1) To act as the lead nurse of the University Hospitals Plymouth Parkinson's disease service (0.4 FTE)
0.4 FTE of this role will be to provide strategic leadership for UHPNT Parkinson's disease service and direct line management for a rapidly growing team of Parkinson's specialist practitioners/nurses. This includes a nurse-led new patient pathway for newly diagnosed PD, a nurse-led pathway for supported self-management and patient-initiated follow-up, a nurse-led inpatient liaison service, a regional atypical Parkinson's clinic and a rapidly expanding device assisted therapy (DAT) service. Part of this role will be the direct line management of a number of specialist practitioners.
2) To act as a Senior CNS for device assisted therapies (0.6 FTE)
0.6 FTE will be to provide clinical care within and service development of the device assisted therapies (DAT) service at University Hospitals Plymouth NHS Trust. Funding has recently been obtained to expand this service to build a comprehensive care pathway for those with advanced/complex Parkinson's disease. This will allow equitable access to infusion based dopaminergic treatments (apomorphine, foslevodopa-foscarbidopa and levodopa/carbidopa intestinal gel) and Deep Brain Stimulation within the catchment area of UHPNT. It forms part of a regional network of Parkinson's DAT nurses, operating across the South West Peninsula, in close collaboration with the established regional DAT centre at North Bristol NHS Trust.
Main duties of the job
UHPNT will be the first centre across the South West Peninsula to run a dedicated DAT clinic it is anticipated that satellite clinics will in due course open at other acute NHS Trusts across the South West Peninsula. Part of the role will be to provide support for Parkinson's nurse specialists to establish and run clinics at these centres. This will entail a strong element of regional education to facilitate knowledge transfer and sharing of best practice.
Both aspects of the role are anticipated to be predominately hospital based. Most clinical contact will be in person, either at UHPNT sites or within the community (including where appropriate at the patient's home). There may be a limited opportunity for some home working, however this would be anticipated to be largely restricted to administrative or service development tasks.
About us
We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure.
Job description
Job responsibilities
Clinical
Demonstrate advanced empathetic interpersonal and communication skills in dealing with patients and carers from the point of diagnosis, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.
Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions for patients by virtue of expert clinical judgement and close liaison with members of the MDT.
Demonstrate advanced practice in holistic assessment, planning, implementation and evaluation of patient care. This will necessitate high levels of autonomy and advocacy.
Demonstrate advanced knowledge, skills and innovative practice in relevant specialist area. Promote clinical excellence. Demonstrate continual evaluation of practice, making agreed changes and evaluating their impact.
Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate.
Education / Training
Responsively lead on driving an education agenda which facilitates the learning of the wider workforce, especially when key areas of growth are identified.
Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.
Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.
Supporting the wider team to build capacity and capability through work-based and inter-professional learning, and the application of learning to practice.
Person Specification
Qualifications
Essential
* First level nurse
* ENB 998 (Teaching and Assessing in Clinical Practice /D33/D32), or equivalent course
* NMC registration
* Must possess, or be willing to work towards a Masters degree in related area
* Independent non-medical prescribing
* Proven evidence of relevant, recent study and continuing professional development in Parkinson's care
Desirable
* Masters degree in in related area
* Leadership qualification
* Have undertaken an accredited Leadership course
* Education/Mentorship Course
* Neurology Academy Masterclass in Parkinson's
* Degree module in Parkinson's
Aptitude and Abilities
Essential
* Advanced interpersonal skills - Facilitation
* Good communication skills, written and verbal, with ability to demonstrate fluency, clarity and effectiveness at all levels
* Effective influencing and negotiating skills: in general and with senior health care professionals
* Attention to detail
* Understanding the difference between direct and indirect care
* Management of clinical case load
* Time management
* Able to prioritise workload
Other factors
Essential
* Ability to travel between sites
* Proficient IT skills
Knowledge
Essential
* Extensive demonstrable experience within Parkinson's care (to include all aspects of care - in-patient, out-patient, device-aided therapies and atypical Parkinson's syndromes) and at all disease stages
* Theoretical and practical in depth proven knowledge of Parkinson's disease and related disorders
* Expert proven knowledge and understanding of the use of levodopa, dopamine agonists, COMTI and MAOI
* Proven track record of autonomously managing people with Parkinson's at all stages of the disease
* Proven knowledge and ability to take an accurate, detailed clinical history and willing to undertake a formal qualification in history taking
* Demonstrable experience of undertaking clinical and research assessment scales/tools
* Demonstrable experience of drawing up and administering infusion based therapies
* Demonstrable experience of administering subcutaneous treatments
* Demonstrable experience of wound care and management of cutaneous infections such as cellulitis
* Proven management ability and leadership qualities and demonstrable experience
* Excellent clinical and practical skills
* Demonstrable experience of writing funding applications/business cases
* Demonstrable experience of community engagement
* Demonstrable experience of leading, developing or implementing service innovations
* Proven post registration demonstrable experience
* Demonstrable experience of undertaking mentorship and supervisory roles within a large clinical setting
* Demonstrable experience of undertaking appraisals and formulating personal development plans
* Able to undertake a limited neurological examination and interpret the findings appropriately and effectively
* Proven knowledge, understanding and experience of nursing/clinical audit
* Proven knowledge of corporate clinical governance
* Demonstrable experience in implementing research based practice
* Demonstrable experience of supporting others in the clinical environment
* Demonstrable experience of undertaking clinical research
Desirable
* Demonstrable experience of clinical research delivery
* Demonstrable experience of assessment, initiation of management of infusion based device assisted therapies
* Demonstrable experience of initiating, monitoring and maintaining patients on infusion based Parkinson's DAT
* Demonstrable experience of initiating, monitoring and maintaining patients on Deep Brain Stimulation (DBS)
* Demonstrable experience of programming/reprogramming DBS stimulators
* Demonstrable experience of undertaking the Movement Disorders Society Unified Parkinson's Disease Rating scale (MDS-UPDRS)
* Demonstrable experience of a leadership position within a large clinical setting
Employer details
Employer name
University Hospitals Plymouth NHS Trust
Address
University Hospitals NHS Trust
Derriford Hospital
Plymouth
PL6 8DH
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