Clinical Nurse Specialist Trainee

Job responsibilities

Due to organisational Change, this role is ringfenced and open to application from qualified Band 6 Nurses in LSH only

Job Purpose

The post holder will be responsible for delivering and leading highly specialist clinical care to their own caseload and service within their speciality area. In doing so, they will assess, plan, deliver and evaluate patient centred programmes of care ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and regulatory body codes, standards and guidance at all times ensuring that their practice is grounded in evidence based theoretical and practical knowledge. They will be responsible for developing new and innovative clinical practices responding to emerging knowledge and techniques and working with other services where appropriate to make improvements.

Key Responsibilities

1. Clinical

1.1. Utilises highly developed specialised knowledge covering a range of procedures and underpinned by relevant broad based knowledge, experience and competence

1.2. Where appropriate to service delivery, demonstrates highly developed physical skills requiring accuracy and dexterity e.g. moving and handling techniques, clinical procedures, diagnostic tests

1.3. Demonstrates independent practice responding to social, scientific, clinical and ethical issues which are encountered

1.4. Makes complex judgements requiring analysis, interpretation and comparison of options by integrating complex knowledge sources in new and/or unfamiliar contexts

1.5. Responsible for clinical pathways appropriate to field of work

1.6. Engages and actively involves the individual and, if appropriate, their family/carer, in the assessment, planning, implementation and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of self care and empowerment

1.7. Works to standards of proficiency identified by their professional and regulatory bodies performing clinical treatments/procedures to a highly specialist standard

1.8. Prioritises their own workload and that of the wider team within agreed objectives deciding when to refer to others as appropriate.

1.9. Provides and receives complex, sensitive or contentious information where motivational, persuasive, empathetic, negotiating and reassurance skills are required whilst demonstrating an understanding of barriers to communication

1.10. Approaches each individual with care, compassion and sensitivity ensuring that these values are reflected in all aspects of role including the management of complaints and compliments.

1.11. To comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code for staff with a direct care delivery role

2. Leadership

2.1. Ensures that a professional service and image is maintained at all time, thereby acting as a role model to all staff

2.2. Provides a leadership style which is underpinned by strongly held values around equality, diversity and openness; effectively builds and maintains relationships with direct reportee(s), management team and other key individuals across the organisation.

2.3. Ensures the effective and efficient use of resources e.g. staff, supplies within their own sphere of responsibility.

2.4. Demonstrates leadership and innovation in contexts which are unfamiliar, complex, and unpredictable that require solving problems involving many interacting factors

2.5. Demonstrates the ability to delegate, organise and prioritise workload to ensure the safe delivery of the service including the management of referrals and discharges utilising locally agreed support mechanisms e.g. on call manager and making judgements in complex situations

2.6. Demonstrates resilience when responding to challenge, change and complex or difficult situations

2.7. Demonstrates clinical leadership, initiative and creativity in developing projects inspiring others to be positive in their contribution to continuous improvement

2.8. Clearly articulates the expected clinical standards of the service, monitors and identifies where standards are not met and takes action to address

2.9. Ensures that all objectives, for self and those directly responsible for, are clearly defined within the wider Directorate framework and in line with Trusts objectives, using the appraisal process as a vehicle for this.

2.10. Takes responsibility for their own and others health and safety in the working environment.

3. Learning and Development

3.1. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements

3.2. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision

3.3. Initiates and develops research and development programmes appropriate to clinical practice

3.4. Devises and delivers specialist training and development programmes within team and to other services, teams or agencies

3.5. Provides high quality, specialist advice related to clinical specialism to other practitioners, agencies and individuals

3.6. Ensures appraisals for direct reportees are undertaken in accordance with Trust policy; manages performance which falls below standard in accordance with the appropriate HR policies and processes seeking support from senior staff where required

3.7. Supports the learning and development of others including students and preceptees

4. Partnership and Team Working

4.1. Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust including with other agencies and Higher Education Institutes

4.2. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships in order to improve service delivery

4.3. Actively contributes to the multi-disciplinary team supporting the patient; acting as a credible source of information for other agencies/professionals involved in the care; act as a resource of highly specialist knowledge for others

5. Innovation and Quality

5.1. Works with managers and colleagues to continually improve the quality of service delivery within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives e.g. suggesting changes to pathways or processes

5.2. Implements, monitors and maintains agreed standards of care, reporting to the team/service manager when standards are not met

5.3. Implements policies relevant to service area and ensures team members are aware of policy requirements

5.4. Initiates and leads clinical audit and ensures relevant action plans are completed.

5.5. Identifies, manages and minimises risks within the overall organisational risk management frameworks supporting other staff to contribute to the process. This includes understanding and applying knowledge of clinical role in safeguarding and incident management

5.6. Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge; liaising and referring on to other services / agencies as required

5.7. Ensures that patient experience is core to all clinical and service development gaining support from the appropriate corporate teams as required

5.8. Develops and implements innovative clinical practice to contribute to the Quality Framework, outcome measures and best practice standards in order to deliver an effective, high quality service

Skills and Attributes

Essential

• Highly specialist assessment, planning, treatment and evaluation skills appropriate to clinical area
• Performs highly specialised tests / procedures / diagnostics relevant to clinical role to an advanced level
• Highly complex analytical and creative problem solving skills in unpredictable situations
• Workload management including delegation of tasks and day-to-day team leadership
• Competent IT skills in order to collect and interpret data, present reports and compile presentations in a range of contexts
• Advanced verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate
• Risk assessment skills - such as safeguarding
• Reflective practice skills able to give clear and effective feedback and support others to develop

Desirable

• Develop and lead clinical audit within clinical area
• Lead / contribute to research activities relevant to clinical area

Qualifications

Essential

• Essential
• Professional degree or diploma in Nursing and Midwifery and NMC registered.
• Qualification specific to specialist field. Hold qualifications in both sexual health and contraception such as DFSRH diploma or STIF intermediate.
• Has LoC Subdermal Implant qualification.
• Holds non-medical prescribing or willing to under take training.
• Post graduate learning to Masters level or equivalent
• Appropriate statutory professional body registration
• Must be willing to participate in any relevant training identified to develop skills required to carry out duties
• Maintains a portfolio of CPD in line with regulatory body standards
• Teaching, training or mentorship qualification or experience to an equivalent level

Desirable

• Specific CPD modules relevant to specialist field
• Leadership and management qualification

Experience

Essential

• Experience in the specialist clinical field
• Experience in the supervision and management of other staff
• Experience in the teaching and training of others in a variety of settings e.g. clinical, academic

Desirable

• Working in community or primary care based teams

Attitude and Behaviour

Essential

• Able to demonstrate clear and inspiring clinical leadership internally and externally behaving as a role model at all times
• Displays care, compassion, sensitivity and responsiveness to other peoples feelings and needs
• Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace
• Able to develop, establish and maintain positive relationships with others both internal and external to the organisation and with patients and their carers
• Able to work under pressure, dealing with peaks and troughs in workload managing unpredictable service demands
• Positive and flexible attitude to dealing with change; able to respond to the changing needs of the patient in an appropriate and timely manner;
• willing to change and accept change and to explore new ways of doing things and approaches
• Highly motivated and reliable
• Has a strong degree of personal integrity; able to adhere to standards of conduct based on a culture of equality and fairness
• Demonstrates values consistent with those of the Trust Evidence of clinical leadership

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).