HealthJobsUK

Detailed job description and main responsibilities

KEY DUTIES

• Assess, plan, implement and evaluate programmes of evidence-based nursing care.
• Provide expert advice and clinical practice.
• Provide specialist education and training to others.
• Work collaboratively and co-operatively with clinical colleagues to develop services and high quality of care delivered.
• Lead the development of clinical services within the specialist field.
• Triage complex referrals.
• Manage an agreed patient caseload, when the diagnosis may be uncertain, according to own advanced clinical judgement and skills.
• Order/undertake, interpret, and act upon diagnostic tests and investigations.
• Identify, assess, and triage patients ensuring smooth transition to other services as appropriate.
• Responsible and accountable for the assessment of patients with undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing as a register independent prescriber. Prescribe any medicine for any medical condition within their competence, including any controlled drug in Schedule 2,3,4 or 5 of the MDR 2002 Regulations, as amended (except Diamorphine, Dipipanone or Cocaine for the treatment of addiction). Will adhere to Trust polices, NMP standards as set out in the Royal Pharmaceutical Society Framework and medicines management legislation.
• Ensure the team involves patients, carers and relatives in the planning and delivery of care.
• Act as a highly autonomous practitioner, with minimal supervision, exercising judgement, discretion and decision making in clinical care.
• Ensure own and team compliance with any specific regulations for example: Quality Surveillance Programme, drug administration, record keeping and data collection within own area of work.
• Develop protocols for nurse led clinics, ensuring that outcomes are evaluated, and activity monitored.
• Initiate medication/treatment reviews independently within area of work.
• Manage complex cases and those for specialist investigations referring to MDT as appropriate.
• Lead on the development of integrated care with primary and secondary care clinicians as required and other agencies involved with care delivery.
• Ensure appropriate services are put in place to support management of condition at home, supported by the multidisciplinary team as required.
• The post holder will abide by legal requirements and statutory rules relating to practice and promote and maintain standards of professional practice in accordance with the Nursing and Midwifery Councils (NMC) Code and Professional Conduct and Scope of Professional Practice.
• Develop and maintain required specialist clinical skills in the assessment and treatment of patients within the area of responsibility.
• Responsibility to deliver personalised care interventions.
• Provide specialist telephone advice.
• Key worker role

CLINICAL & PROFESSIONAL RESPONSIBILITIES

• Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs.
• Perform advanced clinical skills in assessment &/or diagnosis &/ or treatment.
• Non-medical prescribing
• Collect, collate, evaluate, and report information, maintaining accurate patient records.
• Involve patients and carers/ relatives in the planning and delivery of care and the development of services.
• Monitor investigation results, initiating further assessment/ review and co-ordination of treatment pathway as required.
• Work collaboratively with other professionals and agencies to ensure discharge arrangements.
• Establish and maintain effective communication with patients and carers/relatives and professionals across health and social services.
• Contribute to the health and promotion agenda with the local health economy.
• Attend Network meetings.

ADMINISTRATIVE RESPONSIBILITIES

• Administration supporting direct patient care/MDT preparation/follow up
• Dictating and signing letters
• Requesting appointments for patients
• Processing Clinical Outcome sheets
• Updating Somerset Cancer Registry
• Report Writing
• Presentations
• Address issues raised by remote follow up clinic service.
• Patient experience assessment/improvement advocates

 TEACHING & TRAINING RESPONSIBILITIES

• Identify learning needs, plan, implement and evaluate programmes of education to meet identified needs.
• Participate in the education of pre and post registered nurses, medical staff, AHP’s, patients and carers and participate in curriculum development where appropriate.
• Address specific health targets e.g. CHI, NICE Guidance, NSF related to own are of practice through education.
• Ensure own compliance and compliance of others with regarding mandatory training and PREP requirements.

 LINE MANAGEMENT/SUPERVISORY RESPONSABILTIES

• Provide specialist, expert clinical knowledge to clinical colleagues, patients, and carers/relatives.
• Evaluate service delivery against key performance targets, National Quality Measures, identify areas for improvement and initiate change.
• Ensure the effective and efficient use of physical and financial resources; make suggestions regarding supplies and equipment.
• Collect, collate, and report activity data to key stakeholders, producing regular formal reports.

RESEARCH & AUDIT

• Identify need for, participate and undertake, research, clinical audit, benchmarking, and equipment trials, in order to improve effectiveness of patient care.
• Disseminate research and audit findings through presentation to professional groups and publication.
• Responsible for the development and implementation of policies, procedures, and guidelines relevant to own area of work.
• Promote patient and public involvement activities in the specialist area, leading to service improvement.
• Promote people’s equality, diversity, and rights.