Job summary
We are looking to recruit an experienced nurse to join our Respiratory team as a Clinical Nurse Specialist in Bronchiectasis and complex respiratory infection, to work in the support and care delivery of this patient group. The team requires a nurse who can work autonomously in a hospital and clinic setting and have excellent communication skills in order to liaise effectively with the multidisciplinary teams. Experience in Respiratory medicine would be an advantage but is not essential as Internal and external training will be provided.
What is important is your enthusiasm for the role, desire to develop and ability to provide high standards of patient care.
Main duties of the job
- To work within a multi-agency team bridging hospital (acute and outpatient) and community-based services to deliver high quality care to all patients with bronchiectasis and/or complex respiratory infection.
- Be an autonomous practitioner and carry out advanced assessment and treatment of a specialist caseload of patients with bronchiectasis and complex respiratory infection (usually fungal lung disease)
- To provide quality of life assessment and individualised self-management plans for this cohort of patients.
- To champion and foster joint decision making with patients with these long-term health conditions. To be enhanced by improving patient information availability.
- To be responsible for clinical update and action (with support of an administrator) to a weekly multi professional fungal MDT. This MDT will oversee safe initiation and therapeutic drug monitoring to patients being treated for fungal lung disease
- To deliver and train others in procedures related to host defence investigations such as sweat testing and nasal NO measurement.
- To deliver and train others in nebulised antibiotic bronchoconstriction trials.
- To liaise with lead consultants, the virtual ward team and acute care nurses around the organisation of home I.V. antibiotics
- To contribute to the national BTS bronchiectasis audit as well as involvement in quality improvement to meet an excel in the delivering the BTS bronchiectasis quality standard
About us
Join us atUHSussex, every day is different, you can be the change, better never stops
At UHSussex we're proud to be at the heart of the NHS. As one of the UK's largest acute Trusts, we're a leading example of the excellence, the ambition and the values that have embodied the NHS for over 70 years.
Improving lives: We are a vibrant and inclusive organisation, with hardworking, talented and dedicated individuals, who work together towards a common goal, to always put our Patient First. Our mission is summed up by our 'where better never stops' motto and no matter the role at UHSussex, you will play a part in driving us forwards and in improving the lives of patients across Sussex. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our wellbeing programme for staff which is extensive and designed to support you when you need it because we know that to look after others we must first look after ourselves.
Build a career with us: As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
Job description
Job responsibilities
Communication
- Work closely, as part of an MDT, within specialist networks within the South East of England ( eg tertiary cystic fibrosis and bronchiectasis services)
- Develop relationships and networks with both community respiratory groups, emergency departments/acute departments and virtual ward to work together
- To build and maintain valuable and productive working relationships working across organisation and professional boundaries.
- To provide and receive complex or sensitive information, where persuasive and reassurance skills are required.
- To facilitate and promote effective communication within the team, Trust and wider healthcare community.
- To communicate effectively with patients, carers and colleagues to maximize potential.
Service Delivery and Improvement
- To take an active role in the Regional and National Clinical Interest Groups.
- To ensure the integration of evidence-based practice within team.
- To evaluate service provision and assist in the planning and development of service strategy with the Respiratory Pathway and Medicine Divisional Lead.
- To be responsible for proposing and implementing local team policies and ensuring they are reviewed and amended as required.
People Management and Development
- To lead the delivery of quality improvement and audit for an ongoing program of activity to meet and excel in the BTS bronchiectasis quality standards.
- To co-lead the fungal MDT
- To mentor and undertake appraisal with staff as required.
- To be responsible for a designated area of clinical work, and to plan and organise the team efficiently and effectively with regard to patient management and use of time.
- To facilitate and contribute to multi-disciplinary communication and planning, to ensure delivery of a co-ordinated multi-disciplinary service.
- To take an active role in professional and clinical groups such as AHP special interest groups.,
- To participate in a potential, annual leave cross-cover and weekend rota as required
- To supervise and performance manage more junior staff if present within the team and undertake appraisal and rotational reviews with students as required.
- To develop and maintain skills required to practice at a specialist level through regular CPD activities, complying with a competencies package relevant to that area of work, and maintaining a portfolio which reflects personal development.
- To develop and maintain skills required to practice at a specialist level.
- To maintain own Continuous Professional Development and keep updated of any new trends or developments within speciality, and maintain a KSF portfolio or equivalent, that reflects personal development.
