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  1. Deputy Head of Nursing NHS AfC: Band 8C Base: You may be required to work in other designated locations of the Trust as well as your primary base. In particular flexibility is required across the three main hospital sites (Leicester Royal Infirmary Leicester General Hospital and Glenfield Hospital). If your initial location is one of these sites excess travel reimbursement would not apply for a permanent or temporary change of base. Reports to: R&I Deputy Director Accountable to: Director of R&I (With a professional reporting line to the Deputy Chief Nurse) Find out more about working with us: https://www.leicestershospitals.nhs.uk/aboutus/work-for-us/ Job Title: Date Finalised: Page 2 Job Summary Managerially accountable to the Head of Nursing and professionally accountable to the Deputy Chief Nurse (Operations). The post holder will have operational responsibility for ensuring the delivery of clinical quality standards patient safety and the overall patient experience in the CMG providing professional leadership advice and support for the CMG to ensure that there is a consistency of practice high standards of care with a strong patient safety focus. Working with a vision of delivering the Trust Values the Deputy Head of nursing will support the Head of Nursing and the CMG Triumvirate to provide professional leadership management to the Nursing service for the CMG. The Deputy Head of Nursing will support decision making where practice or service delivery issues cross Matron speciality or when cross speciality leadership is required. The Deputy Head of Nursing will establish and foster an effective working relationship with the CMG Triumvirate to lead improvements in nursing care service delivery and the achievement of organisational priorities within the CMG. The Deputy Head of Nursing will deputise for the Head of Nursing on an as required basis. The Deputy Head of Nursing will support the delivery of safe clinically and cost effective and compassionate nursing care within the CMG and provides assurance evidence to the Head of Nursing regarding compliance against all appropriate professional organisational and national compliance standards. Budget Support the Head of Nursing to deliver a safe sustainable affordable Nursing workforce across the CMG. Staff Working alongside the Head of Nursing the Deputy Head of Nursing will be responsible for the care and professional practice delivered within a significantly large CMG. This would equate to a nursing (registered and unregistered) workforce of more than 550 funded whole time equivalent staff and could cover more than one hospital site. However the area of responsibility may be smaller in size Job Title: Date Finalised: Page 3 and volume if there is a requirement for large scale change of service or that the complexities of the service are significant. Complexities of the service may come from the national profile that the speciality attracts or the consistent need to engage and work with stakeholders/agencies outside of the organisation. The post holder will provide leadership for the following professional groups:  Registered Nurses and Nursing Associates  Healthcare Support Workers  Housekeepers Other key working relationships.  Deputy Chief Nurses  Lead AHP & Associate Chief AHP  Chief Pharmacist / CMG pharmacy Teams  Administration and Clerical Teams  Site and Duty Management Teams  Discharge Teams  Chief Operating Officer  Deputy Director of Quality & Governance  Lead Nurse (Safe Staffing) N.B. working relationships will span across UHL / Integrated Care System(ICS) and regional and national networks Policy The Deputy Head of Nursing role will support the Head of nursing to lead the development of nursing policy and processes to maximise opportunities through co-design introduction of new care models and the empowerment of service users and carers. Communications Act as Trust-wide representative for nursing and as an ambassador of the Trust as appropriate. Utilise all forms of communication including verbal written electronic e-mail formal and informal meetings taking minutes as required and ensure effective communication of local Trust and National information or guidance to all nurses interpreting new information in ways that can be implemented into clinical practice. Communicate highly complex information to Executives and the Board. Present all types of information including highly complex service information to large groups which will involve high degrees of tact and diplomacy and where barriers to understanding occur. Maintain and handle highly confidential patient and staff Job Title: Date Finalised: Page 4 information record keeping creating and maintaining effective storage system of staff records. Communicate highly sensitive and highly complex information to colleagues and external parties. Job Title: Date Finalised: Page 5 KEY WORKING RELATIONSHIPS Detail the main working relationships that the post holder will be required to develop.  