Lead Nurse Associate Director

Job responsibilities

Establishes, maintains and nurtures proactive collaborative relationships with and between front line clinical and operational staff providing critical care, across disciplines, in all NWL acute sites;

Is accountable for managing the NWL Network function leading support to the Network Joint clinical forum activities and sustaining mutual growth and peer support within and between units and services in a range of acute Trusts within and between networks;

Provides nursing leadership and support to the established operationalized education and training programme for critical care transfers in NWL

Offers practical support to ensure transfer teams can be populated with transfer trained staff and that transfer safety continues within and external to trusts. (NOTE this is not being covered by transfer service host trust RBHT and is a sector wide function with nurse practice educators taking lead roles)

Supervises the Network wide clinical audit and transfer data and reporting.

Provides senior nursing leadership, subject matter, clinical and operational service and delivery expertise in relation to the management and care of acutely unwell, critically ill or injured adult patients for the Network and ICS in NWL;

Is a lead clinical member of the critical care programme delivery team within the NWL ICS virtual structure covering health care in NWL.

Will identify opportunities, review and gain support and adapt complex inter and intra organisational patient pathways and negotiate change within organisations;

Will facilitate and support the development and bedside implementation of benchmarked cross organisational, clinical and operational guidelines for critical care patients across NWL and (London for some)

is hosted in the NWL ICB currently

Key Duties and Responsibilities

Ensure the Network functions effectively, and that initiatives have support and engagement from the critical care community, and nursing in particular by:

Ensuring Network functionality through structure, membership and developing and implementing efficient business process including decision making and clinical audit and support building the cross ICS critical care programme /Network team functionality;

Deliver a high standard of Network information and communication through timely agendas, reporting, and analysis at meetings, though workshops, via Network publications, and via large sharing events as allowed;

Designing, developing and implementing project processes and mechanisms to deliver the Network activities and additional projects that arise in year ensuring the appropriate clinical groups are engaged;

Ensuring the Network has a high profile for effective working and delivering solutions by regular communications with external stakeholders within London and beyond;

Act as external advisor for cross Trust clinical serious untoward incident reviews

Transfer training Support the maintenance of transfer training across the patch

Ensure inter organisational critical incidents affecting critical care patients are reported appropriately, investigated by the responsible organisations, learning is identified and facilitating roll out of learning across the network using a variety of methods including critical incident training and review.

Influence national critical care and the acutely unwell / enhanced care patient agenda under development via system, professional and statutory processes to facilitate appropriate application in north West London ;

Compliance for Critical care network funding

Responsible for;

oCompiling the Network / host Delivery MOU

oWriting the annual report

oCompiling the ring fence account of income and spend to NHSE/I

oraise invoicing for NHSE/I income of £164 k per annum and other network income for specific projects and provide evidence to comply with any NHSE/I requirements

Critical Care Strategy

To provide senior clinical nursing input and delivery in coordinating the development, implementation and review of critical care strategy by:

Ensuring effective working relationships and links are identified, developed, used and maintained with managerial and clinical colleagues in the Network, across professional and organisational boundaries in the ICS framework and in London including NHSE/I and Health Education England in London

Facilitation of effective cross-boundary collaboration and service development through the provision of virtual infrastructure, communication and support processes across the network;

Providing expert input, identifying evidence, devising mechanisms and delivering practical support to implement the redesign of identified acute patient cross organisational pathways;

Facilitating trusts in modernising and improving critical care services by providing diagnostic and improvement expertise;

Providing co-ordinated input to education and training consortia and reviewing staff critical care training and welfare needs

Leadership & Clinical responsibilities

To be a role model for current and future clinical practitioners.

Lead on and influence nursing staff in their commitment to advancing nursing/clinical practice through the use of research and implementing evidence based practice

Provide expert advice regarding nursing staff and other professionals, supporting compliance with NMC regulation and professional code of conduct.

proactively facilitate practice that is both professionally enabling and patient focused. This should be translated where possible across professional boundaries to optimise health outcomes.

Work with the multidisciplinary team to review clinical practice and develop new clinical initiatives that support innovation in NWL.

Provide a strategic approach to the development and improvement of clinical care and quality, to enhance the production of relevant clinical benchmarks and other quality initiatives.

Provide professional leadership, and a highly visible and critical best friend presence to support others to deliver the nursing audit, service and practice improvement agendas, and to meet the nursing quality elements of practice

To deputise for the lead Director of Nursing supporting the ICS critical care programme (where appropriate ) in the ICS critical care role.

Provide support, expertise and intelligence across sites with regards to safe staffing levels on nursing workforce related matters as detailed in national guidance and initiatives regarding critical care, in peacetime and in surge and extreme surge

Advise on acuity and dependency data that is available, and cross relate to environments in multiple sites to inform on safe staffing, service delivery and development to support management of risk

To influence others in choosing, implementing and evaluating appropriate strategies in relation to internal, national and international nursing practice.

