Job responsibilities
Clinical
- Undertake holistic health assessments of patients with complex palliative and end of life care needs in community settings
- To proactively plan, co-ordinate, deliver and evaluate the provision of a high quality specialist palliative and end of life care within the community and across the primary and secondary care interface ensuing onward referrals are made as appropriate.
- Make appropriate clinical decisions independently and seeking senior guidance where necessary in reviewing, monitoring and managing patients.
- Assess plan and evaluate care for patients, their families and carers
- Monitor patient needs and interventions and appropriately report to the identified key worker.
- The post holder will provide a therapeutic relationship with patients with a palliative diagnosis, their carers and their families
- To provide opportunistic informal education to patients, their families and health professionals.
- Provide patients and their families /carers with information
- Work as part of a multidisciplinary teams acting as patient advocate for specialist palliative and end of life nursing advice and care. They will be expected to work with a wide range of health and social care professionals who work within the acute and community setting.
Educational
- To actively participate in the Palliative and End of Life Care educational programme to deliver evidenced based education to community based staff
- Maintain own personal development ,knowledge and skills sharing good practice with colleagues
- Actively participate in regular clinical supervision
Communication
- To develop and sustain effective working partnerships with local clinicians, other specialist palliative care providers, managers and team colleagues.
- Understand and ensure good practice in managing patient information between the different care settings and teams.
- Understanding of IT with an ability to use email and other systems that aim to improve communication within the services.
- Develop and maintain good working relationships with key resources that support service development and influence the role e.g. Macmillan Cancer Support.
- Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act.
- Any data that is taken/shared as part of a phone call or transported, faxed or transferred electronically must be undertaken with regard to the Trust Information Governance and Information Security policies.
Regular communication with a wide range of colleagues including Primary health care teams Specialist Cancer Care colleagues within Luton, Bedfordshire and Hertfordshire Specialist Palliative Care colleagues within Luton, Bedfordshire and Hertfordshire Other colleagues within the community integrated nursing teams Locality Oncologists, MDT Clinicians and co-ordinators Specialist Cancer and Palliative Care colleagues from tertiary centres Nursing Home Staff Residential Home staff Care Agency staff Hospices and voluntary services Other clinical, managerial and social care staff involved in improving the Palliative Care patients experiencePeople Management Promote the use of reflection and retrospective case reviews with aligned primary health care/ care home teams. To ensure a supportive approach to working with the aligned primary health care and care home teams providing:Regular routine face- to- face contact with community nurses and care homes.Prompt response to staff requests for advice/support. To support formal and informal teaching to empower health and social care professionals to deliver a high quality palliative and end of life care service. Maintaining own professional development and requirement to take part in appraisal and KSF processResearch & Development Activity
Ensure reports and statistical information are supplied on request Participate in audit and research as required To actively lead, monitor and evaluate service developments by:Understanding clinical audit,Instigating research projects, Data collection To critically evaluate existing research, integrating theory into practiceClinical and Practice Governance Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act. Any data that is taken/shared as part of a phone call or transported, faxed, or transferred electronically must be undertaken with regard to the Trust Information Governance and Information Security policies. The post holder must adhere to the Trust risk assessment and risk management processes The post holder must adhere to infection control policies and procedures It is a condition of your employment that you are currently registered with NMC, and it is your responsibility to maintain your professional registration. Undertake mandatory training and any other training relevant to the role as required by Cambridgeshire Community Services NHS Trust. The post holder is required to participate in relevant emergency preparedness process for their team.General Safeguarding children and adults at risk of abuse or neglect is a collective responsibility.
There is an expectation that all staff develop and maintain their role relevant safeguarding people competencies and comply with local safeguarding partnerships practice. Alongside this employee who are registrants are reminded of their professional duty of care. Safeguarding means protecting a citizens health, wellbeing, and human rights; enabling them to live free from harm, abuse, and neglect. It is an integral part of providing high-quality health care.
Those most in need of protection include:o Children and young peopleo Adults at risk, such as those receiving care in their own home, people with physical, sensory, and mental impairments, and those with learning disabilities.
The post holder must at all times carry out his/her duties with regard to Cambridgeshire Community Services NHS Trust Equal Opportunities Policy.To be aware of the responsibilities of all employees to maintain a safe and healthy environment for patients, visitors, and staff.All post holders must adhere to the code of conduct on confidentiality and be aware of and adhere to all Trust policies and procedures.This job description is intended only as a guide to the range of duties involved. The post holder will need to be flexible and adaptable in order to respond to other duties that may be required from time to time and the changes and developments within the Trust. This post is subject to the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 and as such it will be necessary for a submission for Disclosure of Barring Service to be made to check for any previous criminal convictions. Cambridgeshire Community Services NHS Trust is committed to the fair treatment of its staff, potential staff, or users in line with its equal opportunities policy and policy statement on the recruitment of ex-offenders.
