Job summary
WellChild Long Term Ventilation & Better at Home Clinical Nurse Specialist-Band 7
We have an exciting opportunity for an experienced nurse to join the Paediatric Respiratory and Long Term Ventilation (LTV) service at St George's Hospital. With support from WellChild we have developed a Better at Home simulation suite to train parents and carers of children with complex respiratory needs. The postholder will work alongside our current WellChild LTV Clinical Nurse Specialist to support children & young people in St George's and South-West London with LTV needs. The role will include both clinical and educational aspects. There is the opportunity to work within the Better at Home SIM training programme and facility within St George's to advance training for parents and carers of children with LTV needs, prior to discharge from hospital and at home. The postholder will also share the clinical caseload to support the initiation of ventilation (invasive and non-invasive), coordinating the discharge process and providing ongoing care and support of children with LTV after discharge including outpatient clinics, telephone advice, and domiciliary visits. The postholder would be expected to work independently/autonomously alongside the multi-disciplinary teams including Paediatric Respiratory, Paediatric Intensive care, High Dependency Units and Neonatal Intensive Care Units at St George's and within south West London.
Main duties of the job
To support the inpatient and outpatient care of children on long-term ventilation and their families. This will include teaching parents/guardians, helping to facilitate discharge, liaising with community nursing teams and supporting families at home.
The role involves working within a long-term ventilation / respiratorymedical and nursing service that is aimed at continuously improving standards of patient care and facilitating multi-professional working. This will be achieved through clinical practice, management, education, research and audit.
The Band 7 CNS shall be expected to work within the LTV team to manage this caseload.
About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).
After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
Job description
Job responsibilities
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
1. To work alongside the current WellChild LTV Clinical nurse specialist to support children & young people requiring long-term ventilation in St Georges Hospital and South-West London, both as inpatient care and following discharge to home.
2. To utilise the WellChild Better at Home SIM training programme and facility within St Georges to advance training for parents and carers of children with LTV needs, prior to discharge from hospital. To continue training for parents of children with LTV needs prior to, and after discharge from hospital.
3. To share the clinical caseload to manage and support the complex discharge process
4. To share the clinical caseload to provide ongoing care and support of children with LTV after discharge including outpatient clinics, telephone advice, and domiciliary visits. To assist in acute ventilation set up within the clinical settings and support with troubleshooting.
5. To act as an expert resource in paediatric LTV and complex discharge planning. To work independently/autonomously alongside the multi-disciplinary teams of St Georges Hospital Paediatric Intensive care Unit (PICU), Paediatric Step-Down Unit (PSDU) and Neonatal Intensive Care Unit (NNU) at St Georges Hospital.
6. To participate in research and education to advance clinical excellence in this area
7.It is our aim that each child/young person and their family should be treated as individuals. We acknowledge the importance of the family to their child and will work in partnership to provide the best possible care in a safe and caring manner.
8.All members of the paediatric team will work in an environment that provides support and mutual respect for each other.
9.To promote and support WellChild through attendance at specialist meetings and publicity events in keeping with the overall ethos of the charity.
10.To liaise and coordinate services with other LTV providers in London to ensure continuity of care and care closer to home.
Job description
Job responsibilities
This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.
1. To work alongside the current WellChild LTV Clinical nurse specialist to support children & young people requiring long-term ventilation in St Georges Hospital and South-West London, both as inpatient care and following discharge to home.
2. To utilise the WellChild Better at Home SIM training programme and facility within St Georges to advance training for parents and carers of children with LTV needs, prior to discharge from hospital. To continue training for parents of children with LTV needs prior to, and after discharge from hospital.
3. To share the clinical caseload to manage and support the complex discharge process
4. To share the clinical caseload to provide ongoing care and support of children with LTV after discharge including outpatient clinics, telephone advice, and domiciliary visits. To assist in acute ventilation set up within the clinical settings and support with troubleshooting.
5. To act as an expert resource in paediatric LTV and complex discharge planning. To work independently/autonomously alongside the multi-disciplinary teams of St Georges Hospital Paediatric Intensive care Unit (PICU), Paediatric Step-Down Unit (PSDU) and Neonatal Intensive Care Unit (NNU) at St Georges Hospital.
6. To participate in research and education to advance clinical excellence in this area
7.It is our aim that each child/young person and their family should be treated as individuals. We acknowledge the importance of the family to their child and will work in partnership to provide the best possible care in a safe and caring manner.
8.All members of the paediatric team will work in an environment that provides support and mutual respect for each other.
9.To promote and support WellChild through attendance at specialist meetings and publicity events in keeping with the overall ethos of the charity.
10.To liaise and coordinate services with other LTV providers in London to ensure continuity of care and care closer to home.
Person Specification
Demonstrates St George's Hospital Values
Essential
- Excellent
- Kind
- Responsible
- Respectful
Professional and Clinical Qualifications
Essential
- RSCN/RN Child or equivalent.
- Evidence of experienced practice either through degree level qualification or extensive clinical experience within the field of long-term ventilation
- Level 3 Safeguarding Children Training.
- Prevent Training
- PILS
- Teaching and Assessing training or equivalent
Desirable
- ALS training
- ICU/HDU Course
- Tracheostomy Course
Experience
Essential
- Management of children within a PICU/NICU/HDU setting
- Experience of the discharge process regarding paediatric LTV
- Knowledge of cardio-respiratory anatomy and physiology
- Knowledge of ventilatory care needs of the highly dependent child
- Knowledge and proof of skills in the care of the child with a tracheostomy
- Relevant clinical experience including paediatric respiratory care in nursing
- Working as an effective member of an MDT.
