Caseload Holder Nurse - Band 6

Job responsibilities

Scope of Job

To act as a resource for all members of the multi-disciplinary team providing supervision, guidance, care and support

To act as a contact worker throughout the child/young persons Claire House journey demonstrating core/advanced communication skills depending on the specific needs of the child/young person and their family

To assess, plan, implement and evaluate the clinical/emotional requirements of children/young people with complex, palliative and end of life care needs

To liaise with external multidisciplinary agencies to ensure the care provided through the Hospice is coordinated and delivered to meet the specific needs of the child, young person, and family

Dimensions and Limits of Authority

To work without supervision ensuring personal accountability in accordance with the Nursing and Midwifery Council (NMC) code: Standards of conduct, performance and ethics for nurses and midwives

To report to the Team Lead of the Care Coordination Team

Qualification and Skills Level

Professional background as a Registered Nurse Child, Adult or Learning Disabilities

Mentorship qualification

Knowledge and experience in paediatric palliative care

Demonstrate clinical leadership/qualification

Wide knowledge of a range clinical skills

Extensive years post registration

Appraiser training/qualification

Responsibility for Staff

To act as a positive role model by displaying CH values, attitudes and behaviour. In clinical practice, role model by using evidence/research based care and practice

To take responsibility for the appropriate delegation of duties to other members of the care coordination team

To participate in in-service training programmes and teaching sessions

To participate in the orientation of new staff, students and volunteers. Acting as mentor/sign off mentor as and when required

To act as a clinical supervisor and participate in ongoing training

To act as an appraiser for other members of staff in the team if appropriate

Responsibility for Patient Care

Be the main point of contact through the child/young persons Claire House journey, including pre and post planned and unplanned stays and day care sessions

To manage a large caseload of children/young people, maintaining regular contact and liaising as required with key professionals to include health and social updates, as well as ongoing support

Refer to internal spoke services and monitor internal offers of care

Have an understanding of the planned and unplanned offers of care

Working in partnership with parents/carers to identify the care needs of the child/young person and plan care recognising best practice and evidence based guidelines

To liaise with therapists, learning disability nurses, social workers and specialist groups in order to produce an individualised care plan incorporating an individuals care, moving & handling and behavioural assessment plans

To be responsible for assessing, planning, implementing and evaluating care based on current evidence-based and researched best practice. Amendments will be negotiated with the child/young person and their parents/carers, documented and communicated to the other members of the team and external professionals

To have strong communication skills, able to adapt to differing needs of children, young people, and families

To ensure all children and young people receive the right care by the right service for the right amount of time

To accurately evaluate and document the care of the child/young person in accordance with NMCs guidance on documentation

To share responsibility within the Hospice in order to maintain a safe but homely environment taking into account health and safety, including infection control and risk assessments

To ensure patient safety by appropriate delegation of duties to suitably trained members of staff

To attend regular meetings with the multi-disciplinary team to discuss individual children, respecting and inviting the sharing of skills and expertise

To liaise with outside Agencies from health, education and social care involved in the care and support of children/young people and their families

To work alongside, supervise and induct new members of staff ensuring clinical tasks and work load are delegated appropriately

To be competent in Claire Houses core and extended clinical competencies

To participate and attend Multi-Disciplinary Team meetings in the community setting

To be responsible and accountable for the safe administration of medicines where needed ensuring medicine management policies and procedures are adhered to

To lead and co-ordinate hospice special interest groups

To lead and/or participate in internal referral panel and caseload review meetings

To adapt the delivery of care according to the changing emotional, physical, social and environmental demands

To be aware, knowledgeable and working to Safeguard children and Prevention of Vulnerable Adults policies and procedures, adhering and promoting good practice

To comply with moving & handling policies and procedures

To be able to undertake the mental, physical and emotional demands of the role, whilst at the same time taking care to safeguard their own health and safety as well as fellow care team members, children, young people and their family

Responsibility for Clinical Governance and Quality

To take responsibility for maintaining his/her own professional development. Meeting with Team Lead for regular appraisals, identifying and agreeing personal targets

To participate in quality measures/audits for the delivery of care to maintain high standards through best practice

To be proactive in identifying ways of improving practice. Contributing positively to the development and audit of standards and, when appropriate, taking responsibility for identified project work

