About this role
Job summary
Are you an experienced registered nurse with a passion for improving the care of patients experiencing acute and complex pain? We have an opportunity to join the Acute Pain Service at South Warwickshire University NHS Foundation Trust as a Band 6 Nurse Specialist.
This is a predominantly clinical role, with at least 80% of your time focused on supporting and managing a specialist caseload. Working closely with anaesthetists, surgeons, ward teams, pharmacy and the wider multidisciplinary team, you will help deliver safe, evidence-based and compassionate pain management across the organisation.
The post offers a varied mix of direct patient care, specialist advice, education, clinical leadership, audit and service improvement. You will assess and review patients receiving complex pain-management interventions, including patient-controlled analgesia, epidural analgesia, local anaesthetic infusions and regional anaesthetic techniques, while supporting patients and colleagues to achieve the best possible outcomes.
You will join a supportive specialist team and have the opportunity to develop your expertise while contributing to the continued development of acute pain services, specialist clinics and education across the Trust.
Main duties of the job
The post holder will be a clinically based practitioner who will take a supportive role in strengthening the nursing contribution to patients and service users within the speciality across the organisation.In partnership with the multi-disciplinary team (MDT) the post holder will assist develop, implement and evaluate a seamless specialist service.Using specialist nursing skills; contributes to the management of a caseload of patients referred for specialist intervention, care and support.The post holder will contribute to the ongoing development of innovative practice, standards of care and strategies to ensure practice development and education for other professionals caring for patients within this speciality.
About us
Come and join a Trust rated Outstanding by the CQC. South Warwickshire University 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. In addition our staff survey results have placed us 4th in the country for recommended place to work.
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, inclusive, 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.
As part of our commitment to Equality, Diversity and Inclusion we encourage all applicants to complete a short survey. This can be accessed via the link below:
https://forms.office.com/e/ahWY3eAGM2
We appreciate you completing the survey.
Job description Job responsibilities
Expertise & Excellence in Clinical PracticeContribute to the delivery of 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 an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care.Contribute to the management of a caseload of patients within speciality and prioritise workload to meet patient and service need.Use knowledge of the speciality and treatment to support the development of personalised care pathways for individuals and assist with holistic needs assessment, planning and evaluation of care and all care interventions.Act as a patient 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 patients individual needs are expressed and valued and individual care plans are understood.Advise on disease and symptom management for patients within the speciality in both inpatient and outpatient settings. Evaluate response to interventions and cascade to relevant colleagues.Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need ongoing face to face support.Assist 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 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 assist in managing individual psychological reactions to diagnosis, treatment and associated side effects of including responding appropriately to urgent or emergency situations, including complications associated with PCA, epidural analgesia, local anaesthetic infusions, regional anaesthetic techniques and other complex pain interventions. Identify and escalate concerns relating to diagnosis, treatment response, anatomy, physiology, psychological distress, medicines safety or opioid-related risk.
Management & LeadershipAct as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation.Provide support to ensure public and patient involvement is embedded within the sphere of practice.Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary.Contribute to the clinical governance agenda.Participate in operational and strategic planning for the development and delivery of the specialist service. Support service improvement activities.Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision.Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality.Contribute to an annual service review, gathering information to support the annual report.
CommunicationTake personal responsibility for ensuring effective communication between all service providers.Act as a role model for excellent communication skills. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations.Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients 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 patients experiencing acute pain and liaise with anaesthetics, surgeons, nursing staff, palliative care, pharmacy, physiotherapy, substance misuse practitioners and other specialist teams.
Refer to other health professionals and outside agencies to ensure optimum care and ongoing support for individual patients/carers, and to ensure the seamless transition from primary to secondary care appropriate to patients individual needs and circumstance.Maintain links with local and national organisations, which support the care of patients within this speciality.
EducationIdentify and use educational strategies to deliver information to patients and carers.Participate in the development of patient focused education including training to support self-management and health promotion activities.Assist in the development of other professionals by contributing to Trust wide specialist education and training.Support the delivery of formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients.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 advancing 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 and ResearchAssist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need.Work within the NMC code of professional conduct.Contribute to the development of policies 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 patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care.Promote the service were applicable.Use creative reasoning, experience and vision to support advancement of care.Develop new skills in response to emerging knowledge and techniques.Supports management of change as required.Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable.Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research.Contribute to the identification of patients eligible for trial entry. Provide support to patients considering entry to clinical trials in relation to informed consent and advocacy.Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need.Additional ResponsibilitiesParticipate in the daily assessment and review of post-operative and other patients receiving patient-controlled analgesia, continuous epidural analgesia, local anaesthetic infusions, regional anaesthetic techniques and other complex pain-management interventions.Assess the effectiveness and safety of pain-management interventions and, within agreed competencies, professional boundaries, local policies and clinical guidelines, recommend or implement appropriate changes to the patients management plan.Recognise when a patients complexity, clinical risk or required decision-making falls outside the post holders agreed scope of practice and seek advice from, or escalate appropriately to, the Acute Pain Lead Nurse, Clinical Nurse Specialist, anaesthetic or medical team, pharmacy or another relevant senior clinician. Promote safe and effective use of analgesic medicines, medicines safety and opioid stewardship in collaboration with prescribers, pharmacists and other members of the multidisciplinary team.Refer patients appropriately to chronic pain, palliative care, substance misuse, psychological or other specialist services where pain-management needs cannot be met by the acute pain service alone.Support the delivery and development of specialist outpatient or nurse-led pain services, including neuropathic pain and capsaicin/Qutenza clinics, where these form part of the service.Ensure the safe and appropriate use of specialist pain-management equipment, including devices used for patient-controlled analgesia, epidural analgesia, local anaesthetic infusions and regional anaesthetic techniques.Collect and accurately record service activity, patient outcomes, treatment-related complications, patient experience and quality data to support audit, governance, service evaluation, productivity reporting and quality improvement
Person Specification
Qualifications Essential
Registered General Nurse, NMC registered First level degree in related subject Evidence of continued professional development Mentors & Assessors Post basic qualification in speciality and/or recognised teaching qualification (ENB 998, C&G 730 or equivalent)
Experience Essential
Relevant and up to date post registration experience within the speciality Experience of student supervision and teaching Proven leadership skills Experience of delivering patient advocacy Experience and understanding of audit and evidence-based care
Desirable
Experience of undertaking research
Skills Essential
Clinical, managerial and leadership skills in speciality Proven listening and counselling skills Up to date knowledge of current clinical and professional issues Excellent verbal, written, interpersonal and communication skills Managing a caseload Good decision making abilities Understanding of change management process Demonstrate an awareness of the National agenda for speciality Knowledge of quality standards and relevant NICE guidelines, NSF CQUINs etc Team player Proficient IT skills Presentation skills Ability to write reports and maintain accurate records Undertaken clinical and nursing research
Personal Qualiities Essential
Creative thinker Diplomatic
Other Essential
Flexible and positive approach to work
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.
Certificate of Sponsorship 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 (Opens in a new tab).
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 (Opens in a new tab).
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 South Warwickshire University NHS Foundation Trust
Address Warwick Hospital
Warwick
CV34 5BW
United Kingdom
Employer's website https://www.swft.nhs.uk/ (Opens in a new tab)