Senior Clinical Nurse Specialist

Job description

Job summary

As an Senior Clinical Nurse Specialist you will use yourexpert palliative care skills and highly experienced clinical judgement tocontribute to the excellent evidence-based specialist treatment and care thecharity provides to patients with complex life-limiting illnesses. You will beresponsible for assessing and diagnosing patients and planning and implementingtheir care to ensure optimum outcomes.You will also assist the Community Cluster Team Leader with linemanagement responsibilities and the daily clinical leadership of junior colleagueswithin the community team. The roleinvolves travel within the community setting, covering predominantly Mid Devonarea, and participating in the seven-day service provision to include on-call.

Main duties of the job

Key Responsibilities:

Manage a caseload of patients

Provide holistic care, expert advice, and intervention

Collaborate effectively with local GPs and Community Nursesto deliver an excellent Hospiscare service

Why join Hospiscare?

Keep your NHS pension

Grow your skills with ongoing developmentopportunities

Be part of a flexible, understanding andcompassionate workplace

Access a range of wellbeing and mentalhealth support

About us

Hospiscare has been supporting people in Exeter, Mid and East Devon with terminal illnesses for over 40 years. Our services include support at home, a specialist palliative care ward, out-patients clinics, and supportive therapies.

We support close to 2,200 local people each year, in some of the hardest times possible. As a local charity, we raise around £10 million each year to continue to provide our care. Our staff, volunteers and supporters help us to care for people when they're most in need, no matter what their individual circumstances may be.

We're proud to be rated as 'five-star' by patients and families and as 'outstanding' by the Care Quality Commission, to have been awarded a Mind Bronze Award for wellbeing at work and to be a Disability Confident employer.

Job description

Job responsibilities

Job Description

1. JOB DETAILS

Job Title: Senior Clinical Nurse Specialist

Band: 7

Location: Community

Hours: As on contract, to include on-call

Team/Directorate: Community Cluster

Responsible To: Community Cluster Team Leader (CCTL)

Responsible For: N/A

Accountable to: Chief Nurse

2. JOB PURPOSE

To deliver, manage and promote an excellentstandard of evidenced-based specialist palliative care, utilising advancedclinical skills to identify, assess, diagnose and treat patients withspecialist palliative care needs.

To promote dignity, encompassing a person-centredapproach to positively enhance the lives of patients with complex life limitingillnesses within the community.

3 KEY RESULTAREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES

3.1 Main Responsibilities

Provide expert specialist palliative care, contributinghighly experienced clinical judgement and knowledge to develop strategies forthe delivery of complex palliative and end of life care, to promote bestpractice for patients with life limiting illnesses.

Assess, diagnose, plan and implement evidence-basedcare at the level expected of an Advanced Nurse Practitioner to ensure optimumpatient outcomes.

Act as an independent and supplementary prescriber,participating in Non-Medical Prescribing supervision to provide an enhanceddelivery of care.

Demonstrate, teach and role model Advanced CommunicationSkills and professionalism in your interactions with patients, families, carersand all other professionals in order to promote and maintain Hospiscare values.

Manage, assess and review, in conjunction with theteam leader, daily clinical leadership of junior staff within the communityteam, deputising for the team leader in their absence, to ensureseamless delivery of clinical care.

Design and deliver education and learning for allthose involved in palliative/ end of life care, to act as a resource to widerprofessional and care teams both internally and externally.

Suggest innovative ideas to improve the serviceprovision and take the service forward in line with Hospiscare, Devon Clinical CommissioningGroup and other Government initiatives to formulate strategies for positivechange.

Assist the Team Leader with line managementresponsibilities to promote good working relationships within the team.

Attend, guide and contribute regularly to Gold StandardsFramework (GSF)/Palliative Care and other multi-disciplinary team meetings, inorder to provide specialist palliative care knowledge and advice to healthcareprofessionals and relevant others.

Assist and contribute to Hospiscares clinicalgovernance and audit process in order to support continuing quality improvementand learning.

Assess and identify complex bereavement andcommunicate effectively with the Supportive Care team to enable a seamlesshandover into Hospiscares Bereavement Care Services.

InfectionPrevention and Control

Maintaining a safe environment for patients, visitors and employees iseveryones responsibility. All staff arerequired to adhere to Hospiscares Infection Prevention and Control Policy andmake every effort to maintain high standards of infection prevention andcontrol at all times. This includesensuring personal and team compliance with all relevant policies andprocedures, and acting upon or reporting any identified risks.

Disclosure and Barring Service

This rolerequires a Disclosure and Barring Service (DBS) Enhanced level check withAdults and Children Barred Lists.

