Lead clinical care for a caseload of patients using advanced specialist skills and knowledge to undertake full assessments of patients with chronic heart failure. Plan individualized care, implement treatment plans, and advise other clinicians and GPs. Monitor and review patients, ensuring optimal treatment is achieved on an individual basis, and quality of life maintained/improved.
Provide support and education to patients, families, and carers ensuring clear communication and accurate information in relation to the diagnosis of heart failure, treatment regimes, and the significance and maintenance of a healthy lifestyle, in order to enable patients to manage their condition effectively, promoting self-management, and optimizing quality of life whenever possible.
To ensure patients' pharmacological management plans and the heart failure medicines portfolio are safe, within manufacturers' licenses or accepted clinical use, and comply with all current legislation. Accountable for own professional actions and clinical decisions, acting as an advanced independent practitioner/decision maker. Assist in the further development of the community-based nurse-led heart failure service for patients with a diagnosis of heart failure, registered with Stockport GPs. Ensure the efficient delivery of a specialist heart failure service, responding to changes in demand, being proactive in service review, ensuring rotation and cover of each element of the specialist role, including clinics, home visits, Inreach, and heart failure patient education programmes.
Work in collaboration with multi-disciplinary teams and colleagues in both hospital and community settings, promoting strong links between primary care and secondary care, ensuring collaborative working to improve patient care and outcomes. Provide palliative care and end-of-life support to patients with end-stage heart failure. Act as a resource and adviser promoting evidence-based practice and best management of heart failure across the borough of Stockport, providing an inpatient and community-wide service.
Plan own workload in collaboration with service lead to meet the needs of the heart failure patients under the care of the service. Assist in ensuring no avoidable periods where inadequate cover amongst the team, due to advanced planning of team resources, wherever possible, i.e., leave, study, training. Daily review of service workload and adjustment amongst the specialist team where necessary to cover all elements of the service responsibilities, including with notice changes in working patterns. Responsible for daily clinical triage, as required of new referrals within the heart failure service, in accordance with referral criteria, advising and supporting the administration team.
Accountable for organizing own workload within working hours, prioritizing according to clinical need, urgency, and appropriateness. Ability to change planned work to meet changes in service demand/priority at short notice. Ensure the effective and efficient use of resources available to the heart failure service. Work in accordance with agreed Stockport NHS Foundation Trust policies and protocols, Stockport Heart Failure Guidelines, local and national guidelines, and the NMC Code of Professional Conduct.
Participate in clinical governance, providing clinical expertise to the team, disseminating current research, advances in heart failure management/practice, sharing contemporary clinical practice, research, and new approaches of best practice in heart failure care. Lone working, in accordance with Trust policy. The Trust is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults and expects all staff and volunteers to share this commitment and promote safeguarding by implementing the Trust's policies and procedures, acting promptly on concerns, communicating effectively, and sharing information appropriately. If successful, this vacancy will require an enhanced DBS check at a cost of £54.50. This cost will be deducted from your first Trust salary. In addition to this, it will be a condition of your employment that you will join the DBS update service and pay the annual subscription fee of £16.
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