Clinical leadership and management Act as lead for the development of services for patients presenting with alcohol related health harms within the trust Demonstrate compliance with Trust initiatives - improving care for patients with alcohol use disorders (AUD) Act as role model in nursing patients with alcohol related issues. Providing competence, specialist knowledge, developed analytical and decision making skills towards providing efficient, effective quality care to patients with AUD Act as the primary source of expertise to consultant all hospital staff in the care and service provision for patients with AUD Demonstrate sound understanding of the legal and ethical issues involved in caring for patients with AUD and/or challenging behaviours, including the Mental Health Act (1983, updated 2007), Mental Capacity Act (2005, updated 2019) and its use in an acute hospital setting Lead on the implementation of robust systems in the management of patients in alcohol withdrawal, including risk assessment, restraint policy and deprivation of liberty policy To undertake non-medical prescribing and ensure continued professional development and competencies to maintain Royal pharmaceutical Society (2022) and NMC competency frameworks and standards Act as the primary source of expertise for specialist prescribing for alcohol withdrawal management Continually re assess the changing needs of patient treatment needs whilst in hospital, adjusting planned care and prescription changes as appropriate Provide specialist assessment, consultation and management for the care of patients with highly complex needs, including the development of individualised risk assessments and care packages Provide brief intervention, motivational interview and relapse prevention to patients with alcohol misuse Lead on the implementation of care planning for the patients that frequently attend the trust with alcohol related psycho-social and health needs Represent University Hospital Plymouth NHS Trust at multi-professional groups such as Plymouth Creative Solution forum and safeguarding / best interest meetings To provide clinical supervision to nursing staff caring for patients that have AUD and are at risk of experiencing withdrawal to ensure high standards of care are maintained Maintain strong links with community services for a robust continuity of care for patients with alcohol and complex issues Close liaison and strong links with social workers, alcohol workers, risk managers, mental health teams, discharge teams and families when providing a plan of care for patients that are ready for discharge from hospital Provision of information sharing where appropriate in accordance with information governance structures To carry out regular audits as required and maintain data collection regarding patient interactions and service provision, in order to provide appropriate clinical activity data as required Professional and service development Deliver care that is evidence based, reflecting current best practice and research To provide identification and brief advice training to hospital staff on a rolling programme and signposting staff to appropriate training packages Provide a positive learning environment to meet the needs of pre and post registration students and multi-agency staff To support alcohol champions on all trust wards in relation to alcohol withdrawal, brief advice and brief interventions Continual promotion of the alcohol liaison service within the trust and the wider community setting Provide specialist education programmes and advice to community agencies Provide a consultation liaison service to clinicians and clinical teams within the general hospital. This will include giving specialist advice on a range of care, treatment and patient management issues Provide ongoing rolling programmes for induction doctors and physicians within the trust Maintain ongoing involvement of local alcohol policy and strategies Maintain own professional development and clinical skills Keep abreast of latest developments/guidance in alcohol, substance misuse, mental health and dual diagnosis Participate in audit, service evaluation and research projects relating to alcohol related health problems To audit practice in relation to referral patterns, reduction of re attendance rates, reduced length of stay, reduction in alcohol related health problems, service provision, assessing outcomes and identifying improvement to quality Demonstrate high quality record keeping and documentation with adherence to trust policy To participate in Quality Assurance and the Clinical Governance strategy across the trust Keep up to date with current issues concerning patients / service users with alcohol issues by attending meetings, forums and working groups as appropriate Facilitate and maintain strong links with other hospitals in the south west within the South West Peer Group meetings Make appropriate referrals to statutory and non-statutory agencies for longer term interventions such as counselling, psychological interventions and family therapies Record workload and monitor outcomes using the appropriate Information technology systems: IPMS, Halo, Nerve Centre, SALUS, System one To support Hepatology Advanced Care planning and other systems of plans of care To provide line management to the Alcohol Liaison Nurses and ensure compliance with training and appraisals Possess effective time management and personal organisation skills With support from the Consultant Nurse for Hepatology ensure the ALN team can demonstrate appropriate clinical competencies To undertake clinical supervision / peer observation from the Consultant Nurse for Hepatology Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC) Take every opportunity to expand ones practice in line with the principles contained within the NMCs Code of Conduct. Identify personal career development pathway as part of formal appraisal system Ensure that all elements contained within the NMCs Code of Conduct are adhered to and, in particular, those relating to professional accountability and revalidation Through supervision and mentorship, identify personal learning needs; participating in personal continuing education and other activities to promote ones own personal growth Develop and further clinical knowledge and professional skills through relevant training and study Adhere to occupational health guidelines at all times Work on own initiative, independently and as a team. Read and interpret policy documentation, sometimes of a clinical nature requiring periods of intense concentration. COMMUNICATIONS & WORKING RELATIONSHIPS Ensures that privacy, dignity and confidentiality is maintained in all aspects and levels of communication especially pertaining to patients, carers and staff Demonstrates a sensitive and empathetic communication style to build trusting relationships, ensuring patients are fully informed and consent to treatment. Facilitates communication between patients, their relatives and the multi-professional team both within the organisation and with external stakeholders that results in clear responsibilities being identified and ensures that care is delivered both effectively and efficiently Actively involves patients, their relatives and carers in their treatment and encourages others to enable individuals to assist in their own recovery Communicates highly complex information and subsequently supports patients, relatives, carers and colleagues as appropriate. Imparts highly sensitive and distressing news to patients/relatives in considerate and professional manner Communicates proactively with all staff on the clinical condition and treatment/discharge plans of patients and ensures accurate records are maintained by self and all other staff. Supports others in co-ordinating the discharge process and ensures written and verbal advice is available to patients, their relatives and carers For further details please see attached JD&PS.