Job summary
Sefton Community Cardiac Team have an exciting opportunity for an experienced cardiac nurse to join their team as a Band 7 Clinical Team Leader.
The purpose of this post is to provide clinical and managerial leadership to a fantastic team of experienced Heart Failure Nurses/HCAs within the Sefton area and work collaboratively with Liverpool colleagues.
To work as part of a wider multidisciplinary team to ensure a consistent approach to the care of Service Users. 2. To build effective relationships with Care Teams and other care providers and ensure that views of Service Users, Carers, relatives and friends are given appropriate recognition. 3. To influence and shape evidence based clinical practice and to take a lead role in the implementation and support of change. 4. To operate in a role that is primarily therapeutic in nature developing effective relationships with Service User in a variety of care settings.
Main duties of the job
The primary function of the role is to lead an innovative approach to the development, implementation and evaluation of a seamless Heart Failure Nursing Service aimed at improving patient journey and enabling care in the community.The post holder will lead a team which facilitates the delivery of Community Heart Failure Nursing within Merseycare. Work across the Primary, Secondary, Tertiary care interface. The Team Leader will promote close working relationships with Primary Care, District Nurses and Community Matrons. They will work alongside colleagues in primary care to implement strategies which improve the quality of life for patients and prevent unnecessary admissions, the post holder will have an integral role in the continuing development of the 2 hour Urgent Care Response Model and embedding this within the heart failure team . Working collaboratively with other community services within the 2 hour Urgent Care Response Model will be required .
The post holder will be instrumental in developing , reviewing and updating clinical practice in line with local, regional and national recommendations.The post holder will be required to provide team leadership and management to the heart Failure Nursing Team. The team will act as a clinical expertise resource and development lead to the nursing disciplines within the area of Community NursingEnsure the delivery of the quality strategy within the designated area incorporating establishment of systems and processes.
About us
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 11 million people.
We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.
At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.
Job description
Job responsibilities
- To provide operational management to the Heart Failure Nursing Team.
- To have line management responsibility for the Heart Failure Nursing Team, ensuring appropriate delegation and delivery of patient care. To ensure that the team delivers a high quality Heart Failure Nursing service to its clients by providing caseload and clinical supervision.
- Responsibility for supporting practices in identifying patients with heart failure through GP systems and referrals from secondary care. Acting as an expert practitioner and overseeing delegating and supporting care carried out by other members of the primary Health Care Team where required.
- To provide high levels of clinical expertise and advice in order for the specialist nurse quality and modernisation lead to ensure planning of the workforce and future service provision in the area of heart failure.
- Be responsible for providing expert advice of chronic heart failure issues including patients, primary health care teams/ palliative care/ community matrons/ social services nursing and residential home staff.
- Provide practical support working alongside staff in primary care settings facilitating development of registers setting up of recall systems providing quality control assurance that staff are equipped with the skill and knowledge to manage patients effectively within General practice and district nurse settings.
- Be responsible for policy and service development within heart failure and provide input for cardiac rehabilitation and primary and secondary and tertiary prevention strategies.
- Work in partnership with GPwSI and secondary care to ensure that local and national targets for heart failure are being met.
- Provide expertise in managing simple and highly complex patients within community based heart failure clinics.
- Be responsible for supporting the development of competency frameworks for staff at all levels of nursing who provide service for managing patients with heart failure.
- Identify areas of risk where heart failure targets are not being met and facilitate continuous improvements of nursing practice in this area.
- Work in partnership with other professionals to provide symptom and end of life support for patents and carers.
- Ensure effective communication systems are in place for other professionals to have effective communication.
- Improve pathways for patients with heart failure, particularly across Primary Secondary and Tertiary Care.
- To ensure that all nursing activity provided by the team directly reflects the PCTs core objectives of health promotion, supported self care, care closer to home, reduced length of hospital stay and avoidance of hospital admissions.
