Job description

Job responsibilities

Clinical Practice

• As a visible clinical leader will support the provision of direct, holistic, care for those requiring specialist palliative and end of life care on the unit.
• Utilising advanced specialist knowledge and skill in assessing, planning, implementing and evaluating programmes of care for patients within IPU from admission to discharge
• Ensure that clinical practices accurately reflect IPU and hospice policies whilst respecting the patients needs and dignity.
• Provide advice and support to patients and their families in complex and highly emotive situations whilst respecting their cultural and spiritual values.
• Plan a timely, organised, discharge of patients ensuring good communication with patient and their families and/or professionals involved in their care.
• As per hospice medicines policy follow the safe ordering, storage and administration of medicines.
• Act in the patients best interests working to protect values and rights of the patient with integrity and insight.
• Responsible for infection control and cleanliness standards on a shift-by-shift basis by ensuring that self and staff follow hospice policy.
• Always adheres to the NMC Code of conduct and acts as the patient advocates.
• Work as an effective member of the multidisciplinary team, providing visible nursing leadership within multidisciplinary discussion
• Empower and support patients and the nursing team, confidently advocating for the nursing perspective and constructively challenging decisions where required to promote safe person-centred car
• Ensure nursing views and clinical concerns are appropriately considered in treatment planning, risk management and discharge decision-making.
• Ensure standards of documentation are maintained in accordance with NMC and hospice guidelines for records and records keeping.
• Lead and participates in audit and evidence-based practice.
• Demonstrates effective communication skills systems with patients, their relatives and friends and other visitors.

Management

Deputise for the IPU CTL

To act as an effective role model and resource/adviser to colleagues in the delivery of nursing care.

To provide visible clinical leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualised care.

Deputise for IPU Clinical Team Leader as and when required

Responsible for monitoring the workload/patient complexity and dependency using an evidence base tool within the unit when on shift to ensure that nurse staffing is adequate to provide a safe standard of nursing care.

Ensure the cost-effective and appropriate use of staffing and materials with consideration and due regard to budgetary control.

Exercise leadership and professional role modelling to motivate members of staff, achieve high morale and promote effective communication within the unit.

Investigate all accidents, incidents and complaints, reporting them to the appropriate personnel, along with the relevant documentation, in a timely manner.

Inform Clinical Team Leader when changes in circumstances occur which may affect safe and competent practice.

Encourage new ideas and facilitate their implementation following discussion with the wider senior team.

Facilitate the process of continuous quality improvement.

Undertake regular performance reviews and appraisals in the development of Professional Development Plans for staff within team.

Recognise and address poor performance or competency concerns promptly, taking appropriate action in line with organisational policies and procedures.

Participate and lead in any grievance, disciplinary, performance or sickness issues as appropriate and in accordance with hospice procedures.

Ensuring bank timesheets, you sign are an accurate representation of the time worked.

The post holder will need to maintain a personal duty of care when handling patient valuables/property.

Develop as a member of the wider senior hospice team.

Generic Competencies

Will be accountable for their actions and act in accordance with NMC Code of Professional Conduct.

Will act in accordance with hospice and statutory guidelines & policies including health and safety initiatives.

Be responsible for own education, professional development (PDP) and professional portfolio for revalidation.

Establish a relationship with a Clinical Supervisor.

Will act as supervisor, where appropriate to junior members of staff and unqualified members of staff.

Will work in accordance with Corporate Objectives.

Will adopt a service-orientated approach to work.

Will practice in a cost effective and cost aware manner.

Education & Training

Provides visible clinical and managerial leadership to nursing, support staff and volunteers.

Participate in the orientation of new staff to their duties, ensuring that expectations of the roles are discussed and developed.

Provide support for and give guidance to junior staff.

Support the delivery of formal and informal teaching sessions for all staff internal and external to the organisation.

Act as a mentor and preceptor and assist in the management of preceptorship and mentorship arrangements for staff new to the unit.

Provides clinical supervision to other staff and students.

Participate in educational audits and ensure that the unit always provides an appropriate learning environment.

Provide support to non-nursing, clerical and administrative staff and volunteers.

Participate in the recruitment and selection of staff for the unit.

Assist in the maintenance and review of information technology systems within the unit.

