St Giles Hospice

Advanced Clinical Nurse Specialist (ACNS)

Information:

This job is now closed

Job summary

The ACNS is a key senior role within the Nursing team, acting as the clinical specialist lead and overseeing the community nursing service for a defined area on a rotation basis (non-clinical).

Working with an integrated team of nurses, you will contribute to the overall care of patient and families referred to St Giles within the community setting.

As a team member, you will contribute to a positive supportive working environment with an emphasis on team work and cooperation. You will participate in a rota system providing a 7 day a week, face to face and telephone service for patients and their families and, in the out of hours rota, providing telephone advice and support. This may include visiting out of hours in exceptional circumstances.

It is anticipated that the work plan will be 80% clinical (clinical management) 10% Service Development and 10% Education and Teaching.

Main duties of the job

The role includes activities such as audit, quality and risk management initiatives and Nurses working at an advanced level will:

Practice autonomously and be self-directed

Appropriately analyse complex situations

Undertake assessment of individuals using a range of different assessment methods, which may include physical examination, ordering and interpreting diagnostic tests or advanced health needs assessment.

Draw on a diverse range of knowledge in their decision-making to determine evidence based therapeutic interventions; this may include prescribing medication and actively monitoring the effectiveness of therapeutic interventions.

Actively seek and participate in peer reviews of their own practice

Appropriately define the boundaries of their practice and understand the parameters of their professional role.

Promote and participate in the implementation of the local and national strategies and St Giles core standards.

About us

St Giles Hospice is a registered charity founded in 1983 by the Reverend Paul Brothwell, originally to improve the care of local people dyingwith cancer. We now support people in our community whose illnesses may not be curable such as cancer, motor neurone disease, heart failure, MS and respiratory disease. We also offer support for families and helpers.

Our dedicated team provides individually-tailored care either at the hospice or in patients own homes across our communities.

The range of specialist services is provided free of charge to those who need it. Although St Giles receives some funding from the Government, we rely heavily on donations and fundraising.

Details

Date posted

12 April 2024

Pay scheme

Other

Salary

£43,500 a year with the ability to progress to £50,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0379-358

Job locations

Fisherwick Road

Whittington

Lichfield

Staffordshire

WS14 9LH


Job description

Job responsibilities

The role entails but is not limited to:

Leadership and Managerial

Be an effective role model to the team and other primary healthcare colleagues

Provide effective leadership to the team, acting as a role model for best practice and with honesty and integrity

Provide professional/clinical (nursing) leadership to other Clinical Nurse Specialists and other grades of staff, acting as a point of expertise, providing advice and support

Input into workforce planning process and maintaining effective use of resources (rota and rotation of staff) supported by the clinical administrator

Participate in multi-professional meetings, acting as a patient advocate and contribute to the decision making regarding service delivery

Attend appropriate patient related and team meetings

Participate in service development initiatives as required instigating and managing change within a complex environment

Work with the Deputy Director of Clinical Services to develop St Giless policies and processes and ensure team compliance

To be responsible for assurance of quality standards and clinical governance, standard setting and audit

Maintain high professional standard in accordance with Hospice policies and procedures and the NMC Code of Professional Conduct

Clinical

Be responsible for the continued co-ordination of the content and delivery of your allocated patient's care plan and ensure that the patient is getting the right service from St Giles

Undertake patient clinical assessments and nurse prescribing

In liaison with other Advanced Clinical Nurse Specialists in Palliative Care, Clinical Nurse Specialists and Palliative Care Community Staff Nurses, ensure the overall quality and provision of nursing care of patients and families referred to St Giles in the community setting and that their needs are met

To promote the principles and practice of palliative care as an extension of the Hospice into the community

To work across a range of settings, including community visits e.g. home / care home / community hospitals, telephone conversations and reviewing patients in outpatient settings

To assess the holistic needs of patients and their carers and identify their respective physical, psychological, social, cultural and spiritual needs

