Job summary
We are looking for an experienced nurse, who will join our existing ICB Appliance
nursing team who provide clinical and professional nursing advice on the use of
appliances.
The Appliance nursing team are responsible for pathway, formulary, and guidance
development. This includes stoma care, wound/skin care, tracheostomy, and continence.
The team carry out ICB wide programmes of education/training for all clinicians
who are involved in appliance management to improve practice and prescribing.
The team use their expertise for clinical queries from clinicians and
practices. They support appliance related ICB cost improvement plans for each
financial year. They also carry out product evaluations which will inform the
adoption of cost-effective and safe Appliances in primary care.
You will be an integral part of our friendly SNEE ICB medicines optimisation
team. While you will be working with the appliance nursing team across the ICB,
this role will have a particular focus on North East Essex provision. This post
will be supported by the current Appliance Nurse leads to ensure training and
education is provided.
The post holder will be expected to lead in relevant project areas specific to
the prescribing of appliances, and this guidance will be shared across the ICS.
This unique opportunity is flexible, giving the applicant the opportunity to
further develop skills and knowledge.
For further details contact:
Vicki Saliba Deputy Chief Pharmacist vicki.saliba@snee.nhs.uk
Main duties of the job
1.
Work with system partners to explore, develop
and promote new and innovative ways to improve the provision and use of
appliances in primary care settings.
2.
Actively participate in the development of an
ICB QIPP/CIP plan, considering the whole patient pathway to identify the
potential for additional savings to be achieved through admission avoidance,
reduction in healthcare professional time etc.
3.
Support with all elements of the appliances
QIPP project and support its implementation at place and system level.
4.
Support the development of evidence-based guidelines
and policies in response to NICE or NHS England publications and directives as
they relate to the use of appliances.
5.
Work with the ICB Quality Team to promote best
practice in the use of appliances and support the development of systems and
processes to share learning.
About us
The NHS Suffolk and North East Essex ICB plan and buy healthcare services for over one million people. Working within a total budget of £1.5bn per year, we serve some of the poorest and wealthiest communities in the UK.
In addition to consolidating our own resources and expertise, we are also building powerful alliances with our partners in the local government, healthcare, community and voluntary sectors. Because we know that together, we can achieve the best possible health outcomes
We are committed to providing a supportive work environment where employees are able to work to the best their abilities. We value professional development and care about health and wellbeing of our staff with many initiatives in place to make us an employer of choice and an organisation that employees are proud to be part of.
Job description
Job responsibilities
Role purpose
NEE
SPECIFIC
Support
Alliance initiatives around the prescribing of appliances by reviewing
patients on behalf of the practices i.e., formulary adherence and appliance
use reviews (AURs).
Support
and provide clinical expertise to practices who have wound carer as their
individualised target as part of the yearly medicines optimisation plans
Support
prescribing support technicians with switches relating to appliances.
Training
ICS wide primary care staff in appliance related prescribing i.e., practice
teams, community pharmacists, care homes
To
offer clinical expertise and guidance to the Alliance and its system partners
and providers.
To Attend
relevant meetings on behalf of the alliance linking with the wider Essex
To
review all the contracts , routes and pathways for the provision of
appliances with the Alliance e.g., the Online ordering system (ONPOS) and
advice on their improvement and/or redesign.
Deal
with all appliances related queries from clinicians and the Patient Advice
and liaison service (PALS)
ICB
WIDE
To
support SNEE ICBs commitment to commissioning services that are both safe
and effective in meeting the needs of the local population, ensuring that pathways
in which appliances are used deliver cost-effective use of resources and
improved patient outcomes and experience.
To
support system wide integration, working with wider health and care
professionals to ensure that use of appliances in health and care delivery
settings is joined up.
To
support the implementation of appliance related strategies across the NEE, IES
and WS Alliances to:
o improve
health outcomes;
o reduce
avoidable harm;
o avoid
waste.
o improve
cost effective use of appliances
To
improve the health of the population by optimising the use of appliances
under the guidance of the senior appliance nurses
o promoting
the safe, evidence-based and cost-effective use of appliances;
o providing
up to date, unbiased information about treatments and care pathways;
o supporting
practitioners and patients to make the best use of appliances;
o developing
local guidelines and care pathways to optimise the use of appliances;
o supporting
other health and care providers to deliver medicines optimisation in a way
that is high quality, efficient, safe, well led, timely and responsive, effective
and equitable.
o respond
to practice queries relating to appliances
Accountability
The
post-holder will work within organisational policy and professional/ethical
guidelines and without supervision.
The
post-holder will identify opportunities for development and improvement
across all clinical areas relating to the prescribing and/or use of
appliances in primary care settings -
this will include (but is not limited to) wound care, continence and
stoma - and will support with implementing change under the direction and
support of the senior appliance nurses.