Data Compliance and Confidentiality

Within the constraints of patient confidentiality, ensure pertinent information is accurately conveyed to relevant personnel in a timely manner i.e. the multi-disciplinary team and all other health professionals.

Communicate extremely sensitive or emotive information to families or visitors.

Assist, in conjunction with IPU Clinical Team leader in ensuring that agreed programmes and standards of care are implemented and evaluated, thus providing high standards of patient care at all times.

Work as an effective member of the multi-disciplinary team and individually.

Ensure that nursing care and clinical practice is research and/or evidence based.

Safeguarding

To comply with Teesside Hospice and Tees Local Safeguarding Boards Policies, Procedures and Practice

To follow Teesside Hospice policy regarding the management of safeguarding concerns.

To access mandatory safeguarding training and demonstrate competence at the required level.

Equality, Diversity and Rights

Teesside Hospice statement on ED is committed to improving the quality of its services to all people, irrespective of race/ethnicity, disability, gender, religion or belief, age or sexual orientation. Our objective is to deliver high quality services that are accessible, responsive, and appropriate to meet the diverse needs of different groups and individuals. As such, we will continue to take action to ensure that staff and volunteers employed by Teesside Hospice are culturally aware and treat every person with dignity, respect and fairness, in a way that is sensitively responsive to differences and similarities. Unlawful discrimination and other forms of exclusion have no place within Teesside Hospice.

To support equality, diversity and rights of all patients and their families, staff and volunteers.

To actively promote the consultation of patients and families and their involvement and participation in decision making.

To work to the Hospice Equality and Diversity Policy.

Health & Safety

To carry out duties placed on employees by the Health and Safety at Work Act 1974.

To comply with Health and Safety Policy.

To take reasonable care for the Health and Safety of themselves and others who may be affected by their acts or omissions at work.

To co-operate with their employer as far as is necessary to meet the requirements of the legislation.

To not intentionally or recklessly interfere with or misuse anything provided in the interests of health, safety or welfare in the pursuance of any of the relevant statutory provisions.

To be aware of and always adhere to current policies regarding infection control.

To maintain a high standard of personal hygiene and presentation.

To act at all times in a professional manner, respecting the needs of colleagues and cooperating to maintain a harmonious working environment.

Person Specification

Skills & Abilities

Essential

• Able to inspire, lead and develop the nursing team
• Excellent interpersonal and organisational skills
• Excellent verbal and written communication skills
• Able to facilitate and lead a team and to act as a positive role model
• Ability to prioritise own workload and that of others.
• Excellent IT Skills, specifically Microsoft word, Excel

Qualifications

Essential

• Registered Nurse (level 1) with Degree
• Post registration experience at Registered Nurse level
• Evidence of ongoing professional development
• Post Graduate qualification in Palliative, End of Life Care or other relevant post registration qualification.

Desirable

• Advanced Communications Qualification
• Specialist Palliative & End of Life Care competencies
• Masters qualification or working towards
• Leadership &/ or Management Qualification

Other

Essential

• Disclosure through DBS
• Ability to work flexible hours to meet service needs

Personal Attributes/Key skills

Essential

• Professional at all times
• Motivated with a Can Do attitude and able to motivate others
• Ability to deal with conflict/challenging situations
• Alignment to Hospice values

Experience

Essential

• Demonstrable clinical expertise, relevant to the area
• Ward/unit skills and experience
• Experience of leading multi professional teams.
• Experience of participating in Audit, Research, Quality Improvement initiatives and service development
• Experience of teaching and assessing staff at all levels and learners in clinical practice
• Experience of staff development, staff induction, preceptorship and assessment of clinical competencies
• Experience of performance review, and continuous professional development

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

Teesside Hospice

Address

Teesside Hospice

1 Northgate Road

Middlesbrough

Cleveland

TS5 5NW

United Kingdom

Employer's website

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

Job description

Job responsibilities

General duties

To maintain patient confidentiality and abide by Information Governance Standards at all times.

To maintain a healthy and safe environment for all patients, staff and visitors and demonstrate awareness of risk management and infection prevention and control.

To participate in agreed programmes of care ensuring that all care given is clearly and accurately documented in line within standards and seeking support from senior staff as necessary.

