Job summary The post holder will be a clearly identifiable senior clinical staff member, and team leader. They will have significant clinical experience, provide sound clinical expertise to their team, and coordinate and deliver high quality care. They will be a role model for expert clinical care, and lead on specific projects / management functions as delegated by the Sister / Charge Nurse. They will role model the identified Trust values at all times. In general settings, they will be the assigned deputy for their manager, coordinating clinical, managerial and education requirements of the area, and being a role model for team members, whilst delivering and overseeing high standards of care. In specialist settings, they will have a significant level of specialist clinical knowledge and expertise in the clinical functions of care delivery. They will provide advice and guidance also, and generally be known as a senior staff nurse. Main duties of the job To conduct holistic assessment including physical examination, observation and ordering, conducting and interpreting relevant tests and investigations to devise care plans that promote the activities of daily living for children and young people within the service. To work in collaboration with the multi professional team, contributing expert, evidence based knowledge and skills to relevant aspects of the patients care and treatment. To plan and conduct appropriate follow up, closure or transition of care for the patient. To develop and provide patient education and information which is appropriate and responsive to individual needs and level of development. About us Proud of our workforce Our 7,500 staffare recruited from local communities and around the world Our staff rate us second among acute trusts in London as a place to work Despite challenges in the NHS, our low staff vacancy rate remains significantly better than the national average We are passionate about the health and wellbeing of our staff with a huge support offer, including our nationally-recognised free back-up care scheme and Timewise accreditation as a flexible employer We love to develop our people, offering a range of development programmes and apprenticeships, with our healthcare support worker apprentices winning Apprentice of the Year for two years running We offer a fantastic range of salary sacrifice schemes, from season ticket loans, bicycles and vehicles, to gym memberships, home electronics and holidays Some roles may require weekend shifts at multiple sites. Date posted 18 February 2025 Pay scheme Agenda for change Band Band 6 Salary £42,939 to £50,697 a year per annum incl. HCAS Contract Permanent Working pattern Full-time Reference number 289-SC-2382 Job locations West Middlesex University Hospital, Twickenham Road, Twickenham Road Isleworth, TW7 6AF Job description Job responsibilities Lead on assessing planning and implementing high quality care, and evaluating care options for patients in the clinical area, in line with the Trust values and objectives Lead on complex clinical care for patients within their area Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation and Trust policies and objectives Coordinate discharges and transfers, promoting timely and safe processes for them Ensure that patient flow and the management of beds is effective and safe Ensure the delivery of high quality end of life care in line with national pathways through the provision of holistic palliative and terminal care Provide sound evidence based clinical advice as required to staff and patients Maintain a good understanding and implementation of clinical escalation procedures as required Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values Ensure that the team promote, ensure and adhere to the Trust safeguarding polices Undertake effective multi professionally work with colleagues to deliver care Coordinate specialist functions, including making clinical decisions where appropriate 2. Professional Maintain professional behaviour at all times and promote a positive image of Chelsea and Westminster Hospital NHS Foundation Trust at all times, in line with Trust values. Contribute to a high quality safe working environment in which patients receive a high standard of care Participate in the setting of standards for nursing practice and for care involving the multi-disciplinary team Practice in accordance with, and aware of his/her responsibilities under, the NMC Code of Professional Conduct and other appropriate NMC guidelines Understand and practice in accordance with Trust and Unit policies and procedures, and ensure they are understood and practiced by staff Maintain a safe working environment recognising the health and safety requirements of patients, visitors and staff Ensure all strategies, policies and protocols relating to infection control are implemented and monitored and that appropriate and timely action is taken in response to ensuring the prevention of control of infection Protects patient confidentiality and acts according to the Data Protection Act Maintain clear and accurate documentation in line with unit and Trust standard Be aware of Clinical Governance and the impact it has on patient care Understand local audit processes and take opportunities to initiate local audit and participate in Trust audits locally. Participate in the ordering and maintenance of adequate stock level in an effective manner Work with members of the team in implementing a quality approach to service provision, in line with Trust quality care standards. Report all complaints, incidents or accidents to the Nurse in charge and take appropriate action Work shift patterns and weekends to suit the needs of service delivery Familiarise and read all required policies and procedures and to know how to gain access to copies. 