Mersey Care NHS Foundation Trust celebrates diversity and promotes equal opportunities; we are committed to challenging and eliminating racism and other forms of discrimination and advancing and promoting equality of opportunity in the provision of services and creating an inclusive environment for all employees. We believe that everyone has the right to be treated with dignity and respect.
We take positive action to support disadvantaged groups and also particularly encourage applications from ethnic minorities, disabled and LGBTQIA+ people that are under-represented in our workforce. Furthermore, we welcome applications from reservists and ex-armed forces personnel as we recognise the benefits of the values, skills, training and experience that they bring to their work with us. We encourage all applicants to share their equality information with us.
Job overview
An exciting opportunity has arisen for a committed, competent and passionate Team Leader, with a strong operational background, to join our Specialist Skin & Lymphoedema Team within the Community Division.
Mersey Care is a well-established organisation driving forward an exciting transformational programme incorporating a visionary integrated health care model. The organisation has embraced a “Just and Learning Culture” and is a huge advocate for its principles and values.
Main duties of the job
To operationally manage and lead the Skin & Lymphoedema Team, whilst being accountable for the performance, quality, and clinical effectiveness of the team. A key outcome of the role is to support your team to understand and own their quality, recognise, and respond to patient safety concerns, whilst identifying, assessing and managing risk. The post holder is expected to provide direct patient care when necessary, acting as an expert practitioner and a role model to the whole team whilst actively supporting integration. As the Specialist Skin Service & Lymphoedema Lead you will work closely with the Community Nursing Senior Leadership Team to develop an effective and highly performing team, driving service improvements that meet patient need and promoting the team as a positive place for staff experience and development.
Working for our organisation
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.
We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.
At the heart of all we do is our commitment to ‘perfect care’ – care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We’re currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.
Flexible working requests will be considered for all roles.
Detailed job description and main responsibilities
Principal Responsibilities
1. The post-holder is responsible for the ongoing assessment of care needs and the development, implementation, and evaluation of care. The post holder will carry out all relevant forms of care and will take responsibility for caseload holders in their absence.
2. Ensuring that the specialist nurses within the team practice within a legal and ethical framework that adheres to The Code and local Trust Policies and Procedures.
3. Focusing resources to ensure equity of access for all individuals and groups within the locality.
4. Being personally accountable for professional and ethical actions and ensuring compliance with The Code.
5. Maintaining confidentiality, while communicating patient information, in such a way that preserves the dignity and privacy of the patient and family/carers.
6. Working in a non-judgmental anti-discriminatory way, with regard to cultural and religious beliefs of individuals and groups.
7. Ensuring that prior to any course of action involving individuals/groups has their informed consent.
8. Acting as an advocate for individuals and groups.
9. Bringing to the attention of team members when they are acting outside of the Code, Trust Policies and Procedures and identifying actions to rectify any professional issues.
Patient Care Delivery/Communication
1. Developing, maintaining, and identifying problems with effective locality communication networks with other health professionals, statutory and voluntary agencies and helping to improve its effectiveness. To manage a caseload of patients with a broad range of complex and specialist needs, using evidence based and client centred principles to assess plan implement and evaluate interventions.
2. Accurately and timely recording of all care given to the patients and report any changes in the patient’s condition to the general practitioner or other members of the health/social care team and that may be used for investigations/serious incident reporting.
3. Attending and participate in staff meetings, MDT’s and other meetings as required.
4. Ability to verbally explain complex issues in formal situations such as investigations.
5. Ability to formally present and discuss to individuals and groups ideas and issues pertinent to Community Nursing.
6. Identifying and allocating responsibility for the assessment of particular client groups.
7. Having responsibility for the health assessment of adults within the population as their needs arise.
8. Using the knowledge and skills necessary to assess individuals and groups, identifying the multiple needs of the patient, family/carer providing holistic care taking into consideration cultural differences.
9. Working within the Community Division as a member of the integrated community nursing team, participating in activities, which address the health needs of the general population.
