Transition Nurse - moving on to adult services

Worcestershire Acute Hospitals NHS Trust

The closing date is 27 January 2025

Job summary

We are seeking an experienced RN Child Nurse to drive forward quality focused care for young people who are moving from the childrens department to adult specialities within Worcestershire Acute Hospitals NHS Trust and / or primary care.

The post holder will be involved in transition planning (moving to adulthood)across the Trust. The focus of this role will be to empower, educate and inform patients and their families through the transitional phase in order that they may continue their care in an adult environment. The post holder will provide inspirational leadership and direction to all members of the team and service.

Excellent communication & leadership skills are required, along with the ability to work independently and within the multi-disciplinary services. A passion and interest in adolescent health and transitional care is essential.

Main duties of the job

Make plans with the young person and work directly with families. Support those working directly with families by ensuring oversight of processes to enable better outcomes, better experience and better use of resources.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Date posted

10 January 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Part-time

Reference number

C9365-24-1335

Job locations

Worcestershire Royal Hospital

Charles Hastings Way

Worcester

WR5 1DD


Job description

Job responsibilities

Job Summary

The post holder will be part of the Childrens multi-disciplinary team and will be professionally accountable for demonstrating visible and accessible leadership and Trust values.

The post holder will support the Paediatric Multi-disciplinary Team and adult service team to ensure seamless Transition is embedded within the Trust.

The post holder will work as a highly specialised nurse co-ordinating with children and young people and the relevant service. This includes facilitating input from supportive services such as Learning Disability or Neurodivergence.

The post holder is expected to exercise a high degree of professional autonomy to manage caseload and make critical decisions to satisfy the expectations and demands of the role.

The post holder will support the Childrens Clinical Audit Programme promoting quality improvement initiatives.

Act independently within the paediatric team guided by best practice and Trust policies and guidelines.

To act as a carer and advocate for families giving expert support and advice based on best practice and close communication with the paediatric and relevant adult service.

To act as a nursing expert in transition both locally and regionally.

PRINCIPLE DUTIES AND RESPONSIBILITIES

Clinical Responsibilities

Provide a clinical-led transitional service as a specialised co-ordinator working with a specified group of older children/young adults.

To act as an expert resource, giving advice, education/training and support that is appropriately planned to meet the individual's needs empowering them to manage their treatment regimes.

The post holder will be key at identifying potential development opportunities within the transition pathway and working with the Paediatric leadership team to implement these.

To project lead and implement change and pathways in partnership and collaboration with other Health Care Professionals.

To work within local and national frameworks to implement service changes

To lead on the running of a support group for transitional patients and their family/carers.

Communication

Maintain an effective communication network with all multi-professionals, facilitating a multidisciplinary approach to benefit the children, young people and their families.

To work with each family individually assessing the level of support they will need using interpersonal skills to build a trusting relationship thus promoting concordance, recognising the dynamics of change for each family.

To take a lead in developing the quality and availability of transition related information for young people and their family units.

Act as an expert resource for medical staff both within the trust and outside.

Leadership and Management

  • In conjunction with the other multidisciplinary colleagues, contribute monthly/quarterly reports of case mix, workload and education activity which will be presented at Directorate meetings.

Representing and reporting to Trust committees, such as Childrens and Young Persons Board. To participate in the presentation and publication of relevant research and best practice initiatives.

To be actively involved with conferences and meetings, developing presenting skills in the regional and national setting. To represent the Trust nationally.

To network with other Transition Nurse Specialists throughout the UK, joining appropriate organisations in order to collaborate, share and benchmark practices and initiatives.

To obtain evaluate and disseminate information to facilitate best practice for children, young people and their families moving between paediatric and adult services.

Undertake regular meetings with group and nurse manager to ensure co-ordination of care, continuity and planning changing in frequency from weekly to monthly according to current service needs.

Maintain confidentiality of patient/family and staff information. Be discerning when confidential information should be shared.

To undertake all expanded role procedures according to agreed protocols within the scope of Professional Practice and identify areas for further advancement.

To develop and maintain own clinical skills and knowledge of the transition process that is evidenced based aiming to achieve a 'best practice' principle, keeping up to date with new advances in treatment and new developments in Transition.

Manage time off and delegate care of patients appropriately.

