The AdvancedClinical Practitioner reports into Consultant Nurse. This post will encompassboth strategic service development and operational service delivery. This postwill encompass the four pillars of advanced practice, clinical practice,leadership, education and research.
The post holdersown practice will be at an advanced level, ensuring that their own contributioncan both directly and indirectly influence all aspects of care and the management of patients within the hospice and the community setting. The postholder will be a non-medical prescriber, utilising these skills for the benefitof his/her patient/client group. The post holder will provide a corporatefunction in advising executive leadership team with professional nursing adviceon palliative care services and service-related issues.
The post holderwill be able to articulate and demonstrate a vision of areas of practice thatcan be developed beyond the current scope of nursing practice and demonstrate acommitment to the development of these areas both at a strategic level and at the bedside and community setting.
St Giles Hospice is a registered charity founded in 1983 by the Reverend Paul Brothwell, originally to improve the care of local people dying with cancer.
We now support patients, and their loved ones, living with a terminal illness. Our dedicated team provides individually-tailored care, free of charge, either at the hospice or in patients own homes across our communities.
We spend close to £10 million a year providing our specialist services. With just 18% of this funded by the Government, we rely heavily on donations and income generation from the local community.
Clinical ExpertPractice Function
To be both professionally and legallyaccountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within the NMC codes ofconduct, hospice policies/protocols.
To utilise advanced clinical reasoningskills and evidence-based knowledge in the management of patients with highlycomplex presentations/ symptom management and to be clinically competent toutilise expert skills and knowledge in a variety of clinical settings.
To make independent clinical decisionsand initiate investigations, care, treatment and technological interventionwithin an agreed framework.
Undertake non-medical prescribing inaccordance with hospice policy.
Develop and conduct skilled nursingintervention for all palliative care patients assessing their symptoms controlneeds at an advanced level and addressing issues (psychological and copingmechanisms, social/spiritual/practical/ethical needs and quality of life)within the agreed framework. Ensuring working in partnership with a range ofhealth care professionals as required.
To maintain up to date clinicalrecords in accordance with hospice policy and NMC code Of Conduct.
To participate in the development ofclinical expertise in palliative care nursing enabling nurses to developadvanced assessment and decision-making skills (including both the inpatientand community CNS Team).
To work in collaboration with clinicalteams/general management, in order to ensure there are defined pathways of carefor palliative care patients, facilitating a timely transfer betweensettings/discharge of patients with appropriate follow up services within thecommunity encouraging continuity of care.
The Professional Leadership
Engage with appropriate agencies as anurse leader in the development of innovative nursing practice and initiatives.
Act in a consultancy role in promotingthe development of advanced nursing practice in collaboration with theConsultant Nurse.
To act as a specialist resource forhealth care professionals and to provide advice and share information bothinternally and externally to the organisation.
In partnership with the Director ofClinical Services, contribute to the Clinical Governance agenda within the nursing division, with the aim of securing quality improvements within theinpatient units and the community settings, organisation and local healtheconomy- wide basis.
To work collaboratively with theDirector of Clinical Services and Executive Leadership Team both within as wellas outside the organization to influence the strategic allocation of resources.
To be able to articulate thesignificance and potential impact of government policies as they relate topractice and future developments. To actively seek opportunities to influencelocal and national policy development through clear and precise articulation ofpatient and service requirements/needs.
To demonstrate confident, competencein direct patient care in terms of working as a peer with other consultantcolleagues, seeking further expert clinical advice/ assessment as appropriate.
Act as a role model and advisor fornurses within the organisation and the wider arena as appropriate.
Review policies/SOPs as and whenneeded
Facilitate discussion of contentiousissues where there is disagreement about best treatment and care or where besttreatment and care is ethically problematic, unknown or unique.
Instigate and manage specialistinterventions used in acute/crisis clinical situations with a nurse ledspecialist clinical focus:
Preventing and recognizinglife-threatening complications through rapid assessment and physicalexamination.
Maintaining health and supportinglife, through the instigation and management of complex and specialty directedinterventions.
The Education Training andDevelopment Function
To actively support the training andeducational lead on the formulation of plans to meet the training and educationneeds of staff, at an individual, team and an organizational level.
