Overview
Mersey Care NHS Foundation Trust celebrates diversity and promotes equal opportunities; we are committed to challenging and eliminating racism and other forms of discrimination and advancing and promoting equality of opportunity in the provision of services and creating an inclusive environment for all employees. We believe that everyone has the right to be treated with dignity and respect. We take positive action to support disadvantaged groups and also particularly encourage applications from ethnically diverse, disabled and LGBTQIA+ people that are under-represented in our workforce. Furthermore we welcome applications from reservists and ex-armed forces personnel as we recognise the benefits of the values, skills, training and experience that they bring to their work with us. We encourage all applicants to share their equality information with us.
Role and Responsibilities
* The post holder will demonstrate at all times a comprehensive knowledge base and promote excellence in nursing practice in a dynamic healthcare environment working within the integrated community nursing service to lead on optimising care, admission avoidance and complex supported discharge pathways. As an active part of a team, the post holder is expected to lead, manage and provide direct patient care, acting as an expert practitioner and a role model to the whole team. It is essential that they demonstrate excellent leadership and communication skills, ensuring that they use initiative and work autonomously.
* The Clinical Nurse Specialist will be part of a multi-disciplinary team and actively support integration, transformation and future establishment of health and care pathways.
* Responsible for standards of safe, high quality care consistently delivering evidence based practice. To support the delivery of care which is patient focused, promotes self-care and ensures that the service adapts/develops in response to the needs of the local population.
* Lead the processes for delivering, monitoring, and improving the quality of care provided to patients, including risk management, compliance with and contribution to CQC requirements, incidents, and clinical audit.
* Delivers effectively skilled holistic assessments and case management including care coordination, care planning and treatment for complex patients as part of the integrated community nursing service.
* Identify risks to service delivery and problem solve to ensure resources are allocated across the team/teams to appropriately prioritise care.
* Ensure clinical research is conducted in line with Merseycare NHS Foundation Trust protocols and in liaison with the research team, ensuring that the research has had ethical approval.
* Ensure that patients receive the information they need and are treated with dignity and respect for their privacy.
* Carry out risk assessments and adhere to safe systems of work, including understanding and adhering to reporting procedures for clinical and non-clinical incidents/near misses. Attend relevant courses and mandatory updates and contribute to risk identification and management and learn from incidents and near misses.
* Reports clinical and non-clinical incidents and proactively manages risk to patients including vulnerable adults and staff.
* Support, monitor and challenge caseload management processes to ensure quality, safe and effective care delivery.
* Promote an environment conducive to effective learning and comply with statutory and mandatory responsibilities in line with current local and National monitoring requirements; attend Statutory/Mandatory Training as required.
* Teach and educate patients, carers and other healthcare professionals to recognise subtle changes in condition that could lead to exacerbation or acute deterioration and take appropriate actions.
* Act as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others.
* Act as a practice mentor for staff and students; proactively seek and provide learning opportunities for the team.
* Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities.
* Incorporate evidence-based findings with practice and participate in Merseycare NHS Foundation Trust approved research programmes.
* Identify ongoing training and updating needs of other health care professionals in the team.
* Initiate and implement change using quality improvement methodology.
* Be responsible for the performance review of community nursing staff including annual appraisal and individual development plans; monitor staff against objectives and provide feedback via supervision.
* Challenge professional and organisational boundaries, identifying areas for skill/knowledge development and apply these to practice to provide continuity and high-quality patient-centred care.
* Lead the development, implementation and audit of protocols, policies and integrated pathways using current evidence-based practice/research to facilitate change and improve outcomes, meeting patient and carer needs.
* Input activity onto the recognised Trust database to support service development and meet contractual requirements.
* Manage risk and maintain service delivery through liaison with colleagues and by reporting unresolved clinical/staffing issues to the Team Leader.
* In Patient Care Delivery/Communication: use advanced skills and expert knowledge to assess the physical and psycho-social needs of adults in the community, instigating therapeutic care plans and treatments to improve health outcomes, support admission avoidance and promote complex supported discharges.
* Work within a multi-disciplinary team to ensure effective care plans and treatments for highly complex patients including end of life, palliative care and long-term conditions.
* Communicate highly complex information about patients' conditions to multidisciplinary team colleagues to ensure effective delivery of treatments.
* Negotiate and agree with patients, carers and other professionals individual roles and responsibilities with actions and outcomes; lead/participate in meetings and case conferences as needed.
* Lead in delivering best practice across the service and use clinical tools to support assessments and treatments (e.g., venepuncture, syringe drivers, infusions).
* Provide expert clinical care and health promotion interventions; review medications and prescribe medicines via independent prescribing arrangements as appropriate.
* Ensure patient condition is regularly monitored and discussed with the team; identify subtle changes and provide direction to minimise hospital admission needs.
* Maintain communication pathways if the patient is admitted to an inpatient facility; provide baseline health data for receiving teams to support integrated care.
* Be highly visible to patients, carers and professionals and serve as a key role for patients with complex needs; maintain effective communication with other professional groups and external agencies.
* Keep accurate, contemporaneous records and written reports as required; identify patients with complex needs using case-finding tools and work with GPs.
* Be aware of the Trust’s financial position and account for equipment/supplies costs to meet patient and service needs cost-effectively.
* Assist in recruitment, appraisal, risk assessment, incident and complaint handling and performance management processes as delegated by the Operational Lead.
* Provide clinical supervision and peer review including mentorship to junior colleagues; provide clinical leadership to all team members.
* Clinical Nurse Specialist Role: promote optimum health for patients with long-term conditions and acute disease through predictive and proactive case management; formulate care plans addressing complex health, social and cultural needs in partnership with patients and other providers.
* Promote patient-centred care by coordinating activities of patients, relatives and carers with teams to manage long-term conditions; ensure inter-agency communications are effective.
* Lead care pathways for smooth transitions between primary, secondary and tertiary care and make direct referrals for medical assessment when needed.
* Inform policy development and participate in research related to long-term conditions and acute diseases; engage service users to shape services to meet needs; ensure services align with NICE guidelines and local targets.
* Promote admission avoidance and early supported discharge through effective communication with stakeholders.
Additional Information
* Please ensure you check the email account from which you apply for all correspondence. All information regarding your application will come from apps.trac.jobs, not NHS Jobs.
* Only applicants who clearly demonstrate how they meet the person specification will be shortlisted for interview.
* As a Disability Confident Employer, we offer a guaranteed interview scheme for applicants who consider themselves to be disabled and meet the minimum essential criteria. If you would like your application considered under the Trust's guaranteed interview scheme, indicate this in the personal information section of your online application form.
* If you require a reasonable adjustment to our recruitment process email [email protected] to arrange support.
* We reserve the right to close vacancies early when a sufficient number of applications have been received.
* The Trust expects all post holders who require an enhanced DBS for their role to subscribe to the DBS Update Service. DBS enrollment is subject to a fee of £16 per year. Trans applicants with DBS questions should contact the DBS Sensitive Applications Team.
* Applicants requiring sponsorship should check eligibility on gov.uk visa guidance.
* Flexible working requests will be considered for all roles.
* Note: new entrants to the NHS commence on the first pay point of the relevant band.
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people. We offer specialist inpatient and community services across physical and mental health, learning disability, addiction and brain injury services, including high-security mental health facilities. We are committed to delivering “perfect care” that is safe, effective, positive, timely, equitable and efficient, and we are transforming services to improve quality and reduce costs. Flexible working requests will be considered for all roles.
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