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Central and North West London NHS Foundation Trust

About

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit: www.cnwl.nhs.uk

(source: Central and North West London NHS Foundation NHS Trust website)

Contact

Address: 350 Euston Road; Regent's Place; London; London; NW1 3AX
Contact Number: 02032145700

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Closed

Ref: 333-G-CC-1399 Vacancy ID: 6618542

UCLH Palliative Care and Symptom Control Clinical Nurse Specialist

Closed for applications on: 24-Oct-2024 00:02

Vacancy status: Closed

Closed for applications on: 24-Oct-2024 00:02

Location

Site: University College Hospital London
Address: 235 Euston Road
Town: London
Postcode: NW1 2BU
Major / Minor Region: London

Contract type & working pattern

Contract: 9 months (Fixed term)
Hours: Full time - 37.5 hours per week (On call as part of a rota until 8pm. Seven day working.)

Salary

Salary: £54,320 - £60,981 per annum HCAS inclusive
Salary period: Yearly
Grade: (NHS AfC: Band 7)

Specialty

Main area: Palliative Care

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page

Become part of our team. We care for you as much as you care for others.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Detailed job description and main responsibilities

MAIN DUTIES AND RESPONSIBILITIES:

To be professionally and legally accountable for all work undertaken. To work within the Standards for Better Health and guidelines of the Palliative Care Centre, the Trusts, and NMC Code of Conduct at all times.
To ensure that the patient and their informal carers have an understanding of treatment protocols and give informed consent to examination and treatment interventions recommended.
To undertake specialist-nursing assessment of clients with complex palliative care needs through subjective questioning, objective examination, and study of appropriate written material (e.g. clinical records) available.
To prioritise factors involved in the patients and informal carers condition through advanced clinical reasoning based on knowledge of current professional opinion, patients prognosis and other physical, psychological, spiritual, ethical, social, and mental health records.
To identify patients, their informal carers or children whom may be at risk and vulnerable. Promptly enact the process outlined in the policies for Care of Vulnerable Adults and Care of Vulnerable Children.
To constantly monitor, evaluate and review clinical assessments and interventions within the multidisciplinary framework and to modify approach to clinical care as necessary.
To act as an expert nurse in palliative care for patients and their families with complex palliative care needs. Monitoring, evaluating and reviewing palliative interventions, taking a key worker role as indicated.
To independently receive and make referrals and manage a caseload of patients with complex palliative care needs.
To independently assess referrals from a variety of sources where no other professional is currently involved. To establish priority, to determine needs, initiate and monitor treatment plans. To direct and support 1st and 2nd tier clinicians in this process.
To work independently within a general Multi-Disciplinary Team to advise on a palliative approach to patients who may not be currently known to the Palliative Care Centre.
Develop and conduct skilled nursing interventions with palliative care patients- assessing their palliative care needs and addressing issues such as quality of life, futility, prognosis and end of life decision making within an ethical framework.
To be an expert assessor/advisor on pain and symptom management,
psychological/spiritual/social/practical care and ethical decisions at the end of life and to work in partnership, collaborating with a range of professionals to improve their palliative skills.
To independently assess bereavement needs for informal carers and give advice, support and make appropriate referrals independently to improve the bereavement outcome.
To work autonomously in isolated community care settings that vary in relation to local socio economic and multi-cultural issues.
To swiftly respond and lead resolution in challenging or crisis situations within palliative care, eg. difficult family situations, emergencies, and professional distress.
To use comprehensive knowledge of other multidisciplinary roles and external agencies to ensure best referral management and achieve best patient care.
To act as First Contact for palliative care emergencies out of hours across two community settings and UCLH group of Hospitals. To receive and manage new referrals out of hours with the support of the Consultant on call.
To contribute to the development and implementation of uni-disciplinary and multidisciplinary clinical policies, guidelines, protocols and care pathway implementation.
To participate in multi-disciplinary assessments and cross agency assessments as required.
To ensure dignity for the patients and their families at all times.
To ensure clinical records are recorded and maintained on the team database.
To provide specialist contribution to health promotion and health education initiatives within the locality.
To develop the palliative care skills of other professionals working locally.
To undertake courses to extend the scope of nursing roles as specified in CNO 10 document i.e. independent and supplementary prescribing and to use these skills in practise once appropriate qualified. To ensure competence is maintained and new skills are
undertaken according to Trust Guidance within a Governance Framework.
To maintain a continuing Professional Development portfolio.
To maintain up to date, evaluative client records in accordance with service policy and to contribute to maintaining the minimum data set.
To ensure that clinical care that is undertaken is safe and to an acceptable quality, and that it is continuously improving.
To contribute to new innovative approaches to nursing within palliative care and ensure this knowledge is shared widely within the profession to enhance patient experiences.
To acts as mentor to junior colleagues.

Vaccination

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system
Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

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.

Person specification

Qualifications

Essential criteria

Registered Nurse
Relevant post basic qualifications
Achieved or working towards first degree

Desirable criteria

Current driving licence
Non medical prescriber and physical assessment qualification
Recognised teaching qualification

Skills and knowledge

Essential criteria

• Ability to work individually and as a team member
• Basic computer literacy
• Ability to negotiate with a variety of clinical professionals, patients and their families
• Ability to prioritise work load and manage time effectively
• Ability to solve problems and take action to address issues
• Experience of delivering evidence based practise
• Excellent verbal and written communication
• Experience of working with integrated care pathways

Desirable criteria

• Contemporary and relevant clinical knowledge and expertise
• Ability to supervise and develop people

Experience

Essential criteria

• Extensive years post registration, in appropriate speciality
• Experience of case or ward management
• Experience of teaching clinical staff and patients and families
• Demonstrate ability to initiate, evaluate and sustain change management

Desirable criteria

• Experience of caring for patients in their own home

Audit and Research

Essential criteria

• Previous experience of audit, standard setting and quality issues
• Ability to incorporate research into practise and to motivate other to do so
• Experience of user involvement in service planning and delivery

Professional Requirements

Essential criteria

• Take responsibility for and demonstrate evidence of own professional development
• Maintenance of professional registration
• Demonstrate commitment to development of palliative and EOLC
• Understanding of equal opportunities