Responsibilities & Accountabilities Demonstrate the ability to exercise a high degree of personal and professional autonomy. Make decisions and provide advise for patients and professionals concerning the management of lymphoedema. To oversee the triage of patient referrals with lymphoedema including complex problems and utilise advanced clinical skills to assess patients within the context of their long-term health needs. To plan and provide an individualised plan of care for patients with lymphoedema incorporating patient focussed goals and outcomes based on evidence-based practice. This should include the ability to provide appropriate levels of intervention for the patient in keeping with the four cornerstones of care namely skin car, exercise, compression and Manual Lymphatic Drainage (MLD). To assess the psychological impact of lymphoedema and plan care interventions to enable patients to live well with their condition. Lead a highly specialist lymphoedema providing advice and support to generalist nurses, care agencies and health professionals including medical staff to ensure high quality individualised patient care. Operational Delivery To monitor and manage the waiting lists effectively, utilising team resources effectively and efficiently. Cover other roles within the team where required. Assess, report, and manage any risk, clinical and non-clinical, for the benefit of self, colleagues and patients, in line with the Risk Management Policy. Be competent in the use of Email, Microsoft Office, PowerPoint, Excel and SystemOne. Effectively organise own and the teams clinical workload in accordance with service needs and requirements. To participate in and monitor business activity and other reports in line with Hospice and commissioners requirements. To ensure that all duties are performed in keeping with practice guidelines Trust and national standards and legislation Patient/ Customer Care To establish and maintain effective relationships with patients, carers and the multi-disciplinary team to facilitate patient choice and independence. To support self-care and health promotion as much as possible, including hospital admission avoidance where appropriate. Provide information and advice at all stages of the patient pathway, communicating complex condition related information to patients/carers and relatives within scope of professional practice. Actively contribute to interdisciplinary meetings, supervisory sessions, and case conferences to ensure seamless services for patients. Provide accurate, relevant, and timely electronic care records and written communication to support ongoing oedema management. To develop and implement patient information leaflets alongside other team members. To deal with highly complex, sensitive, and contentious information Liaise with other members of the professional multidisciplinary and social care teams as needed to support the management of the patients needs as necessary Strategic Management To have an awareness of and engagement with the strategic aims of Teesside Hospice, whilst demonstrating the ability to innovate and continuously improve the delivery of patient care and outcomes. To support the Director of Nursing & Quality with strategic and service development, vision and direction for the tissue viability services within the Integrated Care System. To review national guidance and best practice and recommend how this can be implemented locally. Contribute to the gathering of required and appropriate information for the Hospice and external agencies e.g., commissioners and CQC as well as report writing and providing evidence around service delivery. Identify the health needs of patients with lymphoedema. Chronic oedema and lipoedema within Tees Valley and North Yorkshire populations and develop strategies for prevention, treatment, self-care and maintenance of long-term care and management. To utilise the Hospice information systems to supply statistical evidence required for resource management and clinical audit of the service Service Development & Improvement To participate in research, clinical audit, and standard setting within the service and to monitor and review practice regularly. Actively identify areas for service development and lead in the planning and delivery of these within the lymphoedema and wider health care team. Attend clinical and management supervision and use reflection skills to demonstrate improvement in own clinical practice. Positively participate in and promote clinical governance, thus ensuring the highest quality of practice is maintained, within the service. Demonstrate the use of evidence-based practice and participation in clinical audit. Contribute to the development of clinical and management policies and procedure and to monitor and regularly review these within the service. To embrace digital and virtual/remote care supporting systems and integrate this into caseload management strategy. Management & Leadership To manage own time and resources effectively and delegate as appropriate. To ensure that own clinical practice and that of line managed staff meets the required professional standards of clinical practice. To participate within the context of the wider health care team and promote a positive working environment. To lead and organise nurse-led clinics having regard to the workload of, and pressure on, staff taking appropriate action as necessary. To work within the Frameworks and system that is in place for the appraisal, supervision, training, and development of the team. Share responsibility for ensuring that team members perform effectively, efficiently, and safely taking appropriate action as necessary and reporting any issues to the Director of Nursing & Quality. To plan and deliver training to health professionals within contract delivery areas as required. To engage with the wider Lymphoedema Community (e.g., the British Lymphology Society). Support the development of skills within the team and mentor more junior staff. To deputise for the Director of Nursing & Quality as required. Communication & Relationship Building Demonstrate discretion, dignity and respect when communicating with patients, colleagues, and other agencies. Use tact and diplomacy to communicate complex and sensitive information when motivational negotiating empathetic and reassurance skills are needed. Use appropriate, patient centred methods of communication including oral, written, electronic or other verbal or non-verbal methods. Attend and contribute to meetings relevant to the speciality and communicate with other health care professionals on matters relating to the care of patients. Liaise with acute and community trust staff, GPs and Practice Nurses regarding the management of patients. To manage any service complaints that may arise. Finance and Resource Management Manage resources efficiently and ensure that they are kept within budget. To bring to the attention of the Director of Nursing & Quality any aspect of patient care that may have resource implications. To maintain the upkeep of equipment used within the department to ensure its safe, effective, and accurate use with patients. Shared responsibility for service budget management, both clinical and non-clinical Shared responsibility for authorising and monitoring orders using Hospice financial systems and processes. Develop effective staffing rotas within budget