Following training and assessment of competence to educate the patient on how to self-manage lymphoedema.

To teach the patient on the cornerstones of lymphoedema management, including skin care, exercise, fitting of compression hosiery and self-lymphatic drainage. Record limb volumes.

To manage your workload/tasks as designated by the registered clinician leading the team.

To actively participate in clinical audit.

To ensure the maintenance of confidentiality including accurate and timely records.

To liaise with and provide relevant information to other members of the multidisciplinary team, both internally and externally.

To monitor stock levels and order products as required.

To have an awareness of costs of supplies and clinic budget.

With direction/supervision from Lymphoedema Practitioner, following a care plan once competencies completed, perform higher level of skills:

1) MLLB (Multi Layer Lymphoedema Bandaging)

2) Kinesio Tape

3) Intermittent Pneumatic Compression Therapy

4) Knowledge of Cellulitis and its management

5) To understand contra-indications in Lymphoedema management, to be aware of red flags and when to raise concerns with a Lymphoedema Practitioner.

6) To understand how Lymphoedema management can be modified in Palliative Care.

7) Under direction of the Lymphoedema Practitioner and following the care plan, fit compression garments in the patients home/Care Home following the Lone worker Policy.

To adhere to Teesside Hospice policies, procedures, guidelines and standards at all times and to promote these to others.

Adopt the role of link worker / link practitioner as required by the hospice management team.

Attend and participate in an annual appraisal and regular reviews of performance and objectives, identifying gaps in knowledge/skills and developing a plan to enhance service and self-development.

To encourage and promote the philosophy of Teesside Hospice and present a good public image, to co-operate with all staff in maintaining good relationships with outside agencies in order to uphold the charitys image and to win increased support for its work.

To be able to communicate effectively with all members of the team and to develop excellent relationships with community teams as appropriate to the role.

To participate in mandatory Clinical supervision or reflective practice as necessary as directed by the clinical leader.

To attend staff meetings and participate in other meetings as appropriate.

To undertake risk assessment and management to ensure that staff, families, and visitors are safe.

To be aware of the adult and child protection procedures and policy within Teesside Hospice, to attend all safeguarding training and to adhere to the Local Safeguarding Procedures at all times.

To participate in the induction of new staff to the department and wider hospice as necessary.

To support student nurses during their placement at Teesside Hospice and work alongside them as directed by the registered nurse.

To be able to carry out effective complaint, accident and incident reporting.

To play an active part in the Clinical Governance framework within the hospice.

To be aware of the Infection Prevention and Control policies and work in accordance with IPC procedures at all times.

To be aware of, and responsive to, the changing nature of the Hospice and adopt a flexible and pro-active approach to work.

To undertake administration changes in accordance with hospice policy

To ensure that your behaviour upholds the values of the hospice and strive to support the vision and mission of Teesside at all times.

Education & Training

Attend all mandatory training courses i.e. Resuscitation, Moving and Handling, and Health and Safety training.

Access THCF in-house training programme to further develop your knowledge.

Attend and complete relevant Lymphoedema Training, including Lymphoedema Theory and Practice.

Attend and complete clinical skills training relevant to Lymphoedema and chronic illness.

Maintain own Portfolio, and complete core competencies.

Person Specification

Skills & Abilities

Essential

• Team working skills.
• Good listening and excellent interpersonal skills/communication skills.
• An ability to manage challenging situations.
• Ability to work on own initiative.

Qualifications

Essential

• Minimum level NVQ level 2 or 3 in Health & Social Care.
• A good standard of general education.

Personal Attributes Key skills

Essential

• Self-awareness and an ability to recognize stress and use coping mechanisms.
• Flexible, approachable and trustworthy.
• Commitment and interest in learning and personal development
• Commitment and interest in developing knowledge / skill in Lymphoedema and its management

Experience

Essential

• An understanding of what a person-centred approach.
• Some experience of working with patients with life limiting illness or end of life care.
• Understanding of and adherence to patient confidentiality

Desirable

• Understanding of safeguarding and preventing patients from abuse.
• Understanding of infection prevention and control.

