Job summary
The Clinical Nurse Specialist Team Leader will act as a clinical expert
and will provide professional advice to patients, carers and colleagues for the
Colorectal and Stoma Care Nursing services.
The aim is to deliver high quality patient care, through taking overall
responsibility for the specialist areas of practice and create an environment
to develop excellence within the specialist area of practise in partnership
with other members of the speciality team. You will be required to manage and lead two
specialist areas, these being Colorectal and Stoma Care dealing with both
cancer and benign disease, whilst
actively contributing to the achievements of the Colorectal and Stoma Care
department through effective promotion and management of these services.
The Clinical Nurse Specialist Team Leader will lead and manage as team of specialist nurses, health care assistants, departmental secretary and colorectal clinical coordinator, whilst working in partnership with a community sponsored nurse. The role of the team leader is to ensure that both teams work cohesively to support the needs of the colorectal and stoma patient whilst delivering against service needs in challenging times.
As Team Leader you will ensure that everyone has a job plan and strive to improve care and service delivery. Future planning includes review of the straight to test pathway, delivering the enhanced recovery programme, management of the patient with a high output stoma and capacity planning.
Main duties of the job
The post will coordinate all aspects of audit and research within the
specialists areas of colorectal and stoma care nursing in line with both local
and national criteria and the Peer review process.
The post holder will be expected to manage and lead a team of Specialist
Nurses, Health Care Assistants, Departmental Secretary and the newly appointed
Colorectal Clinic Co-ordinator to ensure and maintain clinical excellence. By providing effective clinical leadership
and coaching of junior members of the team the post holder will enable staff to
become empowered to develop high levels of clinical skills whilst allowing
staff to develop their full potential. Through partnership working you will
lead the development of a highly specialised programme of practice and professional
development for staff within the speciality.The
post holder will provide specialist education and training in a variety of
settings to a range of healthcare staff.
The post holder will contribute to achieving the objectives of the
clinical service group/speciality, corporate objectives and work within the
clinical governance framework and will promote the Trusts Core Values.
The post holder will coordinate all aspects of audit,
undertake research and manage the specialist teams in relation to both local
and national guidelines/measures set for the development of Colorectal and
Stoma Care services. This will include
leading the Annual National Colorectal Peer Review.
About us
We provide care and support to over half a million people in Wakefield and Kirklees in their homes, in community settings and across our three hospital sites at Pontefract, Dewsbury and Pinderfields (in Wakefield).
Always striving for excellence, we are at the forefront of innovation and research and we invest in teaching and the development of our workforce.
We live by our values of caring, improving, being respectful and maintaining high standards. We listen and learn because we aim to make Mid Yorkshire the best place to work and the best place to receive care.
We have a clear vision, and you could be part of this! If you share our values and you want to make a difference to the lives of our patients and their families and carers, we would love to hear from you.
Job description
Job responsibilities
- Working as an autonomous practitioner in the field of colorectal and stoma care nursing, responsible for making diagnostic decisions and leading patient care, advising the organisation as a senior nurse with freedom to interpret national and Trust policies within the field of colorectal and stoma care nursing
- Ensure time is allocated to ensure that the post remains within the clinical field, undertaking, developing and working within the service maximising specialist nursing skills, ensuring improved outcomes for patients with Colorectal cancer and benign disease and demonstrate high level of clinical expertise in Colorectal cancer and Stoma Care. Taking into account 4 disease sites of anal, rectal, colon and bladder cancer undergoing ileal conduit formation, mitroffanoff procedure and/or orthoptic bladder (cross over for stoma care aspect liaising with the specialist team) and benign disease. Based of highly developed professional knowledge and vast clinical nursing experience
- To demonstrate high level of clinical expertise based on highly developed professional knowledge and extensive experience in colorectal cancer, colorectal benign disease, urology cancer (crossing over for the stoma care aspect and liaise with the specialist team) and stoma care taking into account 4 areas of disease colon, rectal, anal and bladder
- To apply advanced personal and professional autonomy, whilst acting as an expert practitioner, utilising expert clinical competence and highly developed physical skills e.g. undertaking DREs and abdominal examinations, thus utilising highly specialised knowledge and skills to plan, deliver and evaluate programmes of care which includes undertaking own independent nurse-led 2WW (suspected lower GI cancers) and nurse-led colorectal cancer follow up clinics as per clinic protocol
- To diffuse potentially hostile and antagonistic situations with staff, patients, and relatives, using highly developed negotiation and interpersonal skills
- To request, direct and use
the results of specialist investigations e.g. blood tests, CXRs, USS, CT scans
and MRI scans to assist in the diagnosis and plan patient management/pathways
from a range of interventions.
