Job summary
As the seniornurseclinician in the Division and Medicine and Urgent Care theConsultantNursewill be responsible for developing and leading nursing and advanced practice and standards. Working with others in the team, theConsultantNursewill have the authority and freedom to develop and lead advanced practice and research within the departments. They will practice clinically up to 50% of their time.
They will also work collaboration with the Clinical Director, Clinical Leads,NurseDirector and DivisionalDirector of Nursing, theConsultantNursewill support the development of clinical strategy for Acute and Emergency Care to enable the team to deliver timely, clinically effective patient care that meets national standards
Main duties of the job
- To support the Divisional Director of Nursing in the clinical nursing leadership of the Division.
- Lead advanced nursing and other non-medical practice across the Acute and Emergency Medicine including development of advanced practice roles.
- Work with all stakeholders to develop clinical pathways internally and externally across all specialities.
- Work as part of the senior clinical team to deliver key clinical standards.
- Support theNurseDirector to develop strong leadership and managerial process to deliver high quality care across the Group.
- Work with the Matrons, Divisional Director of Nursing and Clinical Educators, supporting on educational development for nursing and engagement of the multi-professional workforce across the specialties.
- Where necessary, in the absence of the Matron or Divisional Director of Nursing , provide operational support within the Division.
Provide leadership advice and support on clinical governance issues, including clinical and non-clinical risk assessment and management
About us
We have an exciting opportunity for a forward-thinking, enthusiastic and dynamic senior nurse to join the Emergency Care Team at Royal Free NHS Hospitals
As a NurseConsultant, your clinical responsibilities will be at the Barnet site. You will also provide expert knowledge, strategic leadership, innovative evidence-based research and be the driving force of learning and development across the system, ensuring that we offer the best care experience to the population we serve is met.
As the seniornurseclinician in the Division and Medicine and Urgent Care theConsultantNursewill be responsible for developing and leading nursing and advanced practice and standards. Working with others in the team, theConsultantNursewill have the authority and freedom to develop and lead advanced practice and research within the departments. They will practice clinically up to 50% of their time.
They will also work collaboration with the Clinical Director, Clinical Leads,NurseDirector and DivisionalDirector of Nursing, theConsultantNursewill support the development of clinical strategy for Acute and Emergency Care to enable the team to deliver timely, clinically effective patient care that meets national standards
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES:
1. CLINICAL RESPONSIBILITIES
Maintain professional behaviour at all times and promoting a positive image of the Royal free London NHS Foundation Trust in line with World Class care Values at all times. To demonstrate clinical expertise in practice for at least 50% of time in own clinical area and working in collaboration with the appropriate multi- disciplinary groups to meet the specific needs of all Emergency Care Nursing patients; ensuring patients benefit from a multi-disciplinary approach to their care. To lead on on-going modernisation and new ways of working and innovation within Emergency Care Services to improve patientOutcomes. To independently receive and make referrals and lead on the management of a caseload for Emergency Care Nursing patients, treatment, diagnosis, and follow-up across health care settings. Demonstrate advanced clinical skills and knowledge that informs practice decisions in a variety of clinical settings. To make independent clinical decisions and initiate investigations, care/ Treatment and technological intervention within an agreed framework. To direct and use the results of specialist investigations to assist formulation of diagnosis and plan patient management from a range of interventions To independently prescribe medications / treatments, order investigations and independently admit to the appropriate in patient setting or refer on to another speciality. Refers patients to other departments or colleagues within or outside the Trust as necessary relying on own interpretation of investigation results. To use appropriate systems and strategies to ensure patients receive the most appropriate treatment addressing issues such as assessment, treatment and care, co-morbidities, education within an agreed framework. At all times ensure that the needs of the patient are placed at the centre of care delivery. To be professionally and legally responsible and accountable for all aspects of own clinical and professional activities. To oversee and supervise others in developing their competence to confident decision making and delivery of nurse led clinics applicable to the post and speciality through empowerment and support. Lead the development of clinical expertise in Emergency Care Nursing enabling nurses to develop advanced decision making and prescribing skills.
