Job description

Job responsibilities

Job Purpose and scope

To work as a Senior Nurse within St Lukes Hospice, based within the Integrated Care Coordination Hub, providing a centralised line for patients, families, carers, health and social care professionals.

To be able to provide professional telephone advice and support to patients, families and health and social care professionals.

To support patients and their carers to manage their conditions in their own communities to improve their quality of life.

Where possible work towards preventing avoidable hospital admissions by working collaboratively with internal and external health care colleagues.

To support community staff to enable them to deliver care with additional specialist advice and support.

Provide a resource for advice and support for healthcare professionals in the community and hospital settings

Be responsible for recording activities and maintaining accurate and complete patient notes in the patients electronic clinical record

To always provide a high standard of professional conduct and nursing care in accordance with the Nursing and Midwifery Council Code of Professional Practice, demonstrating leadership in the nursing care of patients within the service.

To demonstrate expertise and a firm knowledge base on which to underpin clinical practice when dealing with patients/carers living with a life limiting illness.

The post holder will play a key role in the raising of clinical standards and quality for patients with life limiting illnesses and in monitoring and improving standards of care.

Together with other members of staff, maintain standards that will ensure that the care provided is of the highest possible quality, within the resources available.

To work collaboratively as part of a multi-disciplinary team, demonstrating the values of St Lukes Hospice.

Work across a 7-day period providing 24 hours a day advice and support as part of a rota on the telephone advice line. 2. Main Duties & Responsibilities Clinical

To holistically assess, plan, implement, and review therapeutic interventions of patients who contact the Pall 24 advice line.

To provide expert advice, information and psychological support to people affected by life limiting illness and members of the multi-disciplinary team.

Demonstrate understanding of palliative and end-of-life care principles, including symptom awareness, psychosocial needs, and holistic assessment.

Recognise red flags, deterioration, and safeguarding concerns, escalating appropriately.

Access the Stack Operational Portal, triaging palliative patients and signposting to teams most suited for patient outcomes and reserving ambulance capacity for emergency life threatening needs.

Work with the wider professionals to ensure the patients shared record is kept up-todate and that key information is available in a timely way

Provide specialist palliative telephone advice and support to patients, families and other health and social care professionals, signpost them, complete appropriate referrals for onward care.

To communicate and consult with other Health and Social Care Professionals and outside agencies and with service users to ensure the provision of a quality service for cancer patients and their families.

Be responsible for updating the patients electronic record and manage patient information sensitively and confidentially.

To use advanced interpersonal and communication skills to communicate and receive specialist and sensitive information.

Ensure the dignity of patients and families is respected at all times

Ensure confidentiality in the best interest of the patient is maintained at all times. Key Working Relationships

Pall 24 Care Co-ordinators / Pall 24 Lead

Hospices Clinical Nurse Specialists

London Ambulance Service

GPs, District Nurses, Community Teams

Social Care and Voluntary Sector Partners

Patients, carers, and families Management and People

Act as a role model and expert resource to the team, wider hospice services and teams / services in primary and acute care on the delivery of high quality end of life care

Be accountable for your professional practice in accordance with the NMC Code.

Work with volunteers to ensure they understand their role within the service providing them with support and advice as required

Ensure the service provided is in accordance with Hospice policies and procedures.

Promote and maintain positive working relationships with all members of the team to ensure positive outcomes with each patient.

To function as a role model to the wider team demonstrating leadership and continuing development of high-quality clinical care and practice, whilst encouraging a culture of innovation and supported risk taking.

Providing and promoting best practice in accordance with local and national end of life care initiatives. Governance, Quality and Service Improvement

Contribute to clinical audits to measure and evaluate all aspects of care.

Ensure sensitive data is stored and transferred securely.

Promote effective evidence based clinical practice.

Ensuring patient records are updated on the patients electronic clinical record in a timely manner to enable all professionals dealing with the patient understand where they are in their care/pathway

To undertake detailed and specialist holistic assessment and analysis of the complex physical, psychological, social and information needs of patients with life limiting illness and their carers. To have up to date knowledge of the various options available.

To have respect for patient confidentiality, autonomy and always need for privacy.

To acknowledge individual needs in spiritual, religious, and cultural matters.

To act in accordance with the NMC Code of Professional Conduct for Nurses/ Midwives and Health Visitors and the scope of Professional Practice. Maintaining records for revalidation and actively participating in such.

Participate in clinical governance activities within the charity to ensure that professional practice and service is continually improved, and high standards of care are maintained and developed.

Acting as a liaison between professionals who do not have access to SystmOne but are caring for the patient to provide them with the necessary information about that patient to enable them to fulfill their responsibilities (whilst maintaining information governance regulations) Education and Professional Development

Participate in the arrangement of induction programs for all new Pall 24 staff.

Maintain an up-to-date knowledge of professional developments in Palliative Care and Community Care.

Attend relevant courses, meetings and conferences ensuring own practice and development.

To take responsibility of own professional and clinical growth and be prepared to attend mandatory training sessions requested at St. Lukes.

Assist in the education of colleagues in end-of-life care issues

To facilitate and enable the education of patients and their carer/s to maximise their quality of life, living with a life limiting illness.

To assess training needs and implement and/or participate in educational programs and competency-based assessment for community nurses, doctors, allied health professionals, patients, and carers as appropriate.