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

Teesside Hospice

Address

5 Northgate Road

Linthorpe

Middlesbrough

TS5 5NW

United Kingdom

Employer's website

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

Job description

Job responsibilities

Leadership and performance management

Provide senior leadership for hospice clinical services, ensuring consistent delivery of compassionate, safe, effective and evidence-based care.

Lead the operational management and performance of clinical services including Adult and Childrens inpatient care, Wellbeing and Day Services, Outreach and complex clinics, therapies and bereavement support.

Take responsibility for clinical governance systems including risk management, incident review, safeguarding, audit, policy development and continuous quality improvement.

Ensure compliance with Care Quality Commission standards, professional codes of practice, medicines management, infection prevention and patient safety requirements.

Provide advice to clinical teams and senior leaders on palliative and end of life care, governance and service delivery.

Build effective working relationships with medical colleagues, multidisciplinary teams, community partners, commissioners, NHS organisations, local authorities and voluntary sector partners.

Monitor, analyse and report on quality, activity, workforce and patient experience metrics, acting where performance improvement is required.

Maintain and develop systems / processes to seek views on hospice services, leading hospice Patient and Public Engagement and experience programme using feedback tools to seek users views and actions required acted upon.

Represent the organisation at internal and external forums.

Service Delivery. Change Management and Service Improvement

Contribute to organisational strategy and business planning; providing strategic leadership across groupwide services

Ensuring clinical workforce is fit for purpose and lead workforce planning, recruitment, retention, appraisal, supervision, capability management and professional development for clinical teams.

Contribute to financial planning and the efficient use of resources.

Responsible for the sustained delivery of budgets through ensuring clinical resources are used effectively.

Lead and support service redesign, pathway development and quality improvement initiatives in response to patient need, national guidance and organisational priorities, including staffing so new and expanded responsibilities are developed where appropriate and skill mix changes implemented as required.

Ensure robust systems in place for Safeguarding (including Vulnerable Adults and Children; Deprivation of Liberty; Mental capacity: Learning Disabilities.

Clinical and Professional Development

Act as a senior professional role model, promoting hospice values, equality, diversity and inclusion, and a culture of continuous improvement and compassionate leadership.

Work in collaboration with Group Board of Directors, Groupwide and service/Team leads.

Ensure systems for staff support and development are embedded within hospice services (e.g. preceptorship, clinical supervision, mentorship and coaching)

Responsible for own professional development and maintaining registration requirements by participating in learning activities.

This job description is intended to describe the main duties and responsibilities of the role and is not an exhaustive list. Duties may change over time in line with service need, organisational priorities and regulatory requirements

Person Specification

Experience

Essential

• Substantial senior clinical leadership experience in palliative care, hospice care, community services or related healthcare setting
• Significant experience of leading clinical governance, service improvement, quality assurance and regulatory compliance within a regulated service.
• Experience of managing multidisciplinary teams, complex service delivery and organisational change
• Strong understanding of palliative and end of life care standards, safeguarding, patient safety, risk management and quality improvement methodology.
• Experience in budget management, workforce planning and performance management.

Desirable

• Teaching, mentoring coaching or practice development experience
• Experience as a CQC Registered Manager or equivalent regulated service lead.
• Experience of strategic service planning business case development and partnership working across organisational boundaries

Skills & Abilities

Essential

• Ability to independently travel across area covered
• Excellent communication, influencing and relationship management skills, including the ability to present complex or sensitive information to as wide range of stakeholders.
• Excellent IT Skills, specifically Microsoft Word, Excel
• Ability to lead strategically while maintaining operational oversight of multiple departments.
• Strong analytical and critical thinking skills, with the ability to interpret complex datasets and translate into action.
• High level of emotional intelligence, resilience and professional ambiguity

Desirable

• High level of emotional intelligence, resilience and professional ambiguity

Qualifications

Essential

• Evidence of Degree level professional qualification in specialist area
• Evidence of Masters level study or equivalent level of experience in leadership, quality, patient safety or healthcare management
• Evidence of continuing professional development
• Leadership and/or management development qualification
• Registered Nurse with current registration with NMC

Desirable

• Registered Nurse (Child) or Registered Nurse (Learning Disabilities)

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

Teesside Hospice

Address

1 Northgate Road

Linthorpe

Middlesbrough

TS5 5NW

United Kingdom

Employer's website

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