Out of Hours Community Palliative Care Team Lead

Clinical Through a reduced caseload: assess, plan, implement and evaluate specialist nursing/palliative care interventions for patients with highly complex palliative care needs Working autonomously, integrate theory and practice to develop plans of specialist and complex treatment and care, based upon clinical assessment Work with high level of autonomy to manage a caseload of patients, using clinical judgement and experience to identify outcomes and results Demonstrate high level knowledge and understanding of disease processes and integrate this knowledge into the assessment and management of patients Demonstrate high level knowledge and understanding of the psychological responses to terminal illness and develop skills to assess and manage these in practice, referring to specialist services, as required Comprehensively assess pain and other symptoms with the use of appropriate tools, ensuring an understanding of clinical history and physical examination to support clinical diagnosis Using high level clinical knowledge and experience ensure proactive anticipation of clinical need and the development of plans to support this Demonstrate extensive knowledge of therapeutic treatment methods and uses of medications to treat patients, with reference to relevant national guidance and protocols Demonstrate expertise of a range of therapeutic options, which may be available to support the management of symptoms, including medication and non-pharmacological measures such as complementary therapies Review and monitor interventions and management plans, including medication and nonpharmacological interventions, communicating appropriately with patients, carers and MDT colleagues regarding any changes made Use specialist expertise and clinical knowledge to effectively consider prescribed medication, working closely with MDT colleagues to effectively management symptoms and ensure continuity of care In partnership with MDT members, review assessments in response to changing needs, ensuring that information about these changes are shared appropriately, including changes to patient priorities and wishes Support the autonomy and independence of patients, ensuring the provision of holistic and person centred care, with awareness of the principles of the Mental Capacity Act (2005) Demonstrate understanding of issues relating to safeguarding adults, and the ability to support and direct colleagues, as required Demonstrate advanced communication skills to respond to the needs of patient and families and to enable open discussion, including facilitating discussion around advance care plans, death and the dying process Demonstrate an ability to problem-solve, to enable patients and families to find resolution to their concerns, signposting to other professionals or services, as appropriate Work closely as part of the multi-disciplinary team by engaging in and leading on, regular clinical meetings, which support patient care and care planning, demonstrating support for learners and junior colleagues Act as a resource for junior colleagues Facilitate support for carers, recognising their value in the care of patients facing palliative and end of life care Demonstrate understanding of clinical risk and safeguarding concerns, and an ability to use clinical reasoning to mitigate or escalate this and to act as a resource to support junior colleagues Maintain accurate and contemporaneous patient records Provision of initial bereavement support and awareness of services for onward referral/signposting Actively participate in and deliver clinical supervision Leadership and management Provide full operational leadership within the OOH Community Hospice Team, including direct and indirect management of individuals and resources, including managing sickness absence, compassionate leave, study leave, return to work interviews and rosters Manage effective service delivery by anticipating need and priorities with available clinical resource and responding effectively to this, ensuring that changing clinical and operational priorities are managed, in partnership with West Suffolk Alliance systems and partner organisations Provide line management support to identified individuals Undertake staff development (incorporating delegated responsibility) for regular 1-2-1s, and annual appraisals Ensure staffing rota provides OOH Team nursing cover 365 days per year; providing adequate staffing and skill mix Proactively identify when shortfalls occur or are likely to occur, taking appropriate remedial action, escalating concerns to the Head of Nursing and Quality Work closely with the Head of Nursing and Quality to manage the OOH Community Palliative Care Team budget, within limits of Delegated Authority, leading the effective and efficient use of physical and financial resources, making recommendations regarding supplies, equipment and staff time Act as a role model demonstrating high standards of care and clinical leadership at all times Identify and manage performance issues including attendance, professional conduct, capability etc Collect and critically analyse and interpret data relating to clinical activity and staffing Ensure that systems are in place to predict, reduce, prevent and manage clinical risk Provide a clinical triage service, as required Work collaboratively with other services to support the continuum of care for patients across West Suffolk, including representing the Head of Nursing and Quality, when required Work autonomously to manage and develop palliative out-patient clinic sessions, in settings across West Suffolk and Thetford and support junior colleagues to gain confidence in these settings Lead on a one clinical team approach, having developed own skills to deliver care across settings to support business continuity Provide senior clinical support and advice during out of hours periods, in the absence of senior colleagues, escalating concerns outside role and responsibilities, as appropriate Act as a senior clinical resource for junior colleagues during out of hours periods, ensuring that clinical resource is allocated appropriately and clinical risk mitigated or escalated, as appropriate Use data to analyse clinical performance, activity and outcomes and lead on strategies to support quality improvement Seek patient feedback proactively and collate responses as per organisational guidance in order to develop services Participate in the Clinical On Call Manager rota, providing operational support and decision making for clinical teams Alongside senior colleagues, participate in performance and activity reviews which form part of the governance and assurance structure. Education and Research Review own training and education needs based on feedback from appraisal, audit and changes to national guidance Completion of opioid conversion workbook and supporting others in practice with safe practice Actively maintain current knowledge across specialist palliative care by reading and undertaking informal learning opportunities Plan and lead on the development and delivery of educational programmes to enhance the learning of others, including professionals, patients and carers Work with learners, acting as Practice Assessor, as appropriate, offering feedback to support practice Engage in regular Continued Professional Development opportunities to ensure that own clinical practice remains current Work towards achievement of additional Level 7 modules to support professional development Where possible, participate in research opportunities across palliative