrate effective leadership skills, supporting the senior management team (Nurse Consultant/ Lead ACP/ Matron/ Clinical Director) in service development and lead as delegated on the implementation of any of these changes.

12. Monitor standards and maintain high quality care. Report any clinical incidents via the Trust electronic reporting system and escalate issues promptly and appropriately.

13. Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.

14. Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients and relatives.

15. Escalate any concerns or complaints promptly.

16. Participate in the recruitment and selection of staff.

17. Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.

18. Accountable for own practice, acting at all times within the Professional Code of Professional Conduct (NMC, HCPC, CSP).

19. Maintain a working knowledge of local and national professional policy and strategy.

20. Attend and when required chair multidisciplinary meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescales.

21. Be responsible for and competent in the use of equipment required to carry out clinical duties, and adhere to departmental policy, ensuring the safe use of equipment by others through teaching, training and supervision of practice.

Qualifications & Education

Essential

• NMC Level 1 Registered Nurse with 5 years post reg experience. 2 years of which are at Band 7 senior level in the speciality.
• Masters level degree or working towards in relevant subject
• Extensive clinical experience pertinent to the area
• Independent Prescriber
• Relevant post-registration qualification in CVD
• Evidence of continuing professional development

Desirable

• Mentorship qualification
• Quality Improvement qualification

Knowledge & Experience

Essential

• Experience working in the field of Cardiovascular Medicine
• Ability to provide highly specialised advice concerning car
• Experience of undertaking clinical audit
• Experience in management of staff
• Experience in the clinical supervision of students
• Experience of multidisciplinary team working
• Experience of service development
• Formal teaching/lecturing experience

Desirable

• Experience of taking part in research studies
• Experience of strategic work

Skills & Abilities

Essential

• Ability to critically analyse research and apply to practice setting
• Excellent counselling skills
• Strong Leadership skills
• Proven ability to develop & move services forward
• Evidence of service improvement
• Evidence of change management
• Excellent oral and written communication skills with people from a wide variety of backgrounds
• Ability to impart complex information to patients, relatives and carers, with different levels of understanding
• Advanced clinical assessment skills or willingness to develop these
• Presentation skills and ability to work effectively single handily with individuals and groups

Other

Essential

• Committed to service development and quality
• Demonstrates confidence & motivation

Other

Essential

• Access to an effective method of transport and willing to use vehicle in course of duties and be insured appropriately

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).