- To work with the Neighbourhood Nursing Manager, Community Nurses and Primary Care, to deliver local based services, by participating in neighbourhood meetings and communicating the outcomes to staff.
- To provide reports to the neighbourhood nurse manager on staff and patient activity as requested.
- Work in collaboration with the Service Development Lead, Professional Development Mentors and Neighbourhood Nurse Managers to support practice development and service modernisation.
- Contribute to the development of role and service redesign in community Heart Failure Team.
- Actively participate in policy and service development in relation to the Heart Failure Nursing Service.
- Initiate and implement PCT strategic plan for the team taking into account the wider structure of the PCT community nursing services.
- Initiate projects that raise the profile of the Heart Failure Nursing team.
- To maintain clinical credibility by providing clinical care and supporting Heart Failure Nursing clinically for at least 30% of the time.
- Provide leadership and mentoring to those staff developing into a caseload management role.
- Act as a role model to team members so that patients receive the most effective care possible.
- Challenge professional and organisational boundaries to ensure that the Team Leader role is focused on meeting the needs of service users, thus promoting continuity of high quality patient centred health and social care.
- Act as a positive role model for all staff to be able to manage heart failure patients.
- Provide advice and support in the clinical area to optimise quality improvement opportunities, by working alongside nurses in the clinical areas where practitioners have a deficit of skills or are unable to achieve the required clinical outcomes.
- Share knowledge and skills with others.
- Act as a change agent, utilising specific clinical expertise that will reassure staff, and facilitate change process.
- Work collaboratively with cardiac network and at local level to support the changes necessary to maximise heart failure
- Analyse and respond to complex clinical situations working with the Head of Nursing specialist nurse facilitator to assess range of options, and to formulate solutions and recommendations with the aim of optimising patient care.
- Work collaboratively with community matrons to work cohesively to develop systems and training to enable and empower community matrons to be able to support the management of the more complex needs of the heart failure patients.
- Responsibility for identified lead areas to meet the aims of the heart failure service.
- To understand and utilise the PCT HR policies in the management of sickness and absence, capability and other issues within the team.
- To ensure adequate staffing levels across the working day. This includes the management of annual leave and study leave within the team.
- To provide induction to the local working environment, Community Intravenous therapy Service and PCT policies for new team members and students.
- To be an authorised signatory, ensuring probity in the authorisation of team timecards and mileage claims.
- Ensure that all staff attend mandatory training. Ensure that administration and clerical duties are appropriately delegated to clerical support officers.
- In partnership with Specialist nurse facilitator for quality and modernisation facilitate the production, publication and implementation of robust clinical policies in the domain of heart failure that will support and sustain evidenced based and effective management of heart failure patients.
- Ensure that the national policy direction is translated locally and support and facilitate the implementation of the model of care.
- Identify and support PCT local development plans for patients with heart failure.
- Review patients medication regime, ensuring that patients receive appropriate pharmacotherapy in effective doses.
- Work within agreed medical therapy dose adjustment protocols and in partnership with Heart failure team, review protocols in line with new evidence and disseminate to all members of the primary health care team involved with medicines management of patients.
- Support the development of clinical management plans to ensure clinical status blood chemistry are monitored, following medication changes.
- Ensure other professionals caring for patients are advised of changes in therapy and clinical status, as appropriate.
- Support the development of clinical guidelines and processes to support prescribing and nurse prescribing in the area of heart failure.
Job description
Job responsibilities
- To provide operational management to the Heart Failure Nursing Team.
- To have line management responsibility for the Heart Failure Nursing Team, ensuring appropriate delegation and delivery of patient care. To ensure that the team delivers a high quality Heart Failure Nursing service to its clients by providing caseload and clinical supervision.
- Responsibility for supporting practices in identifying patients with heart failure through GP systems and referrals from secondary care. Acting as an expert practitioner and overseeing delegating and supporting care carried out by other members of the primary Health Care Team where required.
