Clinical Nurse Specialist Palliative Care

Job description

Job responsibilities

Leadership and ManagementAdhere to the NMC Professional Standards of Practice and Behaviour for Nurses and Midwives, ensuring that issues of concern are escalated appropriately.

Act at all times as a role model, presenting a professional approach andensuring the standards for professionalism are set and displayed within theteam. Provide professional advice to nurses within the team.

Contribute to the development of plans and strategies for palliative care, based on national direction and clinical need.

Responsible and accountable for an identified case load, proactively promoting a person centred approach, working with the patient / carer and the MDT team to reduce unplanned hospital admissions and co-ordinate care across all settings of the care pathway.

Promote and ensure through ongoing review that all patients are treated in line with the principle of dignity and respect and that this is embedded within the team.

Develop and maintain effective communication networks with otherprofessionals.

Responsible for the accurate recording, timely collection, completion andsubmission of relevant information.

Provide specialist expert clinical leadership in the field of palliative care toinspire colleagues to improve standards and practice e.g. Palliative Care MDTs and case conferences.Attend and participate in team meetings and represent PTHB when appropriate locally and nationally.

When required, facilitate, attend, chair, and deliver identified actions of staff meetings and ensure effective dissemination of information and best practice.

Work with and support GP clusters to review examples of end-of-life careprovision to identify opportunities to improve care.

Act as a line manager for other staff as appropriate.

Working with other Clinical Nurse Specialists and MDTs to ensure that allpatients who have specialist palliative care needs are supported appropriately.

Quality, Safety and EffectivenessEnsure that lines of communication are maintained with key workingrelationships to demonstrate politeness, courtesy, compassion and sensitivity, promoting a positive image of the health board.

Provide evidence-based information, knowledge, support and training onpalliative care treatment options and outcomes. Supporting patients in order that they can make informed choices.

Apply the principles of Being Open in communicating with patients families and appropriate others in all aspects relating to concerns.

Provide professional support and specialist clinical knowledge on palliative care to members of the community resource teams and work jointly with staff as necessary to promote best practice.

Support relevant public health and community development initiatives.

Undertake patient satisfaction surveys/patient stories at regular intervals and contribute to interpreting the results and action plans with the Senior Nurse.

Support the identification, investigation and implementation of learning from concerns within the Health Board. This may necessitate a lead role as defined by the Head of Nursing and require investigation and report writing.

Consistently work with teams to ensure standards of patient care are high and maintain safety and quality of the patient experience.

Support the effective transfer of patient care to and from your case load byensuring that appropriate assessment, communication and liaison thusfacilitating safe admission and discharge. Work specifically with Carers toensure an equal partner approach to ongoing care.Act as a responsible Nurse Prescriber, where appropriate, to prescribing in line with the Prescribing Formulary, Health Board/ All Wales/ NMC policies/Royal Pharmaceutical Society Competency Framework and guidance and making safe, clinically effective and cost-effective prescribing decisions.

Provide specialist assessment of patients, through clinics and home visitsundertaking a range of clinical measurements and assessments, interpret the results to inform treatment approach.

Review the effectiveness of treatments through monitoring and interpretation of clinical indicators and make adjustments to treatments, onward referrals and/or recommendations for changes to treatment or appropriate therapies as appropriate.

As a team review the service operational policy and work plan, contribute to the Powys end of life plan and report and support the development of co-ordinated clinical policies in all relevant areas with expert evidence-based advice and information.

Take a key leadership role in implementing quality improvements into the area of responsibility.

Take a zero-tolerance approach to practice which does not meet the highest standard working with staff/teams to consistently improve patient outcomes and experience.

Develop clinically effective and therapeutic working relationships with patients and relatives/carers using negotiating and motivating skills to communicate complex, contentious and sensitive information.

Through bereavement support and through the MDT identify where complex grief patterns are present facilitating referral to specialist bereavement support services.

Take part in a rota providing specialist palliative care advice and support atweekends and bank holidays to other health professionals.

Nursing Workforce Development and Team WorkingActively participate in the research and development agenda, focusing on the improvement to services as a result. Promote the development of nursing research projects within the locality.

Consistently develop skills, knowledge and expertise to provide appropriate patient care in line with current service development.Maintain clinical and professional competencies of specialist knowledge byaccessing research, professional literature, attending educational events and liaising with other specialist professionals.

Responsible for the accurate recording, timely collection, completion,submission of relevant information to support patient care, operationalmanagement, nursing staff and skill mix, service development and audit,analysing and interpreting this information to inform your leadership andclinical case management within your area of responsibility.

Plan, develop and deliver specialist education and core training requirements to the community resource team and other health and social care professionals within PTHB, in collaboration with Workforce and Heads of Nursing.

Work with the MDT and appropriate partners to ensure that appropriateteaching are developed and co-ordinated within community and community hospital setting to meet the local health needs.

Person Specification

Qualifications / Knowledge

Essential

• Live registration with the NMC as a registered nurse
• Degree in Nursing or health related subject
• Post registration specialist training / supplementary qualifications to degree / masters level in related subject
• Teaching qualification / teaching and assessing in clinical practice or evidence of teaching skills / clinical educator
• Knowledge and skills to manage patients with complex needs

Desirable

• Independent Prescribing Qualification
• Management/ Leadership qualification or equivalent preparation

Experience

Essential

• Experience at management level demonstrating ability to deliver improvements to service users care
• Experience of clinical assessment and proactive palliative care caseload management
• Effective multi agency team player, including the ability to engage positively with carers

Aptitude and abilities

Essential

• Ability to use computer systems to a well-developed level (email, word processing, spreadsheets)
• Significant clinical experience in assessing, planning, implementing and evaluating care for the patient group of the caseload
• Highly developed verbal and written communication skills
• Ability to motivate, enthuse and encourage innovation within the team through effective communication skills
• Ability to critically review concerns (incidents, complaints etc), to draw reasoned conclusions and write a clear report
• Proven ability to work in complex situations with many differing multi agency partners
• Ability to implement change effectively
• Knowledge of current Nursing issues within NHS care systems
• High level of knowledge of NMC code of conduct and professional standards/guidance
• Proven ability to work under time constraints

Desirable

• Ability to speak Welsh

Values / Other

Essential

• Demonstrate PTHB values
• Ability to travel within role

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).

Employer details

Employer name

Powys Teaching Health Board

Address

Llandrindod Wells

Merlin Temple Street

Llandrindod Wells

LD1 5HF

Employer's website

https://pthb.nhs.wales/working-for-us/ (Opens in a new tab)