Job summary
The postholder will
Support the children and young people on the CEW (complications of excess weight) clinic waiting list, those in the CEW clinic and CEW clinic patients after discharge from full support.
Main duties of the job
- Manage a caseload of children with complications to health relating to Obesity.
- Provide specialised assessment for Children and Young People presenting with complications relating to Obesity referral,
- Monitor and evaluate the effectiveness of treatment through autonomous and accountable decisions supported by evidence-based practice and local and national guidelines.
- Liaise and work with other professionals, statutory and voluntary agencies to enable children to reach their full health potential.
- Promote a seamless service working with families to maintain quality of care.
- Support junior staff to supply training for families/carers to enable them to feel confident and competent in caring for their child at home.
- Promote an environment in which teaching, learning, staff development and evidence-based practice is actively encouraged and demonstrated.
- To maintain competence and knowledge within CEW area of specialism, initiating changes benefiting the standard of care to children and encouraging staff to do the same
- Network with other specialty teams (i.e. UH Southampton or others) to share good practice and bring back new ideas to improve the local service and attend local, regional and national networks/meetings and working parties as required ensuring learning contributes to the evidence base
About us
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care.
We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures.
We can offer you the full range of NHS benefits/discounts and in addition:
- Excellent pension scheme and annual leave entitlement
- On-site Nurseries
- On-site staff cafes
- On-site parking
- Support in career development
- Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
For more information about a career at ASPH please visit:www.asph-careers.org
Job description
Job responsibilities
Clinical/Professional
- To manage the sharing of confidential and highly sensitive information with outside agencies; providing and receiving complex information within the arena of the CEW clinic.
- Ability to work independently without direct supervision
- Manage a caseload of children with complications to health relating to obesity.
- Provide specialised assessment for Children and Young People presenting with complications relating to obesity referral, by developing, implementing, and evaluating individualised programmes of care based on robust evidence, resulting in safe and appropriate management, referral, or discharge.
- Monitor and evaluate the effectiveness of treatment through autonomous and accountable decisions supported by evidence-based practice and local and national guidelines.
- Take into consideration the physical, psychological, spiritual, and social needs of the child and work with families to provide emotional support and specialist clinical care, sensitive to the changing and on-going needs of the child, siblings, parents, and other carers.
- Act as a resource of specialised paediatric expertise providing advice for other professionals.
- Liaise and work with other professionals, statutory and voluntary agencies to enable children to reach their full health potential.
- Promote a seamless service working with families to maintain quality of care.
- Support junior staff to supply training for families/carers to enable them to feel confident and competent in caring for their child at home.
- Promote an environment in which teaching, learning, staff development and evidence-based practice is actively encouraged and demonstrated.
- To maintain competence and knowledge within CEW area of specialism, initiating changes benefiting the standard of care to children and encouraging staff to do the same
- To maintain good working relationships and communication with departments, ensuring an efficient and patient centred service is provided.
- Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
- Network with other specialty teams (i.e. UHS or other) to share good practice and bring back new ideas to improve the local service and attend local, regional and national networks/meetings and working parties as required ensuring learning contributes to the evidence base.
Research
- Develop a research culture within the MDT team to identify current knowledge and deliver evidence based care.
- Support local research teams, actively contribute to local department multidisciplinary audits, represent the clinical area at governance meetings and highlight areas for change.
- Liaise with the relevant research nurse to ensure patients are identified to take part in clinical research studies and research is delivered safely on the ward.
Education
- Provide agreed development opportunities into MDT training plan and ensure there is a fair and equitable approach to post registration nurse education that is aligned to service delivery and succession planning.
Communication and Working Relations
- Key Working Relationships: Staff comprising the CEW MDT and related STAFF. All Trust staff, Childrens Social Care departments, Police, Community Health staff, Education professionals, Legal and Court staff.
- Communicate highly sensitive and complex information with empathy ensuring that information is understood.
- Ensure patients, their carers and the MDT have access to specialist information and provide care that that meets individuals at all stages of the care pathway. This includes the provision of telephone support/ advice.
- Working and supporting staff and patients/family/carers within an emotive environment.
- Communicating and co-operating with other specialist areas, promoting and maintaining good working relationships within own clinical area and across the organisation, giving accurate information as required.
- Develop expertise in dealing with interpersonal conflict and be responsible for the resolution of any adverse situation/incidents. Comply and promote compliance to Trust policies e.g. Harassment and Bullying.
Working Conditions
- Working within a team caring for patients that require complex interventions and liaison with partner agencies.
- Working within an environment that requires rapid response to unpredictable events
- Responsible for providing, receiving and disseminating highly complex, sensitive and confidential information for the named client group as appropriate.
