About this role
Job summary
As an experienced paediatric nurse, the post holder will lead on the development and delivery of a Transition Service for children and young people and work collaboratively to map and implement multi-speciality pathways of care for children transitioning into adult services and those with complex needs.
The post holder will work in line with national guidance to understand current service provision for transition within each speciality. They will build and maintain professional partnerships across adult and paediatric services to ensure the delivery of effective, safe and efficient transition pathways for patients. Models of care will primarily be across the following specialities: Epilepsy, gastroenterology, endocrinology, and respiratory.
The role will involve developing and delivering joint outpatient clinics to support the transition of care. Central to this work will be to improve young people's experience of transition by hearing the CYP voice and that of their families by developing partnerships with them alongside their professional team and empowering them to lead in their care.
The post holder will also lead on the oversight of the inpatient provision of care to 16 and 17 year olds across the organisation, ensuring there is oversight and in reach support to these young people admitted to the hospital in adult areas.
Using their Paediatric knowledge and skills the post holder will support children and their families with complex care needs.
Main duties of the job
As a Paediatric Nurse Specialist, the post will work within the Paediatric team to ensure that children with Complex care needs have equal access to services. Working within the Multidisciplinary team to enable improved pathway between the different divisions and facilitating access to services with external providers through collaborative working.
The position has key responsibilities in improving access to Adult services and establishing pathways of care for safe and effective transition of care.
About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Job description Job responsibilities
Understands the business of each of the departments, wards and speciality services
Understanding of the local and national nursing agenda
Understanding of relevant national service guidance pertinent to the service
Awareness of Royal Surrey County Hospital NHS Foundation Trust guidelines and policies
Understanding of organistional structures within the Trust and those for the important relationships external to the Trust
Commitment to clinical audit, research and evidence-based practice
Awareness of budget management
Awareness of Human resources policies and guidance as pertinent to the management and leadership of the clinical team
Knowledge and understanding of current issues in health and social care
Awareness of, and engagement with the regional system providers and healthcare organisations across the region
Clinical Practice
Provide visible clinical leadership and acts as a role model to the nursing and wider team by delivering high quality compassionate care as an expert practitioner
Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients
Work at an advanced level of practice autonomously and self-directed
Work to optimise health and wellbeing, demonstrate autonomous decision making related to comprehensive history taking and physical assessment of patients.
Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients
Devising negotiating, implementing, supervising and reviewing individual treatment plans in collaboration with service users, family and carers
Draw upon an appropriate range of multi-agency and inter-professional resources in their practice
Ensure that documentation standards are maintained in accordance with NMC and RSFT guidelines, whether written or computerised
Promote a high standard of advanced specialist nursing by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/families through evidence-based practice following agreed policies, protocols and guidelines
Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies.
Balance clinical risk and clinical decision making against context
Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance
Maintain a safe working environment
Ensure the safe use and efficient management of equipment and supplies
Promote compassionate evidence-based practice, wherever possible
Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times
Is familiar with and adheres to the RSFT safeguarding policies.
Act in accordance to the Nursing and Midwifery Councils Code: Professional Standards Practice and Behaviour
Fulfils the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration
Leadership and Service Development
Collaborate with the multi professional team to develop a shared vision of the service.
Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines for care
Identify gaps in the coordination of transitional care and liaise with both adult and paediatric services to promote a seamless MDT approach to transition
Demonstrate a commitment to share expertise and disseminate information
Contribute to the development of the teams and the service to continuously improve patient care
Participate in implementing national standards and frameworks at a local level.
Network locally, regionally, nationally and internationally and seek opportunities to develop the transition nurse role
Use effective change management skills to initiate and implement service and practice development, making the best use of resources to improve practice and health outcomes
Participate in the selection, interviewing, appraisal and professional development of team members
Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development
Support and inspire staff to provide efficient, effective, safe, quality care to patients
Deliver a positive patient experience
Promote the building of effective teams and collaboration between teams
Support the senior sister / charge nurse to investigate and respond to accidents, complaints, untoward incidents and other significant events
Support in the delivery of an effective, safe, quality service within budgetary envelope
Raise and respond to concerns with regards to risk, danger, malpractice or wrongdoing by following the Trust whistle blowing policy and supporting processes
Quality Improvement
Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan
Plan, develop and evaluate methods and processes for gathering, analysing, interpreting and presenting data and information to support service development and improvement
Support the implementation and use of innovative software or techniques to support service improvement and development, for example Quality Improvement tools
Actively coordinate and promote patient involvement and feedback within service improvements to promote a positive patient experience
Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance
Identify areas of risk and poor quality, and address these through appropriate governance structures and forums
Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area
Participate and actively seek peer review in practice and sound evidence for assurance purposes
Educational
Develop and maintain a peer network of support, information and learning with other Lead Nurses at a local and National level.
Contribute to the development and acquisition of specialist knowledge and skills to enhance and extend the practice of other nurses and health care professionals within the service and beyond
Identify and address the educational needs of patients, families, carers and staff involved in the delivery of this service.
Participate in personal appraisal and mandatory training at the required time periods
Support and facilitate re-validation for registered nursing staff, and self.
Promote a learning and development culture to improve staff skills, knowledge and competence
Contribute to relevant educational programmes and in house study days.
Promote a positive learning environment within the clinical area to support the development of knowledge and skills in learners.
Support and facilitate work-based inter-professional learning
Freedom to Act
To be professionally and legally responsible and accountable for all aspects of your work including the management of patients in your care.
Person Specification
Qualifications Essential
NMC Registered Childrens Nurse First degree in nursing or demonstrable experience at this level (postgraduate or Masters level)
Skills, Knowledge and Experience Essential
Significant post registration experience at senior staff nurse level or equivalent Clinical experience within Paediatric acute medicine
Desirable
Clinical Experience within Community paediatrics Experience developing and implementing pathways of care and local guidelines/policies
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 Royal Surrey NHS Foundation Trust
Address Royal Surrey County Hospital
Egerton Road
Guildford
GU2 7XX
United Kingdom
Employer's website https://www.royalsurrey.nhs.uk/ (Opens in a new tab)