- To provide high levels of clinical expertise and advice in order for the specialist nurse quality and modernisation lead to ensure planning of the workforce and future service provision in the area of heart failure.
- Be responsible for providing expert advice of chronic heart failure issues including patients, primary health care teams/ palliative care/ community matrons/ social services nursing and residential home staff.
- Provide practical support working alongside staff in primary care settings facilitating development of registers setting up of recall systems providing quality control assurance that staff are equipped with the skill and knowledge to manage patients effectively within General practice and district nurse settings.
- Be responsible for policy and service development within heart failure and provide input for cardiac rehabilitation and primary and secondary and tertiary prevention strategies.
- Work in partnership with GPwSI and secondary care to ensure that local and national targets for heart failure are being met.
- Provide expertise in managing simple and highly complex patients within community based heart failure clinics.
- Be responsible for supporting the development of competency frameworks for staff at all levels of nursing who provide service for managing patients with heart failure.
- Identify areas of risk where heart failure targets are not being met and facilitate continuous improvements of nursing practice in this area.
- Work in partnership with other professionals to provide symptom and end of life support for patents and carers.
- Ensure effective communication systems are in place for other professionals to have effective communication.
- Improve pathways for patients with heart failure, particularly across Primary Secondary and Tertiary Care.
- To ensure that all nursing activity provided by the team directly reflects the PCTs core objectives of health promotion, supported self care, care closer to home, reduced length of hospital stay and avoidance of hospital admissions.
- To work with the Neighbourhood Nursing Manager, Community Nurses and Primary Care, to deliver local based services, by participating in neighbourhood meetings and communicating the outcomes to staff.
- To provide reports to the neighbourhood nurse manager on staff and patient activity as requested.
- Work in collaboration with the Service Development Lead, Professional Development Mentors and Neighbourhood Nurse Managers to support practice development and service modernisation.
- Contribute to the development of role and service redesign in community Heart Failure Team.
- Actively participate in policy and service development in relation to the Heart Failure Nursing Service.
- Initiate and implement PCT strategic plan for the team taking into account the wider structure of the PCT community nursing services.
- Initiate projects that raise the profile of the Heart Failure Nursing team.
- To maintain clinical credibility by providing clinical care and supporting Heart Failure Nursing clinically for at least 30% of the time.
- Provide leadership and mentoring to those staff developing into a caseload management role.
- Act as a role model to team members so that patients receive the most effective care possible.
- Challenge professional and organisational boundaries to ensure that the Team Leader role is focused on meeting the needs of service users, thus promoting continuity of high quality patient centred health and social care.
- Act as a positive role model for all staff to be able to manage heart failure patients.
- Provide advice and support in the clinical area to optimise quality improvement opportunities, by working alongside nurses in the clinical areas where practitioners have a deficit of skills or are unable to achieve the required clinical outcomes.
- Share knowledge and skills with others.
- Act as a change agent, utilising specific clinical expertise that will reassure staff, and facilitate change process.
- Work collaboratively with cardiac network and at local level to support the changes necessary to maximise heart failure
- Analyse and respond to complex clinical situations working with the Head of Nursing specialist nurse facilitator to assess range of options, and to formulate solutions and recommendations with the aim of optimising patient care.
- Work collaboratively with community matrons to work cohesively to develop systems and training to enable and empower community matrons to be able to support the management of the more complex needs of the heart failure patients.
- Responsibility for identified lead areas to meet the aims of the heart failure service.
- To understand and utilise the PCT HR policies in the management of sickness and absence, capability and other issues within the team.
- To ensure adequate staffing levels across the working day. This includes the management of annual leave and study leave within the team.
- To provide induction to the local working environment, Community Intravenous therapy Service and PCT policies for new team members and students.
- To be an authorised signatory, ensuring probity in the authorisation of team timecards and mileage claims.
- Ensure that all staff attend mandatory training. Ensure that administration and clerical duties are appropriately delegated to clerical support officers.
