ENT Specialist Nurse including Aural Care

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

The closing date is 26 January 2025

Job summary

This vacancy is for an ENT Specialist nurse who will also take responsibility for the Aural Care service. We are recruiting to a 37.5 hour post with a Monday - Friday working pattern (occasional Saturday required if there are any additional clinics). The post holder will deliver specialist care to patients presenting with new and existing ENT conditions such as, epistaxis, quinsy, ear conditions and tonsillitis etc. Working collaboratively with the multidisciplinary team, they will be instrumental in the daily management of patients and defining the scope and practice of the role and service.

If we are unable to recruit to the Band 6 post we may be able to offer this post as a Band 5 - Band 6 development post for the right candidate. This would be offered as an Annex 21 Training Post. The appointed candidate would be paid a % of the pay band maximum of the qualified rate whilst training with us. There will be a requirement to complete the training programme and the mandatory courses outlined in the training plan before being uplifted to a Band 6, we anticipate the right candidate could achieve this within 12-18 months.

To undertake this post, you must be able to drive and have access to a vehicle. Should you not meet this requirement due to a disability, you are of course able to apply and a discussion regarding whether reasonable adjustments could be made to the role would take place before any offer is confirmed.

Main duties of the job

The post holder will be undertaking Aural Care in a Nurse Led Clinic and be involved in the management of ENT patients at RAEI. The post holder will act as an expert clinical resource for ENT patients. They will be an integral part of the team, assessing patients, formulating a plan of care, and providing education and training to junior medical and nursing staff. Additionally, they will be required to maintain and develop further theoretical knowledge and physical examination skills. The postholder will develop and implement a range of ENT nurse led services and initiatives across the Trust sites. Key areas for development would include, ENT patient follow up clinics reflecting departmental needs and individual's own experience.

This post works across multiple sites.

About us

Choose Well-Choose WWL

Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that'happy staff, makes for happy patients'. We have a recognised track record in staff engagement and living our values'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.

Date posted

20 January 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

302-24-6741372S

Job locations

Royal Albert Edward Infirmary

Wigan Lane

Wigan

WN1 2NN


Job description

Job responsibilities

Planning and Organisational duties

Independently assess, plan, and implement care for patients presenting with chronic and acute ENT conditions.

Enable the delivery of a high standard, ENT specialised service to all Trust sites and outpatient clinics

Manage and organise own case load of patients within varied settings in collaboration with the ENT MDT.

In conjunction with the ENT consultant and medical staff, initiate and establish ENT protocols/pathways.

Development of policies, guidelines and protocols based on relevant research and best practice, implementing change when appropriate.

Perform specific interventions, investigations and treatments as outlined in the expanded ENT specialist nurse role.

Ensure equipment used (both disposable and non-disposable) is maintained, fit for purpose, and stocked as appropriate to ensure economical use of all resources

Develop ENT patient information to assist patient understanding of the disease process and aid their recovery.

Provide advice and support via the telephone to patients, carers, GPs and a range of other healthcare professionals.

Develop an efficient, effective, and safe service within the ENT treatment room.

Provide expert clinical skills including micro suction, epistaxis management etc.

Placement and Removal of ear dressings

Administer topical medication

Manage ENT Wound dressing

Collection of specimens

Changing of Tracheostomy tubes

Providing clinical management for Tonsillectomy clinics and allergy testing clinics.

To be an effective communicator with patients and families, along with the wider multidisciplinary team.

Manage risk within service and identify areas for improvement

Understand key themes within governance and provide input to develop safer patient care.

Triage adult patients providing treatment under management pathways independently and referring patients to the appropriate medical teams if required.

Communicate sensitive information to patients and colleagues in line with trust values.

Provide professional and clinical leadership.

Contribute to the introduction of new and innovative ENT nurse led services which will benefit patient care and service need, using effective project management processes and marketing strategies in accordance with Trust policy and procedures.

Support and counsel patients and carers when making difficult decisions about future management of the disease or coping with bad news.

To provide specialist education and work collaboratively with staff, facilitate and support learning strategies in the clinical setting and the development of the learning environment in clinical practice.

To develop and implement guidelines for good practice.

Maintain national links with voluntary and professional organisations as appropriate.

To update personal knowledge and skills keeping up to date with new advances and current practice.

To raise the profile of the importance of appropriate airway management across the trust and the goals and achievements of the ENT/Head and Neck Directorate.

Managerialand Professional Duties

To be able to work within a team and independently.

Maintain registration with Nursing Midwifery Counsel (NMC)

Maintain confidentiality of all patient information.

Maintain a safe and therapeutic environment for patients.