- Experience of working across organisational boundaries/NHS Trusts/Tertiary and Primary Health Care at all levels
- Evidence of providing written and verbal communication to children, young people, families and other healthcare professionals
- Knowledge and understanding of Quality Assurance including Standards and Audit
- Clear understanding of safeguarding procedures
- Experience of managing parental expectations
- Evidence of professional development
Desirable
- Involvement in research and audit
- Experience of working with children with complex needs
- To have evidence of service development (including research, audit and teaching/training)
- Previous community experience
- Experience of high degree of autonomous practice.
- Understanding of commissioning within the NHS with knowledge of ICB children's services
Skills and Knowledge
Essential
- Excellent interpersonal skills and ability to inspire and motivate others
- Ability to advocate for child and family in the professional arena.
- Excellent organisation skills - using own initiative
- Ability to manage change - developing services using a multidisciplinary approach
- Resource management - human and material
- Awareness of current issues regarding Long Term Ventilation packages of care
- Ability to recognise stress in self and others
- Able to manage conflict and difficult situations effectively
- Palliative care skills and child bereavement awareness
- Able to prioritise and meet deadlines
- Excellent oral and written communication skills - ability to compile complex written information
- To work as part of the MDT as well as independently
- Experience of providing teaching to patients and families
Desirable
- Experience working with simulation equipment, scenario teaching
- Knowledge and understanding of clinical governance, audit and quality assurance
- Experience of managing a database
- Able to develop and implement clinical guidelines
Organisational Management
Essential
- Ability to assess, plan and evaluate nursing care according to individual needs.
- Ability to prioritise / adapt quickly and organise own workload.
- Demonstrate the ability to work as part of the MDT.
- Demonstrate the ability to use resources effectively.
General/Other
Essential
- Motivated and demonstrates an enthusiasm for the specialty
- Reliable and well presented.
- Demonstrates a caring and sensitive approach to needs of patients/parents/ guardians and relatives.
- Flexible attitude to ways and hours of working
- Good interpersonal skills. Kind and compassionate, calm and objective
- Progressive outlook on professional development
- Able to prioritise workload and manage own time
- Ability to adapt to the changing needs of service
Desirable
Person Specification
Demonstrates St George's Hospital Values
Essential
- Excellent
- Kind
- Responsible
- Respectful
Professional and Clinical Qualifications
Essential
- RSCN/RN Child or equivalent.
- Evidence of experienced practice either through degree level qualification or extensive clinical experience within the field of long-term ventilation
- Level 3 Safeguarding Children Training.
- Prevent Training
- PILS
- Teaching and Assessing training or equivalent
Desirable
- ALS training
- ICU/HDU Course
- Tracheostomy Course
Experience
Essential
- Management of children within a PICU/NICU/HDU setting
- Experience of the discharge process regarding paediatric LTV
- Knowledge of cardio-respiratory anatomy and physiology
- Knowledge of ventilatory care needs of the highly dependent child
- Knowledge and proof of skills in the care of the child with a tracheostomy
- Relevant clinical experience including paediatric respiratory care in nursing
- Working as an effective member of an MDT.
- Experience of working across organisational boundaries/NHS Trusts/Tertiary and Primary Health Care at all levels
- Evidence of providing written and verbal communication to children, young people, families and other healthcare professionals
- Knowledge and understanding of Quality Assurance including Standards and Audit
- Clear understanding of safeguarding procedures
- Experience of managing parental expectations
- Evidence of professional development
Desirable
- Involvement in research and audit
- Experience of working with children with complex needs
- To have evidence of service development (including research, audit and teaching/training)
- Previous community experience
- Experience of high degree of autonomous practice.
- Understanding of commissioning within the NHS with knowledge of ICB children's services
Skills and Knowledge
Essential
- Excellent interpersonal skills and ability to inspire and motivate others
- Ability to advocate for child and family in the professional arena.
- Excellent organisation skills - using own initiative
- Ability to manage change - developing services using a multidisciplinary approach
- Resource management - human and material
- Awareness of current issues regarding Long Term Ventilation packages of care
- Ability to recognise stress in self and others
- Able to manage conflict and difficult situations effectively
- Palliative care skills and child bereavement awareness
- Able to prioritise and meet deadlines
- Excellent oral and written communication skills - ability to compile complex written information
- To work as part of the MDT as well as independently
- Experience of providing teaching to patients and families
Desirable
- Experience working with simulation equipment, scenario teaching
- Knowledge and understanding of clinical governance, audit and quality assurance
- Experience of managing a database
- Able to develop and implement clinical guidelines
Organisational Management
Essential
- Ability to assess, plan and evaluate nursing care according to individual needs.
- Ability to prioritise / adapt quickly and organise own workload.
- Demonstrate the ability to work as part of the MDT.
- Demonstrate the ability to use resources effectively.
General/Other
Essential
- Motivated and demonstrates an enthusiasm for the specialty
- Reliable and well presented.
- Demonstrates a caring and sensitive approach to needs of patients/parents/ guardians and relatives.
- Flexible attitude to ways and hours of working
- Good interpersonal skills. Kind and compassionate, calm and objective
- Progressive outlook on professional development
- Able to prioritise workload and manage own time
- Ability to adapt to the changing needs of service
Desirable
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