Patient Care Delivery
- Determine clinical management based on interpretation of simple and complex investigations (blood tests, observations and clinical examination)
- Develop a good working knowledge of anti-fungal drugs and their side effects. Would support non-medical prescribing application if desired.
- To be competent in basic procedures such as intravenous cannulation, subcutaneous infusions, venepuncture, sweat testing, nasal NO measurement, spirometry.
- To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care, in accordance with the core standards or conduct, performance and ethics as outlined by the NMC. To work within Trust and NMC guidelines to ensure quality of practice is in accordance with national and local standards.
- To formulate and deliver individual treatment programs based on evidence-based practice from a wide range of treatment options. These will include manual therapy techniques, patient education and self-management, airway clearance techniques, breathlessness management as well as delivery of intravenous antibiotics and nebulized therapies
- To help identify the palliative patient and be comfortable in supporting end-of-life care
- To identify the deteriorating patient where admission to hospital is appropriate and necessary and to liaise with the necessary teams to ensure timely and safe handing over of care takes place
- To have good communication skills to work with patients and their families/carers and address any potential concerns or queries
- To assess capacity for consent with all patients and whenever possible ensure informed consent is agreed. Where patients lack the capacity to consent, to work within the legal framework.
- To be responsible for organising and planning own caseload to meet service and patient priorities.
- To be aware of potential safeguarding issues in all patients but particularly the vulnerable, non-verbal dependent patient group
- To maintain accurate, comprehensive and clear clinical records in line with departmental, Trust and NMC standards.
- To provide highly specialist advice to patients, colleagues, other health care professionals and medical staff in relation to clinical care within specialty.
- To work as lone worker when required in line with department policy.
- To manage clinical risk and escalate if any concerns, including outside of the MDT meetings.
- To seek advice as appropriate in complex / unfamiliar scenarios.
- The job involves frequent exposure to distressing or emotional circumstances e.g. Imparting unwelcome news to patients or relatives, dealing with difficult family situations or circumstances etc
- The job requires frequent episodes of concentration and involves exposure to regular interruptions to expected work pattern.
- The job requires frequent episodes of moderate physical activity for several short periods during a shift.
- The job involves frequent / occasional exposure to highly unpleasant working conditions e.g. Exposure to bodily fluids including sputum, vomit, urine, and occasional exposure to verbal and physical aggression.
Learning and Development
- Attend mandatory training updates as required.
- Undertake training as necessary in line with the development of the post and as agreed with the line manager as part of the personal development process.
- Achieve and demonstrate agreed standards of personal and professional development within agreed timescales.
- Identify own learning needs and jointly plan training requirements with your line manager
- Participate in the Trusts appraisal process to discuss how your role will help deliver the best possible care to our patients and help to deliver any changes in service.
Leadership
- To decide priorities for own work area, balancing patient-related and professional demands.
- To participate in the Trust appraisal programme, and work towards agreed objectives.
- To actively participate in departmental, Service and divisional meetings, informing discussions and contributing ideas and proposals regarding policy and service delivery/development.
- To deal with informal complaints in line with Trust policy, and support the Pathway Lead in dealing with formal complaints.
- To participate in recruitment and selection as required, in line with Trust policy.
Financial
- To be responsible for the overseeing of all equipment purchases required for the delivery of this service
- To be responsible for identifying further budget requirements within the development of the service and to draw up any appropriate business case proposals related to this
- To work with our antimicrobial pharmacist to ensure drug spend is accurately reimbursed where appropriate and take part in any drug related cost improvement plans.
- To be a financial signatory within the complex respiratory infection service responsible for an appropriate supply of necessary equipment for the safe delivery of the service within its financial budgets
Training and Education
- To provide education, information sharing and support with surrounding trusts and community-based clinicians
- To provide specialist advice, teaching and training to other members of the MDT regarding the management of patients within the speciality.
- Responsible for ensuring all staff within their team undertake essential training in line with department and Trust guidelines
- To be responsible for the safe use of equipment in own area, through training and competency assessment of other members of the trust-wide AHP team.
Administration
- To keep up-to-date and comply with Trust procedures and policies including Health & Safety, Fire Regulations, infection control etc
- To participate in the Departmental Clinical Governance programme and facilitate local team implementation.
- To maintain a high standard of confidentiality at all times.
- To act as an ambassador for the service at all times.
- To comply with the organisational and departmental policies and procedures and to be involved in reviewing, updating or writing as appropriate.
