Jobs at Nhs in Grande-Bretagne

An exciting opportunity has arisen to join our Trust as a Lead Nurse in Dermatology based at Ormskirk Hospital. The post-holder will provide expert leadership and management within a multi-disciplinary team and deliver highly advanced specialist/clinical nursing expertise for dermatology patients. The post-holder will advise primary and secondary care clinicians on setting up, implementing, delivering and evaluating patient care using evidence-based practice, and will provide a service in line with national, regional and local guidance, standards, protocols and policies to ensure positive patient outcomes.

The post-holder will contribute to senior management and governance frameworks within the care group and be line manager to band 7 and band 6 nurse specialists/nurse practitioners. A job plan will be agreed with the post holder and manager and reviewed annually as part of appraisal, including appropriate clinical supervision. The JD & PS are under AfC review and subject to change. Interview Date – To Be Confirmed.

• Provide expert leadership and management within a multi-disciplinary team and deliver highly advanced specialist/clinical nursing expertise for dermatology patients.
• Advise primary and secondary care clinicians about setting up, implementation, delivery and evaluation of patient care utilising evidence-based practice; provide a service in accordance with national, regional and local guidance, standards and protocols and policies.
• Contribute to senior management and governance frameworks within the care group; line manager to band 7 and band 6 nurse specialists/nurse practitioners.
• Agree a job plan with the manager to be reviewed annually, including appropriate clinical supervision.
• Responsible for the service budget in conjunction with Directorate Manager and ADM; ensure KPI data is collected and submitted to commissioners; act as the first point of contact for commissioner queries.
• Work autonomously, managing a caseload of patients within the specialty while collaborating with the multidisciplinary team; deliver individualised and personalised direct patient care.
• Assess emergencies in the specialty, interpret information, take appropriate action and lead others to do the same.
• Advocate for patients to ensure a patient-centred approach and meet NHS plan, NHFD and Best Practice standards.
• Ensure high-quality clinical care and patient experience, respecting customs and beliefs; engage service users through user groups and open days.
• Coordinate specialist services within hospital and community settings; liaise with multi-disciplinary colleagues.
• Develop and run nurse-led clinics; coordinate treatment with medical staff; work autonomously in nurse-led clinics including prescribing
• Prescribe specific medications and topical agents for dermatological conditions as an independent and supplementary prescriber within competence.
• Direct, support, encourage and advise clinical teams; promote patient-centred care and maintain supportive relationships with patients and families.
• Support and enable patients and carers to make informed treatment decisions; promote evidence-based practice and clinical standards to develop the specialist service.
• Provide professional and clinical leadership and act as a resource for education and clinical expertise; demonstrate expert practice in assessment, planning, implementation and evaluation of care.
• Establish and maintain effective working relationships with clinicians, practitioners and managers; educate and involve patients, carers and relatives; provide psychological support as required.
• Engage in local, national and international networking to maintain expert knowledge; undertake highly specialist procedures (e.g., minor surgery, PDT, MED and MPD) and lead on clinical pathways including prioritisation of cases.
• Provide outreach clinical sessions across primary and secondary care; act as autonomous practitioner with judgement and decision making in clinical care.
• Ensure compliance with regulations regarding drugs, administration and record keeping; document clinical conditions and care plans; lead nurse-led clinics using appropriate protocols.
• Initiate medication reviews with consultants; liaise with primary and secondary care clinicians as required; ensure services support home management with MDT involvement.
• Be a contact for patients; offer advice and support to patients, families and carers; develop the Dermatology Service within the team and attend departmental meetings.
• Maintain concise, accurate and auditable records; dictate and sign letters to GPs and other healthcare professionals; return calls and arrange clinic appointments; work independently and as part of the wider team.
• Deliver patient care with professionalism and uphold high standards.

• Supervise staff as required, including appraisal and performance management; line manager to band 7 and band 6 nurse specialists/nurse practitioners.
• Act as team leader when required; coordinate and delegate work; review recruitment and deployment of staff.
• Authorize equipment usage according to financial instructions; monitor financial resources with Directorate Manager to achieve efficiencies.
• Manage service changes with financial implications; implement HR processes such as sickness/absence management.
• Collaborate with ADM/DM to ensure sustainability, capacity and capability; contribute to annual business planning; provide clinical insight into trends and disease prevalence.
• Influence commissioning decisions and demonstrate achievement of contracted KPIs; manage budgets with Directorate Managers; ensure KPI and CQUIN data are submitted to commissioners on time.

• Facilitate a high-quality, cost-effective specialist service through monitoring and audit; lead developments to promote high-quality patient-focused services.
• Attend and participate in multi-professional team meetings; set and review standards of care; initiate corrective actions; identify unsafe environments and escalate as needed.

• Coordinate development of teaching and education programmes; provide support to patients for self-management; lead development of patient education and information.
• Liaise with Practice Education Facilitators to develop attachments for students; support nursing colleagues in CPD, peer supervision, and feedback-driven education improvements.
• Contribute to specialty curriculum development at local/regional level and advise on commissioning of specialty training; assess personal educational needs and keep up to date with NMC requirements.
• Raise awareness of dermatology conditions through teaching and organizational education; provide supervision to ensure adherence to NMC guidelines for medicines administration.

• Monitor standards of care and lead improvements via benchmarking, audit and research; understand and apply evidence-based care.
• Support data collation for internal and external assessments (quality ward rounds, CQC); lead on Serious Untoward Incidents (SUIs) and patient safety incidents as required; ensure lessons learned are implemented.
• Attend governance meetings; submit activity data/annual reports; identify and submit research proposals with appropriate approvals; promote nursing research and publish outcomes.
• Utilize research findings to inform practice and disseminate information to staff; participate in clinical research trials where appropriate; lead and contribute to audit and research within the specialty.
• Familiar with current clinical research protocol issues; lead reporting of clinical incidents and safety concerns; supervise staff to ensure NMC medicines administration guidelines and Misuse of Drugs Act compliance.

Thank you for considering an application to work for Mersey West Lancashire NHS Trust. The MWL Trust is an exciting and forward-thinking employer; vacancies may close early if enough applications are received. Equality, Diversity and Inclusion statements follow, including Guaranteed Interview Schemes for disabled applicants and armed forces veterans, with details on accessibility and DBS checks. The Trust supports flexible working and offers benefits including pension, leave, and discounts.

MWL serves a population of over 600,000 with 9,000 staff across 21 sites, delivering Acute Care, Primary Care, Community Services, and Specialist Regional Services. Our values are We are KIND, OPEN, and INCLUSIVE.