care Job description Job responsibilities Clinical Through a reduced caseload: assess, plan, implement and evaluate specialist nursing/palliative care interventions for patients with highly complex palliative care needs Working autonomously, integrate theory and practice to develop plans of specialist and complex treatment and care, based upon clinical assessment Work with high level of autonomy to manage a caseload of patients, using clinical judgement and experience to identify outcomes and results Demonstrate high level knowledge and understanding of disease processes and integrate this knowledge into the assessment and management of patients Demonstrate high level knowledge and understanding of the psychological responses to terminal illness and develop skills to assess and manage these in practice, referring to specialist services, as required Comprehensively assess pain and other symptoms with the use of appropriate tools, ensuring an understanding of clinical history and physical examination to support clinical diagnosis Using high level clinical knowledge and experience ensure proactive anticipation of clinical need and the development of plans to support this Demonstrate extensive knowledge of therapeutic treatment methods and uses of medications to treat patients, with reference to relevant national guidance and protocols Demonstrate expertise of a range of therapeutic options, which may be available to support the management of symptoms, including medication and non-pharmacological measures such as complementary therapies Review and monitor interventions and management plans, including medication and nonpharmacological interventions, communicating appropriately with patients, carers and MDT colleagues regarding any changes made Use specialist expertise and clinical knowledge to effectively consider prescribed medication, working closely with MDT colleagues to effectively management symptoms and ensure continuity of care In partnership with MDT members, review assessments in response to changing needs, ensuring that information about these changes are shared appropriately, including changes to patient priorities and wishes Support the autonomy and independence of patients, ensuring the provision of holistic and person centred care, with awareness of the principles of the Mental Capacity Act (2005) Demonstrate understanding of issues relating to safeguarding adults, and the ability to support and direct colleagues, as required Demonstrate advanced communication skills to respond to the needs of patient and families and to enable open discussion, including facilitating discussion around advance care plans, death and the dying process Demonstrate an ability to problem-solve, to enable patients and families to find resolution to their concerns, signposting to other professionals or services, as appropriate Work closely as part of the multi-disciplinary team by engaging in and leading on, regular clinical meetings, which support patient care and care planning, demonstrating support for learners and junior colleagues Act as a resource for junior colleagues Facilitate support for carers, recognising their value in the care of patients facing palliative and end of life care Demonstrate understanding of clinical risk and safeguarding concerns, and an ability to use clinical reasoning to mitigate or escalate this and to act as a resource to support junior colleagues Maintain accurate and contemporaneous patient records Provision of initial bereavement support and awareness of services for onward referral/signposting Actively participate in and deliver clinical supervision Leadership and management Provide full operational leadership within the OOH Community Hospice Team, including direct and indirect management of individuals and resources, including managing sickness absence, compassionate leave, study leave, return to work interviews and rosters Manage effective service delivery by anticipating need and priorities with available clinical resource and responding effectively to this, ensuring that changing clinical and operational priorities are managed, in partnership with West Suffolk Alliance systems and partner organisations Provide line management support to identified individuals Undertake staff development (incorporating delegated responsibility) for regular 1-2-1s, and annual appraisals Ensure staffing rota provides OOH Team nursing cover 365 days per year; providing adequate staffing and skill mix Proactively identify when shortfalls occur or are likely to occur, taking appropriate remedial action, escalating concerns to the Head of Nursing and Quality Work closely with the Head of Nursing and Quality to manage the OOH Community Palliative Care Team budget, within limits of Delegated Authority, leading the effective and efficient use of physical and financial resources, making recommendations regarding supplies, equipment and staff time Act as a role model demonstrating high standards of care and clinical leadership at all times Identify and manage performance issues including attendance, professional conduct, capability etc Collect and critically analyse and interpret data relating to clinical activity and staffing Ensure that systems are in place to predict, reduce, prevent and manage clinical risk Provide a clinical triage service, as required Work collaboratively with other services to support the continuum of care for patients across West Suffolk, including representing the Head of Nursing and Quality, when required Work autonomously to manage and develop palliative out-patient clinic sessions, in settings across West Suffolk and Thetford and support junior colleagues to gain confidence in these settings Lead on a one clinical team approach, having developed own skills to deliver care across settings to support business continuity Provide senior clinical support and advice during out of hours periods, in the absence of senior colleagues, escalating concerns outside role and responsibilities, as appropriate Act as a senior clinical resource for junior colleagues during out of hours periods, ensuring that clinical resource is allocated appropriately and clinical risk mitigated or escalated, as appropriate Use data to analyse clinical performance, activity and outcomes and lead on strategies to support quality improvement Seek patient feedback proactively and collate responses as per organisational guidance in order to develop services Participate in the Clinical On Call Manager rota, providing operational support and decision making for clinical teams Alongside senior colleagues, participate in performance and activity reviews which form part of the governance and assurance structure. Education and Research Review own training and education needs based on feedback from appraisal, audit and changes to national guidance Completion of opioid conversion workbook and supporting others in practice with safe practice Actively maintain current knowledge across specialist palliative care by reading and undertaking informal learning opportunities Plan and lead on the development and delivery of educational programmes to enhance the learning of others, including professionals, patients and carers Work with learners, acting as Practice Assessor, as appropriate, offering feedback to support practice Engage in regular Continued Professional Development opportunities to ensure that own clinical practice remains current Work towards achievement of additional Level 7 modules to support professional development Where possible, participate in research opportunities across palliative care