- In partnership with Specialist nurse facilitator for quality and modernisation facilitate the production, publication and implementation of robust clinical policies in the domain of heart failure that will support and sustain evidenced based and effective management of heart failure patients.
- Ensure that the national policy direction is translated locally and support and facilitate the implementation of the model of care.
- Identify and support PCT local development plans for patients with heart failure.
- Review patients medication regime, ensuring that patients receive appropriate pharmacotherapy in effective doses.
- Work within agreed medical therapy dose adjustment protocols and in partnership with Heart failure team, review protocols in line with new evidence and disseminate to all members of the primary health care team involved with medicines management of patients.
- Support the development of clinical management plans to ensure clinical status blood chemistry are monitored, following medication changes.
- Ensure other professionals caring for patients are advised of changes in therapy and clinical status, as appropriate.
- Support the development of clinical guidelines and processes to support prescribing and nurse prescribing in the area of heart failure.
Person Specification
Qualifications
Essential
- oRegistered Nurse (Adult)
- oNurse Prescriber V300 or working towards gaining the qualification
- oDegree or equivalent degree level equivalent experience.
Desirable
Knowledge/Experience
Essential
- oManagement and clinical leadership experience.
- oExperience of successful multi-agency working.
- oEvidence of influencing, motivating and negotiating with others to achieve change in relation to care.
- oPrevious experience in area of cardiology
- oRecent experience of managing and caring for cardiac patients including heart failure.
- oDemonstrable experience of audit activity/ service evaluation.
- oLeadership
- oDemonstrable experience of teaching and assessing
- oAwareness of current national and local agenda in health and social care.
- oUnderstanding of how other agencies work (i.e. primary and secondary health care providers)
- oEvidence of being able to communicate complex, sensitive information and advice on healthcare to patients / carers / colleagues.
- oAbility to work under pressure and manage a diverse workload.
- oExcellent interpersonal skills including negotiation and influencing
- oRisk assessment skills.
- oAbility to understand and analyse complex data.
- oDemonstrable experience of audit activity/ service evaluation.
- oSelf-management and motivation skills.
- oGood range of cardiac issues knowledge
- oCurrent guidelines for CVD and CHF British Heart Foundation and charitable funding
- oConfidence to challenge traditional/poor practice and ability to address difficult issues
- oAbility to network with multidisciplinary colleagues
- oPresentation, teaching and assessing
Person Specification
Qualifications
Essential
- oRegistered Nurse (Adult)
- oNurse Prescriber V300 or working towards gaining the qualification
- oDegree or equivalent degree level equivalent experience.
Desirable
Knowledge/Experience
Essential
- oManagement and clinical leadership experience.
- oExperience of successful multi-agency working.
- oEvidence of influencing, motivating and negotiating with others to achieve change in relation to care.
- oPrevious experience in area of cardiology
- oRecent experience of managing and caring for cardiac patients including heart failure.
- oDemonstrable experience of audit activity/ service evaluation.
- oLeadership
- oDemonstrable experience of teaching and assessing
- oAwareness of current national and local agenda in health and social care.
- oUnderstanding of how other agencies work (i.e. primary and secondary health care providers)
- oEvidence of being able to communicate complex, sensitive information and advice on healthcare to patients / carers / colleagues.
- oAbility to work under pressure and manage a diverse workload.
- oExcellent interpersonal skills including negotiation and influencing
- oRisk assessment skills.
- oAbility to understand and analyse complex data.
- oDemonstrable experience of audit activity/ service evaluation.
- oSelf-management and motivation skills.
- oGood range of cardiac issues knowledge
- oCurrent guidelines for CVD and CHF British Heart Foundation and charitable funding
- oConfidence to challenge traditional/poor practice and ability to address difficult issues
- oAbility to network with multidisciplinary colleagues
- oPresentation, teaching and assessing
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).