Internal relationships within R&I CMGS and Corporate Area’s  Research Sponsors Funders and regulatory bodies such as HRA NIHR and DHSC  Professional groups and bodies such as NMC and PSA  Corporate areas such as finance HR and  HEIs such as University of Leicester  Local regional national international links with research intensive NHS trusts KEY RESULT AREAS Maintaining Professional standards including safety and quality  The post holder will take a lead on NMAHP professional practice and service delivery issues arising within R&I. The post holder will establish and foster effective working relationships with research delivery staff across the organisation to lead improvements in nursing/midwifery/AHP clinical practice standards research delivery and the achievement of organisational priorities.  The Deputy Head of Nursing has responsibility for the delivery of safe compassionate nursing midwifery and AHP care related to the Trust’s portfolio of research ensuring adherence to regulatory requirement  Provides credible visible and effective compassionate leadership to research delivery teams within R&I and across clinical specialties Managing the NMHAP workforce  The Deputy Head of Nursing: Research and Innovation will have professional responsibility for approximately 120+WTE research nurse 40wte clinical (CRP) staff and NMAHPs. Identify areas of clinical risk and take preventive action including incident investigation staff and patient feedback and promotion of clinical audit and service improvement.  Act as a named lead investigator for serious untoward incidents HR processes and never events. PPIE Takes the lead role in ensuring effective Patient and Public Involvement and Engagement (PPIE) within R&I and fosters a close working relationship for current services and future service provision to ensure full user involvement and access. Implementing Strategy  The post holder will be responsible for the implementation of R&I workforce strategy and modernisation of the workforce including appropriate skill mix and creating a competent and capable workforce.  Through performance management and monitoring essential quality standards are achieved and improved. Has or gains an understanding of NIHR Higher Level Objectives (HLO’s) and leads and participates in performance review programmes throughout the clinical areas. Job Title: Date Finalised: Page 6 Job Title: Date Finalised: Page 7 KEY WORKING RELATIONSHIPS Job Title: Date Finalised: Page 8 KEY RESULT AREAS Clinical and Professional Leadership  The Deputy Head of Nursing has joint responsibility for the leadership and line management of nursing across the CMG and is the named and identified lead for issues of nursing practice within the CMG.  Has responsibility for the delivery of safe and clinically effective care within the CMG providing assurance evidence in this regard to the Head of Nursing.  Leads and manages the clinical services in defined clinical areas/specialities by formulating long term strategic plans which involve uncertainty and may impact across the whole organisation.  Provides credible visible and effective leadership to Matrons and the nursing team within the CMG.  Contributes to the leadership of nursing within the Trust as a member of the professional Nursing and Midwifery Board.  Provides advice guidance and direction to other senior clinical and managerial colleagues on a range of matters as required.  Develops mechanisms to enable Matrons to develop and strengthen their leadership and management skills in order to meet the responsibilities of their roles.  Actively works to support and empower Sisters/Charge Nurses to develop and utilise their clinical leadership skills enabling them to assume appropriate levels of authority to undertake their role effectively to support and develop the leadership within their wards and teams.  Takes the lead on defined and time limited projects or work programmes across the CMG identified by the Head of Nursing to support the delivery of Trust national and local professional priorities and objectives.  Demonstrate highly skilled leadership and develop clinical leadership in others and facilitate effective succession planning.  Participates in Trust initiatives to develop and improve clinical practice and patient care providing expert advice and current service provision future developments. Management  In collaboration with the Head of Nursing provide clear clinical and business leadership to the CMG ensuring that all professional staff are appropriately managed and developed and that they are therefore efficient engaged and highly motivated. Job Title: Date Finalised: Page 9  Actively provide dedicated leadership and management guidance and support for Matrons and where appropriate Specialist and Advanced Practitioners / Nurse Consultants within the CMG  Take into account the overall aims and policies of the service and create an operational network in which to deliver the service.  Deputise for the Head of Nursing  Utilises management skills to ensure the effective planning and delivery of nursing care and services across the CMG planning for seasonal variations in case mix and workload and collaborating with other Heads and Deputy Heads of Nursing where cross CMG working is required.  