To identify ways of continued quality improvement, using reflective practice through Clinical Supervision

To participate/take lead in audits/incident reviews to enhance the delivery of care

To actively complete clinical incident documentation in accordance to no blame and whistle-blowing policy

To adhere and comply with all Hospice policies and procedures

To undertake risk assessments within the hospice and appropriate training

To undertake research as appropriate to area of work

Responsibility for Clinical Leadership and Practice Management

To share previous knowledge and experience that promotes best practice

To ensure the economical and appropriate use of all resources within the Hospice

To maintain appropriate client records ensuring they are stored securely and confidentially

To attend and participate in Hospice meetings

To attend, actively participate and learn from significant event analysis

To report and record all accidents and incidents in line with hospice procedure safe guarding the welfare and safety of all staff during working hours with regard to the Health and Safety at Work Act

To be fully involved in the process of preventing and controlling infections

To maintain confidentiality in all aspects of the role, especially information regarding children/young people, their families and staff

General Claire House Requirements

Adhere to and comply with organisational policies, procedures and guidelines at all times

Implement risk management strategies (including reporting, registering risk and learning), taking all reasonable steps to manage and promote a safe and healthy working environment which is free from discrimination

Implement Health and Safety regulations through risk assessment. Maintain a constant awareness of health, welfare and safety issues affecting colleagues, service users, volunteers, visitors and themselves, reporting any accidents or faults in line with organisational policy. Participate fully in health and safety training

Comply with the organisational policy on confidentiality and the Data Protection Act 1998 relating to information held manually or on computerised systems

Respect the confidentiality and privacy of children, young adults, volunteers and staff at all times

Participate in personal training, development and appraisal, and attend all relevant training courses as required

Take part in organisational research, audit and evaluation processes.

Embrace the positive volunteer culture which Claire House strives to create.

The post holder must act at all times in a professional and responsible manner and have due regard to confidentiality and Health & Safety legislation.

This is an outline job description and should not be regarded as an inflexible specification. Responsibilities will be reviewed periodically in line with service priorities and duties may change or new duties be introduced after consultation with the post holder. As a term of your employment you may be required to undertake such other duties, such as link roles, and/or hours of work as may reasonably be required, commensurate with your general level of responsibility with the organisation, at your initial place of work or at any other of the Claire House establishments.

Special Circumstances / Additional Requirements

Essential

• Good IT skills
• Car driver

Desirable

• Familiar with the Care Database System

Skills & Abilities

Essential

• Excellent communication skills
• Relate well with children, families and other healthcare professionals
• Good organisational skills and ability to prioritise and delegate workload
• Assess, plan, implement and evaluate care Ability to record information in a concise, accurate and legible manner.
• Excellent interpersonal and Team working skills
• Competent in a wide variety of clinical skills
• Willing to assist in the professional development of others
• High level of personal responsibility and accountability
• Proactive, adaptable and ability to problem solve

Desirable

• Competent in advanced clinical care skills e.g. IVs, tracheostomy care, care of long term ventilation etc
• To be familiar with the Care Database system

Personal Qualities

Essential

• Positive attitude, values and behaviour
• Enthusiastic
• Good time management skills
• Ability to use own initiative
• Supportive of colleagues, children and families
• Flexible able to cover a range of shifts in a
• 7 day period
• Ability to motivate self and others Professional manner
• Approachable, fair and consistent Honest and trustworthy

Experience

Essential

• Post-registration experience in relevant paediatric environment
• Experience of working in a multi-disciplinary Team
• Understanding of specific needs of children/ young people with life limiting/ threatening conditions
• Experience in paediatric palliative/ end of life care
• Leadership experience
• Experience of key working duties to include a knowledge of safeguarding
• Managing a small team

Desirable

• Experience of undertaking audit/investigations
• Experience of risk assessment
• Experience of working in a hospice
• Knowledge/experience of working for a
• charity

Qualifications

Essential

• RSCN, RN (Child), RGN & RNLD with paediatric experience
• Evidence of continued professional development
• Evidence of NMC requirements in regards to continuous professional development
• (Revalidation)

Desirable

• Paediatric qualification/ special training or education if not RN
• Child or RSCN
• Appraisal training
• Mentorship
• Clinical supervisor training
• Advanced communication skills
• Palliative care

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).