Registered Nurse Lead - Hospice in Your Home

Job summary
We provide a range of palliative care services for people in Nottinghamshire, and we are currently looking to recruit an experienced HIYH Registered Nurse Lead to develop our growing Hospice in your Home offer and operationally manage the Care Team.

You must have substantial experience of leading teams, preferably gained within a relevant healthcare setting. You will possess operational management experience and leadership skills. Essential to this role is an understanding of multi-disciplinary working, within healthcare, experience of managing teams and a passion for hospice care. In addition, you must have excellent communication, planning and networking skills, the ability to prioritise a busy workload and proficiency in the use of Microsoft Office and clinical systems. Experience of SystmOne is an advantage. Service development and transformation will be key aspects of the role. Flexible working on occasion may be required to meet the needs of patients.

Our Hospice In Your Home Team provides planned 1:1 care and a roaming service to people in their own homes across Nottinghamshire. The successful postholder will work shifts across the week, including weekend and bank holidays, on a planned rota basis and across the region based on patient need and referral criteria.

You must be a Registered Adult Nurse with post registration experience. You must also possess a full UK driving license and have access to a vehicle.

Main duties of the job

• Provide caseload management and lead the delivery of high-quality palliative and end of life care that delivers on CQC and quality standards for the Hospice In Your Home Services.
• Promote the services and patient outcomes achieved by Nottinghamshire Hospice, with Healthcare Professionals.
• Provide line management for allocated HIYH Registered Nurses (contracted) and Registered Nurses (Bank) and support them with the line management of HIYH Palliative Care Assistants (contracted) and Health Care Assistants (Bank) within the Hospice in Your Home teams.
• Act as the nominated Shift Leader
• Undertake Clinical On-Call on a roster basis
• As a key member of the clinical leadership team you will act as a positive role model and demonstrate clinical expertise in palliative and end of life care. This includes supporting families and carers with helping patients to remain in their preferred place of care whilst working collaboratively with Community Nursing and Social Care Teams. The role requires travel within the geographical boundaries of Nottinghamshire Hospices referral criteria.
• As well as undertaking your Leadership & Management functions, you will be required to work in both: a 1:1 capacity for a full support shift in a patients home in a lone worker capacity and in a pair, to provide a responsive, mobile service undertaking shorter visits to several patients across the shift.

The post holder will work autonomously under the indirect supervision of the Head of Community Services.

About us
Nottinghamshire Hospice offers staff the unique privilege to walk alongside patients and their families at this significant time of their lives while providing compassionate care and support. We deliver high-quality, excellent palliative care for patients across Nottinghamshire for those living with a life-limiting condition. We care for patients, families and their friends, both before and after death.

Most people are cared for in their own home & our goal is to help people make the most of their lives, in ways that are important to THEM .

Our values are embedded throughout the organisation C ompassion, T rust and A mbition.

We offer 5 weeks holiday pay plus Bank Holidays, Pension Scheme, Staff referral scheme (earn extra pay every time you successfully refer someone), Employee Assistance Programme, including private GP access, National retail/attractions discount scheme, Roadside parking off site, Free DBS check.

Job responsibilities
Ensure Nottinghamshire Hospices commitment to equality, diversity and inclusion is embedded in all areas of practice within HIYH.

Act as a champion for equality, diversity and inclusion, challenging poor or inappropriate practice in all areas of Nottinghamshire Hospice delivery of service. This is not restricted to the Hospice In Your Home team.

Specific Duties and Management:
Provide nursing leadership and management to the HIYH staff to ensure they are able to deliver safe and effective palliative & end of life care for patients in the community

Line manage allocated HIYH staff including probation, performance and 1:1 meetings, sickness & absence monitoring, regular clinical supervision schedules and overseeing training needs.

Create and amend staff rosters to ensure the continuity of service delivery whilst giving consideration to skill mix.

Support the Head of Community Services to provide effective clinical services.

Work collaboratively with other services the Hospice provides.

Foster positive working relationships with multi-disciplinary healthcare professionals across Nottinghamshire to bring benefit to patients.

Act at all times as a positive role model, demonstrating the values of the hospice; Compassion, Trust and Ambition.