Report and record all incidents according to trust policy.

To organise own workload to meet service and patient need.

Comply with the health and service at work act 1974.

Comply with the Data Protection Act.

Responsibility for Human Resources

Adheres to all trust policies and procedures that pertain to this area of practice.

Participate in performance review with Lead nurse, negotiating and agreeing own plan of personal development.

Participate in professional and clinical supervision with the Lead nurse.

All staff are accountable for their own professional actions undertaking all duties having regard to the NMC Code of Professional Conduct for the nurse, midwife and health visitor, and their professional contribution to clinical governance.

Maintain accurate records of activity, in accordance with the Data Protection Act 1998, and information Governance, NMC record keeping guidelines, including communications with other health care professionals or outside agencies always maintaining confidentiality.

Responsibility for Finance.

Assist in the delivery of cost efficiency and management expenditure.

Ensure the efficient use and effective use of resources in providing and delivering the service.

Liaises with the budget holder regarding stock control monitoring and maintaining equipment etc.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching

Deliver formal and informal teaching to a wide range of health and social care professionals.

Disseminate relevant information to colleagues by publication and presentation at relevant conferences.

Job description

Job responsibilities

Planning and Organisational duties

Independently assess, plan, and implement care for patients presenting with chronic and acute ENT conditions.

Enable the delivery of a high standard, ENT specialised service to all Trust sites and outpatient clinics

Manage and organise own case load of patients within varied settings in collaboration with the ENT MDT.

In conjunction with the ENT consultant and medical staff, initiate and establish ENT protocols/pathways.

Development of policies, guidelines and protocols based on relevant research and best practice, implementing change when appropriate.

Perform specific interventions, investigations and treatments as outlined in the expanded ENT specialist nurse role.

Ensure equipment used (both disposable and non-disposable) is maintained, fit for purpose, and stocked as appropriate to ensure economical use of all resources

Develop ENT patient information to assist patient understanding of the disease process and aid their recovery.

Provide advice and support via the telephone to patients, carers, GPs and a range of other healthcare professionals.

Develop an efficient, effective, and safe service within the ENT treatment room.

Provide expert clinical skills including micro suction, epistaxis management etc.

Placement and Removal of ear dressings

Administer topical medication

Manage ENT Wound dressing

Collection of specimens

Changing of Tracheostomy tubes

Providing clinical management for Tonsillectomy clinics and allergy testing clinics.

To be an effective communicator with patients and families, along with the wider multidisciplinary team.

Manage risk within service and identify areas for improvement

Understand key themes within governance and provide input to develop safer patient care.

Triage adult patients providing treatment under management pathways independently and referring patients to the appropriate medical teams if required.

Communicate sensitive information to patients and colleagues in line with trust values.

Provide professional and clinical leadership.

Contribute to the introduction of new and innovative ENT nurse led services which will benefit patient care and service need, using effective project management processes and marketing strategies in accordance with Trust policy and procedures.

Support and counsel patients and carers when making difficult decisions about future management of the disease or coping with bad news.

To provide specialist education and work collaboratively with staff, facilitate and support learning strategies in the clinical setting and the development of the learning environment in clinical practice.

To develop and implement guidelines for good practice.

Maintain national links with voluntary and professional organisations as appropriate.

To update personal knowledge and skills keeping up to date with new advances and current practice.

To raise the profile of the importance of appropriate airway management across the trust and the goals and achievements of the ENT/Head and Neck Directorate.

Managerialand Professional Duties

To be able to work within a team and independently.

Maintain registration with Nursing Midwifery Counsel (NMC)

Maintain confidentiality of all patient information.

Maintain a safe and therapeutic environment for patients.

Report and record all incidents according to trust policy.

To organise own workload to meet service and patient need.

Comply with the health and service at work act 1974.

Comply with the Data Protection Act.

Responsibility for Human Resources

Adheres to all trust policies and procedures that pertain to this area of practice.

Participate in performance review with Lead nurse, negotiating and agreeing own plan of personal development.

Participate in professional and clinical supervision with the Lead nurse.

All staff are accountable for their own professional actions undertaking all duties having regard to the NMC Code of Professional Conduct for the nurse, midwife and health visitor, and their professional contribution to clinical governance.

Maintain accurate records of activity, in accordance with the Data Protection Act 1998, and information Governance, NMC record keeping guidelines, including communications with other health care professionals or outside agencies always maintaining confidentiality.

Responsibility for Finance.

Assist in the delivery of cost efficiency and management expenditure.

Ensure the efficient use and effective use of resources in providing and delivering the service.

