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Roald Dahl Epilepsy Clinical Nurse Specialist

Band 7

Main area
Paediatric Nursing
Grade
Band 7
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
203-FH6913
Site
Community Childrens Nursing
Town
Warwick
Salary
£40,057 - £45,839 per annum
Salary period
Yearly
Closing
24/05/2022 23:59

South Warwickshire NHS Foundation Trust is one of the top performing organisations within the NHS. Our staff think this is a great place to work and we hope you will agree. We have recently been rated as 'Outstanding' by the Care Quality Commission (CQC) following our recent inspection.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the whole county. This includes our Community Teams in North Warwickshire.

We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Over 5000 people work for the Trust and many of them have been here a long time. People find they don’t need to go elsewhere to find a fulfilling career in healthcare.

The first thing you will notice about us is how we take our values seriously. We believe that our values underpin everything we do. If you are interested in a role with us you need to make sure our values match your own.

Our values can be summed up in one sentence. We are ‘Trusted to provide safe, effective and compassionate care’. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn’t matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Equality, Diversity, and Inclusion

South Warwickshire NHS Foundation Trust is committed to creating and sustaining a positive and inclusive working environment for all our employees. Our aim is to ensure that employees are equally valued and respected and that our organisation is representative of all members of society. We define diversity as valuing everyone as an individual – we value our employees, job applicants, students, patients and visitors as people. This is reflected within our values of being Safe, Effective, Compassionate and Trusted.

Agile Working

All our staff will have a work base. However the Trust operates as an Agile Working Team therefore staff may be working from home on a regular basis as required by the service. However, occasionally travel around Warwickshire and into your base will be required so access to your own transport would be helpful.

Car Parking

The Trust have recently completed the construction of a multi-storey car park at our Warwick Hospital site. This ensures all new staff joining the Trust will have access to car parking facilities without the need to go on a waiting list.

To keep up to date on our latest recruitment activity follow us on twitter @swftrecruit or look us up on Facebook (Recruitment - South Warwickshire NHS Foundation Trust).


Job overview

An exciting opportunity has arisen for a Roald Dahl Epilepsy Clinical Nurse Specialist

to take on this specialist role, working in an ever-growing Paediatric team and service.

They will be highly motivated and an experienced nurse ideally with Paediatric background.

The post requires the ability to work across professional boundaries, underpinning a desire to provide the highest standards of patient care.

The post holder will be an Acute and Community (60:40) clinically based expert practitioner who will take a key role in strengthening the nursing contribution to Children and Young People CYP and service users within the speciality across the organisation.

They will contribute to the development of the Paediatric team and support colleagues in the delivery of a consistently high quality and cost-effective service.

Main duties of the job

The post holder will be an Acute and Community (60:40) clinically based expert practitioner who will take a key role in strengthening the nursing contribution to Children and Young People CYP and service users within the speciality across the organisation.

In partnership with the multi-disciplinary team (MDT) the post holder will develop, implement and evaluate a seamless specialist service.  The role is vital in delivering the highest standards of clinical care and supporting efficiency to drive improvements in health outcomes.

Using advanced nursing Practice takes personal responsibility for managing a caseload of CYPs referred for specialist intervention, care and support.

The post holder will demonstrate highly developed and specialist knowledge and expertise and will be responsible for contributing to the ongoing development of innovative practice, research and standards of care.

The post holder will develop strategies to ensure practice development and education for other professionals caring for CYPs within this speciality.

Working for our organisation

Come and join a Trust rated Outstanding by the CQC. South Warwickshire NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are ‘Trusted to provide safe, effective and compassionate care’. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn’t matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Detailed job description and main responsibilities

Expertise & Excellence in Clinical Practice

Providing specialist nursing skills, knowledge and expertise in the care and management of children and young people with epilepsy.

Deliver evidence-based personalised and compassionate care which places quality at the heart of specialist practice.  Care will responsive to individual needs and reflect current local protocols and national guidelines.

