Job summary
Are you a nurse who has specialised in cardiology, with a particular interest in heart failure? This new role for the Lead Clinical Nurse Specialist in the Integrated Heart Failure Service is a rare opportunity to not only to lead a service, but to be part of the development of it too. The Integrated Heart Failure Service is a new service within Hertfordshire Community NHS Trust (HCT), working across East and North Hertfordshire. The service works in an integrated, joined up and coordinated way with primary and secondary care services.
This role has overall responsibility for the function of the team.
- Providing visible leadership to the team
- Ensuring that all processes and standards are met
- Coordinates the assignment of HF case managers and manage the cohort of patients
- Provide clinical expertise in the management of HF patients
- Provide advice and support to junior staff in management of clinical risk.
- Prescribing medications in line with PGA
You will work collaboratively with a range of people including senior colleagues and clinicians in secondary and primary care.
You will engage with a range of colleagues from partner organisations to develop and lead this new integrated heart failure service across East and North Hertfordshire.
You be part of the recruitment of a team of nurse specialists and unqualified staff and then lead this team
You will be responsible for ensuring a high quality service that is cost effective at the same time
- Interview date 11th Sept 2023
Main duties of the job
Service management and leadership
- To have overall responsibility for the leadership of Integrated Heart Failure Service, providing both the operational and clinical leadership
- Lead a skill mixed team delivering the heart failure service
- Work in partnership with primary care, cardiology consultants and specialist nurses in secondary care, hospices, Hospital at Home , the integrated care nurses working in the community, the voluntary sector and well being services in East and North Hertfordshire.
- Manage the budget for the service
- Work collaboratively with the operations manager and senior nursing team to ensure achievement of key performance indicators and improvement in patient outcomes.
- Be responsible for the development and provision of patient pathways and guidelines in line with national standards
Provide expert nursing practice
- Demonstrating a high level of advance clinical competence, based on in depth knowledge, research and evidence-based findings.
- Be responsible for a patient case load as an autonomous practitioner with specialist skills.
Provision of education and training
Research and Audit
This post holder will also have:
-
- Will have experience in using electronic records and be able to be a mobile worker
- Have a full valid driving licence and access to a car to use regularly for business purposes is essential (unless you have a disability as defined by the Equality Act 2010)
About us
- A big thank you for considering joining us at Hertfordshire Community NHS Trust
- You'll find it a great place to work with many benefits offered to you as a member of our staff
- We put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities
- Our staff are proud to be Innovative, Caring and Agile in their work to help achieve the Trust vision
- We welcome diversity in our workforce and are interested in applicants from all backgrounds
- We are committed to supporting flexible working options for staff, wherever possible, and welcome discussions on flexible working patterns to support our staff to maintain a healthy work life balance
- We don't want you to miss out so we'd like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible - Apply now
You've made a great decision to apply to join to HCT - we're looking forward to taking the next steps of the journey with you
Job description
Job responsibilities
Job summary:
The role will require the ability to work in collaboration with senior colleagues, clinicians, technical subject matter experts, frontline staff and engage with a range of colleagues from partner organisations to develop and lead the new integrated heart failure service across East and North Hertfordshire. .
The post holder will manage and lead a specialist integrated heart failure service with responsibility for ensuring high quality, cost-effective healthcare or manage and lead a workforce of specialist nurses and unqualified staff.
They will be responsible for the assessment, planning, diagnosis implementation and evaluation of care, as an autonomous practitioner with highly specialist skills. They will also be involved in the strategic review and development of the clinical service as appropriate.
The post holder will also be responsible for implementing a clearly defined integrated approach to patient care encompassing new treatments and evidence-based care.
Key working relationships:
- Divisional Director of Nursing and Quality for ENHT/HCT
- Cardiology Consultants based at ENHT
- Primary Care
- Hospital at home
- Integrated Community Teams
- Secondary care specialist nursing team
- Voluntary sector
- Local hospices
- Wellbeing services
Main responsibilities:
Service Management and Leadership
- To have overall responsibility for the leadership of Integrated Heart Failure Service (IHFS), covering both the operational and clinical management of the service
- To manage the financial budget for the service ensuring cost effective use of resources
- To line manage the specialty integrated heart failure team taking responsibility for the recruitment, selection and induction of staff.
- To work collaboratively with the operations manager and senior nursing team to ensure achievement of key performance indicators and improvement in patient outcomes.
- To ensure timely appraisal and development of staff with clear and measurable objectives
- To manage and promote a culture that values all staff recognising and acknowledging achievement and success whilst actively addressing poor performance.
- To be responsible for the development and provision of patient pathways and guidelines in line with national standards.
- To evaluate the service and manage complex, sensitive negotiations to deliver change and improvement in practice
- To work collaboratively with all disciplines to promote and develop the new integrated heart failure service across primary, community and secondary care trusts.
