Community TB Nurse Specialist Lead

Job responsibilities

Management and Leadership

Provide clinical leadership and be a professional role model.

Provide direct management for Band 6 colleagues.

Coordinate clinical work with colleagues demonstrating effective time management skills and participates in the monitoring and reviewing of team performance.

Lead change and supports management of change, including service development, through audit and service user feedback.

Negotiation and influencing skills.

Possess effective leadership skills by directly managing nursing staff and the teams, initiating evidence based strategies.

Possess advanced communication skills and be confident to work rapidly and flexibly in the changing environment with resilience.

To actively lead departmental meetings setting agendas, time scales and objectives and ensuring effective delivery of these. Actively lead and develop change.

To manage complaints, or assist as required.

Produce risk assessments and action plans for the service.

Provide assistance to staff in dealing with difficult situations, conflict and other professional clinical issues.

To have a working knowledge and understanding of the budget, and work within available resources.

Be an active part in the recruitment process including short listing and interviewing.

Initiate evidence based strategies, promoting service development, improvements and quality expansion and efficiencies, reducing waste.

Participate in networking opportunities.

Work closely with key members of the team from primary and secondary care to alter the management plan as appropriate whilst communicating and accurately documenting and changes in a timely manner.

Support service provision within the local area and wider foundation trust.

Adhere to trust clinical governance, equality and diversity policy through ethical decision-making.

Assess and manage risk.

Encourage service user and public involvement.

Promote and support effective implementation of all organisational policies and procedures, and practice in accordance with them.

Support and promote a team culture which actively encourages empowerment thereby supporting and facilitating change.

Support the provision of a high quality, value for money and effective service within available resource.

Monitor and review team and service performance and continuously strive for improvement.

Complete risk assessments and action plans for the service.

Participate in and provide clinical supervision, including prescribing.

Understand use of health related questionnaires and patient reported outcome measures.

Lead on and undertake audit, research and quality improvement initiatives.

Be responsible for the safe physical environment including equipment and be responsible for the allocation of resources.

Participate in and contribute to all activities associated with the teams response to current trends and changes within the NHS.

Clinical Responsibilities

NMC nursing registration.

To autonomously co-ordinate a case load of complex TB patients, across the community TB specialist service, within nurse led clinic and home environments, Monday-Friday, being the key point of contact, and advocate, for a designated group of patients.

Notify UKHSA of all new active cases of TB

Provide specialist knowledge of disease specific care pathways.

Provide advanced understanding of respiratory anatomy and pathophysiology and the function and management of TB diseases with ability to undertake a detailed holistic patient assessment including social and psychological well-being and progress treatment interventions and adapt interventions, within set protocols.

Eligible BCG vaccination administration for neonates, children and adults.

Review clinical results.

New entrant screening and contact tracing for all eligible patients.

Accurately record clinical data and understand its significance including heart rate and rhythm, respiratory rate, pulse oximetry, blood pressure, plus use of health related questionnaires and patient reported outcome measures.

Clearly understand the benefits of non-pharmacological interventions for TB disease including smoking cessation, weight management and nutrition, and, physical activity.

Promote health and healthy informed choices.

Possess awareness, knowledge and implementation of safeguarding processes in relation to children, vulnerable patients and carers.

Liase with multi-disciplinary teams and local stakeholders, referring as appropriate.

Attend mandatory training and maintain evidence based practice. Be accountable for maintaining skills and revalidation.

Understand motivational skills and empathetic communication.

Complete effective record keeping which demonstrate the decision making process, care planned and given, as well as patient outcomes in accordance with Trust policy and legal requirements.

Work within codes of practice and professional guidelines.

Commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.

Understand owns role within the wider multidisciplinary team and articulate own developmental needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.

Educational Responsibilities

Be a role model providing mentorship and coaching to the team.

Provide positive well-being support to team.

Support development of registered staff and students, and, other staff as appropriate, within the specialist field, through possessing relevant teaching, coaching and mentoring skills, with the ability to adapt to the audience.

Provide and support training for the multidisciplinary team in the management of complex TB disease.

Regularly attend and participate in training, peer support and clinical supervision

Support others to develop knowledge and skills.

Promote learning/creation of learning environment.

Service user/carer teaching and information giving.

Develop service user/carer education materials.

Be a resource for improving health.

Contribute to the body of nursing knowledge, through presentation.

Support local patient groups, including hospice, providing education.

Research

Perform research, audit and quality improvement and participate in the monitoring of standards of care, and audit of nursing/therapy practice which is research based and supports the clinical governance framework, plus have the ability to implement research findings into practice, including use and development of policies/protocols and, digital technology, through guidelines.

Lead service development utilising available data from evaluations, audits and assessments.

Implement research findings into practice, including development of protocols/policies and guidelines.

Special Requirements

Essential

• Able to travel independently around County Durham & Darlington.
• Possess good IT skills
• Flexible attitude to work.
• Able to safely move and handle loads.

Desirable

• SystmOne experience

Special Skills & Knowledge

Essential

• Excellent communication and interpersonal skills.
• Specialist knowledge of TB disease and specific guidelines.
• Sound skills in holistic history taking and examination assessment.
• Good organisational and problem solving skills.
• Specialist knowledge of TB disease including disease specific management pathways.
• Accurately record clinical data and understand its significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate and peak flow rate.
• Brief smoking cessation intervention.
• Ability to work independently and with minimal supervision.
• Ability to act alone in an emergency situation.
• Able to prioritise work on a daily basis to meet service demands.
• Confident in the use of email and basic IT skills.
• Advanced written and verbal presentation skills.
• Understand use of health related questionnaires and patient reported outcome measures.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Qualifications

Essential

• NMC Nursing Registration.
• Professional knowledge acquired through degree/masters degree, or equivalent level of demonstrable professional knowledge/experience.
• BCG vaccination administration including neonates or willingness to work towards.
• Accredited teaching certificate.
• Physical assessment skills course or willingness to work towards within the first 12 months of employment.
• Possess sound skills in holistic history taking and chest examination.
• Specialist knowledge of TB disease and disease specific pathways.
• Non-medical prescribing qualification or willingness to work towards in the first 12 months of employment.
• Sound knowledge of national and regional policies influencing TB disease.
• Leadership course or equivalent level of demonstrable professional knowledge/experience.
• Advanced communication skills.
• Confident to work in a rapidly changing environment and complex needs management.
• Autonomous working.

Desirable

• Health Visitor or Paediatric Registration.
• Post registration experience of working with complex TB patients within a community setting is desirable but not essential.
• Short courses supporting role.
• Paediatric experience.
• Experience of vaccination administration.
• Phlebotomy.

Experience

Essential

• Post registration experience of working with complex patients within a community setting.
• Up to date knowledge of professional practice and new research in management of relevant respiratory conditions.
• Leads audit, research, and/or, quality improvement initiatives and activities.
• Leadership experience for both service improvement and workforce.
• Management experience.

Desirable

• Experience of working with complex TB patients.
• Experience of recruitment processes.
• Complaints management.
• Budget management.
• Risk management.

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

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).