Bridgewater Community Healthcare NHS Foundation Trust
The postholder will provide visible, accessible clinical leadership to the Virtual Ward to act as a positive role model through the provision of effective clinical nurse leadership and demonstration of competent, accountable clinical practice.
The postholder will use advanced clinical skills to lead and support the Virtual Ward team in the assessment, planning, delivery, and evaluating of patient-centred care.
The postholder will work in partnership and promote a culture of collaboration across the wider health and social health economy to optimise patient flow and facilitate the delivery of efficient, effective, coordinated, and timely high-quality care to all patients.
Main duties of the job
1. To ensure that the highest standards of nursing care are provided and monitored across the borough.
2. Act as a credible role model that will involve a clinical commitment working a variety of shifts inclusive of weekends as the service requires.
3. To ensure professional nursing advice is provided to all nursing, therapy, and support staff.
4. Facilitate and support effective working relationships with the multi-disciplinary team to enhance the care and management of patients.
5. Develop, implement, and monitor evidence-based nursing practice e.g. recognition and management of the deteriorating patient/sepsis management. Utilise advanced clinical skills and competency to deliver high-quality and responsive patient care.
6. Lead on the development of clinical guidelines, policies, and clinical audit as part of the quality improvement methodology.
7. Support staff in identifying, applying, and disseminating research findings related to specialist and fundamental nursing practice.
8. Engage and actively involve the individual and, if appropriate, their family/carer, in the assessment, planning, implementation, and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of self-care, involvement, and empowerment.
9. Provide leadership and be a role model for all staff in prevention and control of infection, undertaking audits and ensuring high standards are maintained.
About us
Flexible working will be considered for all roles.
Unfortunately, we do not hold a sponsor licence for working visas.
At Bridgewater, our PEOPLE values shape how we deliver our NHS services in your local community.
They help us deliver our mission to improve local health and promote wellbeing in the communities we serve.
After all, values are about people and they were created in partnership with our staff to reflect what they felt was important to them.
Here at Bridgewater our shared values flow through the organisation.
P- Person-centred - We are passionate about individual needs and promote independence in the healthcare we provide.
E- Empowered - We empower our people and encourage new ideas to deliver and create improvements in community care.
O- Open and Honest - We behave in a way that develops relationships based on trust, openness, honesty, and respect.
P- Professional - We support our people, so everyone has the right skills and training to deliver outstanding patient care.
L- Locally Lead - We are always learning about our communities and show great pride in being a local provider of health and care.
E- Efficient - We use our resources wisely to provide sustainable and value for money healthcare for our patients.
Job responsibilities
1. To ensure that the highest standards of nursing care are provided and monitored across the borough.
2. Develop, implement, and monitor evidence-based nursing practice e.g. recognition and management of the deteriorating patient/sepsis management. Utilise advanced clinical skills and competency to deliver high-quality and responsive patient care.
3. Lead on the development of clinical guidelines, policies, and clinical audit as part of the quality improvement methodology.
4. Develop clinical skills and continue to develop further clinical skills in extended scope practice in response to best practice.
5. Engage and actively involve the individual and, if appropriate, their family/carer, in the assessment, planning, implementation, and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of self-care, involvement, and empowerment.
6. Prioritise their own workload within agreed objectives whilst delegating to other members of the team as appropriate.
7. Provide and receive complex, sensitive, or contentious information where motivational, persuasive, empathetic, negotiating, and reassurance skills are required whilst demonstrating an understanding of barriers to communication.
8. Approach each individual with care, compassion, and sensitivity ensuring that these values are reflected in all aspects of the role including the management of compliments, concerns, and complaints.
9. Act as a source of information and support for the nursing team, allied healthcare professionals, and other agencies across the broad health and social care context.
10. To work in partnership with the adult community nursing team to comply and monitor the Infection Prevention and Control requirements for the service.
Leadership
1. Work in partnership with the Operational Manager to ensure compliance with CQC fundamental standards. In the absence of the Operational Manager, the postholder will ensure that there is oversight of any issues impacting on patient safety and escalate appropriately.
2. Act as a role model to provide a leadership style which is underpinned by strongly held values around equality, diversity, and openness.
3. Ensures the effective and efficient use of resources (e.g. staff, supplies within their own sphere of responsibility) working with the operational manager to agree service budgets.
4. Demonstrates leadership and innovation in contexts which are unfamiliar, complex, and unpredictable that require solving problems involving many complex interacting factors.
5. Ability to delegate, organise, and prioritise to ensure the safe delivery of the service including the management of referrals, admissions, and discharges utilising locally agreed pathways.
6. By actively participating or leading multi-disciplinary or multi-agency work streams, the postholder will identify, propose, and develop clinical policies and/or service developments which have impact on other disciplines, services, or agencies.
7. Demonstrates resilience when responding to challenge, change, and complex or difficult situations.
8. Demonstrates clinical leadership, initiative, and creativity in developing a broad range of projects or plans and inspiring others to be positive in their contribution to continuous improvement and innovation, including adjusting plans where necessary.
9. Clearly articulates the expected clinical standards of the service, monitors and identifies where standards are not met and takes action to address these holding people to account where necessary in line with Trust policies.
10. Takes responsibility for their own/others health and safety in the working environment.
11. Ability to represent the service at relevant local or regional clinical forums.
12. Provides direct line management for a defined team of staff, including performing appraisal, personal development reviews, and the application of staff management procedures.
13. To lead in the development of workforce strategy and plans by regularly undertaking skill mix reviews to ensure that the nursing resource is maximised to best effect.
14. Ensure adequate planning of the staffing model, nursing rota, and skill mix meeting service requirements, escalating any staffing issues to Operational Manager/Head of Service as required.