Through performance management and monitoring ensures essential quality standards are achieved and improved. Leads and participates in performance review programmes throughout the clinical areas.  Provides professional nursing advice into the production of bids and business cases for service developments and capital investments.  Provides professional nursing or midwifery advice to the development of cost improvement plans and the budget setting process ensuring due regard for safe clinical and cost effective care.  Works alongside the Head of Nursing to ensure Quality Impact Assessments are undertaken in respect of all service changes and cost improvement programmes.  Prepare highly complex reports that provide confidence on actions and delivery for internal and external scrutiny.  Support the Head of Nursing to develop implement monitor maintain and evaluate Trust policies and procedures and take a lead role in shaping developing and ensuring that clinical policies are adhered to.  Monitor and act on retention rates and recruitment of Nursing and Healthcare Support Workers supporting Trust recruitment programmes.  Assist the Head of Nursing with regular workforce skill mix and establishment reviews across the CMG which will involve the analysis of highly complex data interpretation of data and then ensure that these are included in the annual business plan as part of service provision and workforce planning.  Implement objectives agreed at staff appraisals. Identifying where service and professional issues impact on training and development needs for nurses and Healthcare Support workers working within the CMG. Care - Delivery and Quality  Maintains own clinical practice standards by participating with the delivery of patient care regularly (as agreed with the Clinical Director and Deputy Chief Nurse (Operations).  Assist with policy implementation and service development for the CMG.  Drive delivery of the CMGs quality improvement programme that contribute to the transformation of patient services providing both professional and clinical advice as necessary.  Actively seek and encourage the involvement of patients carers and the public in decision making regarding service developments in the CMG. Job Title: Date Finalised: Page 10  Maintains a regular visible presence in own CMG (speciality wards and departments).  Ensure all areas act on and learn from patient carer and family feedback on their experiences.  Work alongside the Head of nursing to ensure the delivery of safe clinically and cost effective and compassionate nursing care within the CMG. Utilises planning and organisational skills to ensure services are organised and delivered to achieve:  Safe care  Reduction in Hospital Acquired Pressure Ulcers  Falls prevention  HCAI (including MRSA CDI and CAUTI)  Nutrition and hydration  Compassionate private and dignified care (including single sex accommodation).  Positive patient experience involvement and engagement  Learning and improving from incidents and complaints  Ensures systems and processes are in place to monitor and assure the quality of nursing care and patient experience within the CMG.  Provides highly specialised advice to the CMG Head of Operations and managers regarding nursing care and service delivery within the CMG.  Leads and champions the improvement and development of nursing practice within the CMG in line with regulatory requirements Trust objectives national guidance and whole system transformation.  Working with the Head of Nursing ensures the provision of safe clinically and cost effective nursing staffing within the CMG.  Analyses and interprets data from a variety of sources to provide a professional nursing opinion e.g. nursing establishments / rotas when making decisions on staffing in collaboration with the Head of Nursing. .  Leads quality improvement projects within the CMG analysing and interpreting highly complex data and making recommendations to the CMG triumvirate.  Responsible for the implementation of a range of policy and service improvements within an area of responsibility. Utilises polices regulations and guidance to ensure that appropriate results are achieved.  Makes a corporate contribution to the nursing clinical practice development and strategic decision making within the CMG.  Identify areas of clinical risk and take preventive action including incident investigation staff and patient feedback and promotion of clinical audit.  Act as a named lead investigator for serious untoward incidents and never events.  Work alongside the Head of Nursing to ensure effective patient and public involvement and engagement within the CMG and fostering a close working relationship for current services and future service provision to ensure full user involvement and access. Job Title: Date Finalised: Page 11  Promote a culture that supports the active involvement of patient and carers in actively seeking their views on services provided in the planning delivery and evaluation of their care.  Ensure that nursing practice is delivered in a manner consistent with the NMC Code of Professional Conduct. Financial Responsibility  Actively maintain and support financial controls for wards and departments.  