10. Providing and maintaining a high standard of skilled nursing care for patients in their homes, health clinics and Care Homes using an evidence-based model of care, that is consistent with NICE guidelines, within own scope of practice and legislation.
11. Ensuring that nursing procedures are taught to relatives/carers so that the care of the patients may be continuous over 24 hours, and guidance is given on carrying out all treatments.
12. Ensuring the changing needs of individuals and groups are identified timely and adjustments to programmes of care are made.
13. Promoting and maintaining optimum health by identifying, planning, and undertaking specific health promotional activities with identified individuals and target groups.
14. Following Merseycare NHS Foundation Trust guidelines in all suspected and confirmed emotional, sexual, and physical abuse.
15. Ensuring that concerns and identified potential risks are referred to the appropriate General Practitioner (GP)/Multidisciplinary team immediately.
Care/Caseload Management
1. Responsibility for the co-ordination in monitoring the care of patients with long term conditions, disease management and supporting clinical staff ensuring continuity and continuing care.
2. Being responsible for the development of an annual caseload profile to identify the health needs and necessary resources to meet service needs, using the information to inform other professionals and to direct development of services.
3. Responsible for the setting of team objectives in conjunction with the Operational Lead.
4. Ensuring that all Human Resources policies are adhered to including the recruitment and employment of staff, the management of sickness absence.
5. Using own expertise and experience to present recommendations for service development.
6. Responsible for ensuring that all data relating to the patient activity of the team is input onto the information system accurately and on time as required by Trust policy.
7. Having delegated responsibility for budget management operating with constraints identified by management and acts as an authorise signatory for goods and services.
8. Allocating work to make best use of the knowledge and skills of team members.
9. Having responsibility for ensuring that appraisals and PDPs are carried out within the team and the information collated.
10. Co-operating with Trust management and others in meeting statutory and local requirements of the Health and Safety Policy.
11. Identifying strategies aimed at minimising risks to staff, patients, clients, and others that use the health service.
12. Having the responsibility for accident/incident reporting.
13. Developing systems and processes that engage with users of the service ensuring services are designed to meet need.
14. Valuing the contribution that users of the service can make in shaping services.
15. Leading by example to inspire others with the values and vision for the present and future of Community Nurses nursing patients with long term conditions/acute disease management highlighting to individuals, the team, and the Trust the benefits of new ways of working.
16. Having the ability to constructively challenge current working practices and overcome barriers during times of change.
Specialist Nurse Team Leader Role:
1. To promote the attainment and maintenance of optimum health of patients who have long term conditions and acute disease management through predictive and proactive case management of an identified caseload of patients.
2. To formulate care plans that address the expressed health, social and cultural needs of the patient as an individual through working in partnership with the patient, the GP, specialist nurses and other stakeholder providers.
3. To promote patient centred care by integrating and co-ordinating the activities of the patient, relatives and carers, the individual practitioners, and teams in the provision of an efficacious management strategy for managing an individual’s long-term condition.
4. To ensure that appropriate information regarding the condition of the patient is known to the GP and other appropriate stakeholder providers, by the development and maintenance of effective systems of inter-agency, inter-disciplinary communications.
5. In liaison with Integrated Community Nursing Teams, Social Services and GPs, provide clinical leadership to nursing teams to enable them to develop approaches that address the needs of patients with complex long-term conditions and acute disease.
6. Support pathways for smooth transition between primary, secondary, and tertiary care for patients, particularly those who are newly diagnosed or whose symptoms are poorly controlled, by liaison with specialists within primary and secondary care. Making direct referral of patients for medical assessment and diagnostic procedures using the care pathways approach.
7. Inform the development of policies and procedures relevant to the care of people with long term conditions and acute diseases by co-operating and assisting in research programmes relating to the client group. Valuing the contributions that users of the service can make in reshaping services by developing systems and processes that engage those users meaningfully to ensure services are designed to meet expressed need.