To work within a team framework, collaborating with colleagues and members of other disciplines

To use a proactive, sensitive and empathetic approach with patients and relatives to enable involvement in advance care/treatment planning

To undertake DNACPR discussions and decisions where appropriate with patients and families

To assess peoples information needs and provide relevant information to meet those needs

To offer bereavement support to carers in collaboration with the Supportive Care Team or refer them onto the appropriate service

To provide appropriate nursing interventions

To work alongside and liaise with DNs, GPs and other external Health and social care providers to ensure patients and families receive appropriate care and support

To participate in the out of hours rota to provide telephone advice and exceptional visits if indicated

To contribute to patient management by attending Gold Standard Framework (GSF), hospital and other practice based meetings

To liaise and communicate with community, nursing home and hospital staff in order to raise awareness and promote understanding of Hospice services

Ensure that all relevant information is documented and recorded on the appropriate systems

Foster positive working relations with the Primary Healthcare Team and with other health care professionals in the delivery of community based palliative care

Allocated Lead Responsibilities

For those working in the community, these roles will also take lead responsibility for a defined area on a rotational basis working on:

Audit and research programmes

Input into Clinical Governance framework

Chairing the Caseload Review meetings

Undertake leadership responsibilities for all areas, ensuring appropriate cover supported by the lead administrator

Service Development

Provide input to service development initiatives

Ensure systems are in place to ensure continuous improvement, quality assurance and effective Clinical Governance and participate in the development of policies, protocols and clinical guidelines to support specialist palliative care nursing

Promote and engage staff in new ways of working - such as the use of technology and working off site

Promote a questioning and open culture

Support and review departmental policies and processes and ensure team compliance

Keep abreast of current advances in nursing practice and research

Together with the Deputy Director of Clinical Services, initiate, promote and participate in nursing and inter-disciplinary audit projects

Together with the Deputy Director of Clinical Services, take a key role in supporting the hospice Clinical Governance framework

Work across professional boundaries using creative reasoning and problem solving

Education and Training

To take responsibility for attending mandatory Hospice training and in-house courses in line with organisational policy and current legislation

To actively participate in and contribute to the ongoing educational programme of the Hospice

To attend and actively participate in the identified CPD opportunities provided.

To proactively maintain appropriate level of clinical competence as identified within the St Giles Competencies

To identify training and education needs, in line with service provision, with Practice Development Lead

To assist in orientation programmes for new members of staff

To act as a mentor/supervisor for developing staff under the direction of the Deputy Director of Clinical Services

To participate in research projects as required.

To take personal responsibility for life-long learning, self-development and reflection

To participate in informal and formal education

Just so you know:

We may review applications before the application review date, however, if you apply after the application review date, your application may not be considered. We will accept applications until we have successfully filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of the application close date, then please consider that your application has been unsuccessful at this time.

As part of your application your data will be managed in line with St Giles Hospice Privacy Policy and kept for 6 months. If you would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

Job description

Job responsibilities

The role entails but is not limited to:

Leadership and Managerial

Be an effective role model to the team and other primary healthcare colleagues

Provide effective leadership to the team, acting as a role model for best practice and with honesty and integrity

Provide professional/clinical (nursing) leadership to other Clinical Nurse Specialists and other grades of staff, acting as a point of expertise, providing advice and support

Input into workforce planning process and maintaining effective use of resources (rota and rotation of staff) supported by the clinical administrator

Participate in multi-professional meetings, acting as a patient advocate and contribute to the decision making regarding service delivery

Attend appropriate patient related and team meetings

Participate in service development initiatives as required instigating and managing change within a complex environment

Work with the Deputy Director of Clinical Services to develop St Giless policies and processes and ensure team compliance

To be responsible for assurance of quality standards and clinical governance, standard setting and audit

Maintain high professional standard in accordance with Hospice policies and procedures and the NMC Code of Professional Conduct

