Job responsibilities
Deliverables/outcomes
Directly manage care of patients and those important to
them with complex Hospice Palliative Care needs.
Undertake complex and sensitive holistic assessments, plan,
implement and evaluate care utilising advanced communication, clinical
reasoning, diagnostic and prescribing skills.
Diagnose and manage both acute and chronic palliative
care conditions integrating both pharmacological and non-pharmacological
based treatments into a clinical management plan.
Manage patient level communications with other health
and social care professionals and agencies to promote planned, coordinated,
seamless care.
Provide expert advice on symptom control, advance care
planning, social and psychological care, bereavement, communications and use
of resources.
Improve access to medication, especially anticipatory
medications, using non-medical prescribing, remote prescribing and eWorks
Prescribe and review medication for therapeutic
effectiveness and appropriate to the patient in accordance with evidence-
based practice including national and local protocols and clinical guidelines
within the Scope of Practice
Prioritise
the Hospice
Palliative Care health problems and intervene
appropriately to assist the patient in complex, urgent or palliative care
emergency situations, including initiation of effective emergency care.
Be a
link between the wards and the Outreach service ensuring that patients
transition seamlessly between the two
Act as
Outreach Clinical lead of the day on rotation.
Management
& Clinical Leadership
Meet regularly with the Clinical Director and other Hospice
ACPs sharing experiences and ways of working, shaping the role, and looking
to constantly improve.
Line manages lower grade staff within the Hospice
Outreach service or Cottage Hospice
Works autonomously at the Cottage Hospice (ACP led
service).
Contribute to the learning of the more junior staff
formally, and by role modelling in effecting robust clinical interventions
and making authoritative decisions.
Make a significant contribution to the development of
Hospice services and the wider Hospice clinical offering.
Take an active role in the Clinical Sub-Group of the Hospice
Leadership Team or other Hospice meetings as directed by your manager.
Contribute towards the clinical governance process
including the reporting of significant incidents/near misses, analysing
activity data and investigating incidents or complaints as directed.
Take an active part in the review, writing and
publication of patient and those important to them literature and clinical policies
and guidelines.
Ensure
identification of patients with an IPOS of 3 or 4 are discussed at each MDT role
modelling an effective use of MDT
Communications
and Teamwork
Collaborate with health care professionals, relevant
agencies across the neighbouring Trusts and Social Service Departments in
order to promote planned, coordinated patient care.
Lead and influence health care professionals about the
importance of early identification and management of End of Life Care.
Model Advanced Communication Skills in interactions
with patients, families and carers.
Advance the use of End of Life Care Tools and outcome
measures such as IPOS, POI and RESPECT, modelling their use and supporting
others to use them effectively.
Audit
and Research
Provide clinical expertise to
guide the design and delivery of research projects undertaken at HitW.
Promote and foster an
environment where evidence-based practice is grounded in high quality
research and audits.
Conduct and/or support interdisciplinary
audits, identifying and implementing improvements for clinical practice.
Support
research data collection activities at HitW. Ensure Good Clinical Practice
(GCP) and other relevant qualifications to the research activity are up to date.
Aim to
author or co-author conference publications/poster or papers that are published
in reputable peer-reviewed journal.
Maintain
competence and up-to-date knowledge on developing areas in Hospice Palliative
Care by attending and participating in journal clubs, research symposiums,
seminars, and/or conferences
Participate
in Hospice wide initiatives which facilitate quality via subgroups of HLT.
Participate
in the development of clinical standards within the Clinical Governance
framework of the Hospice.
Training and
Development
Work closely with the Outreach Service and staff on
both wards to model excellent advanced communication and proactive care
planning. Offer training and side by side working as needed to improve the
skills of staff.
Develop clinical expertise in the Clinical Nurse /
Paramedic Specialists (CNS/ CPS) to be expert assessors and advisors on
symptom control and the utilization of advanced clinical reasoning and
communication skills.
Recognise the individual learning needs of colleagues,
patients and those important to them and the most effective way of addressing
them.
Actively contribute to the development and delivery of any
Hospice learning opportunities.
Create a progressive learning environment, encouraging
all staff to learn from each other.
Facilitate the professional development of staff in the
Outreach service to enable them to develop enhanced palliative care knowledge
and skills through 1:1 and team learning opportunities.
Follow the royal pharmaceutical guidelines (2016) and
competencies by meeting with the NMP clinical lead monthly, undertaking
audits and developing NMP responsibilities.
Undertake Mandatory Training
as required by Hospice in the Weald and participate in additional required
training and development activities.
Take an active role in identifying gaps in knowledge
and skills and how to address these.
Take responsibility for setting own goals and achieving
them.
General
Maintain professionalism through adherence to
recognised codes and guidelines and work within the boundaries of Hospice in
the Weald policies.
Maintain personal
development through the Hospice Annual Review process, continuously updating
and improving knowledge and skills and applying that knowledge.
Engage in the use of
information and communication technology (ICT) and achieve the required level
of competence.
Recognise the growing need for 24/7 working patterns
and flexibility.
Demonstrate Our Values through day to day interactions
between colleagues as well as patients and those important to them.
Strive for excellence at all times.
Any other duties that may be reasonably requested.
