Job summary
BAND 8A - Clinical Site Manager
An new, full time, permanent position for a Clinical Site Manager at the Royal Surrey Foundation Trust, has been developed to provide resilience and flexibility within the senior team members to provide seven day cover. We are looking for a diverse, enthusiastic individual who likes the challenge of day to day operational activity of the trust. This job will involve patient flow, senior clinical support and site management.
We are looking for a highly clinically experienced nurse with management experience. The applicant must be fully flexible will regard to working patterns and be prepared to work at weekends.
For further details about the role please contact Sarah Futcher, Senior Clinical Site Manager on 01483 571122 ext 2155 or email sarahfutcher@nhs.net, or Mobile 07917135203.
Main duties of the job
The Clinical Site Manager is a senior clinical role charged with the operational responsibility and accountability for patient pathways that support a corporate patient view across the trust. This will enable and facilitate timely and accurate inpatient flows through their admission, flow through the hospital and timely discharge.
About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=5HsiGn9joTQ
Job description
Job responsibilities
KEY RESULT AREAS/MAIN DUTIES AND RESPONSIBILITIES:
- Work with all teams to seek to constantly develop and improve the A&E, emergency and elective inpatients pathways in order to facilitate a seamless delivery of high standards of care based on a corporate patient view.
- Act as a role model for excellent clinical practice and standards of behaviour, promoting the trusts values and behaviours at all times, as well as addressing those who do not, within the clinical environment.
- Act as a senior clinical decision maker for patient flow when issues are escalated that the relevant teams are unable to resolve.
- Provide the day-to-day senior operational support to enable effective decisions to be made about the daily capacity and flow as well as provide support to developing a robust plan in line with all the necessary standards the trust is required to achieve. The decision making processes should be enabling the most effective and efficient use of allocated resources.
- Provide the necessary business intelligence and evidence to support the decisions, communicating and empowering the necessary staff to ensure these are actioned.
- Ensure that appropriate issues are escalated to the right people at the right time to ensure safe and appropriate practice and standards are being maintained. These may be clinical, operational, financial or reputational issues that have wider trust implications.
- Ensure highly-developed communication skills facilitate liaison between departments and between the multi-professional teams. The role will be required to constructively challenge standards and behaviours, enabling the resolution and learning for those involved.
- Undertake a root cause analysis for problems which arise that are unable to be resolved immediately. You would take the responsibility to facilitate learning, change and systems to avoid repetition of the problem through liaison with all the departments involved.
- Be an autonomous practitioner who is highly visible throughout the trust and who supports the clinical patient pathways and raises clinical standards. This will be as a result of using personal advanced practice skills, as well as facilitating learning in others. You will provide visible and productive support where needed on any given shift.
Operational Management
- Participate in the Trusts Emergency Plans and ensure your teams are trained in emergency responses from a Major Incident or Business Continuity perspective.
- Ensure effective communication between acute trust and Primary Care through networking and facilitating constructive relationships with primary care colleagues.
- Be responsible and accountable for developing and overseeing the implementation of policies and procedures that ensure the smooth day to day functioning of the trusts discharge and admission avoidance pathways in their support of emergency and elective standards. Work with Matrons and Heads of Profession to assure that this happens in a clinically effective and safe manner.
- Work with the SBUs and Heads of Profession to contribute a day to day operational management perspective on all service improvement and patient flows.
- Identify key links with partnership organisations, including the ambulance service, PCTs, local authorities and independent providers to support effective admission and discharge arrangements. Be responsible for escalating and liaising with any external service when issues arise.
- Be responsible for the management and development of staff within the service and for their development and performance.
- Be accountable and responsible for the Access Teams Budget, ensuring all financial resources are managed to provide the best value for money for the service provided.
- Participate in the Trusts Matron on call rota.
- Use audit of clinical practice to provide support in learning lessons and improving clinical pathways and practice.
- Provide high quality, research based nursing care that is patient focussed.
- To actively contribute to any relevant initiatives within the Trust and provide support to senior colleagues and Heads of Nursing.
