Job summary This is an exciting opportunity to support adults with complex neurological conditions who live within NW Surrey. As part of service transformation we have recognised the need for an autonomous decision maker that can work across services to provide a link to local charities and the voluntary sector and other key stakeholders. As a new post, the successful applicant must have the necessary skills and be willing to support the senior leadership team with developing metrics audit and service reviews. Main duties of the job The post holder is responsible for the specialist care provision for patients in NWS with a progressive, life-limiting neurodegenerative disorder for which there is no curative treatment. This will include people with Huntingtons disease, and Motor Neurone Disease (MND) To co-ordinate care and services for patients to ensure that they and their carers receive the highest quality of care, support and experience within agreed protocols and allocated resources, together with other members of the multi-professional team. This includes working with colleagues from neurology, Respiratory, Speech and Language, Dietetics, Palliative Care Community Neuro Physiotherapy & specialist Community Neuro Occupational Therapy, third sector partners, including the social care services, hospices, and charities such as the Motor Neurone Disease Association (MNDA). To work collaboratively to develop expertise and resources to provide sound clinical advice and judgement to patients and their families, and other health and care professionals. To provide home visits where patient assessments are carried out, treatment plans are made, advance care planning is discussed, and using professional clinical judgement, appropriate investigations or referrals are undertaken. To monitor local provision against relevant best practice guidance, working as a colleague within Community Services INT and with neurological specialists across Surrey Heartlands Integrated Care System (ICS). About us CSH Surrey are part of the NHS and are Surreys largest and longest established NHS community services provider, so our 1500 employees get NHS pay and pensions, and also receive the Fringe High-Cost Allowance of 5%. Our staff enjoy excellent training and development opportunities, including the care certificate, apprenticeships, numeracy and literacy courses, access to the Nursing Associate programme, and a wide variety of management and leadership courses and programmes. We CARE about our staff though through our values of Compassion, Accountability, Respect and Excellence. Our active employee council called The Voice, elect employee representatives to ensure colleagues' voices are heard at Board level. CSH is a diverse organisation, if you are a passionate, person-focused individual then apply to join CSH Surrey today We welcome candidates from all backgrounds who meet the essential criteria of the job you are applying for and if you require any reasonable adjustments, please contact the named individual for this advert, or our recruitment team. Date posted 05 November 2024 Pay scheme Agenda for change Band Band 7 Salary £48,270 to £54,931 a year inclusive of 5% High Cost Area allowance per annum pro rata Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number B9074-24-0246-1 Job locations Walton Community Hospital Rodney Road Walton-on-thames Surrey KT12 3LD Job description Job responsibilities Clinical To manage an active caseload of people with progressive neurological conditions, throughout their disease pathway, working with patients and their carers to coordinate the provision of interventions, create self-management plans to optimise health and quality of life, and reduce avoidable hospital admission. T o recognise, assess new symptom onset, and liaise when indicated with other services to ensure appropriate medical or specialist support is provided. To act as a representative or advocate for patients when required, ensuring that mental capacity is assessed and engaging in best interests meetings where appropriate. To work in collaboration with patients and their carers, GPs (General Practitioners) & Hospital Consultants to achieve optimum therapeutic benefit from medication and treatment regimes To develop Advance Care Plans including identification of Preferred Place of Care (PPC) Advance Decisions to Refuse Treatment (ADRT) and undertake ReSPECT authorship with individuals, To work with the Health & Social Care professionals across a variety of settings (e.g. acute trust, hospice) to offer support, education, and advice in the management of neurological conditions. To link in and work with the MND Association and other relevant agencies to ensure integrated care for the patient. To support the multidisciplinary team to provide specialist care to patients with neurological conditions. To share expertise which is relevant to other long-term neurological conditions with other members of the MDT (multidisciplinary team) where appropriate. Professional To be pivotal in the development and review of local evidence-based standards, policies and guidelines based on NICE guidelines, current research and benchmarking of the speciality To develop and deliver education and training relating to specialist area - for the MDT, for other health and social care professionals and for people affected by their condition and carers. To participate in implementing national standards and frameworks at a local level within the speciality. To undertake research and audit, review, and evaluation of the service. Be able to undertake Quality Improvement and feedback effectiveness at board level To develop knowledge and practice in Complex and Rare Neurological Conditions. To use effective prioritisation, problem solving and delegation skills to manage time effectively. To familiarise yourself with guidelines and regulations relevant to the role, particularly those relating to health and safety at work, and governance, and ensure they are always met. Be pivotal in the development and review of policies and guidelines based on best practice research and benchmarking for the speciality To comply with the Data Protection Act 1998. Managerial To utilise patient and carer feedback, learning from their experiences to continuously improve quality and delivery of care. To develop and maintain a peer network of support, information and learning with other specialists at NWS and across Surrey Heartlands ICB (Integrated Care Boards). To work as part of the community team for peer support and supervision. To act as a resource for the multi- professional teams in NWS. To maintain appropriate professional links with other health and social care agencies. To report incidents, concerns, or complaints to your line manager in a timely way, ensuring the optimum safety and wellbeing of patients, their families, and colleagues. To maintain up to date knowledge and experience. To adhere to the lone working policy and procedure when working in the community. To preserve the confidentiality of any information relating to patients, staff, or the organisations business. To engage with line manager for regular reviews against objectives and keep oneself professionally updated. Training and Development Influence the development of knowledge, ideas, and clinical practice. To provide specialist education, advice, and support to colleagues within the organisation and external organisations, who support and provide care for local patients with complex