- Utilise highly developed
specialist knowledge, which is underpinned by theory and experience to
interpret and analyse highly complex clinical and non-clinical facts or
situations, to regularly provide expert advice and second opinion to health
care professionals, including when views may differ or conflict. This includes
the formulation of accurate prognoses and recommendation of best course of
intervention.
- The
assessment efficacy of therapy and amending management plans as appropriate
- To help
provide a specialist service, using complex decision making skills, advising
patients, carers, hospital staff and primary care/community teams.
- To effectively articulate
your expert perspective on a patients condition with colleagues, when various
management options are available.
- To demonstrate an
expert ability to communicate highly complex and very sensitive information to
patients, carers and other staff, where there may be barriers to communication
or may include information about cancer. This must be done whilst ensuring
confidentiality at all times and ensuring sensitivity to the audiences level
of understanding and prior knowledge.
- Frequent
distressing or emotional circumstances through the giving of unwelcome and/or
distressing news to patients, carers or relatives concerning care which can be
either at the beginning of treatment or during the terminal stages of the
disease process, requiring empathy and the ability to reassure patients,
relatives or carers
- Support
patients and their families and ensure that they receive the required
information to enable them to self-manage, lead or participate in their care
delivery. This information can be highly
complex, sensitive or controversial.
- To liaise with Consultant
colleagues within colorectal and oncology services and other members of the MDT
to ensure appropriate patient care management.
- To provide and receive highly complex, sensitive or
contentious information, recognising barriers to understanding this information
and presenting this complex information to large groups of staff in a variety
of settings within the MDT
- Developing
clinical pathways to support management of Colorectal and Stoma Care patients
to prevent re- admission to hospital and providing a community service to those
patients with difficult symptoms/ pathways of care.
- The
receiving and making of direct referrals to and from primary and secondary care
services
- To manage own unpredictable
caseload of patients with complex needs, by planning and implementing highly
specialised, individual complex care packages.
- Perform specialist assessments of patients nursing needs within the
colorectal/stoma care nursing service.
- Plan, implement and evaluate care
delivery using advanced clinical knowledge and expert clinical skills.
- Contribute
towards a multi-professional approach in the management of patients within Colorectal/stoma
care services especially in relation to ongoing care needs and discharge
arrangements
- To establish,
advice and co-ordinate independent
nurse-led 2ww clinics for patients referred with suspected colorectal cancer.
Supervise junior band 7 CNSs within these clinics.
- To advise and co-ordinate nurse
led follow up colorectal clinics and stoma care clinics.
- Supervising CNSs to develop
a high level of clinical decision making, monitor and improve standards of
care, working within their advanced scope of professional practice
- To work with general
practice to support and provide expert knowledge, education and working
alongside GPs and practice nurses
- Analyse
and respond to complex clinical situations utilising specialist knowledge to
assess a range of options to formulate solutions and recommendations by the
provision of new and innovative models of case management.
- Establish
and maintain effective communication with patients, relatives/carers and all
members of the MDT.
- To
provide effective leadership of the specialist nursing contribution of the
service work in partnership with Lead Clinicians, General Managers and service
Matron to ensure the delivery of high standard expert care.
