About this role
Job summary
A part time, fixed term clinical nurse specialist vacancy has arisen within the specialist palliative care team at North Bristol NHS Trust.
The Palliative Care Team is a hospital based multi-disciplinary team who receive approximately 2,150 patient referrals per year from all specialities within the Trust
The role involves:
facilitating the highest possible quality of care to palliative care patients and their families. providing specialist symptom control advice and support to patients, their relatives and carers and to professional colleagues in an acute hospital setting. facilitating rapid or complex discharges enabling where possible preferred place of care at end of life. support health care professionals who are involved in caring for palliative care patients in both hospital and community settings through role and education. acting as an independent practitioner with a defined clinical caseload.
Main duties of the job
The Palliative Care Team is a hospital based multi-disciplinary team who receive approximately 2,150 patient referrals per year from all specialities within the Trust
This role involves:
facilitating the highest possible quality of care to palliative care patients and their families. providing specialist symptom control advice and support to patients, their relatives and carers and to professional colleagues in an acute hospital setting. facilitating rapid or complex discharges enabling where possible preferred place of care at end of life. support health care professionals who are involved in caring for palliative care patients in both hospital and community settings through role and education. acting as an independent practitioner with a defined clinical caseload.
About us
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
Job description Job responsibilities
Responsibilities for patient care
To provide specialist advice to nursing, medical and paramedical staff within the provider unit regarding all aspects of evidence based palliative care and cancer related issues
To offer support, advice and information to patients, their families and carers on all aspects of palliative care
To regularly review the effectiveness of treatment plans and suggest changes as a result of new information or changes in a patients condition
To act as a patients advocate where necessary
To independently manage a caseload of patients, assessing, planning, implementing and evaluating individual care needs in a manner that maintains and promotes quality
To respect patients dignity, wishes and beliefs involving them in shared decision-making
To liaise and establish good working relationships with health care professionals and other disciplines involved in the patients care
To recognise and advise on changes in a patients condition that may affect care planning, discharge and treatment
To achieve effective changes in practice to ensure a palliative care approach using diplomatic interaction and negotiation skills with all grades of staff.
To contribute to effective discharge planning in order to ensure continuity of care between hospital and community
To ensure resources are used effectively and liaise with relevant health and social care agencies when deficiencies in patient care arise
To contribute to multidisciplinary meetings
To refer patients to other specialist agencies as necessary
Responsibilities for policy, service development and implementation:
To keep professionally updated on research evidenced based care delivery
To continually reflect on practice to improve patient outcomes
To actively promote equality and diversity
To recognise and understand financial budgets when recommending on specialist palliative care equipment and drugs
To works in conjunction with budget holders to ensure cost effective approach to symptom management and equipment use
To contribute to the development, dissemination and implementation of guidelines and protocols on palliative care issues
To contribute to clinical governance initiatives
To propose changes to working practices within own and other specialist areas to improve patient outcomes
Responsibilities for Research, Audit and Development
To regularly lead/contribute in clinical audit initiatives and research, which influence practice development
To disseminate clinical audit outcomes to improve professional practice and/or patient care
Responsibilities for information resources and systems
To maintain accurate and contemporaneous records and data, protecting confidential information in compliance with the Data Protection Act and Trust Policy
Responsibility for Human Resources
To regularly provide specialist training and education on cancer and palliative care to a wide range of multi-professionals, including pre-registration nurses and medical students, medical, nursing and all other allied health care professional teams
To provide effective clinical placements for pre and post registration nurses and medical students
To act as a role model for good practice
To be aware of the well being of all members of the palliative care team and support them appropriately
To act as an educational resource and adviser to staff, patients and their carers
To provide clinical supervision/mentorship to other health care professionals
To evaluate the effectiveness of learning and development informed by learners, others in the team and own reflections and use the evaluation to inform future practice
To practice within NMC Code of Professional Conduct
To work within the policies and procedures of the North Bristol NHS Trust
To keep up to date with current developments in the field of palliative care and other related areas
To attend mandatory training as defined by the Trust
To be aware of local infection control policies and procedures
To ensure working conditions are safe, in accordance with the Health and Safety at Work Act
To ensure a secure environment is maintained and that breaches of security are brought to the attention of the team leader, and promptly reported and recorded according to Trust policy
To keep up to date in national, local and Trust development/policy
To respond to, record and report any adverse events or incidents relating to interventions/ treatments
To report on accidents/ incidents using RADARas appropriate
To engage in appropriate exercises, training and investigations to update and extend knowledge to ensure safe and competent practice
Significant post registration experience of which 2 years involves recent experience in caring for patients with end stage non-malignant disease, cancer or patients who are receiving palliative care.
Recognised teaching qualification (ENB 998 or equivalent)
Evidence of recent study at degree /M level
To work autonomously and without direct supervision
To be accountable for own actions when making clinical decisions regarding patient management
To carry out key responsibility for management of client caseload regarding provision of specialist palliative care support and advice.
Advanced interpersonal, communication and organisational skills.
To motivate and empower staff to address palliative care needs in a holistic manner.
To communicate bad news to patients and families in a sensitive manner and
support and guide staff in the breaking of bad news.
To identify and resolve complex physical and psycho-social needs using expert/ evidence based assessment and facilitatory skills.
To assess palliative care patients needs using a systematic process of reasoning including making of a differential diagnosis.
To use and disseminate in-depth knowledge of symptom management using drug and non-drug measures.
To coordinate and negotiate care packages with internal and external health and social care agencies.
To recognise and respond appropriately to complex bereavement issues.
IT skills including Microsoft Word, email, Excel and Powerpoint
Person Specification
essential Essential
Specialist palliative care experience
Desirable
Experience within an acute hopsital
Education/Training/Qualifications Essential
RGN Relevant Specialist Post Qualifying Degree and/or short courses at M level or M level degree. Evidence of recent formal professional development in relevant subjects Recognised Teaching Qualification
Knowledge/Skills/Abilities Essential
Able to assess symptoms accurately and suggest appropriate pharmacological and non-pharmacological interventions. Able to facilitate rapid or complex discharges to enable where possible patients preferred place of care at end of life Excellent interpersonal, communication and organisational skills. The ability to communicate difficult news to patients and families in a sensitive manner and to support and guide staff in the communicating difficult news. Evidence of knowledge in recent research development and knowledge of local and national issues with NHS, supportive, palliative and cancer care. Computer literate, able to use databases and other relevant programmes Microsoft Word, Excel and Powerpoint, Outlook, CISS, ICE, PACS.
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 North Bristol NHS Trust
Address Brunel building, Southmead Hospital
Bristol
BS10 5NB
Employer's website https://www.nbt.nhs.uk (Opens in a new tab)