Clinical Responsibilities :
Accept new patient referrals for Hospice In Your Home services while prioritising team workload in accordance with the clinical needs of patients.

Establish a therapeutic relationship with patients and their relatives to ensure that they are included as far as they wish to be in the planning and delivery of Hospice services and the care provided.

Provide clinical caseload management for Hospice In Your Home, ensuring patients and their families receive high quality, timely care by the right person at the right time. This may include discharging patients from Hospice services and signposting onwards.

Ensure staff are safe, during and after every shift adhering to the Lone Working Policy.

Undertake assessments of patient needs, develop personalised care plans and evaluate outcomes in collaboration with other health & social care providers where appropriate.

Provide clinical oversight and support to: HIYH Registered Nurse (contracted); Registered Nurse (Bank); HIYH Palliative Care Assistant (contracted) / Health Care Assistant (Bank)

Act as the clinical shift leader as required.

Oversee a high standard of documented care through written and electronic records (SystmOne) for the patients, using all appropriate channels and systems to enable effective multidisciplinary communication and working.

Provide Senior Clinical on-call support on a roster basis for the Hospice services and liaise effectively with the Director on-call where appropriate.

Be familiar with, adhere to and participate in the development of clinical policies and procedures.

Demonstrate good team working skills and commitment to working effectively within the HIYH Service.

• Effective operation and monitoring of equipment (for example, oxygen concentrators, feed pumps, syringe pumps, tracheostomy tubes within scope of professional practice and competence).

Communication:
Oversee and provide support with regards to care administration, including the allocation and reallocation of staff, based on clinical assessment of needs, to ensure optimum skill mix and continuity of care for the patient.

Liaise closely and share information (in accordance with patients wishes) with those who are involved in the care and discharge of patients.

Liaise and communicate with other professionals and the general public in order to raise awareness and promote hospice services.

Organise and oversee regular team meetings.

Education and Training:
Undertake additional training and development in order to develop the skills required to provide quality palliative care for patients, in line with personal development plan.

Ensure that own Revalidation and that of other RNs in the HIYH Team is completed in an accurate and timely manner.

Assist the Education Lead in the delivery of training through direct one to one supervision and/or group sessions.

Engage in the Hospice Appraisal process and support others where appropriate.

Support and guide new members of staff during induction

Take responsibility for attending mandatory training in line with organisational policy and current legislation.

Audit and Quality:
Be aware of new research and clinical developments in Palliative and End of Life Care.

In conjunction with the Head of Community Services, lead, promote and participate in clinical audit and service users feedback programmes.

Be the line manager and be responsible for recruitment, induction, supervision and appraisals for an identified group of Hospice In Your Home staff and to identify their learning and training needs.

Develop effective working relationships with all members of the multidisciplinary team in the hospice.

Report accidents, incidents, concerns and complaints relating to patients or their relatives via Vantage and as per Hospice policy and procedures; assist with any investigation as appropriate.

Keep abreast of current advances in nursing practice.

Assist in the induction of new team members to the team; influence good communication throughout the team; sharing knowledge and experience and providing feedback and learning opportunities through regular clinical supervision.

There will be a requirement at times to travel within work time to different locations to attend external meetings and other Hospice sites.

Legal & Ethical:

• Practice within the legal and ethical framework as established by the Nursing & Midwifery Council and national legislation to ensure the patients interests, well- being and safety are met.

Health & Safety/Risk:
Take reasonable precaution to ensure that the patient and the patients property is safeguarded and to report concerns if deemed necessary.

Undertake dynamic Risk Assessments as required.

Work within all Hospice Health & Safety policies.

Assess patients and environmental risks and follow all Hospice policies and procedures.

Report any incidents via Vantage and follow the incident reporting process and policy.

Safe use of a range of equipment including:

• Hoists
• Slide sheets
• Wheelchairs
• Electric or patients own bed
• Oxygen concentrators
• Feed pumps (within scope of competence)

Administrative:

• Maintain accurate record keeping using SystmOne and paper documentation where appropriate.
• Complete all appropriate forms/documentation within the given time span and submit to the Hospice as required.

Person Specification
Qualifications
Essential

• Registered Adult Nurse with the NMC

Desirable

• Degree Level Education

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.

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.

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website.