- Contribute to single or multi-agency chronologies as appropriate and provide specialist advice and support to nurses, doctors, other health professionals and other staff within the Trust involved in CREW clinic.
- Provide professional nursing support to MDT within sphere of clinical responsibility. Lead and motivate others by giving clear direction and setting achievable objectives (where applicable).
- Continuing responsibility for the assessment of care needs and the development, implementation and evaluation of programmes of care for CEW Caseload.
- Act as a specialist clinical practitioner demonstrating developed clinical skills and knowledge.
- Develop a service philosophy and models of care to ensure that all policies and procedures are implemented and to lead on the development of nursing practice. Monitor any impact on the patient experience.
- Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the standards of care.
- Communicating, influencing and working with the multidisciplinary team in different ways to improve quality of care, and informed clinical decisions. Promote innovation and participate in benchmarking and quality audits to measure effectiveness of current practices.
- In collaboration with members of the multidisciplinary team, ensure that the users of the service and their families have a positive experience and using feedback evaluate that patient processes and pathways of care are redesigned as required.
- Provide education to health care professional both in hospital and in the community.
- Accept referrals and refer patients to other health care professionals as required in the hospital and/or in the community.
Management/Leadership
- To support the Severe Paediatric Obesity CEW MDT implementing best practice to optimise the outcomes for the children and challenge professional and organisation boundaries in the interest of the patient.
- Be responsible for planning and implementing standards of care, practice guidelines in relation to this cohort of children and to continually evaluate the quality of patient care through interpreting and synthesising complex information from a variety of sources.
- Develop protocols, documentation systems, standards, policies and clinical guidelines for health and social care colleagues within the Trust and external primary and acute care providers to develop patient-centred pathways of care for smooth and timely referral, minimising delays and supporting shared care.
- Provide clinical expertise and leadership to relevant staff within and outside ASPH, in order to inform service provision and development.
- Demonstrate awareness of national and local guidelines relating to specialty (e.g. NICE guidelines) and influence care developments in accordance with these.
- Contribute to trust peer reviews and any focused CQC style reviews and actively contribute to achieving the clinical governance goals/targets set by the trust and department and comply with reporting schedules for monitoring and reporting on clinical outcomes.
- Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison Service) and when they occur investigate and respond in a timely manner. Use any learning to share widely with the multidisciplinary team and to improve care delivery.
- Promote effective communication with staff members across organisational boundaries and provide support to those dealing with patients who are either newly diagnosed or in late stages of their illness.
Job description
Job responsibilities
Clinical/Professional
- To manage the sharing of confidential and highly sensitive information with outside agencies; providing and receiving complex information within the arena of the CEW clinic.
- Ability to work independently without direct supervision
- Manage a caseload of children with complications to health relating to obesity.
- Provide specialised assessment for Children and Young People presenting with complications relating to obesity referral, by developing, implementing, and evaluating individualised programmes of care based on robust evidence, resulting in safe and appropriate management, referral, or discharge.
- Monitor and evaluate the effectiveness of treatment through autonomous and accountable decisions supported by evidence-based practice and local and national guidelines.
- Take into consideration the physical, psychological, spiritual, and social needs of the child and work with families to provide emotional support and specialist clinical care, sensitive to the changing and on-going needs of the child, siblings, parents, and other carers.
- Act as a resource of specialised paediatric expertise providing advice for other professionals.
- Liaise and work with other professionals, statutory and voluntary agencies to enable children to reach their full health potential.
- Promote a seamless service working with families to maintain quality of care.
- Support junior staff to supply training for families/carers to enable them to feel confident and competent in caring for their child at home.
- Promote an environment in which teaching, learning, staff development and evidence-based practice is actively encouraged and demonstrated.
- To maintain competence and knowledge within CEW area of specialism, initiating changes benefiting the standard of care to children and encouraging staff to do the same
- To maintain good working relationships and communication with departments, ensuring an efficient and patient centred service is provided.
- Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
- Network with other specialty teams (i.e. UHS or other) to share good practice and bring back new ideas to improve the local service and attend local, regional and national networks/meetings and working parties as required ensuring learning contributes to the evidence base.
Research
- Develop a research culture within the MDT team to identify current knowledge and deliver evidence based care.
- Support local research teams, actively contribute to local department multidisciplinary audits, represent the clinical area at governance meetings and highlight areas for change.
- Liaise with the relevant research nurse to ensure patients are identified to take part in clinical research studies and research is delivered safely on the ward.
Education
- Provide agreed development opportunities into MDT training plan and ensure there is a fair and equitable approach to post registration nurse education that is aligned to service delivery and succession planning.
Communication and Working Relations
- Key Working Relationships: Staff comprising the CEW MDT and related STAFF. All Trust staff, Childrens Social Care departments, Police, Community Health staff, Education professionals, Legal and Court staff.