To facilitate new programs ofeducation and training in partnership with the training and educational lead tofacilitate changes within practice as and when required.
To provide learning opportunities fornurses and other health care professionals via clinical supervision andmentorship. This includes providing inter-professional support for allappropriate disciplines of staff.
To contribute to the development ofthe local undergraduate and postgraduate training programs in order tofacilitate the advancement of a structured, evidence-based career progressionwithin the palliative care speciality.
To assist Nurse Leaders within theorganisation (e.g. Director of Clinical Services) to develop a culture ofempowerment for staff to become accountable for their practice throughprofessional education.
To take a leading role in thedevelopment of nursing research within palliative care as well as inform andcontribute to the organisations Research and Development Strategy. Thisincludes taking a leading role in the development and preparation of researchproposals relevant to palliative care services to attract internal or externalgrants if appropriate and / or offering support or guidance to students orresearch teams undertaking projects / studies within this specialty.
Service Development
Together with Director of ClinicalServices and Executive Leadership Team to participate in the implementation ofpalliative care strategies across the organisation incorporating nationalstandards into local practice.
To work in partnership with NursingLeaders to create, develop and implement guidelines and protocols of carerelevant to palliative care services patients and ensure appropriate educationprograms are created in order to achieve the patient / staff requirements.
To develop innovations between thehospice and other agencies to ensure equity and access to the services as perorganisations service agreements.
To ensure that the hospice KPIsinvolving the specialty services are met. Interpreting clinical policy changeas it relates to hospice services and keeping the management as well as theclinical team informed.
To respond to palliative careinpatient and community service user feedback by ongoing evaluation andidentification of emerging trends, being a key member of any initiativebringing about service change / development / redesign.
To take a strategic view of thedelivery of care within the specialty and how other specialties can combineim to improve patient experience and outcome.
Communication
To be able to motivate and persuadeothers through advanced communication skills.
To make all reasonable efforts toresolve verbal complaints as they occur and ensure in-depth knowledge of thehospices formal complaints procedure can be demonstrated as and when required.
To be able to demonstrate an expertability to communicate highly sensitive / complex information to patients,relatives, carers and other staff, where there may be barriers to communication(e.g. hostility, language or learning difficulties). This must be done ensuringconfidentiality at all times and sensitivity to the recipient/s level ofunderstanding and/or knowledge.
Planning andOrganisation
To flexibly manage responsibility forown complex clinical caseload, internal and external teaching, qualityassurance and service development requirements, whilst maintaining a 60%minimum clinical casework commitment.
To utilize excellent prioritizing andtime management skills to meet the unpredictable and conflicting needs of theservice, meet required deadlines and ensure a high-quality standard of patientcare.
To maintain accurate statisticalinformation as regards to the service, utilisation of required data bases toinform management/clinical team as well as to drive audit programs, outcomemeasurements and service development needs.
Contribute to the business planningprocess for the specialty, initiating bids for resources as appropriate.
To develop required administrative or managerialfunctions to compliment the role.
Personal
Toaccept personal responsibility for your own personal clinical and professionaldevelopment, working towards developing the role using recognized educationaland learning opportunities as and when possible.
Tomaintain current registration with the NMC and comply with all standards set bythem.
Ensuringthat clinical supervision for the post holder is maintained on a regular basis.Personal choice for the clinical supervisor choice.
Ensuringthat you are able to confidently make decisions, even where precedents do notexist, thereby demonstrating visionary and innovative practice.
To comply with the organisations manual handlingpolicy when carrying out daily assessments and treatments of patients whenphysical effort is involved.
Just so you know:
We may reviewapplications before the application review date, however, if you apply afterthe application review date, your application may not be considered. We willaccept applications until we have successfully filled the role, this may beearlier than the closing date.
If you havenot heard within 14 days of the application close date, then please considerthat your application has been unsuccessful at this time.
As part ofyour application your data will be managed in line with St Giles HospicePrivacy Policy and kept for 6 months. If you would like to see this in full,please visit https://www.stgileshospice.com/privacy-policy/
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.