The
post-holder will act with a high level of independence, identifying the need
for, developing, and initiating programmes of work aligned to their own
portfolio and/or organisational priorities. Their work will be self-directed
but supported by the senior appliance nurses.
Job description
Job responsibilities
Role purpose
NEE
SPECIFIC
Support
Alliance initiatives around the prescribing of appliances by reviewing
patients on behalf of the practices i.e., formulary adherence and appliance
use reviews (AURs).
Support
and provide clinical expertise to practices who have wound carer as their
individualised target as part of the yearly medicines optimisation plans
Support
prescribing support technicians with switches relating to appliances.
Training
ICS wide primary care staff in appliance related prescribing i.e., practice
teams, community pharmacists, care homes
To
offer clinical expertise and guidance to the Alliance and its system partners
and providers.
To Attend
relevant meetings on behalf of the alliance linking with the wider Essex
To
review all the contracts , routes and pathways for the provision of
appliances with the Alliance e.g., the Online ordering system (ONPOS) and
advice on their improvement and/or redesign.
Deal
with all appliances related queries from clinicians and the Patient Advice
and liaison service (PALS)
ICB
WIDE
To
support SNEE ICBs commitment to commissioning services that are both safe
and effective in meeting the needs of the local population, ensuring that pathways
in which appliances are used deliver cost-effective use of resources and
improved patient outcomes and experience.
To
support system wide integration, working with wider health and care
professionals to ensure that use of appliances in health and care delivery
settings is joined up.
To
support the implementation of appliance related strategies across the NEE, IES
and WS Alliances to:
o improve
health outcomes;
o reduce
avoidable harm;
o avoid
waste.
o improve
cost effective use of appliances
To
improve the health of the population by optimising the use of appliances
under the guidance of the senior appliance nurses
o promoting
the safe, evidence-based and cost-effective use of appliances;
o providing
up to date, unbiased information about treatments and care pathways;
o supporting
practitioners and patients to make the best use of appliances;
o developing
local guidelines and care pathways to optimise the use of appliances;
o supporting
other health and care providers to deliver medicines optimisation in a way
that is high quality, efficient, safe, well led, timely and responsive, effective
and equitable.
o respond
to practice queries relating to appliances
Accountability
The
post-holder will work within organisational policy and professional/ethical
guidelines and without supervision.
The
post-holder will identify opportunities for development and improvement
across all clinical areas relating to the prescribing and/or use of
appliances in primary care settings -
this will include (but is not limited to) wound care, continence and
stoma - and will support with implementing change under the direction and
support of the senior appliance nurses.
The
post-holder will act with a high level of independence, identifying the need
for, developing, and initiating programmes of work aligned to their own
portfolio and/or organisational priorities. Their work will be self-directed
but supported by the senior appliance nurses.
Person Specification
Qualifications
Essential
- Professional knowledge acquired through degree in adult nursing.
- Registered with the NMC as a nurse.
- Evidence of continuing professional development.
Desirable
- Additional specialist knowledge to masters level (in the relevant area) acquired via formal training and/or other forms of training and/or experience
Experience
Essential
- Significant post registration experience.
- Experience of working in health or social care.
- Experience of using critical appraisal skills to aid decision making.
- Experience of planning, developing, and implementing change impacting beyond own area of work.
- Experience of delivering contentious information in a hostile environment.
- Experience of influencing a wide range of stakeholders.
- Experience of training/presenting.
- Experience of analysing complex data.
Desirable
- Experience of working in a GP practice.
- Experience of working with care homes.
- Experience of writing reports for clinicians and/or non-clinical staff.
- Experience of training/presenting to large groups of people.
- Experience in using sources of prescribing data e.g. ePACT2, Open Prescribing.
Knowledge
Essential
- Highly developed specialist knowledge in all clinical areas relating to the prescribing/use of appliances in primary care.
- Knowledge of the NHS structure and commissioning arrangements.
- Knowledge and understanding of the challenges facing primary and secondary care.
Desirable
- Non-medical prescribing qualification knowledge acquired only. This role does not entail prescribing.
- Knowledge of CQC and inspection process
- Knowledge of the Network Contract DES and IIF metrics.
- Knowledge of the social care sector and funding mechanisms to include care homes and home care services.
- Knowledge of community pharmacy funding mechanisms as they relate to appliances.
- Thorough knowledge of NICE guidance SC1
Personal Attributes
Essential
- Able to work autonomously as well as part of a team
- Self-motivated and able to motivate others.
- Excellent communication skills, including the ability to influence.
- Able to present information to a variety of people from professional and non-professional backgrounds.