Operates within the agreed income and expenditure budget working to ensure financial performance is optimised.  Supports delegated budget holders and ensures that they successfully fulfil their financial responsibilities and can meet the financial competencies required in their role.  Ensures that robust safe and effective cost improvement plans are identified and delivered.  Leads the production of bids and business cases for service developments and capital investment. Education and Development  Ensure that appraisal compliance includes personal development plans.  Identifying post registration development requirements for the CMG.  Create a culture which fosters a positive learning environment within the CSU for pre-registration students and substantive staff. Ensuring the CMG meets its responsibilities with regard to the provision of appropriate practice assessors and supervisors and sign off for pre-registration students. Professional  Maintain awareness of up to date professional and clinical practice issues and ensure that National policy is reflected in practice.  Be a source of professional advice in all areas of responsibility to senior managers and other staff to ensure that they are appropriately informed and supported. Corporate Trust Wide Roles  Participate in Trust Tactical rota for Nursing ensuring safe staffing  Participate in Trust initiatives to develop and improve clinical practice and patient care providing expert advice on current service provision and future developments. Job Title: Date Finalised: Page 12  Undertake delegated corporate lead for delivery of aspects of the nursing agenda as agreed with and by the Head of Nursing.  Under delegated authority from the Head of Nursing work outside of the Trust with System partners/arm’s length bodies to develop and improve clinical practice access to services or service redesign. Service Delivery & Development  To represent the Head of Nursing internally and externally where requested. This may include taking the chair of meetings the preparation/summary of papers and deputising during periods of planned leave.  To lead participate and work with Trust Workforce Groups to design and deliver the most effective and efficient structures roles and processes to meet the organisational and patient.  To participate in effective quality improvement work programmes as part of the corporate Nursing Midwifery and Allied Health Professional agenda.  Participate in the development of long-term strategic plans which take into account the overall aims and objectives of the Trust.  Support the Head of Nursing in performance review programmes throughout the clinical areas ensuring care is delivered by appropriately skilled and competent staff. Governance  Take responsibility for ensuring that all aspects of quality governance within the nursing teams are managed in conjunction with the broader governance systems and in dealing with formal complaints and the coroner’s office be able to interpret and understand clinical information and facts that are highly complex or require interpreting.  Alongside the Head of Nursing be responsible for ensuring appropriate systems are in place to evidence on-going compliance with local and national policies as required for CQC standards Research  Develop approaches for the utilisation of best practice and research evidence which supports nursing practice and improves patient experience.  Support the implementation of the Trust nursing research strategy within the CMG  Ensures nursing clinical audits and patient surveys are undertaken within the CMG and that results are reviewed shared and improvement actions planned based upon these. Job Title: Date Finalised: Page 13 GENERAL This job description indicates the main functions and responsibilities of the post. It is not intended to be a complete list. You may be required to undertake other duties from time to time as we may reasonably require. You will be required to maintain compliance with all statutory and mandatory training requirements. The link to the Trust’s policies and procedures is: https://secure.library.leicestershospitals.nhs.uk/PAGL/SitePages/Home.aspx Safeguarding University Hospitals of Leicester is committed to ensuring the safety and wellbeing of anyone subject to abuse or neglect. The Trust works in partnership with other agencies to promote the welfare of children and adults and expects all staff to cooperate with partners in any safeguarding enquiry / investigation. As part of this all staff are expected to act and report any cases where there is suspicion of abuse or neglect taking place in accordance with local safeguarding policies and in accordance with UK law and values. All staff are required to undertake safeguarding training in accordance to their roles and responsibilities which will be outlined by your line manager on commencement of employment and then yearly through annual appraisal. Further information can be accessed via the Trusts safeguarding website or via the dedicated safeguarding teams. Find out more about working with us: https://www.leicestershospitals.nhs.uk/aboutus/work-for-us/ Job Title: Date Finalised: Page 14 Person Specification Post: Deputy Head of Nursing : 8C Criteria Essential Desirable Stage Measured at A – application I – Interview T – Test Commitment to Trust Values and Behaviours  Must be able to demonstrate behaviours consistent with the Trust’s Values and Behaviours Interview Training & Qualifications  Registered Nurse – with current NMC Registration and no restrictions on practise  Master’s degree in Nursing leadership or management or relevant subject or evidence of practical application of expertise at this level  Post-graduate qualification within a leadership programme/study or evidence of practical application of expertise at this level.  