Act as the key accessible professional for the MDT proactively managing a clinical caseload for at least 70% of the role.  This will necessitate high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of appropriate care.

Work as an autonomous practitioner providing an expert level of care, developing own and others knowledge within the speciality.

Manage a caseload of CYPs within speciality and prioritise workload to meet CYP and service need.

Use and apply technical knowledge of the speciality and treatment to define, oversee and personalise care pathways for individuals through holistic needs assessment, planning and evaluation of care and all care interventions.

Effectively manages pathways of care, adapting to CYPs’ emerging needs by ensuring a planned and co-ordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions to improve CYP experience and safety.

Receive and act upon referrals directly from health care professionals and makes referrals to other team members and specialist departments as necessary to ensure optimal quality of care.

Act as a CYP advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care.  Use interpersonal and communication skills where there may be significant barriers in order to build confidence.  Ensure that CYPs’ individual needs are expressed and valued and individual care plans are understood.

Advise on the complex disease and symptom management for CYPs within the speciality in both in CYP and out CYP settings.  Evaluate response to interventions and advise on the adaptation of management.

Empower CYPs to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need ongoing face to face support.

Work autonomously in the development and delivery of nurse led or parallel clinics in line with National guidance and local service need.

Act as a resource providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this specialist service to demonstrate expertise in extended nursing roles.  Assess and effectively manage individual psychological reactions to diagnosis, treatment and associated side effects of Epilepsy.

Actively integrates theory and practice.

Management & Leadership AUDIT

To provide and co-ordinate home support to children and young people with Epilepsy, implementing health promotion as appropriate.

Act as a role model demonstrating high standards of holistic care and provide expert clinical leadership to others across the organisation.

Supervise the CYP caseloads of more junior members of the nursing team assuming overall responsibility where applicable.

Lead and line manage junior members of the team of specialist nurses including responsibility for annual appraisal where applicable.

Monitor budgets as necessary.

Embed public and CYP involvement within the sphere of practice.

Determine measurable outcomes for the service and demonstrate continuous evaluation of practice making changes where necessary.

Contribute to lead on elements of the clinical governance agenda.

Participate in operational and strategic planning for the development and delivery of the specialist service.  Implement service improvements and efficiencies

Attend Trust senior nurse meetings and contribute to the agenda and the strategic nursing vision.

Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality.

Lead or contribute to annual service review and write annual report to reflect service activity and development.

Communication

Take personal responsibility for ensuring effective communication between all service providers.

Act as a role model for excellent advanced communication skills and expertise.  Demonstrate advanced empathetic interpersonal and communication skills in supporting, informing and advising CYPs and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable.  This will involve frequently imparting significant news or supporting CYPs and carers during and following such consultations.

Effectively and sensitively communicate highly complex and sensitive information to emotionally distressed CYPs and family/carers at key points along the care pathway on a frequent basis.

As a core member of the MDT provide professional advice to Paediatric Colleagues and liaise with Paediatric Lead Consultant for Epilepsy.

Refer to other health professionals and outside agencies to ensure optimum care and ongoing support for individual CYPs/carers, and to ensure the CYPs transition from primary to secondary care appropriate to CYPs’ individual needs and circumstance.

Maintain links with local and national organisations, which support the care of CYPs within this CYP

Education

Identify and use advanced educational strategies to deliver complex information to CYPs and carers.

Lead the development of CYPS focused education including training to support self-management and health promotion activities.

Influence the development of other professionals by leading or contributing to Trust wide specialist education and training.

Deliver formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for CYPs.

Act as a mentor/clinical supervisor as appropriate.

Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal.  Actively engages with learning and development opportunities needed to work as an advanced practitioner and take appropriate action to ensure these needs are met.

Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses.

Quality, Audit, Innovation & Research

Develop written CYP information and use existing appropriate resources to inform users, according to individually assessed need.

Work within the NMC code of professional conduct.

Influence and develop policy and clinical guidelines to support the specialist service.

Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines.

Maintain CYP records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care.

