Clinical Nurse Specialist, Community Paediatrics

Job description

Job responsibilities

The post holder, will undertake clinical interviews, taking a medical and developmental history, carry out observations of behaviour and complete and interpret standardised assessments to assess for a range of complex Neurodevelopmental conditions, this includes making a diagnosis as required.

Be able to demonstrate a high level of clinical judgement & autonomous practice.

Discuss and agree assessment outcomes with Child/Young person, carers and other health care professionals, promoting health education and self-management.

Where appropriate start, monitor and adjust pharmacological treatments and liaise with GP in line with agreed Shared Care Protocols.

Provide specialist advice in keeping with NICE guidance, and local guidelines around treatment options and age-appropriate care to optimise treatment. Contribute to transition planning with the adult service.

Planning

Prioritise workload to ensure most effective use of time to meet current and changing needs of service. The post holder will plan their daily workload in accordance with agreed schedules. Liaise closely with other services to provide a co-ordinated and seamless service for Child/Young people and support the ongoing development of care pathways for these conditions.

Project Involvement

Participate in specific projects as required both in the department and across the trust.

Patient Contact

Where appropriate start, monitor and adjust pharmacological treatments and liaise with GP in line with agreed Shared Care Protocols Discuss and agree assessment outcomes and diagnosis with Child/Young person, carers and other health care professionals, promoting health education and self-management. Be able to advise and support parents and other staff (e.g. school staff) in managing this group of childrens complex needs, including emotional and mental health issues; safeguarding / child in need issues and risk factors; multiple developmental difficulties and presentations and make appropriate and timely referrals, liaising with other professionals. Contribute to parent educational courses. Provide specialist nursing expertise within and across professional boundaries and develop and streamline Child/Young person care pathways between professionals/partners and in collaboration with other partners. Be able to demonstrate a high level of clinical judgement & autonomous practice.

Policy Development

Work with others to Review current caseload, referral, assessment and review criteria and develop a nurse led service that provides an efficient and effective pathway:

Provide monthly activity data as required within the service specification.

Participate as required in trust wide initiatives and service development activities.

Contribute to the implementation of audits or research findings to improve services for Child/Young person.

Contribute to the development and review of care pathways, clinical policies and guidelines.

Prescribing Responsibilities

This post requires the post holder to be an independent nonmedical prescriber and If you have a non-medical prescribing qualification, you will be expected to practice as a prescriber as part of this role.

Communication

The post holder must demonstrate the ability to communicate with the Child/Young person of all ages and their families/ carers who may:

Have a varying degree of complex developmental difficulties, Neuro-disability or medical condition causing developmental disorder or delay e.g. ADHD/ASD.

Be vulnerable as they are Children in Care.

Have complex needs where advanced communication skills are paramount.

Be highly anxious or emotional due to news you are imparting.

Be complaining about their care.

The Post holder will Work in partnership with Child/Young person and carers to enable them to make informed choices about care and treatment to promote their health and well-being.

People Management

To provide management supervision and line management where appropriate.

To assist and participate in the development of induction programmes for new staff to the team and associated teams within childrens services.

To provide learning environment for students and colleagues by evidence-based practice.

To participate in the staff appraisal process and to undertake for any staff you manage.

To keep yourself updated on all matters relating to Trust policy.

Person Specification

Qualifications & Training

Essential

• Registered Nurse/ Learning Disability (RNLD), Mental Health (RNMH) Children's Nurse (RNC)
• Independent Non-Medical Prescriber qualification (V300) or willingness and commitment to undertake training and pass the course within 18 months of starting the job
• Paediatric Top to Toe physical assessment and examination skills or willingness and commitment to undertake training

Desirable

• Postgraduate learning in neurodevelopment disorders, e.g. ADHD, ASD- ADOS trained or similar
• Experience in diagnosing and supporting children and young people with ADHD and ASD
• Master's level qualification or equivalent experience

Experience

Essential

• Extensive experience of working with children/ young people and families who have complex needs in particular ADHD & ASD
• Experience of Quality Improvement & service development and implementation of changes/ agreed actions within timeframes
• Undertaking clinical audit and sharing and monitoring implementation of recommendations with colleagues/ partners

Desirable

• Familiar with/ working knowledge of QB- Tests
• Working knowledge of statutory and voluntary sectors with regard to mental health and well-being
• Knowledge of current legislation pertaining to health needs of children with additional/ complex needs and the interrelationship with health, education and social care provision e.g. Education Health & Care Plans (EHCP), Special Education Needs Plans (SEND), Early Help Assessments

Knowledge & Skills

Essential

• Literate in IT/Computer Skills and ability to use Microsoft packages and electronic Child/Young person records e.g. SystmOne
• Communicate effectively with multi agency colleagues at all levels inc. negotiation and conflict skills
• Proficient in dealing with highly complex and emotive issues

Desirable

• Project management experience
• Advanced IT skills including the use of MS Office suite and SystmOne
• Good analytical skills to review data.

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

Cambridgeshire Community Services NHS Trust

Address

Edwin Lobo Centre-Redgrave Gardens Luton or Child Development Centre-Kempston, Bedford

Luton or Bedford

LU3 3QN

Employer's website

https://www.cambscommunityservices.nhs.uk/careers (Opens in a new tab)