Norfolk and Waveney Integrated Care System is working with NHS England to deliver transformation and strategic changes in community stroke rehabilitation and life after stroke services as described by the NHS Integrated Community Stroke Service (ICSS) model.
This role, fixed term for 9 months, is part of the ICSs NHS East of England Catalyst Project to improve outcomes for stroke survivors in line with the ICSS model. Alongside the delivery of patient care, the post holder will be involved in the development and integration of the stroke nurse role within the community and subsequent evaluation activities feeding back to the NHS England.
Please note, a secondment will also be considered.
Part-time and full-time hours will be considered.
Main duties of the job
To provide specialist nursing within Neurology follow-up services and stroke early supported discharge team consisting of assessment, liaison, and treatment of patients following stroke.
To provide basic medication reviews, clinical observations, and liaise with professionals as required.
To assess and prescribe basic pressure care equipment and signpost to other services requiring to be involved.
Complete basic mood screen assessments, have an awareness of the Psychological Step Care Model and carry out levels 1+2. Refer onwards to other agencies for further input if required.
To provide basic continence assessments, provide advice, and refer to specialist team for input if required.
To manage autonomously a significant caseload with supervision from senior staff members.
To work in a variety of settings including patient homes, care homes, and community settings.
About us
ECCH is a well-established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health, and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.
We are aligned to NHS terms and conditions and offer many employee benefits. To find out more about us, visit our website - www.ecch.org. We are a social enterprise and staff-owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.
At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.
We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.
Job responsibilities
Clinical
* To provide specialist nursing within the stroke survivor pathway including medication reviews, clinical observations, prescribing of pressure care equipment, continence advice, and mood screen assessments. To manage autonomously a significant caseload with supervision from senior staff members.
* To participate in the patients' multi-disciplinary rehabilitation goals ensuring a functional approach to rehabilitation.
* To make appropriate clinical decisions following assessment, using evidence-based practice and outcome measures to provide the most effective treatment to patients, their families, and carers within clearly defined inter-disciplinary care plans.
* To work within defined specialist department and national protocols/policies for stroke care such as the NICE clinical guidelines and National Stroke Strategy. To also work within the professional code of conduct as outlined by professional bodies.
* To be professionally and legally accountable for all aspects of own work and to ensure that work is within professional standards and clinical guidelines.
* To ensure that patients, families, and carers are involved in the planning and prioritisation of their stroke rehabilitation care plans.
* To work collaboratively with other services that may be involved in the care of the patients, for instance, social services, primary care, and the volunteer sector.
* To attend and contribute to relevant multidisciplinary meetings and client reviews as appropriate.
* To demonstrate clinical effectiveness by use of evidence-based practice and outcome measures relevant to stroke, in particular regard to own profession.
* To provide supervision, specialist advice, and support to more junior members of own profession within the team, as well as other members of the team, community colleagues, and service users.
* To conduct multi-disciplinary initial contact assessments as a member of the team.
* To provide emotional support to patients and families including those with complex needs, with support from clinical psychologist and senior colleagues.
* To liaise with and support the wider team on the discharge of patients from the service, when agreed objectives have been reached, or treatment is no longer appropriate. This may require planned referral onto other appropriate agencies/services.
* To work in a variety of settings including patients' homes, care homes, and clinics.
Communication
* To use appropriate methods of communication with patients, families, and carers, to maximise rehabilitation and understanding of the condition.
* To communicate effectively and collaboratively with colleagues in health, social, and third sector services to ensure delivery of a co-ordinated multi-disciplinary integrated stroke service.
* To provide specialist advice, teaching, and instruction to relatives, carers, and other professionals.
* To communicate complex information to patients, families, carers, other professionals, and other members of the multi-disciplinary team involved in the treatment of the patient.
Identification of risk and subsequent liaison with appropriate agencies.
To gain valid informed consent and work within a legal framework with patients who lack the capacity to consent to treatment and to contribute to capacity assessment with support from senior colleagues.
Management & Service Development
* Interpret clinical guidelines and adapt local service needs based on specialist knowledge.
* To communicate to professional lead and team leader on issues of service delivery including shortfalls, potential risks, and service pressures.
* To use specialist clinical reasoning to provide guidance to junior staff and staff members of other professions, in order to assist in case management.
* To act as a stroke specialist nursing resource and provide advice and support to other members of the stroke team, service users, community colleagues, and professionals from external agencies.
* To assume delegated tasks as requested by professional leads and service managers related to team management and service development.
* To work collaboratively with colleagues across the Integrated Stroke Service and support professional leads to improve patient care and share best practice across the service.
Leadership
* To act as a positive role model.
Support other staff members in providing comprehensive holistic assessment of patients and re-evaluation of their needs, to determine priorities of care and provide effective management of emotional, psychological, and spiritual support.
Education, Training and Supervision
* To continue to develop competencies through reflective practices, clinical supervision, and performance reviews.
* To assist in the development of specific Evidence Based Competencies in collaboration with professional lead, other members of the Integrated Stroke Services as well as external agencies.
* Work collaboratively with other peers in the other elements of the integrated stroke service to identify training needs and contribute to an across service training program for staff.
* To provide regular specialist training on a range of topics to service users, doctors, nurses, therapists, students, and care staff.
* To attend relevant training and development in order to maintain and develop skills and knowledge required of a specialist nursing working in stroke.
* Act as a role model by offering support and work shadowing to other professionals, junior colleagues, and students.
* All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders, and colleagues. All members of staff should consider these as an essential part of their job role.
* Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word CARE. These stand for: Compassion, Action, Respect and Everyone.
* Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.
Person Specification
Experience
* Evidence of post registration experience at band 5
* Working in an NHS multi-professional setting
* Managing and working autonomously using initiative
* Supervising others
* Community Nursing
* Participation in clinical audit and evaluating the outcomes of a service
* Previous experience working in stroke rehabilitation
Qualifications
* Post graduate Diploma education level or equivalent
* Teaching and assessing qualification
* Educated to Masters level or equivalent combination of postgraduate/registration, qualification and short courses
Skills and Knowledge
* Ability to lead and manage a team
* Ability to organise a workload and to delegate and prioritise
* Good knowledge of health and safety, risk management and safeguarding
* Effective written and verbal communication skills
* Up to date professional portfolio which will demonstrate reflective practice and evidence of ongoing professional development/education
* Knowledge of organisational structures and relationships in health and social care
* Knowledge in the management of stroke
* Knowledge of national requirements and directives related to specialty
* Understanding of the management of patients with stroke
Personal Attributes
* Ability to embrace our Culture, Values, and Signature Behaviours:
* (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together).
* Willingness and ability to work across different sites and travel to alternative sites and across the community as required.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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