Professional Responsibilities

Maintain own professional knowledge development and competence by keeping up to date with advances and research pertaining to Transition.

Be aware of the Code of Professional Conduct in the performance of the advanced nursing and be professionally accountable for own actions during the working shift.

To work autonomously, when required, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct).

To manage own caseload managing own time on a weekly and monthly basis.

To recognise the level of emotional stress encountered when with patients and their families who are dealing with life threatening and control issues and to seek appropriate personal support as required.

Education and Training

To act as a role model and clinical expert in speciality when liaising with the local primary healthcare teams and other relevant community health professionals in order to promote a better and on-going understanding of each child / young persons condition and associated symptoms and treatment regimes to promote effective continuity of care.

Participate in education and practice development on a Trust wide basis and as required in a national level by attending, presenting at, and/or assisting with the co-ordination of study days, seminars, forums and conferences. To encourage other staff to recognise the need for nursing research.

Be an expert in transition and regularly undertake active teaching and assessing in the education and training of clinical and non-clinical staff to support the education strategy.

Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.

Clinical Governance

The post holder will support effective governance by disseminating good practice and promoting clinical audit and use of evidence based multi-professional standards.

To participate in all aspects of Clinical Governance and Risk Management including participating in the development and implementation of audit and guidelines.

To participate promptly and effectively with the investigation of complaints and incidents in line with Trust policy and procedure.

To maintain high standards of nursing care within own practice and monitor the standard care for the child or young person requiring admission in collaboration with senior ward nursing staff.

Service Development

To ensure the constant provision of effective, high quality nursing care to all patients moving from children to adult services.

To take a lead in developing the quality and availability of transition related information for families and community health care professionals.

To lead on the running of a support group for transitional patients and their family/carers.

To be actively involved in the development of Transition related protocols and procedures e.g. care pathway, in conjunction with other members of the paediatric and adult multidisciplinary team.

To participate and be actively involved in multidisciplinary research studies of relevance to the care of young people moving from children to adult services, playing a lead role in liaising between the patient and the research team.

Job description

Job responsibilities

Job Summary

The post holder will be part of the Childrens multi-disciplinary team and will be professionally accountable for demonstrating visible and accessible leadership and Trust values.

The post holder will support the Paediatric Multi-disciplinary Team and adult service team to ensure seamless Transition is embedded within the Trust.

The post holder will work as a highly specialised nurse co-ordinating with children and young people and the relevant service. This includes facilitating input from supportive services such as Learning Disability or Neurodivergence.

The post holder is expected to exercise a high degree of professional autonomy to manage caseload and make critical decisions to satisfy the expectations and demands of the role.

The post holder will support the Childrens Clinical Audit Programme promoting quality improvement initiatives.

Act independently within the paediatric team guided by best practice and Trust policies and guidelines.

To act as a carer and advocate for families giving expert support and advice based on best practice and close communication with the paediatric and relevant adult service.

To act as a nursing expert in transition both locally and regionally.

PRINCIPLE DUTIES AND RESPONSIBILITIES

Clinical Responsibilities

Provide a clinical-led transitional service as a specialised co-ordinator working with a specified group of older children/young adults.

To act as an expert resource, giving advice, education/training and support that is appropriately planned to meet the individual's needs empowering them to manage their treatment regimes.

The post holder will be key at identifying potential development opportunities within the transition pathway and working with the Paediatric leadership team to implement these.

To project lead and implement change and pathways in partnership and collaboration with other Health Care Professionals.

To work within local and national frameworks to implement service changes

To lead on the running of a support group for transitional patients and their family/carers.

Communication

Maintain an effective communication network with all multi-professionals, facilitating a multidisciplinary approach to benefit the children, young people and their families.

To work with each family individually assessing the level of support they will need using interpersonal skills to build a trusting relationship thus promoting concordance, recognising the dynamics of change for each family.

To take a lead in developing the quality and availability of transition related information for young people and their family units.

Act as an expert resource for medical staff both within the trust and outside.

Leadership and Management

  • In conjunction with the other multidisciplinary colleagues, contribute monthly/quarterly reports of case mix, workload and education activity which will be presented at Directorate meetings.

Representing and reporting to Trust committees, such as Childrens and Young Persons Board. To participate in the presentation and publication of relevant research and best practice initiatives.

