JOB DESCRIPTION AND PERSON SPECIFICATION Job Title: Senior Clinical Nurse Specialist Reports To: Nurse Specialist Team Leader Accountable To: Head of Nursing Band: 7 annex 21 Unit/Department: Pain Management CSU/Directorate: Anaesthetics Location : Cross site AfC Job No: 3477b JOB PURPOSE The post holder will be practising as an independent specialist clinical practitioner providing patient-centred and evidence-based clinical care, within an agreed scope of competence and practice. The jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care. The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources. The job holder will support the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients and families/carers. The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway and will be expected to develop new skills to further enhance the quality of the service delivered. Where appropriate, the role will include the day to day leadership and management. In order to carry out the job sufficiently and effectively you will have attained and be able to provide documented confirmation of all required Acute pain team competencies for the role as detailed. Under annex 21 within 18 months of being successful in applying for this post the Non-Medical prescribing course will be completed and passed this will enable you to undertake this post. You will be supported to develop an extensive range of competencies and specialist knowledge within the discipline through extensive practical experience, in house training and structured study and will continue to develop your knowledge to the requirements of continued professional development. Leadership Provide leadership to the clinical team working with the team leaders to develop new roles/ways of working Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care. Support staff to provide efficient, effective, safe and quality care to patients as an expert practitioner. Deliver a positive patient experience. Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope. Responsible for the day to day supervision of junior clinical staff and students within the specialist team. Motivate staff in the delivery of quality patient care. Has responsibility for the line management of the specialist nursing team including recruitment, performance management and workforce planning. Deliver an effective quality service with budgetary constraints, monitors the delegated budget for the specialist nursing team. Work with the Team leaders and Deputy head of Nursing to work towards the Nursing, Midwifery and Allied Health Professionals objectives and service improvement. Supervise clinical delivery of care competencies. Anticipate problems and take preventative or mitigating actions, or have contingency plans available. Investigate and respond to accidents, complaints, untoward incidents and other significant events. Ensures that workload and performance monitoring data for the team is collected, collated and utilised to ensure the effective and efficient working of the team. Reviews this information with team leaders on a regular basis. Work with the Team leader and Deputy Head of Nursing in the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health Professionals business plans. Engage users and carers views on service delivery and development. Propose, develop and implement policy, protocols and practice guidelines specific to the clinical specialty. Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately. Clinical Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance. Provides specialised advice contributing to the diagnosis and care of patients. Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people; including support for transition, as they move from childrens into adult services between the ages 11-25 years. Responsibility for ensuring setting, monitoring and seeking to continuously improve standards and the quality of patient care. Undertake clinical procedures where dexterity and accuracy are required. Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills. Make clinical assessments and treatment decisions within clearly defined policies and protocols. Organises own clinical workload. Undertake duties on wards or departments as and when required by service demands or patient need. Supervise clinical staff to promote the delivery of excellent clinical standards. Receives supervision of clinical care and outcomes from nurse specialist team leader. Act in accordance with the relevant professional code i.e. NMC. Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration. Ensure and promote the maintenance of a safe, clean and secure working environment. Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes. Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised. Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients. Communication Maintains accurate clinical and other records using the LTHTs documentation. Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery. Deliver complex information to patients and staff. Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery. Quality Improvement & Research Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method. Participate in quality improvement programmes as required. Keep up to date with and communicate service developments, advances and research. Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan. Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area. Undertake audit programmes specific to client group, treatments and developments. Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance. Participate in clinical trials as appropriate. Work closely with Research and Innovation to promote research, disseminate outcomes and findings to support evidence based practice. Education and Training Participate in own and others appraisals and in the development of own personal development plan and performance review. Provides specialist training and education at post-graduate level within the University settings as agreed with team leader. Undertake role specific training and competencies. Provide education and training to patients and their carers. Keep up to date with developments, advances within the specialty. Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust. Mentorship and supervision of junior staff. Participate in specialist national, regional and local conferences as agreed with Tram leader and Deputy Head of Nursing. Support staff to deliver evidence based practice and research activities to further enhance patient care. Undertake mandatory and priority training within the required time scales This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED Qualifications Registered Nurse (Level 1) Recognised teaching/assessing qualification Post registration qualification in specialty Under annex 21 to have documented evidence of completion of the Non-Medical Prescribing course within 18 months of commencing this post Experience Experience at band 6 which should be within a relevant specialty area during which time the following experience should have been gained: Clinical audit and standard setting Service development and or change management (desirable)