- To utilise and maintain information systems to aid audit and to provide regular activity analysis reports.
- Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested. To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.
- Ensures compliance with the Trusts Equality and Diversity Policy supporting the delivery of the Trusts Race Equality Scheme and the Trusts duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.
Clinical Site Management
- To co-ordinate a seamless service through the development of processes and communication with regards to A&E and inpatient capacity management, emergency care performance and the out of hours teams.
- To ensure admissions are appropriately placed through assessment of medical, nursing and infection control needs.
- To ensure systems are in place for timely discharge for patients and problem solve issues with partnership organisations such as social services.
- To work with key staff members to ensure baseline patient assessment, education and support to patients and their families is appropriate.
- To participate in relevant Trust performance reviews and meetings and National/International Level to represent the service perspective.
- To be responsible for identifying and developing clinical protocols and strategies to enhance patient flow, safety, continuity and standard of care.
- Participate in the development and implementation of the trusts capacity strategy in conjunction with the Associate Director for Capacity and Access.
- Lead the Hospital at Night process and function to ensure its effectiveness to maintain clinical safety and appropriate resource allocations.
Education and Research
- To provide a comprehensive training plan for the service and submit for allocation of funding.
- To contribute to the development of nursing practice within the team.
- To actively participate in education events provided by the Trust.
- To attend meeting and conference as appropriate ensuring that fully conversant with current issues with in both the Trust and within the specialist services locally and nationally.
- To promote and facilitate evidence based practice and clinical audit within the Trust, raising the profile and enhancing the contribution of nursing to patient care.
- To participate in and assist with any appropriate trust approved research projects.
- To promote nursing research and evidence based practice relevant to the patient pathways and flow.
- To work with and support clinical staff to identify areas where changes in practice are required. Also where opportunities exist for improving treatment and support of patients.
- To publish and present relevant clinical practice and service developments
Professional Leadership
- Provide strong professional leadership for Site Nurse Practitioner Team and the CNSs in Complex Patient Discharge.
- To use developed leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams.
- Act as a professional lead and role model at all times.
- Examine different approaches to ways of working, boundaries and organisations to negotiate, as appropriate, an increased effectiveness around patient access and discharge, as well as length of stay.
- Ensure all staff participate in the appraisal process, and ensure an annual appraisal plan is in place for all staff.
- To show a commitment to improving patient safety and services.
- Contribute to Trust-wide strategic plans providing leadership in the smooth day to day running of the trusts available capacity, working with matrons, Associate Directors and Heads of Profession to assure that this happens in a clinically effective and safe manner.
- Provide strong leadership to enable collaborate working with all clinical areas to contribute to the day to day operational management of patient flow, with a current focus on A&E performance, health acquired infections and a culture of patient safety.
- Ensure that all staff are appropriately managed and developed and that they are therefore efficient, effective, engaged and highly motivated. Work with HR and within Trust Policy to manage performance issues.
Personal Professional Development
- To achieve a range of clinical competencies as required within the Trust.
- To keep up-to-date with current literature and research in the speciality.
- To maintain your own personal and professional development in accordance with PREP
- Requirements; attending mandatory study sessions as required.
- To undergo and actively participate in your own performance appraisals.
- To keep up to date with NMC & Trust guidelines and protocols.
- To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
Clinical Governance
- To be the lead for clinical governance within your team, and ensure incident reporting and complaints follow Trust Policy and are fed back to all staff to learn and improve patient care.
- Contribute to risk management arrangements that ensure full compliance with internal and external governance and best practice requirements.
- Adhere to all policies and specifically ensure the Infection Prevention and Control agenda is adhered to.
Job description
Job responsibilities
KEY RESULT AREAS/MAIN DUTIES AND RESPONSIBILITIES:
- Work with all teams to seek to constantly develop and improve the A&E, emergency and elective inpatients pathways in order to facilitate a seamless delivery of high standards of care based on a corporate patient view.
