Job summary
The Royal London Hospital Hyper Acute Stroke Unit provides world class care and cutting edge research and treatment in Thrombolysis and Thrombectomy and is England's number 1 stroke Thrombectomy centre. The Royal London Hospital Mechanical Thrombectomy service performs the highest number of procedures in England per year, also covering the largest area across North East London and south East England with excellent clinical outcomes. The Royal London Hospital is also one of Europe's largest major trauma centres, and is nationally and internationally recognised for its work in advancing trauma care.
Successful applicants to this exciting new role would join the dynamic Mechanical Thrombectomy team to support the coordination and effective delivery of the Mechanical Thrombectomy service at the Royal London Hospital. The post holder will be committed to assisting us in delivering safe and compassionate care to all our patients and also ensuring that all Stroke patients have access to excellent care which is evidenced based.
This is an exciting and rewarding role, which would be suitable for a candidate with Stroke Experience, an interest in quality improvement and clinical governance and a strong track record of working collaboratively to maintain and developsafe, effective and compassionate services. You will be working as part of a friendly and supportive team within Stroke Services and the Emergency Care & Trauma Division at the Royal London.
Main duties of the job
The purpose of this role is to support the coordination and effective delivery of the Mechanical Thrombectomy (MT) service at the Royal London Hospital.
The ideal candidate would be able to recognise the challenge faced by patients and their families following mechanical thrombectomy, guiding families through the recovery or repatriation process as well as act as an advocate for a complex and challenging patient group. The candidate would enhance the delivery of the service, acting as a resource for other members of staff across the hospital from a wide range of disciplines. Close liaison with theatres, interventional neuroradiology, A&E, ITU/HDU and the stroke ward is essential. As a constant member of the team, the Nurse Coordinator will be invaluable in liaising with staff, patients and relatives, providing support and promoting adherence to care pathways.
The role demands high level communication skills, as well as ability to deal with high levels of distress often displayed by patients and families. The candidate should be passionate in wanting to support a unique patient group.
In addition, the postholder will oversee effective data collection and recording and using data to support improvements to the patient pathway both internally and across the region.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Job description
Job responsibilities
Clinical Practice
- To provide a specialist nursing service for patients who undergo mechanical thrombectomy at RLH
- To provide expert nursing advice and support to patients, their families and other healthcare professionals across the MT pathway
- Contribute towards a multi-professional and holistic approach in the management of patients within the MT Service
- Respond to thrombectomy calls, reinforcing local guidelines and practice
- Act as a patient advocate.
- Communicate with patients post thrombectomy to undertake review of outcomes
- Work with the ward manager to provide leadership to the MDT and identify innovations in practice
- Encourage and advise the ward/unit staff to actively participate in the appropriate management of patients following thrombectomy, providing clinical education and training for new and existing staff.
- Supporting ward staff with improving patient flow for MT patients
- Contribute to the formal induction of staff and work with the Practice Development Nurse to identify and support deficits in knowledge and skills
- Development of multi-disciplinary sim training in conjunction with the Clinical Lead for MT
- Working closely with regional stroke networks-leadership and management teams- to reinforce the thrombectomy pathway and contribute to policy and service development
Quality
- The post holder must at all times work in accordance with the NMC Code of Professional Conduct (2002).
- Demonstrates knowledge and understanding of the Trusts audit programme and ensures the quality of care delivered as an ongoing and cumulative process.
- Ensures documentation is accurate and up to date. Monitors and promotes high standards of clinical documentation within the team.
- Makes informed decisions under guidance in the provision of care to the patient group by using knowledge of resource management information.
- Evaluate the quality of patient care and ensures that the results of evaluation are used to sustain or improve quality of patient care.
- Ensures privacy and dignity is maintained at all times.
- Demonstrates respect for patients cultural beliefs and accommodates accordingly.
- Actively seek feedback/input from patients/carers in order to continuously improve the quality of care provided.
Data collection and analysis
- To ensure accurate and timely recording of all MT cases undertaken
- To complete the quarterly MT metrics dashboard, submitted to the London-wide MT group
- Producing an MT dashboard on a monthly basis
- Undertaking data analysis and presenting results in a professional format using excel and other data analysis tools
- Undertaking monthly Door to Groin audit
- Reviewing the Refer-a-Patient system regularly to ensure accurate and complete data entry and contacting referrers for any missing information in a timely manner
- Reviewing Stroke SSNAP (Stroke Sentinel National Audit Programme) data as a data source for audits and ensuring accurate SSNAP entry
- Working with clinical staff on audits and quality improvement projects
Meetings and governance
- Coordination of internal governance meetings including producing agendas/ minutes and presentation of metrics
- Coordination of external governance meetings including liaison with external partners for submission of data, as well as producing agendas/ minutes and presentation of metrics
- Coordination of weekly MT meeting including producing agenda and minutes
- Attendance at pan-London MT meetings including Door-to-Groin pan-London audit meetings
- To ensure all resources are used efficiently and effectively at all times
- To support the ward manager to share learning from incidents and work with the Practice Development Nurse to implement developments in practice
M&M
- Generating list for bi-monthly M&M meeting and circulating to all clinical staff involved in patient care
- Generating list of outcomes from M&M and circulating to relevant staff
- Supporting effective collection of metrics, including complications, for discussion at M&M
Service Improvement
- Producing, reviewing and updating policy and pathway documents in conjunction with clinical lead for MT
- Liaising with other internal departments, including the Emergency Department, to support effective communication between departments with the aim of improving the patient pathway
- Developing the MT service and improving pathways
- Producing appropriate guidelines and policies to promote excellence in patient care on the MT pathway
- Participating in critique of current research and consideration of its applications to practice
- Contribute to the teams development of clinical and service standards based on evidence of best practice in accordance with the Trusts framework for clinical governance and national guideline
Finance
- Work with coding and finance teams to improve coding of procedures and accurate income
- Oversight of tariffs and costs on a regular basis
- Identify opportunities for additional income/ cost savings
- Work with finance teams to cost up any service improvement initiatives and business cases
Education & Professional development
- Take responsibility for personal development and education with regard to appraisal and Personal Development Plan objectives.
