Oxford University Hospitals NHS Foundation Trust
This is an exciting opportunity to join a thriving Palliative Care department within the Oxford University Hospitals NHS Trust (OUH). This role works alongside the Lead Nurse for Palliative Care to manage the nursing teams across all four hospital sites and the community service that covers most of Oxfordshire and part of South Northamptonshire. The roles are integral to the multi-disciplinary service development and the role allows the post-holder a significant role in this across the department, Trust and the ICB.
The role will encompass a clinical component, anticipated to be a 40% clinical and 60% managerial/administrative split.
Maintaining high quality patient care across all services is the priority for the role, underpinned by excellent communication skills, and a commitment to education and developing others.
Cross site working is required and the post holder will be required to undertake some community visits on occasion as well as work alongside the team in the hospitals.
An informal discussion with the Lead Nurse is expected prior to application
Main duties of the job
The post holder will:
* Provide expert clinical care, exercising professional autonomy within their field of expertise
* Work alongside the Lead Specialist Nurse to co-lead a team of professionals/practitioners to provide a high quality, effective and efficient service
* Work collaboratively with the Lead Specialist Nurse to develop the service, promoting excellent patient care through staff specialist skills development
* Work collaboratively with referring teams to the service, promoting the specialist service whilst supporting their development and learning.
* Participate in a collaborative research programme
* Raise the profile of the service at local, national and international level
* Act as a visible ambassador for the Oxford Model for Exemplary Professional Practice providing clinical expertise, evidence-based leadership, research and innovation.
* Co-lead and consult on the development and evaluation of the service in conjunction with the wider multidisciplinary team
* Participate in the provision of specialist education and training programmes
* Deputise for the Lead Specialist Nurse when absent.
About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family.
Job responsibilities
KEY RESULT AREAS:
Clinical Practice:
* Provide expert care for patients/clients and their caregivers using the post holder's expertise.
* Have specialist knowledge of client group across a range of clinical issues, underpinned by the theory and practice acquired through study at master's Level.
* Act as a role model of expert nursing practice in specific client area.
* Establish, implement and monitor trust guidelines, policies and protocols with regards to specific client group.
* Make and accept referrals to and from other disciplines.
* Co-ordinate multi-disciplinary reviews and assessments.
* Where there is clinical need and acting within legal, professional and organisational frameworks, undertake to prescribe medicines for patients in the post holder's care.
* Work unsupervised to advise, recommend and generate care pathways for client group, ensuring ongoing evaluation and review.
* Be professionally accountable and manage a specialist caseload as part of a team.
* Exercise professional autonomy and make critical judgments in their field of expertise.
* Monitor and record clinical outcomes through evaluation, audit and review.
* Ensure evidence-based practice in all clinical work and promote the development of an evidence base in area of specialist expertise.
* Undertake procedural skills determined and agreed by area of practice.
Leadership and Management:
* Exercise professional and clinical leadership skills to promote best practice.
* Contribute to the development, implementation, monitoring and evaluation of policies/guidelines/protocols relevant to specialist area and wider health care arena.
* Contribute to the clinical governance process, including leading adverse incident reporting/investigation and management of complaints, where appropriate and relevant to their area of practice/expertise.
* Act as a role model, to promote consistently high standards of professional practice.
* Ensure that nursing care is based on sound evidence and rationale within the departments, linking with other members of the wider team where appropriate.
* Work across professional, organisational and system boundaries proactively developing and sustaining new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems.
* Develop strategies to regularly review patient and user perceptions of specialist area to facilitate the engagement of patients and carers in service development.
* Collaborate with colleagues who lead service and business planning with regard to cost pressures and prioritising.
* Be an authorised co-signatory for relevant hospital and Charitable Fund accounts.
* Line-manage and provide clinical supervision to designated teams as appropriate to role.
Education and Training:
* Act as a visible ambassador for the Oxford Model for Exemplary Professional Practice Providing clinical expertise, evidence-based leadership, research and innovation.