Promote the service and clinical excellence by publishing and presenting innovations, audit and research locally and nationally.

Use creative reasoning, experience and vision to advance care.

Develop new skills in response to emerging knowledge and techniques.

Instigate and manage change within a complex environment.

Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery.

Collate and record quantitative and qualitative data to provide evidence of productivity, outcomes and quality through audit and research.

Identify and conduct clinical audit in own specialist area.

Participate in clinical research relevant to practice area.

Demonstrate knowledge of current clinical trials available to CYPS within the speciality.  Work in collaboration with the Trust Research and Development Team to support clinical trials for CYPs.

Contribute to the identification of CYPS eligible for trial entry.  Provide support to CYPS considering entry to clinical trials in relation to informed consent and advocacy.

Develop links and system to seek the views of CYP and carers to ensure service development is in line with user need.

Responsibility for Financial and Physical Resources

To have responsibility for the management of patient information leaflets, literature and training resources

Responsibility for Patients/Clients

To assess patients, plan and implement appropriate models of care, provide specialist advice and maintain contemporaneous and accurate records.

To be competent in performing advanced clinical nursing skills appropriate to the caseload including:

Set up nurse-led, and participate in, joint Consultant clinics (where appropriate e.g. Tertiary level) to support CYP with Epilepsy

Use of clinic-based tools for the assessment, diagnosis and management of   children with Epilepsy

Provide direct and telephone advice to children, young people and their parents/carers with respect to seizure control and management.

Liaise, where appropriate, with respect to primary, secondary & tertiary care centres re neurological and neurosurgical management.

Person specification

Qualifications

Essential criteria
  • Registered General Nurse, NMC registered
  • First level degree in related subject
  • Evidence of Masters level learning or willing to work towards
  • Post basic qualification in speciality
  • Mentors & assessors/SLAiP
  • Evidence of successful completion of relevant clinical courses e.g. advanced assessment skills, independent prescribing
  • Evidence of continued professional development
  • Recognised teaching qualification (ENB 998, C&G 730 or equivalent)
Desirable criteria
  • Advanced communication skills training
  • Leadership course
  • Masters degree

Experience

Essential criteria
  • Relevant and up to date post registration experience at band 6 or above within the speciality
  • Experience of student supervision and teaching
  • Proven leadership skills
  • Experience of working autonomously within the specialist area
  • Experience of delivering patient advocacy
  • Experience of research, audit and evidence-based care
  • Experience of delivering change management
Desirable criteria
  • Managing projects
  • Membership of specialist interest groups related to epilepsy
  • Managing a budget

Skills

Essential criteria
  • Advanced clinical, managerial and leadership skills in speciality
  • Proven listening and counselling skills with the ability to manage complex situations and appropriately deliver sensitive and difficult outcomes
  • Ability to clinically lead and influence others Up to date knowledge of current clinical and professional issues Excellent verbal, written, interpersonal and communication skills
  • Managing a caseload Able to use skills of history taking and physical assessment to direct patient care
  • Excellent decision making abilities
  • Able to conduct and evaluate own projects successfully
  • Demonstrate an understanding of the National agenda for speciality
  • Knowledge of quality standards and relevant NICE guidelines, NSF CQUINs etc
  • Knowledge of current clinical and nursing research
  • Ability to carry out audit and research
  • Team player
  • Proficient IT skills
  • Presentation skills
  • Ability to write reports and maintain accurate records
Desirable criteria
  • Undertaken clinical and nursing research

Personal Qualities

Essential criteria
  • Creative thinker
  • Diplomatic

Other

Desirable criteria
  • Flexible and positive approach to work

Employer certification / accreditation badges

Armed Forces CovenantApprenticeships logoNo smoking policyPositive about disabled peopleInvestors in People: GoldMindful employer.  Being positive about mental health.Improving working livesAge positiveDisability confident leaderCare quality commission - OutstandingStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Step into health

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Ross Mould
Job title
Operational Manager
Email address
Ross.Mould@swft.nhs.uk