- To maintain a portfolio that showcases ongoing professional development; actively use reflective techniques to self-develop and learning.
Job description
Job responsibilities
Clinical Practice
- To provide a specialist nursing service for patients who undergo mechanical thrombectomy at RLH
- To provide expert nursing advice and support to patients, their families and other healthcare professionals across the MT pathway
- Contribute towards a multi-professional and holistic approach in the management of patients within the MT Service
- Respond to thrombectomy calls, reinforcing local guidelines and practice
- Act as a patient advocate.
- Communicate with patients post thrombectomy to undertake review of outcomes
- Work with the ward manager to provide leadership to the MDT and identify innovations in practice
- Encourage and advise the ward/unit staff to actively participate in the appropriate management of patients following thrombectomy, providing clinical education and training for new and existing staff.
- Supporting ward staff with improving patient flow for MT patients
- Contribute to the formal induction of staff and work with the Practice Development Nurse to identify and support deficits in knowledge and skills
- Development of multi-disciplinary sim training in conjunction with the Clinical Lead for MT
- Working closely with regional stroke networks-leadership and management teams- to reinforce the thrombectomy pathway and contribute to policy and service development
Quality
- The post holder must at all times work in accordance with the NMC Code of Professional Conduct (2002).
- Demonstrates knowledge and understanding of the Trusts audit programme and ensures the quality of care delivered as an ongoing and cumulative process.
- Ensures documentation is accurate and up to date. Monitors and promotes high standards of clinical documentation within the team.
- Makes informed decisions under guidance in the provision of care to the patient group by using knowledge of resource management information.
- Evaluate the quality of patient care and ensures that the results of evaluation are used to sustain or improve quality of patient care.
- Ensures privacy and dignity is maintained at all times.
- Demonstrates respect for patients cultural beliefs and accommodates accordingly.
- Actively seek feedback/input from patients/carers in order to continuously improve the quality of care provided.
Data collection and analysis
- To ensure accurate and timely recording of all MT cases undertaken
- To complete the quarterly MT metrics dashboard, submitted to the London-wide MT group
- Producing an MT dashboard on a monthly basis
- Undertaking data analysis and presenting results in a professional format using excel and other data analysis tools
- Undertaking monthly Door to Groin audit
- Reviewing the Refer-a-Patient system regularly to ensure accurate and complete data entry and contacting referrers for any missing information in a timely manner
- Reviewing Stroke SSNAP (Stroke Sentinel National Audit Programme) data as a data source for audits and ensuring accurate SSNAP entry
- Working with clinical staff on audits and quality improvement projects
Meetings and governance
- Coordination of internal governance meetings including producing agendas/ minutes and presentation of metrics
- Coordination of external governance meetings including liaison with external partners for submission of data, as well as producing agendas/ minutes and presentation of metrics
- Coordination of weekly MT meeting including producing agenda and minutes
- Attendance at pan-London MT meetings including Door-to-Groin pan-London audit meetings
- To ensure all resources are used efficiently and effectively at all times
- To support the ward manager to share learning from incidents and work with the Practice Development Nurse to implement developments in practice
M&M
- Generating list for bi-monthly M&M meeting and circulating to all clinical staff involved in patient care
- Generating list of outcomes from M&M and circulating to relevant staff
- Supporting effective collection of metrics, including complications, for discussion at M&M
Service Improvement
- Producing, reviewing and updating policy and pathway documents in conjunction with clinical lead for MT
- Liaising with other internal departments, including the Emergency Department, to support effective communication between departments with the aim of improving the patient pathway
- Developing the MT service and improving pathways
- Producing appropriate guidelines and policies to promote excellence in patient care on the MT pathway
- Participating in critique of current research and consideration of its applications to practice
- Contribute to the teams development of clinical and service standards based on evidence of best practice in accordance with the Trusts framework for clinical governance and national guideline
Finance
- Work with coding and finance teams to improve coding of procedures and accurate income
- Oversight of tariffs and costs on a regular basis
- Identify opportunities for additional income/ cost savings
- Work with finance teams to cost up any service improvement initiatives and business cases
Education & Professional development
- Take responsibility for personal development and education with regard to appraisal and Personal Development Plan objectives.
- To maintain a portfolio that showcases ongoing professional development; actively use reflective techniques to self-develop and learning.
Person Specification
Qualifications
Essential
- Registered with Nursing and Midwifery Council (NMC)
- Completion of Adaptation Course if not UK trained and not eligible for registration with NMC
- Completed post-graduation or work towards the: -Stroke Course -Physical assessment course
Experience
Essential
- Experience of audit, including implementation of findings and review of outcomes
- Evidence of teaching and developing self and others
Desirable
- Experience in managing patients relevant to specialist area
- Experience in managing/ supervising staff
- Experience in influencing and effecting change
- Evidence of involvement in quality improvement initiatives
Person Specification
Qualifications
Essential
- Registered with Nursing and Midwifery Council (NMC)
- Completion of Adaptation Course if not UK trained and not eligible for registration with NMC
- Completed post-graduation or work towards the: -Stroke Course -Physical assessment course
Experience
Essential
- Experience of audit, including implementation of findings and review of outcomes
- Evidence of teaching and developing self and others
Desirable
- Experience in managing patients relevant to specialist area
- Experience in managing/ supervising staff
- Experience in influencing and effecting change
- Evidence of involvement in quality improvement initiatives
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).
