Job summary
Are you a registered nurse who is looking to
progress in their career within the area of district nursing? Do you have recent experience of working within a district nursing service? If so, we have an exciting opportunity
available for the right candidate to join our district nursing service in
Warrington. We are currently looking for registered nurses with proven
experience of working within a district nursing service for the role of senior
community staff nurse. This includes
palliative care, wound care, catheter care. If you feel you have the skills and
experience to be able to manage a cohort of higher acuity/complex patient as
directed by the team leader (caseload holder) we would welcome your
application. Applicants will need to demonstrate excellent communication
skills, and a sound ability to prioritise, time manage their own patient visit
list, complete complex holistic assessments, lead on developing plans of care
and supporting/mentoring junior staff members within in the service. All
flexible working requests will be considered.
Main duties of the job
The post holder will
work as a senior member of the District Nursing Team collaborating with the
Team Leader (caseload holder) and support the provision of clinical leadership
within the team. A key feature of the role is to support the proactive management
of patients with complex or higher acuity conditions on the District Nursing
Caseload. This will include collaborating with other members of the
multi-disciplinary team involved in the patients care to establish a
person-centred approach to management of health/social care needs, that also
promotes self-management. They will require the use of extended clinical skills
and expert knowledge to assess the physical and psycho social needs of a
defined patient group, instigating therapeutic treatments based on best
available evidence in order to improve health outcomes. In doing so, they will
assess, plan, deliver and evaluate patient centred programmes of care ensuring
that they practice within their sphere of competence and knowledge. The post
holder will work to professional and NMC codes, standards and guidance at all
times ensuring that their practice is based on the most up to date
evidence-based theory and practical knowledge. They will be responsible for
developing new and innovative clinical practices responding to emerging
knowledge and techniques and working with the District Nurse Coordinator, Team
Leader and other, services, where appropriate to make improvements.
About us
Flexible working will be considered for all roles.
Unfortunately, we do not hold a sponsor licence for working Visas.
At Bridgewater, our PEOPLE values shape how we deliver our
NHS services in your local community.
They help us deliver our mission to improve local health and
promote wellbeing in the communities we serve.
After all, values are about people and they were
created in partnership with our staff to reflect what they felt was important
to them
Here at Bridgewater our shared values flow through the organisation.
P- Person-centred-We are passionate about individual needs and
promote independence in the healthcare we provide..
E- Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.
O- Open and Honest -We behave in a way that develops relationships
based on trust, openness, honesty and respect.
P- Professional-We support our people, so everyone has the right
skills and training to deliver outstanding patient care.
L- Locally Lead -We are always learning about our communities and
show great pride in being a local provider of health and care.
E- Efficient -We use our resources wisely to provide
sustainable and value for money healthcare for our patients.
Job description
Job responsibilities
1. Clinical
Demonstrates a
detailed theoretical and practical knowledge of common aetiologies,
pathologies, conditions, and presentations involving a critical
understanding of theories and principles.
Be proficient in core
skills required to deliver care within a district nursing service such as
tissue viability, palliative/end of life care, diabetes management.
Demonstrate
innovative and specialist skills required for assessment and interpretation
of complex patient conditions and determining the appropriate course of
action.
Select methods and
tools to holistically assess, plan, implement and evaluate in a complex
patient condition.
Analyse and act
appropriately in complex situation and escalate wherever applicable e.g., to
District Nurse Coordinator, Team leader, Safeguarding Lead, GP.
Make judgements on
complex facts requiring interpretation and comparing treatment/management
options ensuring clinical reasoning is reflected accurately in case records.
Prioritises their own
workload and support the Team Leader with allocation and workload management
of the wider team, within agreed objectives deciding when to refer to others
as appropriate.
Approach each
individual with care, compassion and sensitivity ensuring that these values
are reflected in all areas of practice including the management of any
complaints and compliments.
2. Leadership
Deputise for the Team
Leader at internal and external meetings when required.
Support the Team
Leader in developing effective lines of communication that ensures that the
team are aware of the Trusts strategic direction and local business plan
objectives and performance targets.
Ensures that a
professional service and image is maintained at all times, thereby acting as
a role model to all staff promoting a positive image of community nursing.
Provides a leadership
style which is underpinned by strongly held values around equality,
diversity, and openness; effectively builds and maintains relationships with
the wider team, management teams and other key individuals across the
organisation.
Provide an
educational role for patients, carers, and new team members.
Demonstrates the
ability to delegate, organise and prioritise workload to ensure the safe
delivery of care to an identified cohort of patients including the management
of referrals and discharges using locally agreed support mechanisms e.g., on
call manager and making judgements in complex situations.
Demonstrates clinical
leadership, initiative, and creativity in identifying and supporting projects
inspiring others to be positive in their contribution to continuous
improvement.
Demonstrates
resilience when responding to challenge, change and complex or difficult
situations.
Ensures that all
objectives, for self and those directly supervised by the post holder, are
clearly defined within the wider Directorate framework and in line with
Trusts objectives, using the appraisal process as a vehicle for this.
Takes responsibility
for their own and others health and safety in the working environment.
