Clinical Nurse Specialist (Prescriber)

Integrated Care System; Lichfield; On-site; GBP 47,000 - 55,000; Full time

Job summary

A community-focused health organization is seeking a Clinical Nurse Specialist (Prescriber) to lead community nursing services. This role involves clinical management, education, and service development while ensuring adherence to quality standards. Candidates should possess advanced qualifications in nursing, significant experience in community care, and a strong focus on palliative support. Competitive salary and professional development opportunities available.

Qualifications

• Must have experience in community nursing.
• Experience in clinical audit and research is essential.
• Proven experience in specialist palliative care is required.

Responsibilities

• Provide clinical leadership and best practice to the nursing team.
• Conduct patient assessments and manage care plans.
• Participate in multi-professional meetings and contribute to service delivery.

Skills

Expert communication

Teaching skills

Ability to work independently

Emotional resilience

Education

Registered Nurse (Degree/Masters level)

Current NMC Registration

Community Nursing qualification

Physical Health Assessment Level 6 minimum

Job description

The ClinicalNurse Specialist (Prescriber) is a key senior role within the Nursing team,acting as the clinical specialist lead and overseeing the community nursingservice for a defined area on a rotation basis.

Working with an integrated team of nurses, you will contribute to the overall care of patient and families referred to St Giles Hospice within the community setting. This role will report directly into the Clinical Lead for Community Services.

As a team member, you will contribute to a positive supportive working environment with an emphasis on teamwork and cooperation. You will participate in a rota system providing a 7 day a week, face to face and telephone service for patients and their families and, in the out of hours rota, providing telephone advice and support. This may include visiting out of hours in exceptional circumstances.

Main duties of the job

It is anticipatedthat the work plan will be 80% clinical (clinical management) 10% ServiceDevelopment and 10% Education and Teaching.

The role includesactivities such as audit, quality and risk management initiatives and Nursesworking at an advanced level will:

Practiceautonomously and be self-directed.

Appropriatelyanalyse complex situations.

Undertakeassessment of individuals using a range of different assessment methods, whichmay include physical examination, ordering and interpreting diagnostic tests oradvanced health needs assessment.

Draw on a diverserange of knowledge in their decision-making to determine evidence basedtherapeutic interventions; this may include prescribing medication and activelymonitoring the effectiveness of therapeutic interventions.

Actively seek andparticipate in peer reviews of their own practice.

Appropriatelydefine the boundaries of their practice and understand the parameters of theirprofessional role.

Promote and participate in the implementation ofthe local and national strategies and St Giles Hospice core standards.

About us

St Giles Hospice is a registered charity founded in 1983 by the Reverend Paul Brothwell, originally to improve the care of local people dying with cancer.

We now support patients, and their loved ones, living with a terminal illness.Our dedicated team provides individually-tailored care, free of charge, either at the hospice or in patients own homes across our communities.

We spend close to £10 million a year providing our specialist services. With just 18% of this funded by the Government, we rely heavily on donations and income generation from the local community.

Job responsibilities

The role entails but is not limited to:

Leadership andManagerial

Bean effective role model to the team and other primary healthcare colleagues.

Provideeffective leadership to the team, acting as a role model for best practiceand with honesty and integrity.

Provideprofessional/clinical leadership to other Clinical Nurse Specialists andother grades of staff, acting as a point of expertise, providing advice andsupport.

Inputinto workforce planning process and maintaining effective use of resources(rota and rotation of staff) supported by clinical administration.

Participatein multi-professional meetings, acting as a patient advocate and contributeto the decision making regarding service delivery.

Attendappropriate patient related and team meetings.

Participatein service development initiatives as required instigating and managingchange within a complex environment.

Workwith the Deputy Director of Clinical Services to develop St Giles Hospice policiesand processes and ensure team compliance.

Tobe responsible for assurance of quality standards and clinical governance,standard setting and audit.

Maintainhigh professional standard in accordance with Hospice policies and proceduresand the NMC Code of Professional Conduct.

Clinical

Beresponsible for the continued co-ordination of the content and delivery ofyour allocated patient's care plan and ensure that the patient is getting theright service from St Giles Hospice.

Undertakepatient clinical assessments and nurse prescribing.

Inliaison with other Clinical Nurse Specialists and other members of thecommunity team, ensure the overall quality and provision of nursing care ofpatients and families referred to St Giles Hospice in the community settingand that their needs are met.

Topromote the principles and practice of palliative care as an extension of theHospice into the community.

Towork across a range of settings, including community visits e.g. home/carehome/community hospitals, telephone conversations and reviewing patients inoutpatient settings.