- Communicate highly sensitive and complex information with empathy ensuring that information is understood.
- Ensure patients, their carers and the MDT have access to specialist information and provide care that that meets individuals at all stages of the care pathway. This includes the provision of telephone support/ advice.
- Working and supporting staff and patients/family/carers within an emotive environment.
- Communicating and co-operating with other specialist areas, promoting and maintaining good working relationships within own clinical area and across the organisation, giving accurate information as required.
- Develop expertise in dealing with interpersonal conflict and be responsible for the resolution of any adverse situation/incidents. Comply and promote compliance to Trust policies e.g. Harassment and Bullying.
Working Conditions
- Working within a team caring for patients that require complex interventions and liaison with partner agencies.
- Working within an environment that requires rapid response to unpredictable events
- Responsible for providing, receiving and disseminating highly complex, sensitive and confidential information for the named client group as appropriate.
- Contribute to single or multi-agency chronologies as appropriate and provide specialist advice and support to nurses, doctors, other health professionals and other staff within the Trust involved in CREW clinic.
- Provide professional nursing support to MDT within sphere of clinical responsibility. Lead and motivate others by giving clear direction and setting achievable objectives (where applicable).
- Continuing responsibility for the assessment of care needs and the development, implementation and evaluation of programmes of care for CEW Caseload.
- Act as a specialist clinical practitioner demonstrating developed clinical skills and knowledge.
- Develop a service philosophy and models of care to ensure that all policies and procedures are implemented and to lead on the development of nursing practice. Monitor any impact on the patient experience.
- Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the standards of care.
- Communicating, influencing and working with the multidisciplinary team in different ways to improve quality of care, and informed clinical decisions. Promote innovation and participate in benchmarking and quality audits to measure effectiveness of current practices.
- In collaboration with members of the multidisciplinary team, ensure that the users of the service and their families have a positive experience and using feedback evaluate that patient processes and pathways of care are redesigned as required.
- Provide education to health care professional both in hospital and in the community.
- Accept referrals and refer patients to other health care professionals as required in the hospital and/or in the community.
Management/Leadership
- To support the Severe Paediatric Obesity CEW MDT implementing best practice to optimise the outcomes for the children and challenge professional and organisation boundaries in the interest of the patient.
- Be responsible for planning and implementing standards of care, practice guidelines in relation to this cohort of children and to continually evaluate the quality of patient care through interpreting and synthesising complex information from a variety of sources.
- Develop protocols, documentation systems, standards, policies and clinical guidelines for health and social care colleagues within the Trust and external primary and acute care providers to develop patient-centred pathways of care for smooth and timely referral, minimising delays and supporting shared care.
- Provide clinical expertise and leadership to relevant staff within and outside ASPH, in order to inform service provision and development.
- Demonstrate awareness of national and local guidelines relating to specialty (e.g. NICE guidelines) and influence care developments in accordance with these.
- Contribute to trust peer reviews and any focused CQC style reviews and actively contribute to achieving the clinical governance goals/targets set by the trust and department and comply with reporting schedules for monitoring and reporting on clinical outcomes.
- Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison Service) and when they occur investigate and respond in a timely manner. Use any learning to share widely with the multidisciplinary team and to improve care delivery.
- Promote effective communication with staff members across organisational boundaries and provide support to those dealing with patients who are either newly diagnosed or in late stages of their illness.
Person Specification
Qualifications
Essential
- NMC registered chilren's nurse
- BSc Degree in relevant field
- Teaching/mentorship qualification and experience or teaching colleagues and patients/families
- Evidence of post graduate study and/or continued professional development
- L3 safeguarding and experience of safeguarding children in previous work
- Significant demonstrable experience of working with complex children, young people and families.
- Clinically competent and able to demonstrate current health issues relating to children and families
- IT literate and use of databases
Desirable
- Masters degree and evidence of working towards ( in related subject)
- Non-medical prescribing (NMP course) or willingness to undertake
- Evidence of change management with relevant management/leadership course
Experience
Essential
Desirable
- Experience working in CEW fiels
Person Specification
Qualifications
Essential
- NMC registered chilren's nurse
- BSc Degree in relevant field
- Teaching/mentorship qualification and experience or teaching colleagues and patients/families
- Evidence of post graduate study and/or continued professional development
- L3 safeguarding and experience of safeguarding children in previous work
- Significant demonstrable experience of working with complex children, young people and families.
- Clinically competent and able to demonstrate current health issues relating to children and families
- IT literate and use of databases
Desirable
- Masters degree and evidence of working towards ( in related subject)
- Non-medical prescribing (NMP course) or willingness to undertake
- Evidence of change management with relevant management/leadership course
Experience
Essential
Desirable
- Experience working in CEW fiels
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
