An exciting Nursing clinical leadership role for working at the forefront of the Hillingdon Rapid Response team to provide clinical and management leadership to an exciting team to empower the service to deliver high-quality interventions for avoidable hospital admission and facilitating discharges from acute hospital settings.
You will be responsible for supporting the teams to clinically advance and for the delivery of evidence-based interventions through direct care, supervision, training, and education with the practitioners in the team.
The post holder will work autonomously within professional guidelines and the overall framework of the service's policies and procedures. They will utilise research skills for audit to support policy and service development and undertake research within the area served by the service and of relevance to young people, their families, and carers.
Applicants must be qualified and registered Nurse with extensive post-graduate experience working with Adults providing patient-centered care and leading a team in the community.
Main duties of the job
The post holder will work closely with the service manager to support the development and delivery of the adult community services in Hillingdon and will be responsible for operationally managing staff, caseload, and treatment pathway management and for monitoring performance indicators and ensuring clinical supervision for all staff in the teams is in line with local and national protocols.
The post holder will be expected to lead on service transformation in line with the NHS Long Term Plan, co-produce, and support the evolution of pathway interventions with the community services. They will co-ordinate the approach to Quality and Clinical Governance and assurance frameworks to maintain and monitor high standards of care, ensuring services meet quality and performance standards.
Job responsibilities
JOB PURPOSE
This is a highly skilled clinical post requiring the post holder to manage clinical risk in a fast-paced community environment.
The post holder will be responsible for the leadership of a borough-based clinical pathway for the urgent community response (nurses, paramedics, AHPs, and support staff) and Home First Pathway having direct line management responsibility for clinicians in their pathway and professional responsibility for senior clinicians of their own background across the service as required.
The main objective of the role is to lead and be accountable for the delivery of the Hillingdon Urgent Community Response (UCR) and Home First (HF) Service comprising of multi-disciplinary team members.
* Post holder ensures that the UCR & HF services are managed effectively to the agreed standards of CNWL and within budget in line with the service specification outlined by commissioners.
* Post holder represents the service and the clients it represents at directorate level and contributes to directorate and Hillingdon Community Health plans through the development of specific service objectives and takes necessary action to ensure those objectives are met.
Post holder manages service budgets.
Post holder provides highly specialised Nursing skills to deliver UCR and Home First clinical pathways to designated client groups to prevent unnecessary hospital admission.
Be a clinical expert to offer clinical supervision to the team members and actively participate in developing autonomous practitioners.
MAIN DUTIES AND RESPONSIBILITIES
1. Line Management Responsibilities
* To line manage clinical and non-clinical staff, ensuring that individual staff performance, appraisal, and development are robustly undertaken to optimise individual and organisational performance and that all staff has access to continuing professional education and development to maximise performance.
* To ensure that all staff in the service are competent and have the skills required for their post and where necessary are performance managed in line with Trust policies, procedures and processes.
* To manage and monitor performance, disciplinary and sickness issues referring to other agencies as required.
* To ensure that staff management arrangements are consistent with HR policies and procedures within the Trust and to ensure that good practice in recruitment, appraisal, performance management and other policies are maintained.
* To continually review the workforce to ensure that it reflects the service plans and priorities, implementing skill mix review, role redesign and changes to working practices as required.
2. Financial Responsibilities
* To manage the operating budget effectively, remain within the allocated resources for the financial year, including budget setting and projections.
* To proactively monitor complex financial and performance information/ targets and ensure that these are maintained, taking action where necessary to address variances.
* To act as an authorising signatory for capital and revenue budgets with agreed limits.
* To ensure delivery of all key quality, financial and cost improvement and performance targets.
* To manage and monitor external contracts ensuring delivery within financial parameters.
* Lead and co-ordinate work to develop the service improvement programme, ensuring that robust and detailed plans are in place to deliver the required level of efficiency savings.
3. Clinical Responsibilities
* To provide clinical leadership for the urgent care response and home first / D2A services ensuring optimum quality and standards.
* To act as a clinical expert in a defined area of Nursing practice eg: prescribing, ACP, end of life care etc.
* To be the clinical specialist resource when developing and extending the service in line with any commissioning requests.