Toassess the holistic needs of patients and their carers and identify theirrespective physical, psychological, social, cultural and spiritual needs.

Towork within a team framework, collaborating with colleagues and members ofother disciplines.

Workacross all St Giles Hospice clinical areas.

Touse a proactive, sensitive and empathetic approach with patients andrelatives to enable involvement in advance care/treatment planning.

Toundertake ReSPECT discussions and decisions where appropriate with patientsand families.

Toassess peoples information needs and provide relevant information to meetthose needs.

Tooffer bereavement support to carers in collaboration with the Supportive CareTeam or refer them onto the appropriate service.

To work alongside and liaise with DNs, GPs and otherexternal Health and social care providers to ensure patients and familiesreceive appropriate care and support.

To participate in the out of hours rota to providetelephone advice and exceptional visits if indicated.

To contribute to patient management by attending GoldStandard Framework, hospital and other practice based meetings.

To liaise and communicate with community, nursing home andhospital staff in order to raise awareness and promote understanding ofHospice services.

Ensure that all relevant information is documented andrecorded on the appropriate systems.

Foster positive working relations with the PrimaryHealthcare Team and with other health care professionals in the delivery ofcommunity based palliative care.

AllocatedLead Responsibilities

Forthose working in the community, these roles will also take leadresponsibility for a defined area on a rotational basis working on:

Audit and research programmes.

Input into Clinical Governance framework.

Chairing the Caseload Review meetings.

Undertake leadership responsibilities for all areas.

ServiceDevelopment

Provide input to service development initiatives.

Ensure systems are in place to ensure continuousimprovement, quality assurance and effective Clinical Governance andparticipate in the development of policies, protocols and clinical guidelinesto support specialist palliative care nursing.

Promote and engage staff in new ways of working - such asthe use of technology and working off site.

Promote a questioning and open culture.

Support and review departmental policies and processes andensure team compliance.

Keep abreast of current advances in nursing practice andresearch.

Together with the Deputy Director of Clinical Services,initiate, promote and participate in nursing and inter-disciplinary auditprojects.

Together with the Deputy Director of Clinical Services,take a key role in supporting the hospice Clinical Governance framework.

Work across professional boundaries using creativereasoning and problem solving.

Educationand Training

To take responsibility for attending mandatory Hospicetraining and in-house courses in line with organisational policy and currentlegislation.

To actively participate in and contribute to the ongoingeducational programme of the Hospice.

To attend and actively participate in the identified CPDopportunities provided.

To proactively maintain appropriate level of clinicalcompetence as identified within the St Giles Hospice Competencies.

To identify training and education needs, in line withservice provision, with the clinical education team.

To assist in orientation programmes for new members ofstaff.

To act as a mentor/supervisor for developing staff underthe direction of the Deputy Director of Clinical Services.

To participate in research projects as required.

To take personal responsibility for life-long learning,self-development and reflection.

To participate in informal and formal education.

Just so you know:

We may review applications before the applicationreview date, however, if you apply after the application review date, yourapplication may not be considered. We will accept applications until we havesuccessfully filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of theapplication close date, then please consider that your application has beenunsuccessful at this time.

As part of your application your data will bemanaged in line with St Giles Hospice Privacy Policy and kept for 6 months. Ifyou would like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

Person Specification

Other Requirements

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

Qualifications

• Registered Nurse (Degree/Masters level)
• Current NMC Registration
• Recognised teaching qualification or equivalent
• Physical Health Assessment Level 6 minimum
• Willing to undertake additional study as required
• Degree in specialist practice related to specialist palliative care
• Community Nursing qualification
• Leadership course
• Management course

Experience

• Community nursing experience
• Experience and evidence of clinical audit
• Published original work
• Proven experience within specialist palliative care
• Experience and evidence of effective change management
• Experience and evidence of research/evidence based practice
• Experience and competence in managing complex palliative care cases - symptoms, psychological, grief/loss needs, ethical dilemmas and patient advocacy
• Fully comprehends contemporary CNS role
• Experience of development, implementation and appraisal of quality and audit initiatives
• Knowledge of corporate and clinical governance
• Fully comprehends and implements research and evidence based practice process
• Diverse specialist palliative care knowledge and awareness - national and local agenda

Skills

• Sound reflective and facilitation skills
• Expert communication, counselling and interpersonal skills
• Teaching skills - informal and formal and ability to contribute to education programme
• Ability to work independently and as part of a team
• Ability to make expert clinical decisions
• Emotionally resilient

Personal Attributes

• Team player
• Able to work under pressure

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.

£47,065.39 to £54,085.12 a yearpro rata for part time hrs (+ enhancements where applicable)