To be actively involved with conferences and meetings, developing presenting skills in the regional and national setting. To represent the Trust nationally.

To network with other Transition Nurse Specialists throughout the UK, joining appropriate organisations in order to collaborate, share and benchmark practices and initiatives.

To obtain evaluate and disseminate information to facilitate best practice for children, young people and their families moving between paediatric and adult services.

Undertake regular meetings with group and nurse manager to ensure co-ordination of care, continuity and planning changing in frequency from weekly to monthly according to current service needs.

Maintain confidentiality of patient/family and staff information. Be discerning when confidential information should be shared.

To undertake all expanded role procedures according to agreed protocols within the scope of Professional Practice and identify areas for further advancement.

To develop and maintain own clinical skills and knowledge of the transition process that is evidenced based aiming to achieve a 'best practice' principle, keeping up to date with new advances in treatment and new developments in Transition.

Manage time off and delegate care of patients appropriately.

Professional Responsibilities

Maintain own professional knowledge development and competence by keeping up to date with advances and research pertaining to Transition.

Be aware of the Code of Professional Conduct in the performance of the advanced nursing and be professionally accountable for own actions during the working shift.

To work autonomously, when required, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct).

To manage own caseload managing own time on a weekly and monthly basis.

To recognise the level of emotional stress encountered when with patients and their families who are dealing with life threatening and control issues and to seek appropriate personal support as required.

Education and Training

To act as a role model and clinical expert in speciality when liaising with the local primary healthcare teams and other relevant community health professionals in order to promote a better and on-going understanding of each child / young persons condition and associated symptoms and treatment regimes to promote effective continuity of care.

Participate in education and practice development on a Trust wide basis and as required in a national level by attending, presenting at, and/or assisting with the co-ordination of study days, seminars, forums and conferences. To encourage other staff to recognise the need for nursing research.

Be an expert in transition and regularly undertake active teaching and assessing in the education and training of clinical and non-clinical staff to support the education strategy.

Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.

Clinical Governance

The post holder will support effective governance by disseminating good practice and promoting clinical audit and use of evidence based multi-professional standards.

To participate in all aspects of Clinical Governance and Risk Management including participating in the development and implementation of audit and guidelines.

To participate promptly and effectively with the investigation of complaints and incidents in line with Trust policy and procedure.

To maintain high standards of nursing care within own practice and monitor the standard care for the child or young person requiring admission in collaboration with senior ward nursing staff.

Service Development

To ensure the constant provision of effective, high quality nursing care to all patients moving from children to adult services.

To take a lead in developing the quality and availability of transition related information for families and community health care professionals.

To lead on the running of a support group for transitional patients and their family/carers.

To be actively involved in the development of Transition related protocols and procedures e.g. care pathway, in conjunction with other members of the paediatric and adult multidisciplinary team.

To participate and be actively involved in multidisciplinary research studies of relevance to the care of young people moving from children to adult services, playing a lead role in liaising between the patient and the research team.

Person Specification

Practical requirements of post

Essential

  • Must be flexible and adaptable.
  • Must have the ability to travel between sites

Skills and Knowledge

Essential

  • Demonstrate a knowledge of duties required for the post
  • Well-developed analytical and judgement skills
  • Knowledge of Transition to adult services frameworks, such as Ready, Steady, Go
  • Well-developed written and verbal communication skills, both verbally and written at various levels; with ability to adapt communication as required for children, young people, and families under stress
  • Knowledge and understanding of relevant legislation /guidance and initiatives that influence clinical practice and patient group.
  • Ability to motivate others and be self-motivating, to develop self and other practitioners
  • Able to make skilled and balanced decision which will affect families, staff, and service provision

Desirable

  • Knowledge in the use of databases
  • Ability to produce and present clear reports
  • Excellent negotiation skills and conflict resolution skills
  • Provide supervision for staff including clinical, managerial, and professional
  • Evidence of completing the audit process, producing outcome, sharing learning and action plan.
  • Demonstrate an understanding of the additional requirements to accommodate young people with learning disabilities and / or neurodivergences.

