Job Description
Job summary Are you aregistered nurse who is looking to progress in their career within the area ofdistrict nursing? Do you have recent experience of workingwithin a district nursing service? Ifso, we have an exciting opportunity available for the right candidate to joinour district nursing service in Halton Borough. We are currently looking forregistered nurses with proven experience of working within a district nursingservice for the role of senior community nurse. This includes palliative care, wound care,catheter care. If you feel you have the skills and experience to be able tomanage a cohort of higher acuity/complex patient as directed by the team leader(caseload holder) we would welcome your application. Applicants will need todemonstrate excellent communication skills, and a sound ability to prioritise, timemanage their own patient visit list, complete complex holistic assessments,lead on developing plans of care and supporting/mentoring junior staff memberswithin in the service. All flexible working requests will be considered. Main duties of the job The post holder will work as a senior member of the District NursingTeam collaborating with the Team Leader (caseload holder) and support theprovision of clinical leadership within the team. A key feature of the role isto support the proactive management of patients with complex or higher acuityconditions on the District Nursing Caseload. This will include collaboratingwith other members of the multi-disciplinary team involved in the patients careto establish a person-centred approach to management of health/social careneeds, that also promotes self-management. They will require the use ofextended clinical skills and expert knowledge to assess the physical and psycho social needs of a defined patient group, instigating therapeutic treatmentsbased on best available evidence in order to improve health outcomes. In doingso, they will assess, plan, deliver and evaluate patient centred programmes ofcare ensuring that they practice within their sphere of competence andknowledge. The post holder will work to professional and NMC codes, standardsand guidance at all times ensuring that their practice is based on the most upto date evidence-based theory and practical knowledge. They will be responsiblefor developing new and innovative clinical practices responding to emergingknowledge and techniques and working with the District Nurse Coordinator, TeamLeader and other, services, where appropriate to make improvements. About us Flexible working will be considered for all roles.Unfortunately, we do not hold a sponsor licence for working Visas.At Bridgewater, our PEOPLE values shape how we deliver ourNHS services in your local community.They help us deliver our mission to improve local health andpromote wellbeing in the communities we serve. After all, values are about people and they werecreated in partnership with our staff to reflect what they felt was importantto themHere at Bridgewater our shared values flow through the organisation.P- Person-centred-We are passionate about individual needs andpromote independence in the healthcare we provide..E- Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.O- Open and Honest -We behave in a way that develops relationshipsbased on trust, openness, honesty and respect.P- Professional-We support our people, so everyone has the rightskills and training to deliver outstanding patient care.L- Locally Lead -We are always learning about our communities andshow great pride in being a local provider of health and care.E- Efficient -We use our resources wisely to providesustainable and value for money healthcare for our patients. Job description Job responsibilities 1.ClinicalDemonstrates adetailed theoretical and practical knowledge of common aetiologies,pathologies, conditions, and presentations involving a critical understandingof theories and principles.Be proficientin core skills required to deliver care within a district nursing service suchas tissue viability, palliative/end of life care, diabetes management.Demonstrateinnovative and specialist skills required for assessment and interpretation ofcomplex patient conditions and determining the appropriate course of action.Select methodsand tools to holistically assess, plan, implement and evaluate in a complexpatient condition. Analyse and actappropriately in complex situation and escalate wherever applicable , toDistrict Nurse Coordinator, Team leader, Safeguarding Lead, GP. Make judgementson complex facts requiring interpretation and comparing treatment/managementoptions ensuring clinical reasoning is reflected accurately in case records.Prioritisestheir own workload and support the Team Leader with allocation and workloadmanagement of the wider team, within agreed objectives deciding when to referto others as appropriate. Approach eachindividual with care, compassion and sensitivity ensuring that these values arereflected in all areas of practice including the management of any complaintsand compliments.2.LeadershipDeputise forthe Team Leader at internal and external meetings when required.Support theTeam Leader in developing effective lines of communication that ensures thatthe team are aware of the Trusts strategic direction and local business planobjectives and performance targets.Ensures that aprofessional service and image is maintained at all times, thereby acting as arole model to all staff promoting a positive image of community nursing.Provides aleadership style which is underpinned by strongly held values around equality,diversity, and openness; effectively builds and maintains relationships withthe wider team, management teams and other key individuals across theorganisation. Provide aneducational role for patients, carers, and new team members.Demonstratesthe ability to delegate, organise and prioritise workload to ensure the safedelivery of care to an identified cohort of patients including the managementof referrals and