- To represent the Trust externally (locally, regionally and nationally) as an AHP in the Ventilation Specialty.
- To undertake any additional duties appropriate to the post as may be delegated by the Head of Therapies or Pathway Lead Therapists
Audit and Research
- To undertake regular measurement and evaluation of current practices through the use of Evidence Based Practice projects, audit, research, outcome measures and make recommendations for change based on the findings.
- To be an active member of departmental in-service training and other training opportunities as identified through Trust Individual Development Plan.
- With the Lead of the bronchiectasis and complex respiratory infection service, be responsible for ensuring the setting, monitoring and auditing of performance standards within the team, which reflect best practice.
- To be actively involved in the collection of appropriate data and statistics for the use of the department and to join the EMBARC network.
- To undertake regular measurement and evaluation of current practices through the use of Evidence Based Practice projects, audit and outcome measures, and make recommendations for change. This will include participation in national audit when this is available
Job description
Job responsibilities
Communication
- Work closely, as part of an MDT, within specialist networks within the South East of England ( eg tertiary cystic fibrosis and bronchiectasis services)
- Develop relationships and networks with both community respiratory groups, emergency departments/acute departments and virtual ward to work together
- To build and maintain valuable and productive working relationships working across organisation and professional boundaries.
- To provide and receive complex or sensitive information, where persuasive and reassurance skills are required.
- To facilitate and promote effective communication within the team, Trust and wider healthcare community.
- To communicate effectively with patients, carers and colleagues to maximize potential.
Service Delivery and Improvement
- To take an active role in the Regional and National Clinical Interest Groups.
- To ensure the integration of evidence-based practice within team.
- To evaluate service provision and assist in the planning and development of service strategy with the Respiratory Pathway and Medicine Divisional Lead.
- To be responsible for proposing and implementing local team policies and ensuring they are reviewed and amended as required.
People Management and Development
- To lead the delivery of quality improvement and audit for an ongoing program of activity to meet and excel in the BTS bronchiectasis quality standards.
- To co-lead the fungal MDT
- To mentor and undertake appraisal with staff as required.
- To be responsible for a designated area of clinical work, and to plan and organise the team efficiently and effectively with regard to patient management and use of time.
- To facilitate and contribute to multi-disciplinary communication and planning, to ensure delivery of a co-ordinated multi-disciplinary service.
- To take an active role in professional and clinical groups such as AHP special interest groups.,
- To participate in a potential, annual leave cross-cover and weekend rota as required
- To supervise and performance manage more junior staff if present within the team and undertake appraisal and rotational reviews with students as required.
- To develop and maintain skills required to practice at a specialist level through regular CPD activities, complying with a competencies package relevant to that area of work, and maintaining a portfolio which reflects personal development.
- To develop and maintain skills required to practice at a specialist level.
- To maintain own Continuous Professional Development and keep updated of any new trends or developments within speciality, and maintain a KSF portfolio or equivalent, that reflects personal development.
Patient Care Delivery
- Determine clinical management based on interpretation of simple and complex investigations (blood tests, observations and clinical examination)
- Develop a good working knowledge of anti-fungal drugs and their side effects. Would support non-medical prescribing application if desired.
- To be competent in basic procedures such as intravenous cannulation, subcutaneous infusions, venepuncture, sweat testing, nasal NO measurement, spirometry.
- To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care, in accordance with the core standards or conduct, performance and ethics as outlined by the NMC. To work within Trust and NMC guidelines to ensure quality of practice is in accordance with national and local standards.
- To formulate and deliver individual treatment programs based on evidence-based practice from a wide range of treatment options. These will include manual therapy techniques, patient education and self-management, airway clearance techniques, breathlessness management as well as delivery of intravenous antibiotics and nebulized therapies
- To help identify the palliative patient and be comfortable in supporting end-of-life care
- To identify the deteriorating patient where admission to hospital is appropriate and necessary and to liaise with the necessary teams to ensure timely and safe handing over of care takes place
- To have good communication skills to work with patients and their families/carers and address any potential concerns or queries
- To assess capacity for consent with all patients and whenever possible ensure informed consent is agreed. Where patients lack the capacity to consent, to work within the legal framework.
- To be responsible for organising and planning own caseload to meet service and patient priorities.
- To be aware of potential safeguarding issues in all patients but particularly the vulnerable, non-verbal dependent patient group
- To maintain accurate, comprehensive and clear clinical records in line with departmental, Trust and NMC standards.