3. Education and Development Participate in the education of all learners within their area Actively support and assist in preceptorship and in pre-registration student support, supervision and guidance including mentorship where appropriate Identify and respond to learning needs for area Develop and deliver or organise local training sessions, mindful of the Trust values Facilitate others in the development of informal teaching skills Participate in the annual training needs analysis for their area Participate in any local or related research projects, clinical trials etc Apply and encourage others to utilise evidence based practice and relevant research findings in practice Identify areas of nursing / midwifery research within their area that will be of benefit, and encourage and educate other staff to recognise the importance of research Participate in clinical supervision / acting as supervisor 4. Management and Leadership Manage the day to day staffing arrangements and rotas, to ensure safe levels of practice Be a shift coordinator on a regular basis where appropriate Ensure staff adhere to Trust protocols of care, eg Infection Control Take continuing responsibility for the Ward / Department in absence of manager Participate in senior nurse / unit on call rota / bleep holder (some areas, eg paediatrics) as appropriate Lead and manage their own clinical team within general clinical areas, and of the total team in the absence of the manager, in line with Trust values Develop and maintain effective communication and working relationships with other professional groups, and staff generally within the Division and the Trust Contribute to the effective management of the area by ensuring correct levels of staff are in place to deliver and assist with the planning of off duty rotas Assist in the delivery of induction / orientation of new staff Act as a role model, ensuring staff work to Trust guidelines and values Supervise, under the direction of their manager, the work of qualified and unqualified staff and learners Provide clinical support and guidance to staff Act as a resource for clinical knowledge to staff Initiate action on complaints & incident management and responses, and assist in their investigation and resolution Participate in recruitment and selection, and develop effective selection and interviewing skills Undertake appraisals of staff, following training Chair team meetings as required Lead on specific projects, as indicated and agreed by manager Have a working knowledge of budget arrangements for area, focussing on cost effectiveness and quality, to ensure maximum use of resource Understand and manage local change with team members, including the embedding of new projects 5. Communication and relationship building Know and utilize Trust values in all working relationships to patients, carers and staff. Demonstrate good leadership skills and ensure that communication is effective between the patient, relatives and members of the multidisciplinary team, and ensure appropriate nursing input into patient care discussions Ensure communication is used effectively in the interests of patient care, including the use of clinical incident reporting if necessary. Communicate handover of care in a professional manner. Demonstrate politeness, courtesy and sensitivity in dealing with patients/clients, visitors/relatives and colleagues, maintaining good customer relations and recognising individuality and rights for each patient in line with Trust values. Work cohesively with all members of the ward team in ensuring that the very best services to patients are provided at all times Work effectively within a multi-racial and cultural environment Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions. Job description Job responsibilities Lead on assessing planning and implementing high quality care, and evaluating care options for patients in the clinical area, in line with the Trust values and objectives Lead on complex clinical care for patients within their area Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation and Trust policies and objectives Coordinate discharges and transfers, promoting timely and safe processes for them Ensure that patient flow and the management of beds is effective and safe Ensure the delivery of high quality end of life care in line with national pathways through the provision of holistic palliative and terminal care Provide sound evidence based clinical advice as required to staff and patients Maintain a good understanding and implementation of clinical escalation procedures as required Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values Ensure that the team promote, ensure and adhere to the Trust safeguarding polices Undertake effective multi professionally work with colleagues to deliver care Coordinate specialist functions, including making clinical decisions where appropriate 2. Professional Maintain professional behaviour at all times and promote a positive image of Chelsea and Westminster Hospital NHS Foundation Trust at all times, in line with Trust values. Contribute to a high quality safe working environment in which patients receive a high standard of care Participate in the setting of standards for nursing practice and for care involving the multi-disciplinary team Practice in accordance with, and aware of his/her responsibilities under, the NMC Code of Professional Conduct and other appropriate NMC guidelines Understand and practice in accordance with Trust and Unit policies and procedures, and ensure they are understood and practiced by staff Maintain a safe working environment recognising the health and safety requirements of patients, visitors and staff Ensure all strategies, policies and protocols relating to infection control are implemented and monitored and that appropriate and timely action is taken in response to ensuring the prevention of control of infection Protects patient confidentiality and acts according to the Data Protection Act Maintain clear and accurate documentation in line with unit and Trust standard Be aware of Clinical Governance and the impact it has on patient care Understand local audit processes and take opportunities to initiate local audit and participate in Trust audits locally. Participate in the ordering and maintenance of adequate stock level in an effective manner Work with members of the team in implementing a quality approach to service provision, in line with Trust quality care standards. Report all complaints, incidents or accidents to the Nurse in charge and take appropriate action Work shift patterns and weekends to suit the needs of service delivery Familiarise and read all required policies and procedures and to know how to gain access to copies. 