- Act as a role model for excellent clinical practice and standards of behaviour, promoting the trusts values and behaviours at all times, as well as addressing those who do not, within the clinical environment.
- Act as a senior clinical decision maker for patient flow when issues are escalated that the relevant teams are unable to resolve.
- Provide the day-to-day senior operational support to enable effective decisions to be made about the daily capacity and flow as well as provide support to developing a robust plan in line with all the necessary standards the trust is required to achieve. The decision making processes should be enabling the most effective and efficient use of allocated resources.
- Provide the necessary business intelligence and evidence to support the decisions, communicating and empowering the necessary staff to ensure these are actioned.
- Ensure that appropriate issues are escalated to the right people at the right time to ensure safe and appropriate practice and standards are being maintained. These may be clinical, operational, financial or reputational issues that have wider trust implications.
- Ensure highly-developed communication skills facilitate liaison between departments and between the multi-professional teams. The role will be required to constructively challenge standards and behaviours, enabling the resolution and learning for those involved.
- Undertake a root cause analysis for problems which arise that are unable to be resolved immediately. You would take the responsibility to facilitate learning, change and systems to avoid repetition of the problem through liaison with all the departments involved.
- Be an autonomous practitioner who is highly visible throughout the trust and who supports the clinical patient pathways and raises clinical standards. This will be as a result of using personal advanced practice skills, as well as facilitating learning in others. You will provide visible and productive support where needed on any given shift.
Operational Management
- Participate in the Trusts Emergency Plans and ensure your teams are trained in emergency responses from a Major Incident or Business Continuity perspective.
- Ensure effective communication between acute trust and Primary Care through networking and facilitating constructive relationships with primary care colleagues.
- Be responsible and accountable for developing and overseeing the implementation of policies and procedures that ensure the smooth day to day functioning of the trusts discharge and admission avoidance pathways in their support of emergency and elective standards. Work with Matrons and Heads of Profession to assure that this happens in a clinically effective and safe manner.
- Work with the SBUs and Heads of Profession to contribute a day to day operational management perspective on all service improvement and patient flows.
- Identify key links with partnership organisations, including the ambulance service, PCTs, local authorities and independent providers to support effective admission and discharge arrangements. Be responsible for escalating and liaising with any external service when issues arise.
- Be responsible for the management and development of staff within the service and for their development and performance.
- Be accountable and responsible for the Access Teams Budget, ensuring all financial resources are managed to provide the best value for money for the service provided.
- Participate in the Trusts Matron on call rota.
- Use audit of clinical practice to provide support in learning lessons and improving clinical pathways and practice.
- Provide high quality, research based nursing care that is patient focussed.
- To actively contribute to any relevant initiatives within the Trust and provide support to senior colleagues and Heads of Nursing.
- To utilise and maintain information systems to aid audit and to provide regular activity analysis reports.
- Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested. To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.
- Ensures compliance with the Trusts Equality and Diversity Policy supporting the delivery of the Trusts Race Equality Scheme and the Trusts duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.
Clinical Site Management
- To co-ordinate a seamless service through the development of processes and communication with regards to A&E and inpatient capacity management, emergency care performance and the out of hours teams.
- To ensure admissions are appropriately placed through assessment of medical, nursing and infection control needs.
- To ensure systems are in place for timely discharge for patients and problem solve issues with partnership organisations such as social services.
- To work with key staff members to ensure baseline patient assessment, education and support to patients and their families is appropriate.
- To participate in relevant Trust performance reviews and meetings and National/International Level to represent the service perspective.
- To be responsible for identifying and developing clinical protocols and strategies to enhance patient flow, safety, continuity and standard of care.
- Participate in the development and implementation of the trusts capacity strategy in conjunction with the Associate Director for Capacity and Access.
- Lead the Hospital at Night process and function to ensure its effectiveness to maintain clinical safety and appropriate resource allocations.
Education and Research
- To provide a comprehensive training plan for the service and submit for allocation of funding.
- To contribute to the development of nursing practice within the team.
- To actively participate in education events provided by the Trust.