To recognise the limits of own clinical knowledge and skills and to seek medical support whenever needed to provide safe, effective, and timely patient care. Taking account of national policy, to ensure that core, specialist, and advanced specialist Emergency Care Nursing practice is developed to meet service need, through the use of research and evidenced based practice, ensuring they are linked to the clinical governance and patient safety agendas. Direct and support nursing staff in their commitment to advancing nursing / clinical practice through the use of research and the implementation of evidence-based practice. To develop nurse led ambulatory Emergency Care Nursing care in collaboration with medical and multi-disciplinary colleagues. Advise and support colleagues where standard protocols do not apply demonstrating innovative and visionary practice backed up by relevant education and training plans. To be an authoritative expert assessor/adviser on the management psychological/spiritual/social practical and ethical needs of Emergency Care Nursing patients and to work in partnership with a range of health professionals to improve skills in these areas. Be prepared to make decisions about practice where precedents do not exist, and where appropriate without recourse to others based on sound clinical evidence. Develop and maintain evidence-based guidelines. Act in accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope for Expanded Practices for Nurses, Midwives and Health Visitors.2. RESPONSIBILITY FOR PATIENTS
Provides professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas. Recognises and champions innovations in specialist Emergency Care Nursing practice ensuring they are supported, evaluated, and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff. Communicates highly complex and sensitive information to patients, carers, and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities ensuring confidentiality and sensitivity to the audiences level of understanding and prior knowledge. Facilitates contentious discussions with staff, patients, and relatives, using highly developed interpersonal and negotiation skills.
Leads on and contributes to service developments and innovations across the speciality and relevant external agencies, locally and nationally. Work with the departmental key stakeholders to rationalise, develop and implement nursing and specialist Emergency Care Nursing documentation ensuring that practice is standardised and monitored department wide. Collaborates with Service Lead and academic institutions to lead on education, research and practice and plays a leading role in the development of multi-professional research to establish an evidence base practice in the relevant specialty. Contributes to the Trusts nursing and professional agenda and promotes the Trust as an international centre of excellence and national leader in the speciality. Is responsible for the evolving role of the Consultant Nurse, proposing and negotiating extension of practice beyond traditional scope as efficiency and effectiveness. Nationally aware of patient pathways and patient experience initiatives and be able to implement these locally. Ensure patients are at the centre of all pathway development work and play a pivotal role in improvement.
Job description
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES:
1. CLINICAL RESPONSIBILITIES
Maintain professional behaviour at all times and promoting a positive image of the Royal free London NHS Foundation Trust in line with World Class care Values at all times. To demonstrate clinical expertise in practice for at least 50% of time in own clinical area and working in collaboration with the appropriate multi- disciplinary groups to meet the specific needs of all Emergency Care Nursing patients; ensuring patients benefit from a multi-disciplinary approach to their care. To lead on on-going modernisation and new ways of working and innovation within Emergency Care Services to improve patientOutcomes. To independently receive and make referrals and lead on the management of a caseload for Emergency Care Nursing patients, treatment, diagnosis, and follow-up across health care settings. Demonstrate advanced clinical skills and knowledge that informs practice decisions in a variety of clinical settings. To make independent clinical decisions and initiate investigations, care/ Treatment and technological intervention within an agreed framework. To direct and use the results of specialist investigations to assist formulation of diagnosis and plan patient management from a range of interventions To independently prescribe medications / treatments, order investigations and independently admit to the appropriate in patient setting or refer on to another speciality. Refers patients to other departments or colleagues within or outside the Trust as necessary relying on own interpretation of investigation results. To use appropriate systems and strategies to ensure patients receive the most appropriate treatment addressing issues such as assessment, treatment and care, co-morbidities, education within an agreed framework. At all times ensure that the needs of the patient are placed at the centre of care delivery. To be professionally and legally responsible and accountable for all aspects of own clinical and professional activities. To oversee and supervise others in developing their competence to confident decision making and delivery of nurse led clinics applicable to the post and speciality through empowerment and support. Lead the development of clinical expertise in Emergency Care Nursing enabling nurses to develop advanced decision making and prescribing skills.
