Leadership and Management Manage a team, lead by example and contribute to the culture of leadership across the organisation Takes ownership and is prepared to be held accountable Lead by example and role model ethical behaviours and Hospice values Set team objectives in conjunction with the Head of Community Nursing Develop and communicate standards and expected levels of performance Identify and manage poor performance Delegate effectively and develop team members Deputise for the Head of Community Nursing Lead the evaluation of strategic aims in own delivery area Clinical Practice Oversight of the team-held clinical caseload of patients living in the community Ensure a standardized approach to caseload management Evaluate how best to measure impact on patient care Take and analyse a clinical history in a relevant succinct and logical manner Independently assess the patients' needs, identify their priorities and work with the patient and family towards achieving them Demonstrate an in-depth knowledge of the options for achieving control of symptoms in the last weeks of life and ability to advise the primary health care team Demonstrate an ability to explore the personal resources of families/carers to facilitate where possible that patients are cared for in the place of their choice Support and coach carers at home in managing a relative whose condition is deteriorating Recognise the impact of caring for dying patients on yourself, internal and external colleagues and offer / seek support Maintain the competence to safely administer medication in the community including syringe pumps and other competencies in agreed areas Recognise and manage palliative care emergencies Support the team to bring closure to the clinician-patient relationship and provide for a safe transition to another care provider as appropriate Instigate and support MDT case review meetings Investigate and respond to complaints and concerns Communication Act as an advocate for the team both internally and externally Maintain high standards of integrity when communicating Role model and encourage effective communication Develop partnerships and actively maintain them Anticipate barriers to communication and take action to improve communication Communicate effectively and calmly in difficult situations and with difficult people Structure an interview using appropriate questioning, avoid jargon, using familiar language, at patients' own pace Record concisely, accurately, confidentially and legibly the appropriate elements of problems identified and management plan Break bad news in steps appropriate to the understanding of the individual and be able to support distress and have discussions around prognosis and future care options Demonstrate an understanding of the need to involve patients and carers in decision making, offering informed choices, respecting their views Use the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT plus) process and form to support the documentation and communication of the patients' preferences and clinical recommendations for emergency care and treatment Manage dissatisfied patients/relatives, anticipating potential problems and managing expectations Provide feedback to others on their communication Personal and People Development Identify development needs for others and agree objectives, specifically supporting team leaders in their role to develop and support the band 6 team Enable opportunities for others to apply their developing knowledge and skills Create opportunities to enable everyone to learn from each other and from external good practice Contribute to the evaluation of the effectiveness of others' learning Ensure all employees within the team have annual appraisals and personal development plans in place and complete statutory and mandatory training Take responsibility for identifying and meeting own development needs Generate and use appropriate learning opportunities and apply own learning to development of practice Assess how well last year's objectives were met and helps set new ones for the year ahead Apply evidence to patient care Use strategies to develop own resilience Practice effectively by reflecting to support practice improvement Health Safety and Security Identify and manage risk at work and help others do the same, specifically the risks associated with lone working in the community and remote offices Make sure others work in a way that complies with legislation and hospice policies and procedures on health, safety and risk management Carry out and support others to carry out risk assessments Check work area to make sure it is free from risks and conforms to legislation and hospice policies and procedures on health, safety and risk management Take the right action when risk is identified Find ways of improving health, safety and security Service Improvement Use expertise and experience to contribute to the development of strategic plans, standards, performance indicators, policies and procedures for the team Formulate implementation plans and agree prioritisation to take forward agreed improvements Present a positive role model in times of service improvement Support and work with others to help them understand the need for change and to adapt to it Enable and encourage others to suggest change, challenge tradition and share good practice with other areas of the organisation Evaluate the changes made and suggest further improvements where needed Governance, Quality and Improving Clinical Practice Implement, support and monitor quality and governance processes Promote quality approaches making others aware of the impact of quality Understand own role, its scope and how this may change and develop over time in a developing organisation Review effectiveness of own team and enable others to work as a team Prioritise own workload and manage own time in a manner that maintains and promotes high quality Evaluate the quality of own and others work and raise quality issues and related risks with the appropriate people Support changes in own area that improves the quality of systems and processes Take appropriate action when there is a persistent problem with quality Equality and Diversity Interpret equality, diversity and rights in accordance with legislation, policies, procedures and good practice Act as a role model in own behaviour and foster a non-discriminatory culture Promote equality and diversity in own area and ensure policies are adhered to Manage people and apply internal processes in a fair and equal way