To support the Team
Leader in the management of higher acuity patients and leading on the
assessment , care planning and ongoing management of an identified cohort of
patients.
Collaborate with
primary care, secondary care, social services and other colleagues to plan
and implement treatment as required.
3. Learning and Development
Undertakes any
training required to develop and maintain their proficiency in response to
changes in service delivery or new and emerging techniques and demonstrate
competence within professional body requirements.
Reflects on and
evaluates own practice and identifies areas of development by setting
appropriate objectives via appraisal and clinical supervision.
Conducts research
projects, or other research and development activity, appropriate to clinical
area.
Undertakes
supervision and is responsible for teaching and training both inside and
outside work area.
Supporting the Team
leaders with the learning and development of others including students and
preceptees providing supervision and mentorship to junior staff.
Support the Team
Leader in reporting and investigating complaints and incidents.
Partnership and Team Working
Actively
develops and maintains effective clinical and corporate working relationships
both within and outside the Trust.
Explores the
potential for collaborative working and takes opportunities to initiate and
sustain such relationships to improve and develop service delivery.
Actively contributes
to the multi-disciplinary team supporting the patient including communication
with external care providers, voluntary support services and other agencies;
acting as a credible source of information for other agencies/professionals
involved in the care as required.
Innovation and Quality
Implements, monitors,
and maintains agreed standards of care, reporting to the Team Leader/District
Nurse Coordinator when standards are not met.
Implements policies
relevant to service area and supports the Team Leader to ensure team members
are aware of policy requirements.
Identifies areas for
improvement within own team and proactively addresses these with the support
of the Team Leader/District Nurse Coordinator within the overall
organisational governance frameworks and corporate objectives reflecting the
changing needs of the population, local and national initiatives.
Actively works to continually improve the quality of own
service area within the overall organisational governance frameworks and
corporate objectives e.g., through audit or suggesting changes to practice.
Contributes to and undertakes clinical audit.
Works with District Nurse Coordinators, Team Leaders, and
other key colleagues to identify, manage and minimise risks within the
overall organisational risk management frameworks. This includes
understanding and applying knowledge of clinical role in safeguarding and an active
involvement in incident management processes.
Acts as an advocate for patients and their
families/carers recognising the boundaries of their clinical knowledge;
liaising and referring on to other services / agencies as required.
Ensures that patient experience is core to all clinical
care delivered and gaining support from the appropriate corporate teams as
required.
Actively ensures completion of required data in a timely
manner to meet the Quality Framework requirements, outcome measures and best
practice standards in order to deliver an effective, high-quality service.
Person Specification
Qualifications
Essential
- Registered Nurse
- Evidence of proficiency in core skills required for delivery of care within a district nursing service such as, tissue viability, palliative care, diabetes management.
- Mentorship qualification / skills and/or experience or committed to undertaking appropriate mentorship programme.
- Evidence of continual professional development
Desirable
- Mentorship qualification or equivalent
- Non-medical prescribing
- Formal qualifications in:
- Clinical examination
- Clinical Skills
- Tissue Viability
- Palliative Care
- Diabetes management
- Frailty
Experience
Essential
- Experience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team.
- Experience in supervising and delegating to other members of staff.
- Experience of clinical leadership skills e.g., leading/supervising junior staff and students.
- Working in community setting.
Desirable
- Working in primary care-based teams.
- Experience of acting in an advocate/champion role.
Sponsorship
Essential
- Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.
Skills & Attributes
Essential
- Specialist assessment, planning and evaluation skills.
- Complex analytical and creative problem-solving skills in unpredictable situations.
- Leadership skills and excellent decision-making capabilities.
- Competent IT skills in order to collect and interpret data, present reports, and compile simple presentations.
- Effective verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate.
- Risk assessment skills.
- Reflective practice skills able to give clear and effective feedback.
- Able to research, understand and evaluate evidence in order to contribute to practice development.
Desirable
- Experience in research and/or clinical audit.
- Workload management including delegation of tasks and day-to-day team leadership.
Additional Criteria
Essential
- Knowledge and Understanding
- Detailed theoretical and clinical knowledge appropriate to District Nursing service.
- Knowledge of relevant current issues in health and social care, ethics, and innovation.
- Demonstrates awareness of limits to knowledge base.
- Attitude and Behaviour
- Displays care, compassion, sensitivity, and responsiveness to other peoples feelings and needs.
- Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace.
- Able to develop, establish and maintain positive relationships with others both internal and external to the organisation and with patients and their careers.
- Able to work under pressure, dealing with peaks and troughs in workload managing unpredictable service demands.
- Positive and flexible attitude to dealing with change explore new ways of doing things and approaches.
- Able to respond to the changing needs of the patient in a proficient and timely manner.
- Demonstrates values consistent with those of the Trust.
- Ability and willingness to adopt a flexible approach to work on the occasions it may be required.
- Ability to travel independently.
Desirable
- Application of clinical governance and quality measures in practice.
Relations
Essential
- If you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants .
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
Bridgewater Community Healthcare NHS Foundation Trust
Address
Spencer House
Dewhurst Road
Warrington
WA3 7PG