Job responsibilities
Responsibility for
People Management
Undertake the full range of people management tasks and
responsibilities including communication, staff engagement, workforce planning,
appraisal, training and development and performance management including
disciplinary/grievance/sickness with support from the Operational Leads,
service managers and/or Team peers.
Provide and participate
in educational training to both patients and staff either on an individual or
group basis within scope of knowledge around managing Parkinsons conditions,
supported by the 3rd party organisational delegation policy.
Identify areas of
practice/role development and enable and support staff to initiate change.
Provide compassionate
and credible role modelling and expertise to nurses, and other professionals,
in relation to Parkinsons care.
Implement, participate,
and facilitate in Practice Supervision as per Organisational policy.
Provides supervision
for colleagues, students and develops team members.
Undertake appraisals
for staff who are line managed by this post holder and support colleagues to
achieve ongoing learning needs identified through appraisal.
Provides mentorship for
students where needed.
Act as a role model for
other staff and students demonstrating high standards of practice and
professional conduct.
Act as specialist
clinical advisor on health care issues within their area of expertise.
Ensure that work which
is often unpredictable is prioritised and suitably delegated to other members
of the multi-disciplinary team.
To assist with the
investigation of complaints and incidents as relevant.
Be aware of pressures
facing your work colleagues and offer support and ensure they are aware of the organisation
support services available to them.
To maintain effective verbal and written communication with the
clinical team and to keep staff informed of changes to prescribing intervention
or treatment provided to service-users.
To work in partnership with medical staff and service-users in the
development and implementation of clinical management plans related to an
individuals treatment and prescribing needs.
To establish and maintain good liaison with key stakeholders in
the individuals care eg GP practices and other services in the area, including
sharing prescribing information and rationales.
5.2 Responsibility for financial and/or
physical resources
To ensure best use of
available resources, identifying efficiency and supporting workforce planning
as appropriate.
To support operational
managers with the service budget to monitor budget expenditure, provide
internal cost control, deliver efficiency savings and accurate forecasting.
You may be required to
hold budgetary responsibility within your role.
To comply with Livewell
Southwest financial policies and procedures.
Scope and support the
development of business cases with operations as and when required to secure
investments required to achieve sustainable change.
Support operations to
monitor skill mix within teams and advise managers to ensure the most effective
service both clinically and financially in line with transformation and
integration.
Understand and support
the application of agreed eligibility criteria for services and equipment.
Assessments might
include the provision of equipment ensuring it is used safely and within the
manufacturers guidance and reviewed as per Livewell Southwest policy.
To
contribute to resource governance through knowledge and appropriate prescribing
decisions.
5.3 Responsibility for administration
Be responsible for
organising own time management on a daily basis in line with caseload demands
balancing patient needs with the non-clinical aspect of the role.
Maintain accurate
records, which are confidential, up to date, legible and that all care given
has to be documented. These records may be paper or IT based system and must be
maintained as specified in the Organisational Policies, Professional guidelines
and Government directives.
The Post Holder to be
supplied with a mobile phone and lone working device for work purposes and be
expected to adhere to the organisation policy.
To report and record
all incidents and near misses relating to health, safety, security, fire,
physical violence, aggression, and verbal abuse.
To take the lead in the triage and management of referrals into the
service utilising the service criteria. Actively working with other operational
leads, strategic leads, professional leads, and practice leads to support the
delivery of the service.
5.4 Responsibility for people who use our
services
Using appropriate referral
criteria for your area and an agreed case finding tool.
Manage a large community
caseload of people with Parkinsons and Parkinsons Plus syndromes ( current
caseload for Livewell community Parkinsons nurse team is around 700 patients
covering Plymouth, West Devon and some of South Hams shared amongst the team).
Deliver clinical care /
therapeutic interventions in the context of change within a complex healthcare,
utilising specialist pathways for safe and effective care for patients.
Assess Parkinsons
symptoms effectively, and then if appropriate, take responsibility for the safe prescribing of medications of a wide
range of motor and non-motor Parkinsons symptoms. Advice for prescribing can
be sought from the wider Parkinsons team. The nurse will be expected to see
through that episode of prescribing intervention.
Assess suitability of service-users for prescribing interventions
and to initiate these as an independent prescriber.
Comply with the
Professional codes, relevant legislation, procedures and policies.
To review and make changes to prescribed medication, in
collaboration with the service-user wherever possible (and adhering with agreed
Clinical Management Plan where applicable).
To prescribe and change medications as clinically appropriate,
within the scope of the independent practitioners clinical expertise and/ or
CMP.
Actively involve
patients, and carers, in their treatment and encourages/empowers others
enabling individuals to manage their own care and recovery.
Explain to patients in
a clear concise way the appropriate treatment options available at each stage
of the disease. Provide this verbally and through written information so to
empower a shared decision making. To make relevant referrals to wider MDT for
such treatment interventions such as Apomorphine and Produodopa infusion
therapy, and Deep brain stimulation.
Utilise appropriate
models of care delivery (such as the Home-based care pathway), innovations and
rapidly evolving technologies (such as the PKG watch) using critical analysis
and their underpinning knowledge to manage complex interventions.
Liaise where appropriate with health and
social care and other external agencies, this might involve case management
discussions, continuing healthcare funding assessments, or referrals to other
services.
Document assessments,
formulate an appropriate person-centred plan.
Collaborate with the MDT to identify, review and support patients with
complex disease management who are either at risk of admission, have repeated
active hospital admissions to develop their knowledge and understanding about
their health and well-being to enable self-management within individual
abilities.
Take a lead role by
offering professional support within the MDT when dealing with complex/urgent
situations which can be emotionally challenging e.g. end of life care or
advising on advanced clinical therapy devices that have malfunctioned.
Make independent
referrals for diagnostic tests and/or opinions and care which requires open and
informed discussion at all levels from consultants to GPs to specialist
services.
The person-centred
holistic assessment will include clinical, social, functional, emotional and
cognitive elements, this will require gathering and interpreting information
from various IT systems and sources, performing tests and analysing results,
recording collated information on System One and sharing with the appropriate
Neurology teams which may be based at UHP, RD&E, Southmead Hospital, or
Torbay Hospital.
The role requires
specialist understanding of Parkinsons, but also of other health conditions
which may affect and impact on symptoms, such as Urinary Tract and Lower Respiratory tract
infections, Constipation, Delirium and Dementia. This role will regularly
manage people who have an acute deterioration of symptoms because of those
other conditions. Actively seeking out patients who will benefit from clinical
case management technique in order to avoid unplanned hospital admission and
reduce the length of hospital stays.
Commitment to provide
clinical support to patients, their families/carers and professionals involved
across the Parkinsons pathway. Use a
high level of communication and interpersonal skills to communicate effectively
with patients and carers, in particular the skills needed for cognitive
assessment and mental health status.
Provide ongoing support
for carers via monthly online support groups co-facilitated by local care
support organisations.
The postholder will
support the role by integrating the four key aspects of clinical practice, education, research
and leadership whilst collaborating closely with other members of the
multi-disciplinary team to develop and monitor standards of care.
See full job description on the attached document