- To provide highly specialist advice to patients, colleagues, other health care professionals and medical staff in relation to clinical care within specialty.
- To work as lone worker when required in line with department policy.
- To manage clinical risk and escalate if any concerns, including outside of the MDT meetings.
- To seek advice as appropriate in complex / unfamiliar scenarios.
- The job involves frequent exposure to distressing or emotional circumstances e.g. Imparting unwelcome news to patients or relatives, dealing with difficult family situations or circumstances etc
- The job requires frequent episodes of concentration and involves exposure to regular interruptions to expected work pattern.
- The job requires frequent episodes of moderate physical activity for several short periods during a shift.
- The job involves frequent / occasional exposure to highly unpleasant working conditions e.g. Exposure to bodily fluids including sputum, vomit, urine, and occasional exposure to verbal and physical aggression.
Learning and Development
- Attend mandatory training updates as required.
- Undertake training as necessary in line with the development of the post and as agreed with the line manager as part of the personal development process.
- Achieve and demonstrate agreed standards of personal and professional development within agreed timescales.
- Identify own learning needs and jointly plan training requirements with your line manager
- Participate in the Trusts appraisal process to discuss how your role will help deliver the best possible care to our patients and help to deliver any changes in service.
Leadership
- To decide priorities for own work area, balancing patient-related and professional demands.
- To participate in the Trust appraisal programme, and work towards agreed objectives.
- To actively participate in departmental, Service and divisional meetings, informing discussions and contributing ideas and proposals regarding policy and service delivery/development.
- To deal with informal complaints in line with Trust policy, and support the Pathway Lead in dealing with formal complaints.
- To participate in recruitment and selection as required, in line with Trust policy.
Financial
- To be responsible for the overseeing of all equipment purchases required for the delivery of this service
- To be responsible for identifying further budget requirements within the development of the service and to draw up any appropriate business case proposals related to this
- To work with our antimicrobial pharmacist to ensure drug spend is accurately reimbursed where appropriate and take part in any drug related cost improvement plans.
- To be a financial signatory within the complex respiratory infection service responsible for an appropriate supply of necessary equipment for the safe delivery of the service within its financial budgets
Training and Education
- To provide education, information sharing and support with surrounding trusts and community-based clinicians
- To provide specialist advice, teaching and training to other members of the MDT regarding the management of patients within the speciality.
- Responsible for ensuring all staff within their team undertake essential training in line with department and Trust guidelines
- To be responsible for the safe use of equipment in own area, through training and competency assessment of other members of the trust-wide AHP team.
Administration
- To keep up-to-date and comply with Trust procedures and policies including Health & Safety, Fire Regulations, infection control etc
- To participate in the Departmental Clinical Governance programme and facilitate local team implementation.
- To maintain a high standard of confidentiality at all times.
- To act as an ambassador for the service at all times.
- To comply with the organisational and departmental policies and procedures and to be involved in reviewing, updating or writing as appropriate.
- To represent the Trust externally (locally, regionally and nationally) as an AHP in the Ventilation Specialty.
- To undertake any additional duties appropriate to the post as may be delegated by the Head of Therapies or Pathway Lead Therapists
Audit and Research
- To undertake regular measurement and evaluation of current practices through the use of Evidence Based Practice projects, audit, research, outcome measures and make recommendations for change based on the findings.
- To be an active member of departmental in-service training and other training opportunities as identified through Trust Individual Development Plan.
- With the Lead of the bronchiectasis and complex respiratory infection service, be responsible for ensuring the setting, monitoring and auditing of performance standards within the team, which reflect best practice.
- To be actively involved in the collection of appropriate data and statistics for the use of the department and to join the EMBARC network.
- To undertake regular measurement and evaluation of current practices through the use of Evidence Based Practice projects, audit and outcome measures, and make recommendations for change. This will include participation in national audit when this is available
Person Specification
Experience
Essential
- Previous Band 6 experience,
- Evidence of interest in respiratory medicine
- Evidence of on going professional developement
Desirable
- Previous experience in respiratory medicine
- Evidence of achieved professional development
- Enthusiasm towards new role
Person Specification
Experience
Essential
- Previous Band 6 experience,
- Evidence of interest in respiratory medicine
- Evidence of on going professional developement
Desirable
- Previous experience in respiratory medicine
- Evidence of achieved professional development
- Enthusiasm towards new role
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).