- To represent the trust at relevant meetings, including MDTs, PCN meetings and relevant meetings within ENHT, HCT and PAH.
- Network with other similar services within the ICB to maintain a consistent and high level of specialised care.
Expert Nursing Practice
- To demonstrate a high level of advance clinical competence, based on in depth knowledge, research and evidence-based findings.
- To be responsible for the assessment, planning, implementing and evaluating care, as an autonomous practitioner with specialist skills. This includes:
- Provision of care through screening programs, nurse-led clinics, accepting referrals, undertaking diagnostic procedures, undertaking therapeutic procedures, physical assessments and obtaining written consent to treatment
- Referring patients directly to specialists in other professions in line with HCT processes
- Provide expert specialist clinical advice for patients, carers and health care professionals.
- To hold a caseload, and responsibility for the management of complex cases
- Improve and maintain standards of care within the specialty.
- To develop the skills of generalist nurses, and other health professionals (including doctors) to enable them to provide a high standard of care for patients within the specialty.
- To provide a high level of communication by:
- Liaising with all appropriate members of multi-disciplinary team and ensuring a seamless service between acute and primary care services
- Communicating very sensitive condition related information to patients and relatives, requiring high levels of empathy and reassurance. This includes highly complex information that needs to be conveyed in easily understood language.
- Ensuring the provision of appropriate verbal and written patient information, thus empowering the patient to make informed decisions.
- To maintain own knowledge, competence and skill level through regular clinical supervision, appraisal, personal development plans and appropriate training programs
Education and Training
- To ensure the delivery of relevant specialist training for nursing and other health professionals
- To act as the key specialist nurse resource for the Trust
- To provide a specialist contribution to teaching, course development and curriculum planning with the senior clinical nurse for professional development
- To provide clinical supervision a process by which the team can reflect on their professional practice in order to improve, identify training needs and develop knowledge and skills.
- To provide specialist accessible information and support to patients, carers and families
Research and Audit
- Lead research, audit or development work in specialist area
- Regularly undertake literature reviews to ensure practice is based on best evidence
- Support the implementation of research and audit findings
- Evaluate change in practice and service delivery as a result of research and development activity
- Disseminate research and development activity internally and externally
Job description
Job responsibilities
Job summary:
The role will require the ability to work in collaboration with senior colleagues, clinicians, technical subject matter experts, frontline staff and engage with a range of colleagues from partner organisations to develop and lead the new integrated heart failure service across East and North Hertfordshire. .
The post holder will manage and lead a specialist integrated heart failure service with responsibility for ensuring high quality, cost-effective healthcare or manage and lead a workforce of specialist nurses and unqualified staff.
They will be responsible for the assessment, planning, diagnosis implementation and evaluation of care, as an autonomous practitioner with highly specialist skills. They will also be involved in the strategic review and development of the clinical service as appropriate.
The post holder will also be responsible for implementing a clearly defined integrated approach to patient care encompassing new treatments and evidence-based care.
Key working relationships:
- Divisional Director of Nursing and Quality for ENHT/HCT
- Cardiology Consultants based at ENHT
- Primary Care
- Hospital at home
- Integrated Community Teams
- Secondary care specialist nursing team
- Voluntary sector
- Local hospices
- Wellbeing services
Main responsibilities:
Service Management and Leadership
- To have overall responsibility for the leadership of Integrated Heart Failure Service (IHFS), covering both the operational and clinical management of the service
- To manage the financial budget for the service ensuring cost effective use of resources
- To line manage the specialty integrated heart failure team taking responsibility for the recruitment, selection and induction of staff.
- To work collaboratively with the operations manager and senior nursing team to ensure achievement of key performance indicators and improvement in patient outcomes.
- To ensure timely appraisal and development of staff with clear and measurable objectives
- To manage and promote a culture that values all staff recognising and acknowledging achievement and success whilst actively addressing poor performance.
- To be responsible for the development and provision of patient pathways and guidelines in line with national standards.
- To evaluate the service and manage complex, sensitive negotiations to deliver change and improvement in practice
- To work collaboratively with all disciplines to promote and develop the new integrated heart failure service across primary, community and secondary care trusts.
- To represent the trust at relevant meetings, including MDTs, PCN meetings and relevant meetings within ENHT, HCT and PAH.
- Network with other similar services within the ICB to maintain a consistent and high level of specialised care.
Expert Nursing Practice
- To demonstrate a high level of advance clinical competence, based on in depth knowledge, research and evidence-based findings.
- To be responsible for the assessment, planning, implementing and evaluating care, as an autonomous practitioner with specialist skills. This includes:
- Provision of care through screening programs, nurse-led clinics, accepting referrals, undertaking diagnostic procedures, undertaking therapeutic procedures, physical assessments and obtaining written consent to treatment
- Referring patients directly to specialists in other professions in line with HCT processes
- Provide expert specialist clinical advice for patients, carers and health care professionals.