* Role model lifelong learning and relish opportunities to share best practice.
* Ensure care and compassion is the culture for both patients and staff within your area.
* Promote staff engagement, development and shared governance, ensuring wellbeing and resilience is fostered in all disciplines.
Participate in provision of specialist education and training programmes for health care professionals and other professional groups working with specific client group across the network.
Utilise professional knowledge and expertise in education, training and development in the field of expertise.
Identify and respond to learning needs of individuals and teams to develop advanced knowledge and skills.
Support the integration of theory and practice through formal and informal methods, including clinical educational opportunities.
Maintain relationships with university partners to support the aims of the profession and the service, including contribution to formal and informal curriculum activity.
Support colleagues undertaking higher level and postgraduate study by acting as mentor or supervisor.
Improving Quality and Developing Practice:
* Demonstrate a commitment to evidence-based practice and clinical excellence and lead staff in the implementation of such practice.
* Support and facilitate practice development, audit and project/research activity within the clinical specialty, contributing to the continuing improvement in service quality.
* Raise the profile of the Service at local, national and international level by contributing to professional and service debate, and through professional activity, publications and presentation at conferences.
* Use professional judgment in managing complex and unpredictable care events and capture the learning from these experiences to improve patient care and service delivery.
* Provide expert professional input to appropriate health improvement programmes to meet the local agenda in line with the national framework.
* Lead in promoting and managing change to improve practice, coordinating existing resources and developing links, locally and nationally.
* Act as a role model, to promote consistently high standards of professional practice.
* Share expert knowledge to advise practitioners locally, regionally and nationally, based on evidence-based practice.
* Participate in regular clinical supervision.
* Provide support to less experienced nurses.
* Identify own development needs in line with service requirements within personal development plan and proactively develop and improve own competence.
* Use advanced communication skills and contribute to the wider development of those working in their area of practice by publicising and disseminating their work through presentations at conferences and articles in the professional press.
* Identify areas where investment should be made to further develop the service and feed this into the business planning cycle locally and nationally.
* Contribute to the meaningful development of public involvement in service design and delivery.
* Lead and consult on the development, implementation, monitoring and evaluation of policies/guidelines/protocols relevant to the specialty and wider health care arena.
* Frequently critically appraise and synthesise the outcomes of relevant research and evaluations and apply them to improve practice.
* Participate in collaborative research programme development between Higher Education Institutions, the trusts and Comprehensive Local Research Network.
* Develop a culture of audit and research in practice, in line with national research agendas and priorities, and publish articles in appropriate journals.
* Collaborate with Oxford Brookes University and other Educational facilities working in partnership with the OUH to ensure that students and service needs are adequately supported, and that Advanced Nurse Practitioners/Specialist Nurse Practitioners, Sisters/Charge Nurses and other senior nurses are involved in the audit and development of the learning environment.
* Develop strategies to regularly review patient and user perceptions of the specialty to facilitate the engagement of patients and carers in service development.
Person Specification
Education and qualifications
* Evidence of continuous professional development
* Completion of leadership and management development course(s) or evidence to demonstrate this level of experience
* Master's level education in Nursing
* Qualification in teaching and assessing in clinical practice
Experience and knowledge
* Extensive experience and clinical expertise in Palliative Care
* Demonstrates use of evidence-based practice
* Experience of managing a specialist nursing team
* Experience of leading practice initiatives
* Experience in research, audit, education and leadership in a specialist nurse role
* Experience in resource management
* Research experience
Skills and abilities
* Initiating and sustaining effective interpersonal and professional relationships
* Demonstrates an experience of leadership, inspiring and effectively working within a team
* Able to function effectively in challenging situations
* Able to handle conflict whilst respecting others' values and opinions
* Demonstrates an ability to hold boundaries and manage expectations and own time
* Experience in representing service across organisation
* Professional role model
* Patient-centred philosophy
* Committed to professional development of self and colleagues
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.
Oxford University Hospitals NHS Foundation Trust
Lead Specialist Nurse for Palliative Care
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