To recognise the limits of own clinical knowledge and skills and to seek medical support whenever needed to provide safe, effective, and timely patient care. Taking account of national policy, to ensure that core, specialist, and advanced specialist Emergency Care Nursing practice is developed to meet service need, through the use of research and evidenced based practice, ensuring they are linked to the clinical governance and patient safety agendas. Direct and support nursing staff in their commitment to advancing nursing / clinical practice through the use of research and the implementation of evidence-based practice. To develop nurse led ambulatory Emergency Care Nursing care in collaboration with medical and multi-disciplinary colleagues. Advise and support colleagues where standard protocols do not apply demonstrating innovative and visionary practice backed up by relevant education and training plans. To be an authoritative expert assessor/adviser on the management psychological/spiritual/social practical and ethical needs of Emergency Care Nursing patients and to work in partnership with a range of health professionals to improve skills in these areas. Be prepared to make decisions about practice where precedents do not exist, and where appropriate without recourse to others based on sound clinical evidence. Develop and maintain evidence-based guidelines. Act in accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope for Expanded Practices for Nurses, Midwives and Health Visitors.2. RESPONSIBILITY FOR PATIENTS
Provides professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas. Recognises and champions innovations in specialist Emergency Care Nursing practice ensuring they are supported, evaluated, and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff. Communicates highly complex and sensitive information to patients, carers, and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities ensuring confidentiality and sensitivity to the audiences level of understanding and prior knowledge. Facilitates contentious discussions with staff, patients, and relatives, using highly developed interpersonal and negotiation skills.
Leads on and contributes to service developments and innovations across the speciality and relevant external agencies, locally and nationally. Work with the departmental key stakeholders to rationalise, develop and implement nursing and specialist Emergency Care Nursing documentation ensuring that practice is standardised and monitored department wide. Collaborates with Service Lead and academic institutions to lead on education, research and practice and plays a leading role in the development of multi-professional research to establish an evidence base practice in the relevant specialty. Contributes to the Trusts nursing and professional agenda and promotes the Trust as an international centre of excellence and national leader in the speciality. Is responsible for the evolving role of the Consultant Nurse, proposing and negotiating extension of practice beyond traditional scope as efficiency and effectiveness. Nationally aware of patient pathways and patient experience initiatives and be able to implement these locally. Ensure patients are at the centre of all pathway development work and play a pivotal role in improvement.
Person Specification
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Education & professional Qualifications
Essential
- RN Level 1 or Level 15
- Registered specialist qualification within the speciality of Emergency Medicine
- Educated to Masters level or equivalent
- PhD or willingness to undertake
- Nurse prescriber
- Accredited Management training programmes within the workplace
Experience
Essential
- Demonstrates understanding of the role of the specialist area within the current health policy
- Robust understanding of all aspects of Clinical Governance including previous experience of quality issues, audit, and risk management
- Excellent time management and organisational skills
- Excellent written and verbal communication skills demonstrating the use of a variety of media / IT skills
- Ability to manage conflict with use of negotiation skills
- Ability to work within the Trust's policies including data protection, equal opportunities and health and Safety to meet the differing needs of the patient
- Ability to translate and integrate evidence - based research / guidelines into the development of local pathways of care
- Ability to develop working relationships locally, regionally, and nationally
- Able to carry out concurrent activities (multi -tasking) work in an unpredictable working pattern (will be required to carry a bleep)
- Ability to build up a rapport with patients and the MDT
- Ability to impart complex information to patients, relatives, and carers, with different levels of understanding
- Project management skills
- Ability to perform emergency duties
Person Specification
Royal Free World Class Values
Essential
- Demonstrable ability to meet the Trust Values
Education & professional Qualifications
Essential
- RN Level 1 or Level 15
- Registered specialist qualification within the speciality of Emergency Medicine
- Educated to Masters level or equivalent
- PhD or willingness to undertake
- Nurse prescriber
- Accredited Management training programmes within the workplace
Experience
Essential
- Demonstrates understanding of the role of the specialist area within the current health policy
- Robust understanding of all aspects of Clinical Governance including previous experience of quality issues, audit, and risk management
- Excellent time management and organisational skills
- Excellent written and verbal communication skills demonstrating the use of a variety of media / IT skills
- Ability to manage conflict with use of negotiation skills
- Ability to work within the Trust's policies including data protection, equal opportunities and health and Safety to meet the differing needs of the patient
- Ability to translate and integrate evidence - based research / guidelines into the development of local pathways of care
- Ability to develop working relationships locally, regionally, and nationally
- Able to carry out concurrent activities (multi -tasking) work in an unpredictable working pattern (will be required to carry a bleep)
- Ability to build up a rapport with patients and the MDT
- Ability to impart complex information to patients, relatives, and carers, with different levels of understanding
- Project management skills
- Ability to perform emergency duties
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).