* To manage a small clinical caseload of complex patients, implementing and evaluating care programmes with patients and their families.
* To ensure that care provided is evidence-based.
* To ensure that service users and carers are consulted about and involved in all aspects of service development and planning.
* To liaise with partner organisations, both statutory and voluntary to enable provision of holistic care.
* To ensure that clinical audit takes place in line with local and mandatory developments.
4. Education and Training
* To develop and deliver training programs to multidisciplinary groups including external stakeholders and GPs as required.
* To support and encourage reflective practice within the service, helping to identify the learning needs in respect of speech & language therapy.
* To contribute to educational programmes both in clinical services and local universities, enhancing links between them.
* Maintain a specialist level of knowledge by keeping updated on new developments both national and international.
* Ensure information provided for patients and their carers is accurate, adheres to current guidelines, and is timely and easily accessible.
* Provide specialist practice-based teaching and learning support to other health care professionals.
* To participate in an annual appraisal and maintain a personal development plan.
5. Policy Development and Service Improvement
* Ensure that policies, procedures, clinical governance arrangements, and lines of accountability are in place, appropriate, and well communicated to all staff to ensure safe clinical service delivery.
* Be aware of and act in accordance with, the Trust's clinical and organisational policies and guidelines.
* Be aware of and act in accordance with, Professional Codes of conduct, Standards and Guidelines.
* Initiate and, where appropriate, take lead responsibility for specific areas in the development and local implementation of the Trust's clinical and operational guidelines and policies.
* To review service provision identifying gaps and where improvement can be made.
* To undertake service development with a view to continually improving the service efficiency, performance, reference costs and quality. To include an understanding of demand and capacity, skill mix of service, DNAs and key performance indicators.
* Maintain accurate and contemporaneous records.
* Maintain own knowledge and skills as a specialist practitioner.
* Be responsible for own professional development through active learning and reflective practice.
* Actively participate in clinical supervision on a regular basis in line with Trust guidelines.
Person Specification
Education and Qualifications
Essential
* Relevant registered Nursing/AHP Qualification
* Relevant Professional Body Membership
* Evidence of continued professional development to Masters level or equivalent
* Evidence of working in a multi-disciplinary team in a leadership role
* Teaching/Mentoring experience
* Demonstrate post-graduate training relevant to this area of working
Desirable
* An understanding of the current health service policies
* A good understanding of Primary Care
Experience
Essential
* Extensive clinical experience at Band 7
* Substantial post-qualification experience of acute disease management and crisis care
* Experience in managing a caseload of complex patients
* Experience of leading and managing a clinical team
* Assessing and care planning for complex patients
* Previous community clinical experience in an inner city/urban environment
* Experience of line management of clinical staff including performance management and staff development
Desirable
* Experience of leading and managing a multidisciplinary team
* Report writing for the public domain
Skills and Knowledge
Essential
* In-depth physical assessment skills
* History Taking and clinical Examination Skills
* Experience of successfully leading or managing multi-professional staff groups and teams
* Budget management
* Advanced assessment and care planning skills for complex patients
* Knowledge of long-term conditions including end of life care
Desirable
* Knowledge and experience of working with people with Dementia
* Advanced care practitioner or working towards achieving it
* Project management skills and experience
Attitudes, aptitudes, personal characteristics
Essential
* Develop and maintain communication with people about difficult matters and/or in difficult situations effectively
* Contribute towards improving quality in own work area and encourage others to do so
* Take responsibility for decisions and actions
* Multi-agency/integrated working
* Demonstrate the application of Trust values - Respect, Compassion, Empowerment, Partnership with an engaging and approachable management style
Desirable
* Inspirational and influential leadership style
Other
Essential
* Able to evaluate research and implement best practice in the clinical setting
* Experience of using electronic data systems for clinical recording and audit.
* Experience of using spreadsheets to record, analyse and manipulate data for audit and research purposes
* Experience of undertaking complex investigations and implementing action plans.
Desirable
* Record of participating in academic health research and applying findings as indicated
Employer details
Employer name
Central and North West London NHS Foundation Trust
Address
Ickenham Clinic
Community Close
Ickenham
UB10 8RE
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