Lead Clinical Nurse Specialist (CNS) for Haemoglobinopathies
An exciting opportunity has arisen in the Haemoglobinopathy nursing team for a new band 8a post to lead the expanding haemoglobinopathy apheresis service on the Queen Elizabeth Hospital site. Lewisham and Greenwich NHS Trust was granted Specialist Haemoglobinopathy Team (SHT) status in April 2019 and services an adult and paediatric haemoglobinopathy patient population of approximately 1000, one of the largest in the country.
The posts will join an established Clinical Nurse Specialist team at LGT and will develop clinical links with teams of the tertiary centres of KCH and GSTT when joint management of complex patients is required. The haemoglobinopathies service is currently provided at the University Hospital Lewisham site, however, with expansion of the service the successful candidate will be expected to lead the service at Queen Elizabeth site.
Whilst there will be an element of cross-site work (approximately 10% of worktime), the majority of time (approximately 90% of worktime) for this post will be spent on leadership and delivery of apheresis at Queen Elizabeth Hospital.
Applicants will have a full MSC in advanced practice or comparable qualifications and will be able to evidence a portfolio of practice with a relevant speciality. Experience in haemoglobinopathies and apheresis will be an advantage.
Main duties of the job
The post holder will have a primary focus on leading the service at the Queen Elizabeth site in collaboration with Lead Clinical Nurse Specialist on the Lewisham site. The post holder will also be part of haematology team supporting the consultants on the delivery of care to patients admitted to the hospital.
Delivery of the evidence based expert clinical care exercising a high degree of professional autonomy, demonstrating the ability to make sound decisions based on the knowledge and experience.
Holistic individual consultation of patients using a range of different assessment methods including medical history taking, physical assessment, clinical investigations and risk stratifications tools, all of these appropriate to the presentation within the boundaries of the role.
Orderandinterpretinvestigations,laboratorytests, appropriate imaging,andactonresultsasappropriate.
Reach a valid, reliable, and comprehensive conclusion based the history and clinical findings.
Initiatedrugtherapy/medicationwithintheparametersofagreedclinicalguidelinesandinaccordancewithpresentlegislationsupplyandprescribingofmedicines.
Communicate with patients in ways that empowers them to make informed choices about their health and healthcare.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
* Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
* Widening access (anchor institution) and employability
* Improving the experience of staff with disability
* Improving the EDI literacy and confidence of trust staff through training and development
* Making equalities mainstream
Job responsibilities
Delivery of the evidence based expert clinical care exercising a high degree of professional autonomy, demonstrating the ability to make sound decisions based on the knowledge and experience.
Holistic individual consultation of patients using a range of different assessment methods including medical history taking, physical assessment, clinical investigations and risk stratifications tools, all of these appropriate to the presentation within the boundaries of the role.
Orderandinterpretinvestigations,laboratorytests, appropriate imaging,andactonresultsasappropriate.
Reach a valid, reliable, and comprehensive conclusion based the history and clinical findings.
Initiatedrugtherapy/medicationwithintheparametersofagreedclinicalguidelinesandinaccordancewithpresentlegislationsupplyandprescribingofmedicines.
Communicate with patients in ways that empowers them to make informed choices about their health and healthcare.
Activelyimplement and manage, evidence basedtherapeutic programmes, which are in the interest of patient and improve health outcomes.
Work in partnership with other clinical teams making appropriate referrals to optimise health outcomes and resources.
In partnership with patients, clients and other professions, make sounds decision which are ethically based in the interest of patients and clients in the absence of precedents and protocols.
Provide specialist knowledge, advice, resource information and support to clinical staff across the trust.
1. Service & Practice improvement
Promote the improvement of quality and clinical effectiveness within the resource constraints.
Develop practices that are appropriate to patient and service need thought understanding the wider implications of epidemiological, demographic, social, political, legislative, and professional trends and developments.
Identify the need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.
Develop and undertake activities to monitor the progress and efficiency of the service and owns practice.
Continually assess and monitor risk in their own and others practice and challenge others if necessary.
Critically appraise and synthesise the outcomes of relevant research, evaluations and audits, and apply the information when seeking to improve practice.
2. Management and Leadership
Contribute to the development to the specialist service and act as a change agent and facilitate the change process whilst encouraging other to be innovative and adaptable in the approach to change.
Work across professional, organisational and system boundaries to proactively develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems.
Review and update documentation and policies specially required by the team.
To be conversant with all the relevant Trust policies and procedures and ensure they are correctly implemented.
Lead the team in establishing and maintaining effective communication channels with the multi-disciplinary team, patients and their careers and external agencies.
Toworkcollaborativelywithrepresentativesofother clinicalareas,disciplinesandservicestoprovideaseamlesspathwayofcare.
Coordinate, lead and manage the activities of clinics on a day to day basis.
Assisting with the investigation of complaints and lead on the development of action plans to address areas of concern.
Participate in the recruitment, selection and retention of staff.
To represent the Trust on National forums related to the role and Advanced Clinical Practice.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
3. Information management
Adhere to confidentiality at all times with sensitive personal data.
Responsible for the systematic monitoring of investigations and appointments, in collaboration with administration and managerial staff.
Ensure compliance with care pathways and service development.
Provide reports of the statistics, service and practice developments when required.
Provide high standards of documentation in accordance with the Trust documentation policy.
4. Education and training
To participate in teaching programmes for nursing in the care of patients relevant to the haemoglobinopathy service cross sites.
To exhibit a personal commitment to clinical education and development. Work in collaborations with others to plan and deliver interventions to meet the learning and development needs of their own and other professions.
Raise awareness of the current local, regional, national and international perspectives in clinical specialities.
Provide training and education opportunities within the team, the Trust, local and national areas.
5. Audit and research
Contribute/assistinthedevelopmentofmultidisciplinaryresearchandclinicalauditinthehaemophilia and haematology serviceand,implementingeffectiveandevidence-basedpractice
Develop research skills and provide support and appropriate implementation strategies for changes in clinical practice.
Participate and contribute to any on-going regional and national research to evaluate the effectiveness of care strategies related to the patient experience within emergency and unscheduled care.
To share best practice; through publications and attendance/presentation opportunities at conference level
6. Resource Management
Maintain accurate records in relation to equipment used and maintained by the haemoglobinopathies and haematology service team.
To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others within the RDC department.
To monitor incidents highlighted by members of the emergency team and communicate to appropriate areas to address risk issues.
Person Specification
Experience
* Experience of leadership within a relevant service
* Experience in running own clinics/workload
* Experience in apheresis
* Broad clinical experience relevant to the post, including previous experience of general medicine principles
* Experience teaching patient and staff including health promotion
* Prior clinical education role
* Experience in a range of acute care settings including haematology and oncology
* Experience of leading projects at an organization level
Qualifications & Training
* MSc in Advanced Clinical Practice or Equivalent
* NMC Registration
* Non-Medical Prescribing Qualification
* Portfolio of practice evidencing level of practice
* Evidence of radiology requesting
* Academic Qualifications in Haemoglobinopthies.
Knowledge & Skills
* Advanced clinical assessment and documentation skills
* Evidence of radiology requesting
* Critical decision-making skills Non-medical Prescribing
* Medicines Management: Experience at working with Patient Group Directives (PGDs) /
* Experience of appraisals
* Clinical Audit and interest in research
* Publication
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.
£55,690 to £62,682 a yearper annum plus HCAS (pro rata if part-time)
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