8. Ensure services are delivered and sustained in line with NICE guidelines/local targets and understand principles of disease management by leading, motivating, educating, and developing colleagues and others.
9. Promote admission avoidance and early discharge by effective liaison with internal and external stakeholders.
Personal/Professional Development
1. Participating in the setting of personal objectives with the Operational Lead through the job appraisal and clinical supervision processes.
2. Giving advice on professional issues relating to community nursing.
3. Managing changes to ensure the smooth transition of new ways of working.
4. Identifying and investigating poor quality practices within the team and suggesting and agreeing actions to rectify practice.
5. Complying with and fulfilling the objectives of the Community Division.
6. Maintaining and continually updating professional knowledge and skills.
7. Undertaking yearly appraisals with team members, identifying their training, educational and development needs.
8. Assisting in the induction programme for new staff to the Merseycare NHS Foundation Trust as appropriate.
9. Using own knowledge and skills to inform the future development of policies and procedures relevant to Primary/Community care and district nursing in particular.
10. Ensuring the competencies relating to the nurse prescribing competency framework are maintained and developed.
Person specification
Qualifications
* First level Registered Nurse
* Evidence of Post registration education in related areas
* Master’s level study in relevant area of specialist nursing
* Practice Teacher willingness to undertake.
* Previous management course/qualification
* Nurse Prescriber V150/300
Knowledge/Experience
* Significant experience of leadership & management
* Experience at Band 6 level in community nursing setting
* Demonstrable contribution to practice developments in community care /chronic disease management/long term conditions/palliative, end of life care
* Evidence of collaborative working with multi-professional colleagues
* Evidence of effective communication across all levels of the organisation and with all stakeholders
* Awareness of current initiatives within the local & National health economy and of applicable guidelines, protocols, and frameworks
* Knowledge and experience of budget management
* Up to date knowledge of current Government and Local agendas and how these translate into local practice
* Evidence of providing professional/clinical leadership at postgraduate level
* Good working knowledge of the clinical governance agenda/National & Local priorities
* Research & Development experience
* Experience of managing complaints
Skills
* Ability to communicate highly complex information where there may be barriers to understanding
* Ability to exercise critical thinking skills
* Ability to analyse date and present information to various audiences
* Ability to implement programmes or workstreams leading to service changes
* Demonstrates up to date evidence based clinical knowledge in relation to community nursing
* Forward thinking able to identify opportunities for improvement in service development
* Motivated – able to motivate self and others to deliver a quality service
* Operational planning and delivery of care for complex caseloads including chronic disease management/Long term conditions/palliative care
* Computer literate – ability to use software programmes designed to maximise the contribution to the post
* Must have access to a vehicle & be able to commute to meet the demands of the role and remain flexible – to meet the demands of the service
Values
* Accountability
* Support
* High professional standards
* Responsive to service users
* Engaging leadership style
* Transparency and honesty
* Discreet
* Change oriented
Please ensure you check the email account from which you apply for all correspondence. All information regarding your application will come from apps.trac.jobs not NHS Jobs.
Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview.
As a Disability Confident Employer, we offer a guaranteed interview scheme for applicants who consider themselves to be disabled who meet the minimum (essential) criteria for the role in the person specification. If you would like your application to be considered under the Trust’s guaranteed interview scheme you can indicate this in the personal information section of your online application form.
Should you require a reasonable adjustment to our recruitment process please email recruitment@merseycare.nhs.uk to ensure that measures can be put in place to support you.
We reserve the right to close any vacancy earlier than advertised in exceptional circumstances once we have received a high volume of applications.
The Trust expects all post holders who require an enhanced DBS for their role subscribe to the DBS Update Service. You will be required to enrol for this service for a fee of £13 per year and maintain registration.
Flexible working requests will be considered for all roles.
Please be advised that the use of Artificial Intelligence on applications is monitored and if you choose to use this, you must declare this on your application form.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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