discharges using locally agreed support mechanisms , oncall manager and making judgements in complex situations.Demonstratesclinical leadership, initiative, and creativity in identifying and supportingprojects inspiring others to be positive in their contribution to continuousimprovement.Demonstratesresilience when responding to challenge, change and complex or difficultsituations.Ensures thatall objectives, for self and those directly supervised by the post holder, areclearly defined within the wider Directorate framework and in line with Trustsobjectives, using the appraisal process as a vehicle for this. Takes responsibility for their own and othershealth and safety in the working environment.To support theTeam Leader in the management of higher acuity patients and leading on theassessment care planning and ongoing management of an identified cohort ofpatients.Collaboratewith primary care, secondary care and social services and other colleagues toplan and implement treatment as required.3. Learning and DevelopmentUndertakes anytraining required to develop and maintain their proficiency in response tochanges in service delivery or new and emerging techniques and demonstratecompetence within professional body requirements.Reflects on andevaluates own practice and identifies areas of development by settingappropriate objectives via appraisal and clinical supervision.Conductsresearch projects, or other research and development activity, appropriate toclinical area.Undertakessupervision and is responsible for teaching and training both inside andoutside work area.Supporting theTeam leaders with the learning and development of others including students andpreceptees providing supervision and mentorship to junior staff. Support theTeam Leader in reporting and investigating complaints and incidents.Partnershipand Team WorkingActivelydevelops and maintains effective clinical and corporate working relationshipsboth within and outside the Trust.Explores thepotential for collaborative working and takes opportunities to initiate andsustain such relationships to improve and develop service delivery.Activelycontributes to the multi-disciplinary team supporting the patient includingcommunication with external care providers, voluntary support services andother agencies; acting as a credible source of information for otheragencies/professionals involved in the care as required.Innovationand QualityImplements,monitors, and maintains agreed standards of care, reporting to the TeamLeader/District Nurse Coordinator when standards are not met.Implementspolicies relevant to service area and supports the Team Leader to ensure teammembers are aware of policy requirements.Identifiesareas for improvement within own team and proactively addresses these with thesupport of the Team Leader/District Nurse Coordinator within the overallorganisational governance frameworks and corporate objectives reflecting thechanging needs of the population, local and national initiatives.Actively works to continually improve thequality of own service area within the overall organisational governanceframeworks and corporate objectives , through audit or suggesting changesto practice.Contributes to and undertakes clinical audit.Works with District Nurse Coordinators, TeamLeaders, and other key colleagues to identify, manage and minimise risks withinthe overall organisational risk management frameworks. This includesunderstanding and applying knowledge of clinical role in safeguarding and an activeinvolvement in incident management processes.Acts as an advocate for patients and theirfamilies/carers recognising the boundaries of their clinical knowledge;liaising and referring on to other services / agencies as required.Ensures that patient experience is core to allclinical care delivered and gaining support from the appropriate corporateteams as required.Actively ensures completion of required data ina timely manner to meet the Quality Framework requirements, outcome measuresand best practice standards in order to deliver an effective, high-qualityservice. Person Specification Qualifications Essential Registered Nurse Post Graduate qualification in specialist field or working towards Evidence of proficiency in core skills required for delivery of care within a district nursing service such as, tissue viability, palliative care, diabetes management. Mentorship qualification / skills and/or experience or committed to undertaking appropriate mentorship programme. Evidence of continual professional development Desirable Mentorship qualification or equivalent Non-medical prescribing Formal qualifications in: Clinical examination Clinical Skills Tissue Viability Palliative Care Diabetes management Frailty Additional Questions Essential Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable) If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship: Experience Essential Experience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team- Experience in supervising and delegating to other members of staff. Experience of clinical leadership skills , leading/supervising junior staff and students. Working in community setting. Desirable Working in primary care-based teams Experience of acting in an advocate/champion role Skills & Knowledge Essential Specialist assessment, planning and evaluation skills. Complex analytical and creative problem-solving skills in unpredictable situations Leadership skills and excellent decision-making capabilities. Competent IT skills in order to collect and interpret data, present reports, and compile simple presentations. Effective verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate. Risk assessment skills Reflective practice skills able to give clear and effective feedback. Able to research, understand and evaluate evidence in order to contribute to practice development. Desirable Experience in research and/or clinical audit Workload management including delegation of tasks and day-to-day team leadership.