Job responsibilities
The
jobholder will be responsible out of hours for:
the management of the emergency and
elective admission process across the Trust, safe and appropriate patient
placement, and the achievement of related local and national Trust standards.
the clinical management of the site
providing leadership and support to all wards and departments.
the operational management of the
Trust, implementing policies and procedures as required and providing support
and advice to Trust employees.
The
jobholder will participate in and co-ordinate the Trusts emergency response
teams to Fire, Security Alerts and other clinical emergencies.
The
job holder will take a lead role in the co-ordination and first line management
of Major and Serious Incidents occurring out of hours as required.
The jobholder will be line managed by the
clinical site manager team leader and out of hours is responsible for
reporting to the on call manager according to established escalation
procedures.
The
jobholder is responsible for ensuring the timely and appropriate placement of
patients requiring admission to the Trusts bed base and for responding to
the escalation procedure from the Emergency Departments.
The
jobholder will have responsibility for the management of patient flows Trust
wide.
The
jobholder will provide leadership to teams both in and out of hours and will
co-ordinate the hospital handover from Clinical Service units to the
Corporate Operations Team focusing on Patient flow, Safety and Performance.
The
jobholder will work closely with all Clinical Service Units, the Infection
Prevention team and the Facilities department in ensuring infection control
and prevention policies are adhered to.
The
jobholder will be easily identifiable to patients, provide strong leadership
through a visible presence and provide support, advice and assistance
required by patients, their families and carers.
The
jobholder will also support the utilisation of the Patient Advice and Liaison
Service (PALS), being a focal point for advice to patients and carers and
local resolution of complaints. Monitor
and maintain patient flow across the Trust sites.
On behalf of the Clinical Service
Units actively manage and be accountable for the efficient and effective use
of the Trusts bed base out of hours.
Act on the behalf of the Clinical
Service Units when making decisions about the admission of
unscheduled/elective patients.
Work with Clinical Directors,
General Managers, Heads of Nursing and Matrons to ensure appropriate patient
placement is delivered within Trust frameworks and to support the delivery of
the Trusts short to medium term objectives.
Ensure that operational policies
support effective processes and are communicated, implemented and audited.
Working with Trust colleagues, take
a lead role in maintaining patient flow using the standard operating
procedure for managing capacity and demand.
To monitor the trigger factors
associated with the Trusts Acute Care Escalation Plan.
Working with internal and external
colleagues/agencies, to maintain an effective discharge process that
maximises the use of community provision.
Review of service delivery to
ensure that delays in patient placement are identified and acted upon,
ensuring ongoing improvement in patient access.
Maintain an overview of actual and
potential bed capacity and ongoing demand across the Trust, analyse and
mitigate pressures.
To maintain an overview of timely
patient flow across the site with particular focus on admissions through the
Emergency Department.
To determine the best use of
available capacity
To consider the elective admission
process reconciling the demand for optimal activity with the need to provide
sufficient capacity for urgent admissions.
The immediate co-ordination and
first line management of the Trusts emergency response to Fire, Major
incidents, Security alerts and Serious Untoward incidents.
To be the on site management
resource for staff out of hours utilising LTHT policies and procedures.
To liaise with Security manager and
Public Relations and, on behalf of the Trust, external agencies such as the
police and media.
To re deploy staff in order to
cover for unexpected sickness or absence.
To provide support and advice to
all Trust employees.
Liaise with managers regarding the
clinical and operational management of their areas.
To ensure that critical/untoward
incidents and safeguarding issues are reported as per locally agreed Trust
Policies.
Value
for Money
Out of hours be responsible for the
allocation of staff to all areas, ensuring adequate staffing cover is
provided on a daily basis. Review nursing/support staff establishments to
ensure skill mix reflects current workload requirements and represents best
use of resources.
Assess the impact of extra hours
worked by staff on their performance and the needs of the service.
Quality
of Care/Clinical Governance
Work with members of the Clinical
Service Units to deliver high quality, timely health care. Contribute to the
implementation of National Service Frameworks (where applicable) and National
Policy.
Work closely with Clinical Service
Units to secure and ensure the highest standard of clinical care is provided
within available resources.
Ensure all processes encompass
measures to ensure smooth transition of patients through the care pathway,
for example, timely admission and discharge processes.
Ensure that clinical governance
processes encompass measures to ensure the quality of the fundamental and
essential aspects of care.
Ensure nurses work within the Trust
Nursing Policy and Practice Guideline framework.
Communicate effectively through
daily contact with all disciplines in the relevant site and associated sites.
Attend the Daily Operational Performance meetings and chair the patient flow
meetings.
Ensure clinical and non-clinical
incidents are reported in accordance with Trust policy and agree actions in
response to these.
Maintain a safe working
environment, being aware of the requirements to comply with Health and Safety
regulations. Ensure equipment is maintained according to manufacturers
specifications and necessary repairs are undertaken. Ensure staff are trained
and supervised where appropriate in the correct use of equipment.
Address the concerns of patients
and service users and respond to their suggestions for local quality
improvements. Lead the investigation and management of complaints out of
hours through local resolution and in accordance with the Trust complaints
procedure, liaising with the Patient Relations department where necessary.
Support the implementation of a
Patient Advice and Liaison Service (PALS), being a focal point for advice to
patients and carers and local resolution of complaints.
Work with Heads of Nursing and
Matrons to ensure the implementation & delivery of the Nursing Strategy.
Act in accordance with the Nursing
& Midwifery Code of Conduct.
Education
and Training
Undertake relevant staff appraisals
and ensure staff have personal development plans in accordance with Trust
policy and support other senior staff in this process.
Promote evidence-based practice
within the patient admission/discharge process. Support staff in undertaking
research/project work.
Leadership
Act as a positive clinical role
model through the provision of support and advice to staff. Lead by example
through visible leadership to motivate and empower others.
Ensure that appropriate
arrangements are in place to provide leadership, support and motivation to
help immediate subordinates and others to understand and achieve the required
results.
Ensure effective working
relationships and communication is maintained between all grades of staff and
professional groups within the designated area, working within a
multidisciplinary team.
Act as a positive role model
through the provision of support and advice to staff. Lead by example through
visible leadership to motivate and empower others.
Contribute to the management of
sickness absence and staff capability in accordance with Trust policy.
Our
values are part of what make us different from other trusts, so we see this
as a strength, as well as a responsibility. They have been developed by our
staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All
our actions and endeavours will be guided and evaluated through these values
Additionally,
the following are core values which relate specifically to this post:
To provide strong and effective
leadership out of hours
To encourage staff to demonstrate
personal responsibility and accountability within their role
To use the knowledge and skills of
the workforce to inspire and empower others
To focus on care delivery which is
safe, high quality, compassionate and individualised for every patient
To support Clinical service units
to provide Safe and effective discharge which is individualised to patient
and family needs
Commitment to collaborate team
working across disciplines, specialities, teams, groups and the Trust.
Commitment to ensure the Trust
plays a full part in contributing to Leeds city-wide reconfiguration
programmes, including tackling health inequalities
Commitment to ensure high quality
evidence-based care is delivered.