To function as an educational and information resource for other professionals and the public, regarding all aspects of palliative and end of life care.

To actively support the ethos of palliative care in all healthcare settings.

Participate in clinical audits and quality improvement initiatives under the direction of the Matron

To collect and analyse information related to patients, carers, and other healthcare professionals satisfaction of the service. Utilise information as a means of effectively evaluating the service and informing future developments.

Person Specification

Skills and experience

Essential

• Committed to the development of palliative care skills in others
• Calm and objective
• Commitment to the aims and charitable objectives of St Lukes Hospice
• Commitment to equality, diversity and inclusion and understanding of how this applies to own area of work
• Ability to work under pressure and to tight deadlines.
• Highly developed analytical and judgemental skills to deal with complex cases

Qualifications

Essential

• Registered Nurse with NMC registration
• Post registration qualification in community nursing, oncology, palliative care or other relevant area of practice
• Mentorship qualification.
• Recent community experience at least 2 years

Desirable

• Education to degree level or willingness to progress to this
• Post registration qualification in palliative care
• Advanced Assessment Skills

Experience

Essential

• Proven experience at a suitable level of seniority of managing complex cases in either the community or an institutional setting
• Specialist up to date knowledge of palliative care
• Extensive experience of working in palliative care setting or caring for palliative patients.
• In-depth understanding of relevant care pathways
• Understanding of services in both primary and secondary care and the interface between these and with social care
• Ability to work unsupervised and make decisions related to care planning
• Ability to prioritise issues and tasks
• Committed to working in partnership with patients, their relatives and carers and other organisations and agencies
• Ability to delegate tasks to appropriately trained staff
• Understanding and commitment to multi disciplinary team working Excellent written and verbal communication skills

Desirable

• Ability to lead and influence change
• Experience of audit and research
• Experience of telephone triage

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.

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

St Luke's Hospice

Address

St Luke's Hospice

Kenton Ambulance Station

The Mall, Kenton, Harrow

Harrow

Middlesex

HA3 9TD

United Kingdom

Employer's website

https://www.stlukes-hospice.org/join-our-team/current-vacancies/ (Opens in a new tab)

Job description

Job responsibilities

• • To provide exemplary planned care for patients requiring perioperative intervention while managing a team.
  • To ensure the team delivers effective patient care by providing appropriate clinical and managerial leadership, maximising effective theatre utilisation.
  • To provide exemplary planned care for patients requiring perioperative intervention supporting the management and organisation of care provision in the operating theatre, taking on the specialist role in Robotic Surgery.
  • To assist the perioperative managers to deliver effective patient care by providing appropriate clinical support assisting the theatre manager to effectively maximise theatre utilisation.
  • To co-ordinate and communicate information relevant to the intra-operative patient care process. The SPP also provides feedback regarding patient care, and strategic planning opportunities for improvement.
  • Discuss, and agree with colleagues capabilities and competencies in general and perioperative care practice, across the team.
  • Compare current perioperative practices, trends and developments against appropriate benchmarks.

Person Specification

Experience

Essential

• RN or ODP qualification
• Supervisory/Management qualification
• Analysing staff and theatre management problems and coming up with viable solutions
• Working as a perioperative practitioner in and across multi disciplinary teams
• Experience of applying clinical reasoning skills to a range of complex and varied patient case mixes
• Challenging consultants to influence evidence based practice
• Supervisory experience
• Evidence of substantial post registration continual professional development in management and related and relevant perioperative subjects
• Competence across a range of either surgical, anaesthetic or post-anaesthesia, management and leadership skills supported by professional and clinical knowledge
• Possess the mandatory training requirements for role including infection control and health and safety competencies.

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.

Employer details

Employer name

The Hospital of St John and St Elizabeth

Address

60 Grove End Road

St John’s Wood

London

NW8 9NH

United Kingdom

Employer's website

https://www.hje.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

• Maintaining domestic hot and cold water systems, including tanks, calorifiers, booster pumps, TMVs and pipework.
• Carrying out water hygiene monitoring, temperature checks, flushing regimes, outlet descaling and disinfection.
• Managing reactive plumbing repairs and maintenance across the estate.
• Supporting the Water Safety Plan and Legionella compliance program
• Assisting with Legionella risk assessments and action management.
• Maintaining accurate compliance records using CAFM systems.
• Liaising with specialist contractors and water treatment providers.
• Participating in the Estates on-call rota.

Person Specification

Experience

Essential

• We are looking for a skilled plumbing professional with a strong understanding of water hygiene and healthcare compliance.
• City & Guilds Level 2/3 in Plumbing & Domestic Heating or equivalent NVQ qualification.
• Legionella Awareness Training (City & Guilds, BOHS W3 or equivalent).
• Knowledge of HTM 04-01 and ACOP L8.
• Minimum three years' plumbing maintenance experience within a commercial or healthcare environment.
• Experience carrying out water hygiene monitoring and temperature logging.
• Strong knowledge of Legionella control, HSG274 and water safety requirements.
• Good IT skills and experience maintaining accurate compliance records.
• Ability to work independently and as part of a team.

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.

Employer details

Employer name

The Hospital of St John and St Elizabeth

Address

60 Grove End Road

St John’s Wood

London

NW8 9NH

United Kingdom

Employer's website

https://www.hje.org.uk/ (Opens in a new tab)