Job summary
- Main area
- Palliative care
- Grade
- NHS AfC: Band 7
- Contract
- Fixed term: 12 months (Maternity leave cover)
- Hours
- Full time - 37.5 hours per week
- Job ref
- 393-NMUH-1375-A
- Employer
- North Middlesex University Hospital NHS Trust
- Employer type
- NHS
- Site
- North Middlesex hospital
- Town
- Enfield
- Salary
- £49,178 - £55,492 per annum inclusive of HCAS (pro-rata if LTFT)
- Salary period
- Yearly
- Closing
- 02/08/2024 23:59
Employer heading
Palliative Care Discharge Co-ordinator
NHS AfC: Band 7
The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust’s services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.
In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield. It is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.
Job overview
Macmillan Palliative & End of Life Care Discharge Facilitator Nurse.
We are looking for a responsive and skilled palliative/end of life care nurse to lead the fast-track discharge service.
This post is to cover maternity leave for the 9 – 12 months.
The suitable candidate will priorities high-quality Fast Track discharges for all patients referred to Specialist Palliative Care services for discharge planning. The role will predominantly be to provide specialist support to effectively assess, plan, and facilitate the discharge of patients with limited life expectancy from the hospital setting into the community.The post is acute hospital based. It provides support for colleagues, patients and their families. The Fast Track discharge service will enable better coordination of discharges and will allow more patients to die in their place of choice, aiming to reduce the the number of deaths in hospital where possible or appropriate.
This post also requires close consistent and continuous links with commissioners and other agents linked to the NHS funding process. It also involves working closely with relatives and significant others to ensure a seamless and safe transition of care to the required discharge destination. This post will be 9-5 pm Monday to Friday.
Applicants with relevant experience may be considered for a secondment or part time hours/flexible working, however full time fixed term applicants will be prioritized.
Main duties of the job
The Palliative and End of life care Discharge Coordinator will be expected to:
- Effectively assess, plan and provide specialist care and support to facilitate the discharge of patients with limited life expectancy from the acute into the community setting to work as part of the multidisciplinary team and foster good working relationships with other healthcare professionals and service users
- Work as part of the multidisciplinary team and foster good working relationships with other healthcare professionals and service users assessment in collaboration
- Undertake the holistic assessment in collaboration and support with other team members in order to plan and deliver a high standard of specialist palliative care
- Work within statutory legislation and local policies and procedures in relation to discharge planning and palliative care
- To deliver best practice in the discharge process through meeting the needs of this patient group by optimising the patient and carer experience
- To act as a resource, educator and advocate for patients, their carers and health care professionals
- To work within Trust policies framework and national guidelines
- To improve patient and carer satisfaction at end of life
- To improve the overall end of life experience Trust wide through education and support
- To facilitate prompt discharge processes within the palliative and end of life care patient group
Working for our organisation
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Detailed job description and main responsibilities
- Work collaboratively within the team and across the hospital to provide a continuing supportive service to optimise quality care to those, their carers and significant others who have palliative and End of Life care requirements
- Provides specialist support guidance and advice on complex palliative, end of life care and patient needs for discharge planning
- To competently act as the patients advocate and assist patients in understanding their disease and treatments available to them, to support them to make informed choices about their care
- To be responsible in ensuring accurate and comprehensive documentation in all formats used within the Trust
- To be proactively involved in the discharge planning of palliative care and end of life patients, ensuring a seamless transition from hospital to community services.
- Enable complex palliative/end of life care discharges of patients who are resident outside of the local boroughs by liaising with appropriate teams such as CCGs and Community medical and nursing teams
- Demonstrates leadership through clinical expertise, delivering high standards of person centered care for those with palliative care needs
- Collate and interprets quantitative and qualitative data to provide evidence of productivity, outcomes, and quality. Can utilise data to support business cases and reports as appropriate.
- Work collaboratively with the lead Palliative care team for the service and contribute to the identification of service objectives, annual report, and work plan.
- Actively liaises with commissioners and agencies to secure funding for fast-track discharges and further collaborates with all involved parties to ensure a safe discharge pathway for the patient.
- Promote best practice, relevant to the needs of palliative/end of life care patients, utilising current strategies, protocols, pathways to improve quality of life for patients. Identify new ways of working to benefit patients, staff, and the Trust as a whole.
- Supports appropriate outcome measures to demonstrate quality of service provision.
- Identify learning needs, plan, implement and evaluate programmes of education to meet identified need
- Acts as a facilitator/educator for relevant health and social care professionals in relation to discharge needs in palliative and end of life care
- Participate in appraisals and regular 1-1s with line manager.
- To be professionally accountable and to recognise own limitations of work and practice within the framework for the scope of professional practice.
- To comply with and implement the Trust’s policies and procedures.
- To comply with NMC and other regulatory requirements
Person specification
Education and qualifications
Essential criteria
- First level RGN registration
- Evidence of recent professional development
Desirable criteria
- Educated to degree level or working or willing to work towards
- Experience of/or willingness to participate in clinical supervision
Skills and abilities
Essential criteria
- Clinical leadership skills
- Demonstrates nursing experience post registration in palliative or end of life care or in other relevant area
- Experience of teaching within the clinical area
Desirable criteria
- Good presentation skills
- Experience of the key worker role
Experience
Essential criteria
- Teaching/educating nurses, AHP’s and/or patients.
- Working in the healthcare sector with an interest in Palliative care or other relevant experience
- Understanding of the palliative patient, family and carers issues and their role in service development
Desirable criteria
- Up to date knowledge of the speciality of palliative care and its treatments Evidence of innovation and change management
Employer certification / accreditation badges
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Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Bernie Bryne
- Job title
- Team lead Palliative care
- Email address
- [email protected]
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