- To attend meeting and conference as appropriate ensuring that fully conversant with current issues with in both the Trust and within the specialist services locally and nationally.
- To promote and facilitate evidence based practice and clinical audit within the Trust, raising the profile and enhancing the contribution of nursing to patient care.
- To participate in and assist with any appropriate trust approved research projects.
- To promote nursing research and evidence based practice relevant to the patient pathways and flow.
- To work with and support clinical staff to identify areas where changes in practice are required. Also where opportunities exist for improving treatment and support of patients.
- To publish and present relevant clinical practice and service developments
Professional Leadership
- Provide strong professional leadership for Site Nurse Practitioner Team and the CNSs in Complex Patient Discharge.
- To use developed leadership and influencing skills with the ability to enthuse, motivate and involve individuals and teams.
- Act as a professional lead and role model at all times.
- Examine different approaches to ways of working, boundaries and organisations to negotiate, as appropriate, an increased effectiveness around patient access and discharge, as well as length of stay.
- Ensure all staff participate in the appraisal process, and ensure an annual appraisal plan is in place for all staff.
- To show a commitment to improving patient safety and services.
- Contribute to Trust-wide strategic plans providing leadership in the smooth day to day running of the trusts available capacity, working with matrons, Associate Directors and Heads of Profession to assure that this happens in a clinically effective and safe manner.
- Provide strong leadership to enable collaborate working with all clinical areas to contribute to the day to day operational management of patient flow, with a current focus on A&E performance, health acquired infections and a culture of patient safety.
- Ensure that all staff are appropriately managed and developed and that they are therefore efficient, effective, engaged and highly motivated. Work with HR and within Trust Policy to manage performance issues.
Personal Professional Development
- To achieve a range of clinical competencies as required within the Trust.
- To keep up-to-date with current literature and research in the speciality.
- To maintain your own personal and professional development in accordance with PREP
- Requirements; attending mandatory study sessions as required.
- To undergo and actively participate in your own performance appraisals.
- To keep up to date with NMC & Trust guidelines and protocols.
- To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
Clinical Governance
- To be the lead for clinical governance within your team, and ensure incident reporting and complaints follow Trust Policy and are fed back to all staff to learn and improve patient care.
- Contribute to risk management arrangements that ensure full compliance with internal and external governance and best practice requirements.
- Adhere to all policies and specifically ensure the Infection Prevention and Control agenda is adhered to.
Person Specification
Qualifications
Essential
- RGN/RM (Adult) registration
- 1st level Nursing Degree
- Teaching/mentorship qualification
- Evidence of Continuous Professional Development relevant to this role.
- Yellow Belt/Project Management
Desirable
- Masters Degree or equivalent experience
- Currently studying for post graduate degree
- Green belt - willingness to undertake
- Clinical Specialist qualification (or experience) in their area
Knowledge and Experience
Essential
- Experience of managing and leading a team
- Relevant experience within area
- People Management
- Extensive experience Band 7
- Conflict Management
- Diplomacy skills
- Financial management and controls
- Good listening skills, able to articulate views whilst considering others
- Design and implementation of patient care pathways
- Clinical competence, including administering drugs and I/V's
- Implementing of Safety and Risk Management practices
Person Specification
Qualifications
Essential
- RGN/RM (Adult) registration
- 1st level Nursing Degree
- Teaching/mentorship qualification
- Evidence of Continuous Professional Development relevant to this role.
- Yellow Belt/Project Management
Desirable
- Masters Degree or equivalent experience
- Currently studying for post graduate degree
- Green belt - willingness to undertake
- Clinical Specialist qualification (or experience) in their area
Knowledge and Experience
Essential
- Experience of managing and leading a team
- Relevant experience within area
- People Management
- Extensive experience Band 7
- Conflict Management
- Diplomacy skills
- Financial management and controls
- Good listening skills, able to articulate views whilst considering others
- Design and implementation of patient care pathways
- Clinical competence, including administering drugs and I/V's
- Implementing of Safety and Risk Management practices
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).