Clinical

Be responsible for the continued co-ordination of the content and delivery of your allocated patient's care plan and ensure that the patient is getting the right service from St Giles

Undertake patient clinical assessments and nurse prescribing

In liaison with other Advanced Clinical Nurse Specialists in Palliative Care, Clinical Nurse Specialists and Palliative Care Community Staff Nurses, ensure the overall quality and provision of nursing care of patients and families referred to St Giles in the community setting and that their needs are met

To promote the principles and practice of palliative care as an extension of the Hospice into the community

To work across a range of settings, including community visits e.g. home / care home / community hospitals, telephone conversations and reviewing patients in outpatient settings

To assess the holistic needs of patients and their carers and identify their respective physical, psychological, social, cultural and spiritual needs

To work within a team framework, collaborating with colleagues and members of other disciplines

To use a proactive, sensitive and empathetic approach with patients and relatives to enable involvement in advance care/treatment planning

To undertake DNACPR discussions and decisions where appropriate with patients and families

To assess peoples information needs and provide relevant information to meet those needs

To offer bereavement support to carers in collaboration with the Supportive Care Team or refer them onto the appropriate service

To provide appropriate nursing interventions

To work alongside and liaise with DNs, GPs and other external Health and social care providers to ensure patients and families receive appropriate care and support

To participate in the out of hours rota to provide telephone advice and exceptional visits if indicated

To contribute to patient management by attending Gold Standard Framework (GSF), hospital and other practice based meetings

To liaise and communicate with community, nursing home and hospital staff in order to raise awareness and promote understanding of Hospice services

Ensure that all relevant information is documented and recorded on the appropriate systems

Foster positive working relations with the Primary Healthcare Team and with other health care professionals in the delivery of community based palliative care

Allocated Lead Responsibilities

For those working in the community, these roles will also take lead responsibility for a defined area on a rotational basis working on:

Audit and research programmes

Input into Clinical Governance framework

Chairing the Caseload Review meetings

Undertake leadership responsibilities for all areas, ensuring appropriate cover supported by the lead administrator

Service Development

Provide input to service development initiatives

Ensure systems are in place to ensure continuous improvement, quality assurance and effective Clinical Governance and participate in the development of policies, protocols and clinical guidelines to support specialist palliative care nursing

Promote and engage staff in new ways of working - such as the use of technology and working off site

Promote a questioning and open culture

Support and review departmental policies and processes and ensure team compliance

Keep abreast of current advances in nursing practice and research

Together with the Deputy Director of Clinical Services, initiate, promote and participate in nursing and inter-disciplinary audit projects

Together with the Deputy Director of Clinical Services, take a key role in supporting the hospice Clinical Governance framework

Work across professional boundaries using creative reasoning and problem solving

Education and Training

To take responsibility for attending mandatory Hospice training and in-house courses in line with organisational policy and current legislation

To actively participate in and contribute to the ongoing educational programme of the Hospice

To attend and actively participate in the identified CPD opportunities provided.

To proactively maintain appropriate level of clinical competence as identified within the St Giles Competencies

To identify training and education needs, in line with service provision, with Practice Development Lead

To assist in orientation programmes for new members of staff

To act as a mentor/supervisor for developing staff under the direction of the Deputy Director of Clinical Services

To participate in research projects as required.

To take personal responsibility for life-long learning, self-development and reflection

To participate in informal and formal education

Just so you know:

We may review applications before the application review date, however, if you apply after the application review date, your application may not be considered. We will accept applications until we have successfully filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of the application close date, then please consider that your application has been unsuccessful at this time.

