NursingNetUK

Detailed job description and main responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click “Apply now” to view in Trac 

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

DUTIES AND RESPONSIBILITIES

JOB SUMMARY/JOB PURPOSE
Working as an autonomous practitioner devise, implement and follow up specialist 
treatments across the disease spectrum for patients within a specific group. To be a 
skilled practitioner providing expert clinical care using an extensive theoretical 
knowledge base and practical experience to underpin the role, while acting as a role 
model for the delivery of expert care. 

in relation to the specific disease, including medical, nursing and Allied Health 

To line manage staff in specialist area including staff from other disciplines.
To lead research and audit within given speciality internally and externally to the UHB

Clinical and Patient Care Responsibilities
To work as an autonomous expert practitioner
To provide up to date evidence based care.
To be an expert resource, providing expert clinical advice to all members of the interdisciplinary team, patients, carers and other agencies.

To utilise advanced nursing skills and extensive knowledge base to undertake specialist assessments, critically analysing complex information to make informed decisions regarding appropriate treatment/intervention to ensure the delivery of highly specialist care.
To be responsible and accountable for legible and contemporaneous records.
To devise, prescribe, evaluate and document care and treatment and outcomes 
To assess patients condition and appropriately advise/prescribe and/or administer medication within UHB, Local and National best practice guidelines as accordingly. 
To have a positive influential role and impact on care across the clinical area

Clinical Practice 
To have an active role in devising and participating in the development and 
implementation of policies, protocols and clinical pathways to improve care within the clinical area of expertise in line with UHB/ National strategic policy and implement where required throughout the UHB. 
To actively participate in benchmarking with other specialist services across local/ national/ international organisations. 
To autonomously manage individual caseload, using expertise in devising, 
providing and implementing highly specialised programmes of clinical care 
spanning primary, secondary and/or tertiary care. 
Provide highly specialist advice to patients, carers and other health professionals.
To have a highly specialised knowledge base within clinical sphere and become an advice resource for other healthcare professionals from the multi-disciplinary team across primary and secondary care and, where required, tertiary care.
To ensure consultations and changes in treatment are communicated to all, 
(internal and external) involved 
To assess and critically analyse complex health information to implement and evaluate ongoing care management plans and to change as necessary to ensure prompt, effective and appropriate patient care. 
Using highly specialist knowledge, interpret complex clinical information to 
educate and advise patients, encouraging them to participate in informed decision making and informed consent 

Communication and Relationships Skills

 To be the lead clinical link between specialist services and other care providers 
 To ensure effective communication with patients and their carers, including the provision of patient and carer education, emotional support and health promotion 
To ensure adequate communication that is empathetic and reassuring to patients and families especially when information is complex, sensitive and highly emotive
To provide patients and their carers/families with highly complex information providing empathy and reassurance while ensuring any barriers to understanding have been overcome 

To provide psychological and practical advice/support to patients’ carers/ families whilst respecting patients’ confidentiality

Professional

 To act as a positive role model within and outside the Health Board

 To work in accordance with Nursing and Midwifery Council Code of Professional Conduct, Standards for Conduct, Performance and Ethics

 Maintain own professional development in nursing and midwifery locally, 
nationally and seek opportunities to develop role

 Maintain confidentiality under the Data Protection Act
 Be accountable for own professional actions and decisions
 Ensure professional registration/revalidation is up to date
 To undertake Values Based PADRs within the team
 To actively participate in own Values Based PADR process
 To be responsible for annual update of independent prescribing scope of practice
 To continue ongoing professional development by participating in professional forums throughout the UHB/ locally and nationally. 
 To undertake study days and self study to ensure continued development in the area of specialism.
To encourage innovation in clinical practice (by motivation and example).
 Ensure there are processes in place to receive feedback from 
patients/carers/families with regard to their experience

Education

To develop highly specialist knowledge base and be an expert resource for 
members of the interdisciplinary team regarding specialist care management. 
 To apply highly specialised knowledge attained via MSc level of education to support clinical practice.
To proactively engage and lead where appropriate in devising, planning and 
delivering specialist training programmes to a range of health care professionals in a range of settings (e.g. ward/clinic based/lecture theatre/conference) ensuring knowledge of caring for these patients is cascaded and UHB/local/national polices on the care of these patients is implemented throughout the UHB 
To actively consult local/national Universities as a specialised expert resource to devise and deliver educational sessions/ programmes for pre and post registration students across the MDT. 
 To supervise and support the education and development of individual nurses caring for patient group in the clinical area 
 To identify and ensure personal educational requirements are met at all times to support advanced clinical practice and skills.
 To set up, implement and manage professional interest groups within various specialities to ensure and maintain the profile of the field throughout the Health Board, using these forums as a platform to provide specialist professional teaching to allow the cascade of information throughout the UHB / local and national forums
 To be responsible for providing ongoing education, training and support for staff to develop new advanced skills. 

Research
 To be able to understand, analyse and disseminate current research and be able to critically analyse its significance to practice. Implementing findings to improve care for service users where needed and share up to date practice with other nurses/health care professionals in the clinical area 
 Actively devise and undertake research projects within specialist field
 To participate and/or co-ordinate UHB, local and national research activity within the specialist area of practice. Ensuring GCP (Good Clinical Practice) certification is 100% up to date
 To provide teaching, support and supervision to allow others to understand and participate in the research process.
 To formulate and/or implement research protocols for NHS/Commercial studies in accordance with UHB Research and Development polices.
 To publish and disseminate research conclusions. 
 To present research findings at appropriate meetings locally/nationally/ 
internationally

Management
 To take the role of Lead Clinical Nurse Specialist within specialist service
 To line manage staff within specialist area 
 Undertake annual appraisals for all staff within sphere of responsibility. 

To actively participate in the management of concerns, complaints and incidents within your clinical speciality

 Audit

To regularly plan, initiate and participate in clinical audits regarding care/patient management.
To analyse audit data and disseminate/present information at clinical governance meetings, seminars, link nurse meetings etc, on a local, national and international  arena. 
 To become a resource to other health professionals undertaking care/patient management audits.

Quality and Safety 
 To be responsible for the immediate identification and response to clinical risk issues within specialist area by instigating measures/action plans to protect patients and staff health and safety.
 To maintain accurate, easily accessible records of all clinical incidents (including the monitoring of trends). 
 To agree action plans (when appropriate) to prevent recurrence of critical 
incidents.
To raise concerns regarding clinical risk/poor practice within specialist area to Lead/Senior Nurse/Directorate Manager/Clinical Director/Clinical Risk 
Department.
 To comply with the University Health Board policies and protocols. 
 To present clinical risk issues at Health Board Quality and Safety meetings when necessary.