Evidence of continuing personal and professional development relevant to post Application form CV Interview Professional Portfolio Experience  Experience of senior nursing management or professional leadership in a large and/or complex healthcare setting Application form Reference Job Title: Date Finalised: Page 15  Experience of senior professional leadership and operational management across a range of clinical specialities and care settings  Demonstrable experience managing clinical services and of leading improvements in clinical settings patient care and experience across multiple specialities.  Knowledge and experience of human resources management communicating highly complex and contentious information to individuals and large groups  Experience of managing budgets and financial resources including the associated processes such as budget setting and financial planning.  Experience of actively leading service improvements across multiple areas.  Experience of workforce planning and recruitment and retention strategies – budget and resources  Familiarity with IT applications including e- Rostering  Demonstrable evidence of highly specialist knowledge of the professional leadership and management of nurses  In depth knowledge of the clinical governance agenda including clinical risk and safety. Interview Professional Portfolio Job Title: Date Finalised: Page 16  Up to date with current clinical nursing practice including own area of expertise to enable deliver of direct patient care if/when required  Shares leadership with and is respected by clinical and non-clinical staff  Influencing a wide range of stakeholders  Excellent communicator – providing authentic and clear communication and direction even in times of uncertainty/ambiguity  Up to date with current NHS policy and strategy  Can engage with and lead a team and work as part of a team  Demonstrates a clear understanding of and continuing acceptance of the need for financial governance and probity  Ability to produce clear accurate written and verbal reports Communication and relationship skills  Highly developed communication skills with the ability to communicate on highly complex matters and difficult situations  Ability to establish credibility and develop maintain effective working relationships at Executive and senior management levels  Has strong influencing and negotiating skills  Up to date with current clinical nursing practice including own area of expertise to Job Title: Date Finalised: Page 17 enable deliver of direct patient care if/when required  Shares leadership with and is respected by clinical and non-clinical staff  Influencing a wide range of stakeholders  Excellent communicator – providing authentic and clear communication and direction even in times of uncertainty/ambiguity  Can engage with and lead a team and work as part of a team  Demonstrates a clear understanding of and continuing acceptance of the need for financial governance and probity Analytical and Judgement skills  High level analytical skills and the ability to draw qualitative and quantitative data from a wide range of sources and present in clear concise manner  Demonstrates sound judgement in the absence of clear guidelines or precedent seeking advice as necessary.  Ability to make decisions autonomously when required on difficult issues. Skills  High level professional people management skills and leadership qualities Application form Interview Job Title: Date Finalised: Page 18  Highly developed presentation skills  Ability to challenge traditional approaches  Resilience coping with adversity and ambiguity  Ability to communicate complex information to diverse audiences CV Presentation at Interview Planning and organisation skills  Ability to work on own initiative and organise workload allocating work as necessary working to tight and often changing deadlines Equality Diversity and Inclusion  Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.  All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others Other requirements specific to the role  Ability to travel across hospital sites  Excellent communication interpersonal and negotiating skills Job Title: Date Finalised: Page 19  Engages effectively across boundaries breaking down silos while operating in partnership with stakeholders towards a shared vision.  Has effective strategies for dealing and managing own limitations  Has the drive and energy to make things happen frequently goes ‘above and beyond’ the call of duty to achieve outcomes.  Reasonable flexibility in
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