Qualifications

Essential

  • Degree or Diploma Level Education as Registered Nurse (RN Child or RSCN)
  • Current registration with NMC
  • Teaching and Mentoring qualification
  • Evidence of continuing professional development (CPD) within the last 12 months

Desirable

  • Possesses or willing to work towards undertaking a masters degree
  • Teaching qualification
  • Specialist training in Transition to Adult Services, speciality training
  • Leadership qualification

Experience

Essential

  • Substantial/ Significant post registration experience, clinical and managerial in relevant areas of practice
  • Clinical experience in the care and management of children /young people
  • Experience of supervising staff and students and learners in practice
  • Organisational skills and ability to lead a team and manage performance
  • Evidence of formal and informal teaching skills
  • Evidence of working independently to meet deadlines

Desirable

  • Project management
  • Experience in developing and implementing policies & procedures
  • Research and Audit and benchmarking and service evaluation work
  • Experience in writing and presenting reports
  • Previous experience of working as a clinical specialist nurse
  • Experience at Band 7

Personal Qualities

Essential

  • Pleasant and calm disposition
  • Able to work independently
  • Ability to adapt to the changing needs of service
  • Able to lead and motivate others
  • Self-confident, reliable, with a good attendance record.
  • Excellent role model/team leader
  • Confident and assertive
  • Excellent interpersonal skills
  • Effective time management
  • Supportive and approachable act as an ambassador
Person Specification

Practical requirements of post

Essential

  • Must be flexible and adaptable.
  • Must have the ability to travel between sites

Skills and Knowledge

Essential

  • Demonstrate a knowledge of duties required for the post
  • Well-developed analytical and judgement skills
  • Knowledge of Transition to adult services frameworks, such as Ready, Steady, Go
  • Well-developed written and verbal communication skills, both verbally and written at various levels; with ability to adapt communication as required for children, young people, and families under stress
  • Knowledge and understanding of relevant legislation /guidance and initiatives that influence clinical practice and patient group.
  • Ability to motivate others and be self-motivating, to develop self and other practitioners
  • Able to make skilled and balanced decision which will affect families, staff, and service provision

Desirable

  • Knowledge in the use of databases
  • Ability to produce and present clear reports
  • Excellent negotiation skills and conflict resolution skills
  • Provide supervision for staff including clinical, managerial, and professional
  • Evidence of completing the audit process, producing outcome, sharing learning and action plan.
  • Demonstrate an understanding of the additional requirements to accommodate young people with learning disabilities and / or neurodivergences.

Qualifications

Essential

  • Degree or Diploma Level Education as Registered Nurse (RN Child or RSCN)
  • Current registration with NMC
  • Teaching and Mentoring qualification
  • Evidence of continuing professional development (CPD) within the last 12 months

Desirable

  • Possesses or willing to work towards undertaking a masters degree
  • Teaching qualification
  • Specialist training in Transition to Adult Services, speciality training
  • Leadership qualification

Experience

Essential

  • Substantial/ Significant post registration experience, clinical and managerial in relevant areas of practice
  • Clinical experience in the care and management of children /young people
  • Experience of supervising staff and students and learners in practice
  • Organisational skills and ability to lead a team and manage performance
  • Evidence of formal and informal teaching skills
  • Evidence of working independently to meet deadlines

Desirable

  • Project management
  • Experience in developing and implementing policies & procedures
  • Research and Audit and benchmarking and service evaluation work
  • Experience in writing and presenting reports
  • Previous experience of working as a clinical specialist nurse
  • Experience at Band 7

Personal Qualities

Essential

  • Pleasant and calm disposition
  • Able to work independently
  • Ability to adapt to the changing needs of service
  • Able to lead and motivate others
  • Self-confident, reliable, with a good attendance record.
  • Excellent role model/team leader
  • Confident and assertive
  • Excellent interpersonal skills
  • Effective time management
  • Supportive and approachable act as an ambassador

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).

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Worcestershire Royal Hospital

Charles Hastings Way

Worcester

WR5 1DD


Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Worcestershire Royal Hospital

Charles Hastings Way

Worcester

WR5 1DD


Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

Matron (Paediatircs)

DANA PICKEN

dana.picken1@nhs.net

Date posted

10 January 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Part-time

Reference number

C9365-24-1335

Job locations

Worcestershire Royal Hospital

Charles Hastings Way

Worcester

WR5 1DD


Supporting documents

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