Job Description
Job summary We are looking for a highly experienced, knowledgeable Nurse with proven experience working with children and young people with neurology conditions. You would work closely with all members of the MDT to provide comprehensive follow-up, in nurse-led clinics and joint clinics supporting the multidisciplinary management of patients diagnosed with epilepsy. Working primarily within the tertiary neurology service at Chelsea and Westminster Hospital, you would be working closely with the neurologist team to expand to tertiary neurology service offered at Chelsea and Westminster. Main duties of the job The post holder will develop and provide an advisory and supportive service to patients under the Paediatric neurology service primarily working with patients who have a known or suspected diagnosis of epilepsy. They will provide education and information to children, young people and their families regarding the management and treatment of complex seizures. As part of the team, they will work to develop the tertiary neurology service at Chelsea and Westminster NHS Trust as it continues to build its portfolio of treatments offered to patients with complex seizure presentations. They will provide patient follow-up, developing a structured pathway and by monitoring email and telephone contacts, liaising effectively with all members of the multidisciplinary team. They will act as an expert resource to professionals involved in the care of these patients both within the acute and primary care setting. The post holder will maintain oversight of the services activity, governance and clinical outcomes, working with the team on change initiatives as required. About us Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use. We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs. The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period. Some roles may require weekend shifts at multiple sites. Job description Job responsibilities Clinical / direct care practice To receive referrals within the specialty from the health care team and respond to requests for expert advice and guidance. Towork within an agreed job plan to meet service needs which should be reviewed annually. To conduct holistic assessment and providing supervision & guidance to colleagues in skilled history taking, physical examination, observation and ordering, conducting and interpreting relevant tests and investigations. To work in collaboration with the multi professional team, contributing expert, evidence based knowledge and skills to relevant aspects of the patients care and treatment. To maintain boundaries of own practice within agreed guidelines and protocols, use professional judgment in managing complex and unpredictable situations and seek guidance from other relevant experts. To address patients risk factors and health promotion needs through comprehensive assessment of individuals for risk factors and early signs of illness. To builds an environment of trust and rapport, enabling patent empowerment in their healthcare and acting as an advocate for the patient in treatment decisions and choices. To draw upon an appropriate range of multi-agency and inter-professional resources to ensure that patients receive appropriate services, making referrals to other professions and services as appropriate. To use effective communication and interpersonal skills to provide information, explanation and reassurance to patients and families. To plan and conduct appropriate follow up, closure or transition of care for the patient. To maintain accurate and contemporaneous records of patients assessment, care and treatment. Leadership and Collaborative Practice To provide advice, guidance and support to own and other professions to enable best practice in care and treatment within area of expertise. To work collaboratively with colleagues, patients and families to seek their views and to develop and improve practice and the service. To continually evaluate and develop own role and competencies to meet the evolving needs of patients and the service. To develop networks and collaborative working across professional, and organizational boundaries to develop, integrate and coordinate care. To support and contribute to delivering the wider Trust agenda as directed by the Chief Nurse and the Trust Senior Nursing and Midwifery Council. To participate and contribute to National objectives. Improving Quality and Developing Practice To develop valid and reliable methods to continually evaluate and audit own practice and service outcomes, identifying, interpreting and acting on audit outcomes. To maintain records of activity including clinical coding, maintain appropriate documentation and participate in audit of documentation, clinical activity and outcomes. To use and develop information systems to support decision making and improve care. To maintain knowledge of contemporary epidemiological, demographic, social, political and professional factors relevant to the specialist area of practice. To use a reflective and questioning approach to practice, identifying potential opportunities for clinical or service changes. To maintain awareness and application of relevant research and evidence based practice relating to area of clinical expertise and profession practice. To identify and responds to gaps in evidence and/or practice knowledge, and to contribute/lead in research / audit/ practice development. To enable the sharing of new knowledge and developments with others. To facilitate and enable change at individual and team levels to improve practice and health outcomes, monitoring and evaluating the impact of resultant changes in practice. To continually assess, monitor and act on risks in own and others practice through risk assessment. To ensure the appropriate and effective use of resources to ensure both cost effectiveness and quality. To participate in business and service development including activity and income generation. Developing Self and Others To participate in review of own practice with colleagues from own and other professions thorough case review and clinical supervision. To develop and provide patient education and information which is appropriate and responsive to individual needs and level of development. To participate in the development of evidence based protocols, standards, policies and clinical guidelines. To evaluate knowledge and practice, identifying learning opportunities and continuing development through appraisal and personal development planning. To maintain a personal portfolio illustrating evidence of competence and continuing development. To supports colleagues in their learning and application of theory to practice through assessment, teaching and clinical supervision. To contribute to wider education and development programmes in external organizations. Contribute to the dissemination of knowledge through publication and presentation. Communication Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions. Please see attached job description and person specification to this advert for further details. Person Specification Skills and Knowledge Essential Sound knowledge of the principles & practice of specialist care Ability to manage change, both personally & as a facilitator Computer literate: able to use word, email, excel and manage databases Experience of handling clinical incidents & complaints Excellent problem solving skills Understanding of professional and current issues in children's nursing Child protection procedures Awareness of current NHS issues & appreciation of the issues surrounding governance & quality initiatives. Desirable Previous experience of research and audit Ability to lead change/ innovations in specialist practice Education and Qualification Essential Registered Nurse (Child) Evidence of ongoing, continuing professional development within pediatric care linked to demonstrable clinical competences Relevant Degree in nursing/midwifery or health related field Recognised teaching qualification eg ENB998 Specialist qualification eg British Paediatric Neurology Association Paediatric Epilepsy Training Level 1 & 2 (or willingness to work towards) Desirable Non medical prescriber quailfication Experience Essential Relevent Post registration experience working as an experienced Band 6 (+2years) Excellent relevant Paediatric clinical skills Understanding of legislation and practice of SEND Extensive proof of working with children and young people in the community Experience of partnership working with external agencies and organisations Desirable Involvement in clinical audits and clinical governance Excellent managerial, leadership and organisational skills