3.2 KeyContacts Internal:Community Cluster Team LeaderCommunity Teams Chief NurseMedical team
IPUteam

ClinicalGovernance

ClinicalAdministration

Supportive Care Services

Learningand Development team

Peopleteam

External:

Patients and those close to them
RoyalDevon & Exeter Hospital

NHSCommunity Services

GeneralPractitioners

Residentialand Nursing Homes

Socialand Domiciliary Care Workers

Providersof out-of-hours services

DevonIntegrated Care Board (ICB)

3.3 Health & Safety
Ensure that Health and Safetyguidelines and fire regulations are strictly adhered to

Comply with safe working practices asdefined by Hospiscare

Complete online training as and whenrequired

Take reasonable care for your ownhealth and safety and that of others who may be affected by acts or omissionsat work

Report any accidents, incidents or nearmisses as soon as reasonably practicable

Manage own work life balance andgeneral wellbeing, including any relevant pressures in respect of lone working,travel, difficult environments and challenging situations

3.4DataProtection and Confidentiality

Comply with all the requirements of theData Protection Act, other relevant legislation and Caldicott principles whilstcarrying out the duties of your role

Ensure the confidentiality of allinformation relating to patients, staff, volunteers, visitors or contractors,and of financial and commercial information.
3.5 General
Be aware of and adhere to Hospiscarepolicies and procedures at all times

Take part in progress/performancereviews throughout the year

Cooperate with other Hospiscare departments

Attend training courses and completeonline training modules as required to meet the requirements of the post

Take responsibility for own personaldevelopment, seeking out opportunities to learn new skills

Undertake any other duties as requestedby management which are reasonably deemed to be within the scope of the role

3.6 Other

Apply the Hospiscare values and behaviours to everyaspect of the role at all times

Promote and maintain the brand standards ofHospiscare

Job description
Job responsibilities

Job Description

1. JOB DETAILS

Job Title: Senior Clinical Nurse Specialist

Band: 7

Location: Community

Hours: As on contract, to include on-call

Team/Directorate: Community Cluster

Responsible To: Community Cluster Team Leader (CCTL)

Responsible For: N/A

Accountable to: Chief Nurse

2. JOB PURPOSE

To deliver, manage and promote an excellentstandard of evidenced-based specialist palliative care, utilising advancedclinical skills to identify, assess, diagnose and treat patients withspecialist palliative care needs.

To promote dignity, encompassing a person-centredapproach to positively enhance the lives of patients with complex life limitingillnesses within the community.

3 KEY RESULTAREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES

3.1 Main Responsibilities

Provide expert specialist palliative care, contributinghighly experienced clinical judgement and knowledge to develop strategies forthe delivery of complex palliative and end of life care, to promote bestpractice for patients with life limiting illnesses.

Assess, diagnose, plan and implement evidence-basedcare at the level expected of an Advanced Nurse Practitioner to ensure optimumpatient outcomes.

Act as an independent and supplementary prescriber,participating in Non-Medical Prescribing supervision to provide an enhanceddelivery of care.

Demonstrate, teach and role model Advanced CommunicationSkills and professionalism in your interactions with patients, families, carersand all other professionals in order to promote and maintain Hospiscare values.

Manage, assess and review, in conjunction with theteam leader, daily clinical leadership of junior staff within the communityteam, deputising for the team leader in their absence, to ensureseamless delivery of clinical care.

Design and deliver education and learning for allthose involved in palliative/ end of life care, to act as a resource to widerprofessional and care teams both internally and externally.

Suggest innovative ideas to improve the serviceprovision and take the service forward in line with Hospiscare, Devon Clinical CommissioningGroup and other Government initiatives to formulate strategies for positivechange.

Assist the Team Leader with line managementresponsibilities to promote good working relationships within the team.

Attend, guide and contribute regularly to Gold StandardsFramework (GSF)/Palliative Care and other multi-disciplinary team meetings, inorder to provide specialist palliative care knowledge and advice to healthcareprofessionals and relevant others.

Assist and contribute to Hospiscares clinicalgovernance and audit process in order to support continuing quality improvementand learning.

Assess and identify complex bereavement andcommunicate effectively with the Supportive Care team to enable a seamlesshandover into Hospiscares Bereavement Care Services.

InfectionPrevention and Control

Maintaining a safe environment for patients, visitors and employees iseveryones responsibility. All staff arerequired to adhere to Hospiscares Infection Prevention and Control Policy andmake every effort to maintain high standards of infection prevention andcontrol at all times. This includesensuring personal and team compliance with all relevant policies andprocedures, and acting upon or reporting any identified risks.

Disclosure and Barring Service

This rolerequires a Disclosure and Barring Service (DBS) Enhanced level check withAdults and Children Barred Lists.