- To hold a caseload, and responsibility for the management of complex cases
- Improve and maintain standards of care within the specialty.
- To develop the skills of generalist nurses, and other health professionals (including doctors) to enable them to provide a high standard of care for patients within the specialty.
- To provide a high level of communication by:
- Liaising with all appropriate members of multi-disciplinary team and ensuring a seamless service between acute and primary care services
- Communicating very sensitive condition related information to patients and relatives, requiring high levels of empathy and reassurance. This includes highly complex information that needs to be conveyed in easily understood language.
- Ensuring the provision of appropriate verbal and written patient information, thus empowering the patient to make informed decisions.
- To maintain own knowledge, competence and skill level through regular clinical supervision, appraisal, personal development plans and appropriate training programs
Education and Training
- To ensure the delivery of relevant specialist training for nursing and other health professionals
- To act as the key specialist nurse resource for the Trust
- To provide a specialist contribution to teaching, course development and curriculum planning with the senior clinical nurse for professional development
- To provide clinical supervision a process by which the team can reflect on their professional practice in order to improve, identify training needs and develop knowledge and skills.
- To provide specialist accessible information and support to patients, carers and families
Research and Audit
- Lead research, audit or development work in specialist area
- Regularly undertake literature reviews to ensure practice is based on best evidence
- Support the implementation of research and audit findings
- Evaluate change in practice and service delivery as a result of research and development activity
- Disseminate research and development activity internally and externally
Person Specification
Qualifications/ Previous Experience/ Skills/Knowledge
Essential
- RGN with a degree
- Post registration module in Specialist field of work
- Post registration qualification in cardiology or equivalent gained through knowledge and extensive cardiology experience
- Advanced clinical assessment skills
- Research Module
- Teaching & mentoring qualification
- Leadership or management module
- Willingness & ability to work toward masters
- Non-medical prescriber
- Master's Degree or evidence of specialist training, experience, short courses to masters level
- Significant clinical experience as nurse specialist in thespecialty and experience in delivering heart failure management
- Recognized as an expert in the field of practice with the ability to clinically assess and diagnose
- Experience in project management
- Evidence of leading service change.
- Managing a budget
- Managing and or leading a team
- Advanced communication skills
- Effective communicator with proven ability to influence all levels of staff.
- Ability to work autonomously as an independent practitioner.
- Proven leadership and team leading skills
- Proven ability to manage and progress own professional development.
- Able to respond to change and apply themselves to development in practice
- Demonstrate expertise in the full range of skills within cardiology.
- Wide knowledge of appropriate general cardiac conditions and their management
- Highly motivated
- Committed to continuous service development and quality improvement
- Ability to work under pressure to meet deadlines and targets
- Reliable and supportive
- Ability to analyse information, consider and evaluate risks and options when making difficult decisions
- Staff are required to hold a full, valid, UK driving license and have access to a car to use with business insurance (unless the member of staff has a disability as defined by the Equality Act 2010
Desirable
- Evidence of professional continuous development and portfolio of learning
- Advanced communication skills or Counselling qualification.
- Practical experience of policy development
- Audit or research experience
- Advanced communication skills course
- Presentation skills
Person Specification
Qualifications/ Previous Experience/ Skills/Knowledge
Essential
- RGN with a degree
- Post registration module in Specialist field of work
- Post registration qualification in cardiology or equivalent gained through knowledge and extensive cardiology experience
- Advanced clinical assessment skills
- Research Module
- Teaching & mentoring qualification
- Leadership or management module
- Willingness & ability to work toward masters
- Non-medical prescriber
- Master's Degree or evidence of specialist training, experience, short courses to masters level
- Significant clinical experience as nurse specialist in thespecialty and experience in delivering heart failure management
- Recognized as an expert in the field of practice with the ability to clinically assess and diagnose
- Experience in project management
- Evidence of leading service change.
- Managing a budget
- Managing and or leading a team
- Advanced communication skills
- Effective communicator with proven ability to influence all levels of staff.
- Ability to work autonomously as an independent practitioner.
- Proven leadership and team leading skills
- Proven ability to manage and progress own professional development.
- Able to respond to change and apply themselves to development in practice
- Demonstrate expertise in the full range of skills within cardiology.
- Wide knowledge of appropriate general cardiac conditions and their management
- Highly motivated
- Committed to continuous service development and quality improvement
- Ability to work under pressure to meet deadlines and targets
- Reliable and supportive
- Ability to analyse information, consider and evaluate risks and options when making difficult decisions
- Staff are required to hold a full, valid, UK driving license and have access to a car to use with business insurance (unless the member of staff has a disability as defined by the Equality Act 2010
Desirable
- Evidence of professional continuous development and portfolio of learning
- Advanced communication skills or Counselling qualification.
- Practical experience of policy development
- Audit or research experience
- Advanced communication skills course
- Presentation skills
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).
