Communication Develop networks and liaise with other hospital professional groups and agencies as required on behalf of the division. Respond to frequent enquiries from managers, stakeholders, professionals and, less frequently, the general public, offer support and guidance including using written, verbal and face-to-face communication. Using empathy, tact, sensitivity and judgement to deal with all queries in a professional, confidential and sensitive manner, especially where there are barriers to understanding. Manage and dealing with complex, sensitive, confidential and continuous information. Manage and dealing with complex, sensitive, confidential and continuous information. Take accurate telephone messages, collect relevant information, and deal with difficult callers, including members of the media in a confident and friendly manner. Liaise with staff and managers over a range of issues. Uses advanced communication to alleviate the psychological distress experienced in chronic disease patients and their families, including identification of need for onward referral to other agencies as appropriate. Act as a role model, facilitator and educator for nursing and health care professionals within the field of practice. To provide regular verbal and written reports to patients GPs around changes to the recommended management plan of care. To provide a telephone advisory support to patients and their carers within agreed contractual service requirements. To act as the patients advocate. Takes responsibility for ensuring effective communication between all service providers. Acts as a Clinical expert and staff liaison for inpatients with Hepatology requirements. Leads on The Improving Quality in Liver Services (IQILS) accreditation programme. Supporting quality improvement in liver services in the UK. Service Delivery and Improvement Collates and records quantitative and qualitative data to provide evidence of productivity, outcomes and quality, through audit and research. Responsible for leading the service for the relevant site within the trust- ensuring the service is comparable on all sites and follows the same vision/guidelines. Responsible for service delivery and maintaining service within the yearly budget parameters and undertakes monthly finance meetings with senior management team. Supports with the collation of information for service reviews in order to drive service improvement. Actively participates in multi-professional meetings, acting as patient advocate and representing nursing views. Use initiative to prioritise own workload some of which can be of a complex nature, exercising discretion as to the degree of urgency, importance and confidentiality required Multi-task, and plan work for short and medium-term. Plan straightforward, and occasionally complex tasks and activities. Share best practice and document processes. Undertake specific projects and tasks as requested by the Teams. Ensure deadlines are met and take appropriate action to make sure work is completed to given timescales. Utilising service improvement techniques including process mapping, capacity and demand modelling, development of integrated business and service plans and improvement cycles support the teams to provide services in new and innovative ways. Implements policies, proposes changes to practices, procedures for own area Management of specific projects and for supporting divisional projects that contribute to service improvements aimed to ensure that the patient is central to the delivery of high quality patient care. An integral part of the Divisional team that supports the Trust in delivering its strategic direction and objectives surrounding the Patient First programme. Applies advanced knowledge and insight from key stakeholders and experiences of patients to lead services re-design, stimulate innovative practice, implement improvements and ensure services are responsive to patients needs. Demonstrates skills in conflict resolution and competent negotiation skills when dealing with difficult or challenging situations. Leads the development of patient focused education, including training to self-manage on-going consequences of treatment. People Management and Development Actively involved in producing reports relating to governance issues and actively involved in the analysis of clinical and information governance incidents that will contribute to the improvements in clinical and administrative practice. Actively involved in the embedding of risk management processes and support the co- ordination and maintenance of the service and Divisional Risk Register Using initiative and judgement to raise issues with Line Manager or members of the Teams when appropriate. Develops new skills in response to emerging knowledge and techniques. Develop knowledge and expertise to a higher academic standard. Works across professional boundaries using creative reasoning and problem-solving. Instigates and manages change within a complex environment. Promotes patient and public experience feedback through local initiatives to drive innovation and change. Promotes the service and clinical excellence by publishing and presenting innovations, audit and research locally and Nationally. Leads on the implementation and monitoring of adherence to relevant clinical guidelines. Supports and advises towards the development, management and promotion of the service ensuring the delivery of high quality, cost- effective care. Completed or be willing to work towards a qualification in Hepatology. Run existing and new nurse led clinics appropriate to the developing needs of the specialty and service. Perform clinical examination and order appropriate diagnostics. Prescribe medication within the sphere of expertise if applicable and where a prescribing course has been completed. The role will develop and change in response to service and patient needs. Responsibility for maintaining the training of the fibroscan nursing team. Patient Care Delivery To provide an autonomous specialist nursing service to Hepatology patients by reviewing referrals and delivering holistic care to patients. Work in partnership with the patient and their family/carers to promote self-care and independence wherever possible through education and the use of self-management plans. Act as a resource to colleagues across primary and secondary care settings organising and participating in training programmes as appropriate. Provides Hepatology Nursing clinical expertise, specialist advice and support across service boundaries. To actively integrate theory and practice. Make referrals to other professionals and signposts to other agencies as appropriate. Makes clinical judgements based upon experience and knowledge and takes appropriate action. Request diagnostic tests within agreed sphere of competence and make clinical judgements based upon clinical expertise. Assess and manage symptoms, problems related to area of expertise and recognising when appropriate for onward referral is required. To facilitate the assimilation of complex clinical information regarding diagnosis, staging investigations and treatment options in collaboration with specialist consultants. Support and empower patients and carers to influence and participate in often difficult decisions regarding the panning and delivery of care. Promotes self-management, undertaking risk stratification to determine those who can self-manage, following education, those who will need guided support to self-manage and those who will require on-going, face to face support. Assess the special needs of patients referred to the service and facilitate the planning and provision of care, making use of all resources. Undertake clinical supervision of individuals on an individual or group basis. Disseminate information on National guidelines for management of relevant conditions to appropriate multidisciplinary team members. Work within an agreed set of patients management protocols and guidelines including national guidance. Develop and participate in Nurse led clinics according to the needs of the service and within the Scope of professional practice. Participate in and initiate research and audit projects. Participate in service development and implements evidence-based practice. Check clinics daily for capacity and ensure all slots are filled in a timely manner and supporting the setting up of additional clinics as able. Management of specific projects and for supporting divisional projects that contribute to service improvements aimed to ensure that the patient is central to the delivery of high-quality patient care