Job description
Job responsibilities
- Working as an autonomous practitioner in the field of colorectal and stoma care nursing, responsible for making diagnostic decisions and leading patient care, advising the organisation as a senior nurse with freedom to interpret national and Trust policies within the field of colorectal and stoma care nursing
- Ensure time is allocated to ensure that the post remains within the clinical field, undertaking, developing and working within the service maximising specialist nursing skills, ensuring improved outcomes for patients with Colorectal cancer and benign disease and demonstrate high level of clinical expertise in Colorectal cancer and Stoma Care. Taking into account 4 disease sites of anal, rectal, colon and bladder cancer undergoing ileal conduit formation, mitroffanoff procedure and/or orthoptic bladder (cross over for stoma care aspect liaising with the specialist team) and benign disease. Based of highly developed professional knowledge and vast clinical nursing experience
- To demonstrate high level of clinical expertise based on highly developed professional knowledge and extensive experience in colorectal cancer, colorectal benign disease, urology cancer (crossing over for the stoma care aspect and liaise with the specialist team) and stoma care taking into account 4 areas of disease colon, rectal, anal and bladder
- To apply advanced personal and professional autonomy, whilst acting as an expert practitioner, utilising expert clinical competence and highly developed physical skills e.g. undertaking DREs and abdominal examinations, thus utilising highly specialised knowledge and skills to plan, deliver and evaluate programmes of care which includes undertaking own independent nurse-led 2WW (suspected lower GI cancers) and nurse-led colorectal cancer follow up clinics as per clinic protocol
- To diffuse potentially hostile and antagonistic situations with staff, patients, and relatives, using highly developed negotiation and interpersonal skills
- To request, direct and use
the results of specialist investigations e.g. blood tests, CXRs, USS, CT scans
and MRI scans to assist in the diagnosis and plan patient management/pathways
from a range of interventions.
- Utilise highly developed
specialist knowledge, which is underpinned by theory and experience to
interpret and analyse highly complex clinical and non-clinical facts or
situations, to regularly provide expert advice and second opinion to health
care professionals, including when views may differ or conflict. This includes
the formulation of accurate prognoses and recommendation of best course of
intervention.
- The
assessment efficacy of therapy and amending management plans as appropriate
- To help
provide a specialist service, using complex decision making skills, advising
patients, carers, hospital staff and primary care/community teams.
- To effectively articulate
your expert perspective on a patients condition with colleagues, when various
management options are available.
- To demonstrate an
expert ability to communicate highly complex and very sensitive information to
patients, carers and other staff, where there may be barriers to communication
or may include information about cancer. This must be done whilst ensuring
confidentiality at all times and ensuring sensitivity to the audiences level
of understanding and prior knowledge.
- Frequent
distressing or emotional circumstances through the giving of unwelcome and/or
distressing news to patients, carers or relatives concerning care which can be
either at the beginning of treatment or during the terminal stages of the
disease process, requiring empathy and the ability to reassure patients,
relatives or carers
- Support
patients and their families and ensure that they receive the required
information to enable them to self-manage, lead or participate in their care
delivery. This information can be highly
complex, sensitive or controversial.
- To liaise with Consultant
colleagues within colorectal and oncology services and other members of the MDT
to ensure appropriate patient care management.
- To provide and receive highly complex, sensitive or
contentious information, recognising barriers to understanding this information
and presenting this complex information to large groups of staff in a variety
of settings within the MDT
- Developing
clinical pathways to support management of Colorectal and Stoma Care patients
to prevent re- admission to hospital and providing a community service to those
patients with difficult symptoms/ pathways of care.
- The
receiving and making of direct referrals to and from primary and secondary care
services
- To manage own unpredictable
caseload of patients with complex needs, by planning and implementing highly
specialised, individual complex care packages.
- Perform specialist assessments of patients nursing needs within the
colorectal/stoma care nursing service.
- Plan, implement and evaluate care
delivery using advanced clinical knowledge and expert clinical skills.
- Contribute
towards a multi-professional approach in the management of patients within Colorectal/stoma
care services especially in relation to ongoing care needs and discharge
arrangements
- To establish,
advice and co-ordinate independent
nurse-led 2ww clinics for patients referred with suspected colorectal cancer.
Supervise junior band 7 CNSs within these clinics.
- To advise and co-ordinate nurse
led follow up colorectal clinics and stoma care clinics.