- Highly developed interpersonal skills.
- Awareness of professional and personal limitations
Other
Essential
- Able to use Visual Display Unit equipment for prolonged periods of time and on most working days.
- Able to concentrate for prolonged periods of time.
- Able to work in a variety of environments, to include own home, office, GP practices and care homes.
- Able to travel routinely and independently across West Suffolk.
- Able to travel independently across Suffolk and North East Essex (and occasionally further afield) as required.
Skills
Essential
- Able to use a keyboard to enter clinical, prescribing or financial data with a very high degree of accuracy.
- Able to apply highly developed specialist knowledge when undertaking the review of patient records and complex prescribing patterns.
- Able to document clinical information and recommendations accurately using nationally approved coding.
- Proficient in the use of Microsoft: Outlook, Word, Excel , PowerPoint.
- Highly proficient in the use of: SystmOne & Emis Web
- Able to interrogate and interpret complex clinical, financial, prescribing and potentially sensitive or contentious data.
- Able to concentrate for prolonged periods of time, when clinical/financial accuracy is paramount.
- Able to create clinical and/or financial audits and interpret the results.
- Able to disseminate information accurately and to facilitate collaborative working across organisational barriers.
- Able to resolve conflict and overcome barriers in order to have difficult conversations and/or challenge unwanted behaviours.
- Excellent communication skills including verbal, non-verbal and written.
Desirable
- Has led a change project with tangible outcomes.
Person Specification
Qualifications
Essential
- Professional knowledge acquired through degree in adult nursing.
- Registered with the NMC as a nurse.
- Evidence of continuing professional development.
Desirable
- Additional specialist knowledge to masters level (in the relevant area) acquired via formal training and/or other forms of training and/or experience
Experience
Essential
- Significant post registration experience.
- Experience of working in health or social care.
- Experience of using critical appraisal skills to aid decision making.
- Experience of planning, developing, and implementing change impacting beyond own area of work.
- Experience of delivering contentious information in a hostile environment.
- Experience of influencing a wide range of stakeholders.
- Experience of training/presenting.
- Experience of analysing complex data.
Desirable
- Experience of working in a GP practice.
- Experience of working with care homes.
- Experience of writing reports for clinicians and/or non-clinical staff.
- Experience of training/presenting to large groups of people.
- Experience in using sources of prescribing data e.g. ePACT2, Open Prescribing.
Knowledge
Essential
- Highly developed specialist knowledge in all clinical areas relating to the prescribing/use of appliances in primary care.
- Knowledge of the NHS structure and commissioning arrangements.
- Knowledge and understanding of the challenges facing primary and secondary care.
Desirable
- Non-medical prescribing qualification knowledge acquired only. This role does not entail prescribing.
- Knowledge of CQC and inspection process
- Knowledge of the Network Contract DES and IIF metrics.
- Knowledge of the social care sector and funding mechanisms to include care homes and home care services.
- Knowledge of community pharmacy funding mechanisms as they relate to appliances.
- Thorough knowledge of NICE guidance SC1
Personal Attributes
Essential
- Able to work autonomously as well as part of a team
- Self-motivated and able to motivate others.
- Excellent communication skills, including the ability to influence.
- Able to present information to a variety of people from professional and non-professional backgrounds.
- Highly developed interpersonal skills.
- Awareness of professional and personal limitations
Other
Essential
- Able to use Visual Display Unit equipment for prolonged periods of time and on most working days.
- Able to concentrate for prolonged periods of time.
- Able to work in a variety of environments, to include own home, office, GP practices and care homes.
- Able to travel routinely and independently across West Suffolk.
- Able to travel independently across Suffolk and North East Essex (and occasionally further afield) as required.
Skills
Essential
- Able to use a keyboard to enter clinical, prescribing or financial data with a very high degree of accuracy.
- Able to apply highly developed specialist knowledge when undertaking the review of patient records and complex prescribing patterns.
- Able to document clinical information and recommendations accurately using nationally approved coding.
- Proficient in the use of Microsoft: Outlook, Word, Excel , PowerPoint.
- Highly proficient in the use of: SystmOne & Emis Web
- Able to interrogate and interpret complex clinical, financial, prescribing and potentially sensitive or contentious data.
- Able to concentrate for prolonged periods of time, when clinical/financial accuracy is paramount.
- Able to create clinical and/or financial audits and interpret the results.
- Able to disseminate information accurately and to facilitate collaborative working across organisational barriers.
- Able to resolve conflict and overcome barriers in order to have difficult conversations and/or challenge unwanted behaviours.
- Excellent communication skills including verbal, non-verbal and written.
Desirable
- Has led a change project with tangible outcomes.
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