15. Ensure that there are effective systems and processes in place for the management of sickness and absence and bank and agency utilisation in all areas of responsibility.
16. Ensure there is effective and appropriate utilisation of HR staff management policies and maintain and achieve approach to recruitment and retention.
17. The postholder will utilise data and data tools (including databases) to produce appropriate monitoring reports on both patient care and service outcomes and produce appropriate communication for patients.
Communication
1. Maintains collaborative working with partners and key stakeholders and takes opportunities to initiate and sustain such relationships to enhance service delivery and make improvements to patient pathways.
2. Actively contributes to the multi-disciplinary team supporting the patient; acting as a credible source of information for other agencies/professionals involved in the care as required acting as a resource of highly specialist knowledge for others.
3. Work collaboratively across organisation boundaries to support the effective and coordinated provision of social care and health care services.
4. To ensure that staff feel well informed and well-led.
5. To act as a role model by demonstrating excellent communication and listening skills with patients, relatives, and staff.
6. To ensure that confidentiality for patients and staff is maintained in all areas and that staff adhere to the Data Protection Act, Freedom of Information Act, and the Caldicott Principles.
7. Ensure that there is a comprehensive orientation and induction programme for nursing, therapy, and support staff in each of the clinical areas and that completion of this is documented.
8. Ensures systems are in place to check registrations with the NMC.
Clinical Governance
1. To contribute to the implementation of governance strategy by supporting and promoting the development and implementation of operating services that reflects the principles of clinical governance and the Healthcare commission standards.
2. Be responsible for ensuring that there is adherence to safeguarding vulnerable adult protocols within clinical practice.
3. In partnership with the medical lead, operational manager, and district nurse coordinators develop an open and honest patient safety culture and chair any associated clinical meetings.
4. Identifies, manages, and minimises clinical risks within the overall organisational risk management frameworks supporting other staff to contribute to the process in accordance with Health and Safety legislation and guidance from the National Patient Safety Agency.
5. Lead on clinical investigation including root cause analysis and attend patient safety meetings within the trust as required.
6. To be fully aware of and committed to all Policies, Procedures and Initiatives relating to Information Governance this will include, but not limited to, Data Quality Improvements, Confidentiality, and Information Security.
7. To take personal responsibility for safeguarding and ensuring the quality of information.
8. To ensure that there are high standards of documentation and care planning in all areas of practice. Ensuring there are regular reviews of all documentation, and focused action plans are produced when areas of concern are identified and record keeping audits are undertaken.
9. Facilitates and participates in individual and group clinical supervision and action learning sets, and to take responsibility for developing their own and their colleagues learning.
10. Ensure systems are in place for ongoing review and assessment of care provision and delivery.
11. Work in partnership with the Operational Manager to ensure that any complaints/incidents are investigated to ensure that any learning is identified to improve patient safety and patient experience.
Education and Training Requirements
1. Maintain up-to-date knowledge, skills, and competencies in line with professional and service requirements and demonstrate critical thinking, decision making, and reflective practice to ensure own professional development.
2. Maintain professional regulation in line with appropriate professional body.
3. Provide education, mentorship, advice, and support to all staff.
4. Promote and deliver formal and informal training to pre and post-registration health and social care staff.
5. Participate in and monitor the induction of all new staff.
6. Support the development of performance standards for nursing and care staff to ensure the service is responsive to and meeting the needs of the patients.
7. Identify the training needs of the nursing team and service to inform the training needs analysis.
8. Work with the Human Resources & Education and Organisational Development team and the Senior Nurses to develop nurse training programmes which ensure continual professional development including compliance with mandatory training requirements.
9. Establish and maintain processes that optimise people and team performance, supporting the recruitment and retention of high-quality staff.
10. Ensure there is an effective system of appraisal and that all staff have personal development plans.
Level of Independence/Freedom to Act
The postholder is required to execute the duties of this role without reference to others. This includes undertaking an advanced level of clinical assessment, the application of critical thinking, high-level decision making, and the delivery of specialist care and treatment.
The postholder is expected to abide by their professional code of conduct when exercising autonomy and to safeguard the interests of patients.
Person Specification
Sponsorship
* Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.
Relations
* If you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.
Qualifications
* Registered Nurse
* First level degree or equivalent
* Clinical Masters Degree or working towards. (Msc Advanced Clinical Practice (ACP))
* Evidence of a post registration/qualification in advanced practice i.e. clinical diagnostics/assessment
Experience
* Management/Clinical Leadership experience
* Experience of working with patients with acute presentations of minor illness.
* Experience of successful multi-agency working across Health and Social care
* Evidence of influencing, motivating, and negotiating with others to achieve change in relation to care
* Experience of initiating and implementing clinical care/protocols
Skills & Attributes
* Understanding of the principles of complex patient management
* Awareness of complex health management
* Awareness of current national and local agenda in health and social care
* Understanding of how other agencies work (i.e. housing, social services, the independent sector etc)
* Evidence of being able to communicate complex information and advice on healthcare to patients/carers and colleagues
* Ability to work under pressure and manage a diverse workload
* Excellent interpersonal skills; including negotiation, influencing, and presentation
* Ability to understand and analyse complex data
* Self-management and motivation skills
* Confidence to challenge traditional practice and persistence to address difficult issues
* Networking knowledge and understanding of local services
* Knowledge of the NHS Long-Term Plan and how it impacts on care delivery.
* Able to demonstrate knowledge of the focus on a primary/community care led NHS
* Awareness of factors which contribute to good health and the importance of promoting these in line with organisational public health policy
* Palliative/end of life care skills
Additional Criteria
* The ability to travel independently across the Trust
* The ability to work flexibly in accordance with service needs
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.
Please quote the job reference C9835-WA24-126
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