- Supervising CNSs to develop
a high level of clinical decision making, monitor and improve standards of
care, working within their advanced scope of professional practice
- To work with general
practice to support and provide expert knowledge, education and working
alongside GPs and practice nurses
- Analyse
and respond to complex clinical situations utilising specialist knowledge to
assess a range of options to formulate solutions and recommendations by the
provision of new and innovative models of case management.
- Establish
and maintain effective communication with patients, relatives/carers and all
members of the MDT.
- To
provide effective leadership of the specialist nursing contribution of the
service work in partnership with Lead Clinicians, General Managers and service
Matron to ensure the delivery of high standard expert care.
Person Specification
Qualifications
Essential
- Registered Nurse
- Masters Degree
- Supplementary Colorectal/stoma care education/training, experience and short courses to masters level
- Recognised teaching qualification
- Level 2 Psychology Assessment and Intervention.
Desirable
- Research qualification
- Management qualification
- Recognised leadership course
Experience
Essential
- Extensive experience of working autonomously within Colorectal/stoma care at an advanced level delivering effective patient focused care
- Experience of developing and the execution of new and existing specialist clinics
- Proven experience of management/leadership skills and managing staff, at band 7 or above
- Experience of audit, research and evidence based care
- Ability to work with multi professionals/cultural organisations, cross cutting organisational boundaries and in different health care settings
- Demonstrates advanced clinical skills in managing complex care situations/patient pathways
- Planning for service development and future organisation expansion
Desirable
- Undertaken clinical and nursing research
Personal Attributes
Essential
- Diplomatic, assertive, confident and respect
- Personal and professional maturity
- Recognition of own limitations
- Ability to work on own initiative, leading and within a team
- Flexible and positive approach to work
Skills and Abilities
Essential
- Teaching skills in informal and formal situations
- Established organisational, leadership and negotiation skills
- Ability to establish effective communication with patients and colleagues
- Advanced communication skills
- Evidence of audit and change management ability
- Computer literate
- Innovative, able to problem solve, motivate and make autonomous decisions.
- Ability to compile complex written information
Desirable
- Evidence of leading and facilitating change
Knowledge and Awareness
Essential
- Evidence of continued professional development
- In depth specialist knowledge
- Understanding of evidence based practice
- Experience of working within a multi-disciplinary team at a senior level, band 7 or above
- Understanding of national standards e.g. NICE
- Understand and establish a pathway of effectiveness between the community and hospital
- Advanced clinical assessment skills
Person Specification
Qualifications
Essential
- Registered Nurse
- Masters Degree
- Supplementary Colorectal/stoma care education/training, experience and short courses to masters level
- Recognised teaching qualification
- Level 2 Psychology Assessment and Intervention.
Desirable
- Research qualification
- Management qualification
- Recognised leadership course
Experience
Essential
- Extensive experience of working autonomously within Colorectal/stoma care at an advanced level delivering effective patient focused care
- Experience of developing and the execution of new and existing specialist clinics
- Proven experience of management/leadership skills and managing staff, at band 7 or above
- Experience of audit, research and evidence based care
- Ability to work with multi professionals/cultural organisations, cross cutting organisational boundaries and in different health care settings
- Demonstrates advanced clinical skills in managing complex care situations/patient pathways
- Planning for service development and future organisation expansion
Desirable
- Undertaken clinical and nursing research
Personal Attributes
Essential
- Diplomatic, assertive, confident and respect
- Personal and professional maturity
- Recognition of own limitations
- Ability to work on own initiative, leading and within a team
- Flexible and positive approach to work
Skills and Abilities
Essential
- Teaching skills in informal and formal situations
- Established organisational, leadership and negotiation skills
- Ability to establish effective communication with patients and colleagues
- Advanced communication skills
- Evidence of audit and change management ability
- Computer literate
- Innovative, able to problem solve, motivate and make autonomous decisions.
- Ability to compile complex written information
Desirable
- Evidence of leading and facilitating change
Knowledge and Awareness
Essential
- Evidence of continued professional development
- In depth specialist knowledge
- Understanding of evidence based practice
- Experience of working within a multi-disciplinary team at a senior level, band 7 or above
- Understanding of national standards e.g. NICE
- Understand and establish a pathway of effectiveness between the community and hospital
- Advanced clinical assessment skills
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).
