To work as an integral member of the Complex Discharge Team and in conjunction with the Specialist Palliative Care and End of Life Care Team to facilitate the safe and coordinated discharge of individual patients in the last weeks of life whose preferred place of care and/or death is home (including residential and nursing home).
Can confidently recognise those patients who are rapidly deteriorating and entering the terminal phase of illness and openly engage in honest and potentially difficult conversations with patients and those important to them.
The End-of-Life Discharge Nurse must strive to improve the quality and clinical effectiveness of services for patients and those important to them, at the end of life, and ultimately facilitate a safe and timely discharge process from hospital. Ensuring that individual patients and those important to them get the right help at the right time from the right people.
Provide dedicated case management, co-ordination, and transfer of care for those patients who are rapidly deteriorating or imminently dying, by working collaboratively, with continuing health care and community teams, to expedite discharge to home where possible.
Maintain a visible profile, to support ward based clinicians to provide high quality, compassionate end of life care and act as a resource, educator and advocate.
Main duties of the job
1. To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
2. To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
3. To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritise and safeguard the patients needs.
4. Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
5. In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
6. To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
7. Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
About us
Please submit your application as soon as possible as we reserve the right to close any adverts before the closing date once we have received sufficient applications.
Kettering General Hospital NHS Foundation Trust is one of the largest employers in the area and we are on an exciting journey. All our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered a Group Model with neighbouring Northampton General Hospital NHSTrust and become University Hospitals of Northamptonshire.
Our Excellence Values
* Compassion
* Accountability
* Respect
* Integrity
* Courage
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential.
The Hospital Group encourages applications from people who identify from all protected groups. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.
We recognise the valuable contribution that the Armed Forces community make to our organisation. We have signed the Armed Forces Covenant and achieved Silver Award under the Armed Forces Employer Recognition Scheme.
We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.
Job responsibilities
1. To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
2. To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
3. To facilitate the effective management of patients referred to the team for discharge planning, ensuring their experience is seamless and of high quality.
4. To demonstrate high levels of autonomy as well as the ability to work as part of a team.
5. To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritise and safeguard the patients needs.
6. Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
7. In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
8. To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
9. Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
10. Contribute to the monitoring and evaluation of End of Life Care tools and processes.
11. To work collaboratively with both hospital staff and community teams to ensure consistent and up to date communication to facilitate both written and verbal handover of patient information to the appropriate key worker and ensure continuity of care.
12. Maintain accurate and concise documentation and provide accurate and detailed records to support Trust quality metrics and other audit/evaluation activities.
13. Management of the discharge process and data collection to demonstrate:
14. Increase number of patients achieving their preferred place of care
15. Increase number of patients dying at home
16. Reduction in the number of expected hospital deaths
17. Reduction in the length of hospital stay in the last eight weeks of life by supporting patients to be discharged improve coordination of discharge and transfer from hospital to community.
18. Improve provision of home care packages for patients with palliative care needs.
19. Improve communication between healthcare professionals caring for rapidly deteriorating patients in the last weeks of life.
20. Increased patient and carer satisfaction.
Person Specification
Education, Training and Qualifications
Essential
* First Level NMC Registration
* Degree Level or Equivalent Qualifications
* Evidence of recent relevant CPD
* Credible professional with sound professional knowledge and judgement
Desirable
* Palliative care qualification or experience
* Ability to manage a caseload and work as part of a multi-disciplinary team
Skills
Essential
* Ability to make autonomous decisions
* Clinical leadership and effective team working skills
* Ability to collaborate with the multi-disciplinary team and successfully negotiate with and influence others
* Ability to work on own initiative and prioritise work demonstrating excellent time management skills
Desirable
* Experience of working at a Band 6.
* Communication skills qualification
Key Competencies/ Personal Qualities and Attributes
Essential
* Demonstrates a positive, confident attitude and has an empathetic approach to patients, families, carers, and staff
* Understands that the successful candidate may need to attend meetings outside the Trust.
Desirable
* Teaching qualification /MSPP or equivalent
* Understanding of the CHC process
Employer details
Employer name: Kettering General Hospital NHS Foundation Trust
Address:
Kettering General Hospital
Kettering
NN16 8UZ
Any attachments will be accessible after you click to apply.
264-6880401-COR
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