Liaises with the budget holder regarding stock control monitoring and maintaining equipment etc.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching

Deliver formal and informal teaching to a wide range of health and social care professionals.

Disseminate relevant information to colleagues by publication and presentation at relevant conferences.

Person Specification

QUALIFICATIONS

Essential

  • 1st level registered nurse
  • Degree/degree pathway in health-related subject
  • ENT specialist qualification or equivalent experience in ENT care
  • ENB 998 Teaching qualification/mentorship or equivalent experience

Desirable

  • Non-medical prescriber course or commitment to undertake.
  • Allergy testing qualification
  • Completion or working towards Advanced Clinical Assessment and Decision making.
  • Aural Care/micro suction Qualification or willingness to work towards

Experience

Essential

  • Post registration experience including in this clinical speciality
  • Proven evidence of autonomous practice.
  • Demonstrate expert clinical and professional practice developed through experience and theoretical knowledge.

Desirable

  • Experience of participation in outpatient clinics in this specialty.
  • Evidence of involvement in policy development /guidelines.
  • Experience/ Evidence of clinical Audit presentation/ participation.

Skills

Essential

  • Microsuction qualification/willing to work towards.
  • Ability to perform assessment, planning, implementation, and evaluation of ENT patients.
  • Effective organisational skills. Ability to perform relevant ENT clinical skills.
  • Intermediate IT skills

Desirable

  • Tracheostomy/Laryngectomy management/teaching skills.
  • Able to present information to professional groups.

KNOWLEDGE

Essential

  • Sound knowledge of Ear, Nose and Throat conditions.
  • Sound knowledge of Equipment used within the outpatient/inpatient area.
  • Knowledge of professional and NHS issues and policy relating to ENT conditions management and implications / application to clinical practice
  • Evidence of continuing professional development

Desirable

  • Experience of audit and research Understanding of research management
  • Understanding of resource management.

ADDITIONAL

Essential

  • Able to visit multiple sites with required equipment
  • To undertake this post, you must be able to drive and have access to a vehicle. Should you not meet this requirement due to a disability, you are of course able to apply and a discussion regarding whether reasonable adjustments could be made to the role would take place before any offer is confirmed.
Person Specification

QUALIFICATIONS

Essential

  • 1st level registered nurse
  • Degree/degree pathway in health-related subject
  • ENT specialist qualification or equivalent experience in ENT care
  • ENB 998 Teaching qualification/mentorship or equivalent experience

Desirable

  • Non-medical prescriber course or commitment to undertake.
  • Allergy testing qualification
  • Completion or working towards Advanced Clinical Assessment and Decision making.
  • Aural Care/micro suction Qualification or willingness to work towards

Experience

Essential

  • Post registration experience including in this clinical speciality
  • Proven evidence of autonomous practice.
  • Demonstrate expert clinical and professional practice developed through experience and theoretical knowledge.

Desirable

  • Experience of participation in outpatient clinics in this specialty.
  • Evidence of involvement in policy development /guidelines.
  • Experience/ Evidence of clinical Audit presentation/ participation.

Skills

Essential

  • Microsuction qualification/willing to work towards.
  • Ability to perform assessment, planning, implementation, and evaluation of ENT patients.
  • Effective organisational skills. Ability to perform relevant ENT clinical skills.
  • Intermediate IT skills

Desirable

  • Tracheostomy/Laryngectomy management/teaching skills.
  • Able to present information to professional groups.

KNOWLEDGE

Essential

  • Sound knowledge of Ear, Nose and Throat conditions.
  • Sound knowledge of Equipment used within the outpatient/inpatient area.
  • Knowledge of professional and NHS issues and policy relating to ENT conditions management and implications / application to clinical practice
  • Evidence of continuing professional development

Desirable

  • Experience of audit and research Understanding of research management
  • Understanding of resource management.

ADDITIONAL

Essential

  • Able to visit multiple sites with required equipment
  • To undertake this post, you must be able to drive and have access to a vehicle. Should you not meet this requirement due to a disability, you are of course able to apply and a discussion regarding whether reasonable adjustments could be made to the role would take place before any offer is confirmed.

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

Address

Royal Albert Edward Infirmary

Wigan Lane

Wigan

WN1 2NN


Employer's website

http://www.wwl.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

Address

Royal Albert Edward Infirmary

Wigan Lane

Wigan

WN1 2NN


Employer's website

http://www.wwl.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

Surgical Matron

Rachel Morgan

rachel.morgan@wwl.nhs.uk

01942822250

Date posted

20 January 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

302-24-6741372S

Job locations

Royal Albert Edward Infirmary

Wigan Lane

Wigan

WN1 2NN


Supporting documents

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