and rare neurological conditions. To support colleagues in the development of knowledge and skills through acting as an assessor, teacher, and facilitator. Job description Job responsibilities Clinical To manage an active caseload of people with progressive neurological conditions, throughout their disease pathway, working with patients and their carers to coordinate the provision of interventions, create self-management plans to optimise health and quality of life, and reduce avoidable hospital admission. T o recognise, assess new symptom onset, and liaise when indicated with other services to ensure appropriate medical or specialist support is provided. To act as a representative or advocate for patients when required, ensuring that mental capacity is assessed and engaging in best interests meetings where appropriate. To work in collaboration with patients and their carers, GPs (General Practitioners) & Hospital Consultants to achieve optimum therapeutic benefit from medication and treatment regimes To develop Advance Care Plans including identification of Preferred Place of Care (PPC) Advance Decisions to Refuse Treatment (ADRT) and undertake ReSPECT authorship with individuals, To work with the Health & Social Care professionals across a variety of settings (e.g. acute trust, hospice) to offer support, education, and advice in the management of neurological conditions. To link in and work with the MND Association and other relevant agencies to ensure integrated care for the patient. To support the multidisciplinary team to provide specialist care to patients with neurological conditions. To share expertise which is relevant to other long-term neurological conditions with other members of the MDT (multidisciplinary team) where appropriate. Professional To be pivotal in the development and review of local evidence-based standards, policies and guidelines based on NICE guidelines, current research and benchmarking of the speciality To develop and deliver education and training relating to specialist area - for the MDT, for other health and social care professionals and for people affected by their condition and carers. To participate in implementing national standards and frameworks at a local level within the speciality. To undertake research and audit, review, and evaluation of the service. Be able to undertake Quality Improvement and feedback effectiveness at board level To develop knowledge and practice in Complex and Rare Neurological Conditions. To use effective prioritisation, problem solving and delegation skills to manage time effectively. To familiarise yourself with guidelines and regulations relevant to the role, particularly those relating to health and safety at work, and governance, and ensure they are always met. Be pivotal in the development and review of policies and guidelines based on best practice research and benchmarking for the speciality To comply with the Data Protection Act 1998. Managerial To utilise patient and carer feedback, learning from their experiences to continuously improve quality and delivery of care. To develop and maintain a peer network of support, information and learning with other specialists at NWS and across Surrey Heartlands ICB (Integrated Care Boards). To work as part of the community team for peer support and supervision. To act as a resource for the multi- professional teams in NWS. To maintain appropriate professional links with other health and social care agencies. To report incidents, concerns, or complaints to your line manager in a timely way, ensuring the optimum safety and wellbeing of patients, their families, and colleagues. To maintain up to date knowledge and experience. To adhere to the lone working policy and procedure when working in the community. To preserve the confidentiality of any information relating to patients, staff, or the organisations business. To engage with line manager for regular reviews against objectives and keep oneself professionally updated. Training and Development Influence the development of knowledge, ideas, and clinical practice. To provide specialist education, advice, and support to colleagues within the organisation and external organisations, who support and provide care for local patients with complex and rare neurological conditions. To support colleagues in the development of knowledge and skills through acting as an assessor, teacher, and facilitator. Person Specification Qualifications Essential NMC/HCPC Registration Evidence of further relevant post registration courses and specialist training Evidence of a Masters degree or working towards, in Nursing/ Physiotherapy, or other related clinical profession, or demonstrable experience at this level Desirable Leadership and Management Qualification. Advanced physical assessment. Teaching and Assessing Qualification. Counselling qualification Experience Essential Minimum 3 years post registration experience with evidence of experience working in a relevant specialist field (Respiratory/Neurology or physiotherapy or speech and language). Experience of caring for patients with neurological disorders, respiratory failure, nutritional requirements, swallow difficulties, progressive long term neurological conditions Experience of identifying complex needs and appropriate onward referral to optimise function, improve quality of life, and maintain safety within a patients environment. Have successfully completed advanced clinical assessment module or equivalent at level 7 Be able to consider differential diagnosis acting on or escalation of information gained Evidence of cross boundary working in partnership with other agencies. Up to date evidence of continued professional development. Evidence of knowledge and experience of proactive multi-disciplinary team working, being flexible and responding positively to change Person Specification Qualifications Essential NMC/HCPC Registration Evidence of further relevant post registration courses and specialist training Evidence of a Masters degree or working towards, in Nursing/ Physiotherapy, or other related clinical profession, or demonstrable experience at this level Desirable Leadership and Management Qualification. Advanced physical assessment. Teaching and Assessing Qualification. Counselling qualification Experience Essential Minimum 3 years post registration experience with evidence of experience working in a relevant specialist field (Respiratory/Neurology or physiotherapy or speech and language). Experience of caring for patients with neurological disorders, respiratory failure, nutritional requirements, swallow difficulties, progressive long term neurological conditions Experience of identifying complex needs and appropriate onward referral to optimise function, improve quality of life, and maintain safety within a patients environment. Have successfully completed advanced clinical assessment module or equivalent at level 7 Be able to consider differential diagnosis acting on or escalation of information gained Evidence of cross boundary working in partnership with other agencies. Up to date evidence of continued professional development. Evidence of knowledge and experience of proactive multi-disciplinary team working, being flexible and responding positively to change 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name CSH Surrey Address Walton Community Hospital Rodney Road Walton-on-thames Surrey KT12 3LD Employer's website https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)