3. Education and Development Participate in the education of all learners within their area Actively support and assist in preceptorship and in pre-registration student support, supervision and guidance including mentorship where appropriate Identify and respond to learning needs for area Develop and deliver or organise local training sessions, mindful of the Trust values Facilitate others in the development of informal teaching skills Participate in the annual training needs analysis for their area Participate in any local or related research projects, clinical trials etc Apply and encourage others to utilise evidence based practice and relevant research findings in practice Identify areas of nursing / midwifery research within their area that will be of benefit, and encourage and educate other staff to recognise the importance of research Participate in clinical supervision / acting as supervisor 4. Management and Leadership Manage the day to day staffing arrangements and rotas, to ensure safe levels of practice Be a shift coordinator on a regular basis where appropriate Ensure staff adhere to Trust protocols of care, eg Infection Control Take continuing responsibility for the Ward / Department in absence of manager Participate in senior nurse / unit on call rota / bleep holder (some areas, eg paediatrics) as appropriate Lead and manage their own clinical team within general clinical areas, and of the total team in the absence of the manager, in line with Trust values Develop and maintain effective communication and working relationships with other professional groups, and staff generally within the Division and the Trust Contribute to the effective management of the area by ensuring correct levels of staff are in place to deliver and assist with the planning of off duty rotas Assist in the delivery of induction / orientation of new staff Act as a role model, ensuring staff work to Trust guidelines and values Supervise, under the direction of their manager, the work of qualified and unqualified staff and learners Provide clinical support and guidance to staff Act as a resource for clinical knowledge to staff Initiate action on complaints & incident management and responses, and assist in their investigation and resolution Participate in recruitment and selection, and develop effective selection and interviewing skills Undertake appraisals of staff, following training Chair team meetings as required Lead on specific projects, as indicated and agreed by manager Have a working knowledge of budget arrangements for area, focussing on cost effectiveness and quality, to ensure maximum use of resource Understand and manage local change with team members, including the embedding of new projects 5. Communication and relationship building Know and utilize Trust values in all working relationships to patients, carers and staff. Demonstrate good leadership skills and ensure that communication is effective between the patient, relatives and members of the multidisciplinary team, and ensure appropriate nursing input into patient care discussions Ensure communication is used effectively in the interests of patient care, including the use of clinical incident reporting if necessary. Communicate handover of care in a professional manner. Demonstrate politeness, courtesy and sensitivity in dealing with patients/clients, visitors/relatives and colleagues, maintaining good customer relations and recognising individuality and rights for each patient in line with Trust values. Work cohesively with all members of the ward team in ensuring that the very best services to patients are provided at all times Work effectively within a multi-racial and cultural environment Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions. Person Specification Essential and desirable Essential Registered Child nurse - degree or diploma Evidence of ongoing practice Recognised teaching qualification Recognition of the deteriorating child Awareness of Safe guarding and child protection Evidence of working cooperatively in a multidisciplinary team Desirable General management skills Awareness of current professional issues within children and young people's nursingg and NHS issues Ability to make decisions, organise and prioritise Specialist knowledge in area of speciality Person Specification Essential and desirable Essential Registered Child nurse - degree or diploma Evidence of ongoing practice Recognised teaching qualification Recognition of the deteriorating child Awareness of Safe guarding and child protection Evidence of working cooperatively in a multidisciplinary team Desirable General management skills Awareness of current professional issues within children and young people's nursingg and NHS issues Ability to make decisions, organise and prioritise Specialist knowledge in area of speciality Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Chelsea and Westminster Hospital NHS Foundation Trust Address West Middlesex University Hospital, Twickenham Road, Twickenham Road Isleworth, TW7 6AF Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)