To provide and demonstrate sound clinical leadership, develop support mechanisms and evaluate methods for sharing good practice. Leading innovation in on-going nursing development.

Networking / Relationships with other networks

Actively foster productive working relationships with other networks, sharing best practice, local benchmarking and work streams where relevant and appropriate .

Continue to nurture current relationships with other ODN/network directors and managers, clinical directors, professional leads and others.

Foster a working environment that encourages team work, facilitates growth in individuals maximises individual contribution and stimulates innovation.

NORF (Outreach) and National Critical Care Networks formal groups

ICHP

Other External to NWL organisations NHSE/I, PHE, ICNARC

Refer to NW London Critical Care Network ToR

Refer to NW London ICS Critical Care Programme board ToR

The post holder is required to be highly self-motivated to manage their time effectively and self-prioritise work schedules to meet the competing demands of this complex role.

This job description gives an indication of the breadth and complexity of the role in a transitional period for the NHS and in pandemic service delivery operating. It is not intended as an exhaustive list of duties. Aspects will be prioritised via work plan and objectives. The role may change to meet the needs of the Network / ICS / NHSE/I and this will be carried out in consultation with the post holder.

Functional Responsibilities

*Examples of functional responsibilities

Operational FocusFinancial and Physical Resources:

Manage resources and budgets pertinent to projects on which they lead.

Have budgetary responsibility for specific programmes, this includes evaluating value for money of contracts, monitoring the performance of existing providers and ensuring that provider performance complies with contractual terms and conditions

Ensure compliance with Standing Orders and Standing Financial Instructions in the discharge of this responsibility.

Staff Management

Responsible for the line management

Line management of any interim staff as and when directed

Ensuring staff are appraised annually, have clear objectives which link to departmental or corporate objectives and a personal development plan.

Ensure performance issues are dealt with in an appropriate and timely manner and follow NWLs Disciplinary or Capability Procedures where formal action is necessary.

Information Management

Responsible for the development of systems and frameworks to effectively monitor scheme delivery service provisions and to support future service developments

Policy and Service Development

Promote the adoption of best practice to support the delivery of the Service Transformation agenda in line with ICS thinking

Responsible for the interpretation and implementation of policies and guidelines

Qualifications

Essential

• Registered General Nurse with active NMC registration
• Member of relevant professional body
• Educated to masters level or equivalent level of experience of working at a senior level in specialist area

Experience

Essential

• Extensive knowledge of specialist areas, acquired through post graduate diploma or equivalent experience or training plus further specialist knowledge or experience to masters level equivalent
• Evidence of post qualifying and continuing professional development such as short courses or equivalent
• A minimum of 7-10 years senior nurse management in an acute care setting with critically ill, acutely unwell and at risk patients
• Knowledge of the strategic health and reform agenda, Covid-19 changes in critical care response and nursing policy and practice, NMC standards and requirements
• Extensive clinical experience of managing and designing care for critically ill, injured and acutely unwell adults in an acute environment
• Development of policy for clinical speciality and implementation
• Ability to support a range of staff and quality/ audit/ clinical services /professional activity.
• Must have evidence of critical care network activities and the relative roles of and delivery via informal, collaborative influencing versus command and control relationships
• Experience of implementing significant change projects , together with strong evidence of project management and service improvement skills
• Experience in implementation of safety and quality initiatives including workforce planning and assurance of safe staffing levels
• Evidence of
• oleadership and management achievements
• osuccessfully leading and motivating a multi-professional team
• o partnership working, producing tangible outcomes through influence and relationship development
• Experience in providing advice on complex professional issues as they affect more than one organisation
• Experience in managing and supporting nursing education and training initiatives across more than one organisation
• Can demonstrate experience of respectful challenge to senior staff
• Must have an understanding of the background to and aims of current healthcare policy in London and appreciate the implications of this
• Should have an appreciation of the relationship between NHS England and individual provider and commissioning organisations

Skills

Essential

• High level of self-directed thinking
• Skilled and confident in respectful challenge of other senior clinicians in any profession
• Ability to influence /develop strategic priorities and to influence the organisation of staff and resources to achieve high quality patient care and health care delivery
• Ability to make decisions and solve complex problems
• Advanced planning and organisational skills
• Excellent leadership, Influencing and motivational skills
• Able to negotiate and influence with a range of stakeholders
• Computer literate (to include proficiency in MS Office and fast, accurate keyboard skills)
• Understanding of DOS and CRITCON national data set and reporting. Some knowledge of ICNARC and QSIS programme

Communication Skills

Essential

• Highly developed communication skills with the ability to communicate on highly complex matters and difficult situations
• Provide and receive, convey and present highly complex, sensitive and/or contentious information to others including boards or large groups, responding openly to questions to ensure full understanding and engagement
• Ability to communicate effectively with clinical, academic and all levels of staff on respective merits of different options, innovation and new pathways/opportunities.

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.

Certificate of Sponsorship

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).