As part of your application your data will be managed in line with St Giles Hospice Privacy Policy and kept for 6 months. If you would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

Person Specification

Qualifications

Essential

  • First level nurse
  • Degree in specialist practice related to specialist palliative care
  • Recognised teaching qualification
  • Communication skills/counselling
  • Independent Nurse Prescribing Level 3 minimum

Desirable

  • Community Nursing qualification
  • Leadership course
  • Management course
  • Community nursing experience
  • Experience and evidence of clinical audit
  • Published original work

Experience

Essential

  • Proven experience within specialist palliative care
  • Management experience
  • Post registration experience
  • Experience and evidence of effective change management
  • Experience and evidence of research/evidence based practice
  • Experience and competence in managing complex palliative care cases symptoms, psychological, grief/loss needs, ethical dilemmas and patient advocacy
  • Ability to work independently and as part of a team
  • Ability to make expert clinical decisions
  • Emotionally resilient
  • Excellent time/deadline management
  • Reflective practitioner
  • Fully comprehends contemporary CNS role
  • Development, implementation and appraisal of quality and audit initiatives
  • Knowledge of corporate and clinical governance
  • Fully comprehends and implements research and evidence based practice process
  • Diverse specialist palliative care knowledge and awareness national and local agenda

Skills

Essential

  • Sound reflective and facilitation skills
  • Expert communication, counselling and interpersonal skills
  • Teaching skills informal and formal and ability to contribute to education programme
  • Leadership skills
  • Management skills

Personal Attributes

Essential

  • Empathetic
  • Team player
  • Able to work under pressure
  • Collaborative
  • Ambassador for St Giles Hospice

Other Requirements

Essential

  • Valid driving licence
  • Eligibility to work in the UK
  • Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests
Person Specification

Qualifications

Essential

  • First level nurse
  • Degree in specialist practice related to specialist palliative care
  • Recognised teaching qualification
  • Communication skills/counselling
  • Independent Nurse Prescribing Level 3 minimum

Desirable

  • Community Nursing qualification
  • Leadership course
  • Management course
  • Community nursing experience
  • Experience and evidence of clinical audit
  • Published original work

Experience

Essential

  • Proven experience within specialist palliative care
  • Management experience
  • Post registration experience
  • Experience and evidence of effective change management
  • Experience and evidence of research/evidence based practice
  • Experience and competence in managing complex palliative care cases symptoms, psychological, grief/loss needs, ethical dilemmas and patient advocacy
  • Ability to work independently and as part of a team
  • Ability to make expert clinical decisions
  • Emotionally resilient
  • Excellent time/deadline management
  • Reflective practitioner
  • Fully comprehends contemporary CNS role
  • Development, implementation and appraisal of quality and audit initiatives
  • Knowledge of corporate and clinical governance
  • Fully comprehends and implements research and evidence based practice process
  • Diverse specialist palliative care knowledge and awareness national and local agenda

Skills

Essential

  • Sound reflective and facilitation skills
  • Expert communication, counselling and interpersonal skills
  • Teaching skills informal and formal and ability to contribute to education programme
  • Leadership skills
  • Management skills

Personal Attributes

Essential

  • Empathetic
  • Team player
  • Able to work under pressure
  • Collaborative
  • Ambassador for St Giles Hospice

Other Requirements

Essential

  • Valid driving licence
  • Eligibility to work in the UK
  • Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

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).

Employer details

Employer name

St Giles Hospice

Address

Fisherwick Road

Whittington

Lichfield

Staffordshire

WS14 9LH


Employer's website

https://www.stgileshospice.com/ (Opens in a new tab)


Employer details

Employer name

St Giles Hospice

Address

Fisherwick Road

Whittington

Lichfield

Staffordshire

WS14 9LH


Employer's website

https://www.stgileshospice.com/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Kristy Clayton

01543432031

Details

Date posted

12 April 2024

Pay scheme

Other

Salary

£43,500 a year with the ability to progress to £50,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

B0379-358

Job locations

Fisherwick Road

Whittington

Lichfield

Staffordshire

WS14 9LH


Supporting documents

Privacy notice

St Giles Hospice's privacy notice (opens in a new tab)