3.2 KeyContacts Internal:Community Cluster Team LeaderCommunity Teams Chief NurseMedical team
IPUteam

ClinicalGovernance

ClinicalAdministration

Supportive Care Services

Learningand Development team

Peopleteam

External:

Patients and those close to them
RoyalDevon & Exeter Hospital

NHSCommunity Services

GeneralPractitioners

Residentialand Nursing Homes

Socialand Domiciliary Care Workers

Providersof out-of-hours services

DevonIntegrated Care Board (ICB)

3.3 Health & Safety
Ensure that Health and Safetyguidelines and fire regulations are strictly adhered to

Comply with safe working practices asdefined by Hospiscare

Complete online training as and whenrequired

Take reasonable care for your ownhealth and safety and that of others who may be affected by acts or omissionsat work

Report any accidents, incidents or nearmisses as soon as reasonably practicable

Manage own work life balance andgeneral wellbeing, including any relevant pressures in respect of lone working,travel, difficult environments and challenging situations

3.4DataProtection and Confidentiality

Comply with all the requirements of theData Protection Act, other relevant legislation and Caldicott principles whilstcarrying out the duties of your role

Ensure the confidentiality of allinformation relating to patients, staff, volunteers, visitors or contractors,and of financial and commercial information.
3.5 General
Be aware of and adhere to Hospiscarepolicies and procedures at all times

Take part in progress/performancereviews throughout the year

Cooperate with other Hospiscare departments

Attend training courses and completeonline training modules as required to meet the requirements of the post

Take responsibility for own personaldevelopment, seeking out opportunities to learn new skills

Undertake any other duties as requestedby management which are reasonably deemed to be within the scope of the role

3.6 Other

Apply the Hospiscare values and behaviours to everyaspect of the role at all times

Promote and maintain the brand standards ofHospiscare

Person Specification

Knowledge

Essential

• Advanced understanding of the complexities of working with individuals at times of distress and conflict
• Detailed understanding of the key issues relating to End of Life Care including national strategies and policy development
• Advanced understanding of theoretical nursing models and their impact on the delivery of care

Desirable

• Awareness of change theory and its application in practice

Skills

Essential

• Advanced skills as an expert practitioner, synthesizing complex information utilising an evidence based approach
• Advanced communication and interpersonal skills
• Highly developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information
• Highly developed ability to prepare, lead and evaluate formal and informal teaching and education programmes
• Developed ability to manage staffing resource effectively and efficiently
• Developed IT skills

Personal attributes

Essential

• Ability to lead and work as part of a team, prioritise workload and manage time effectively
• Ability to work autonomously, problem solve and act on own initiative
• Flexible and adaptable with the ability to respond positively in a rapidly changing environment
• Commitment to continuing professional development
• Awareness of Equality, Diversity and Inclusion in all aspects of work

Additional requirements

Essential

• Able and willing to contribute to the 7 days/week and out of hours specialist palliative care service
• Able to travel and work throughout the area covered by Hospiscare
• Able to fulfil the physical and manual handling aspects of the role

Desirable

• Car owner and driver

Qualifications

Essential

• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development

Desirable

• Qualifications and specific training
• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development
• Teaching and mentorship/supervision qualification
• Leadership or management qualification
• Non-Medical Prescriber
• Advanced clinical assessment skills (MSc level)

Experience

Essential

• Extensive recent clinical experience of working within a palliative care environment
• Substantial experience of audit and standard setting
• Substantial experience and evidence of coaching/mentoring and of facilitating clinical supervision
• Significant experience of developing, teaching and evaluating education programmes

Desirable

• Experience of multi-agency partnership working in order to deliver service improvements

Person Specification
Knowledge

Essential

• Advanced understanding of the complexities of working with individuals at times of distress and conflict
• Detailed understanding of the key issues relating to End of Life Care including national strategies and policy development
• Advanced understanding of theoretical nursing models and their impact on the delivery of care

Desirable

• Awareness of change theory and its application in practice

Skills

Essential

• Advanced skills as an expert practitioner, synthesizing complex information utilising an evidence based approach
• Advanced communication and interpersonal skills
• Highly developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information
• Highly developed ability to prepare, lead and evaluate formal and informal teaching and education programmes
• Developed ability to manage staffing resource effectively and efficiently
• Developed IT skills

Personal attributes

Essential

• Ability to lead and work as part of a team, prioritise workload and manage time effectively
• Ability to work autonomously, problem solve and act on own initiative
• Flexible and adaptable with the ability to respond positively in a rapidly changing environment
• Commitment to continuing professional development
• Awareness of Equality, Diversity and Inclusion in all aspects of work

Additional requirements

Essential

• Able and willing to contribute to the 7 days/week and out of hours specialist palliative care service
• Able to travel and work throughout the area covered by Hospiscare
• Able to fulfil the physical and manual handling aspects of the role

Desirable

• Car owner and driver

Qualifications

Essential

• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development

Desirable

• Qualifications and specific training
• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development
• Teaching and mentorship/supervision qualification
• Leadership or management qualification
• Non-Medical Prescriber
• Advanced clinical assessment skills (MSc level)

Experience

Essential

• Extensive recent clinical experience of working within a palliative care environment
• Substantial experience of audit and standard setting
• Substantial experience and evidence of coaching/mentoring and of facilitating clinical supervision
• Significant experience of developing, teaching and evaluating education programmes

Desirable

• Experience of multi-agency partnership working in order to deliver service improvements

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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

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.
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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Hospiscare
Address

1 Spreyton Yard

Spreyton

Crediton

Devon

EX17 5AH

United Kingdom

Employer's website