Total 322 job vacancies by NHS Jobs

For detailed job description and main responsibilities as well as person specification, please check the attached files.

provide compassionate, effective, visible and virtual management and leadership to the CATS team. To ensure good people management practices, ensuring that effective and supported team-working is felt across the CAS. Fostering and maintaining a positive work environment To role model a learning and coaching culture based on openness, learning and continuous improvement that supports continuing personal development. To encourage staff members to take personal responsibility and ensure they have the necessary autonomy to deliver excellent healthcare services in a busy high-pressure environment. To be responsible for the smooth running of our services on a shift basis. Proactively managing the clinical queue effectively, whilst having oversight of the activity at each site to work collaboratively with place-based staff to effectively manage patient flow. To support the CATS team with knowledge and expertise of software, systems and equipment use. To work closely with the clinicians to ensure that patient journeys are quick and effective. To work with the management to ensure that the CAS meets (as a minimum) national standards, contractual obligations and KPIs, and where this is not achieved plans are created, actioned, and monitored to ensure compliance. To work alongside the CATS Management and Place Based Care colleagues to ensure that where commissioned services span both business units, that delivery is seamless and supportive of each other, and patient journeys are safe, quick and cost effective. Cover for staff absences the on the day that affect capacity as well as clinical sickness are managed in real time to minimise impact on service delivery. To continually assess our service processes, policies, and procedures to ensure that improvements or efficiencies are continually identified, and changes are made to improve service delivery or organisational performance where appropriate. To work with CATS Operational Manager and CAS staff so that we can evidence the positive impact, clinical and non-clinical of the work we do. To contribute operational expertise and service knowledge to the development of organisational transformation. To work with the wider organisation to continually develop our service offer; ensuring patient journeys are continually enhanced, operational efficiencies gained, or clinical quality is improved through technological, operational, or human improvement. To work with the wider organisation to implement new technologies or processes, supporting the roll out and mobilisation phase of projects or new business opportunities and in doing so, support a smooth transition to business as usual. To ensure good communication and coordination with wider health and social care communities, including (but not exclusive) ICB, NWAS, YAS, UCR teams, EDs, SDEC, tertiary centres, PCNs etc, supporting our reputation as a reliable deliverer of care. To support the training of new staff and ongoing personal development. To have the ability to flex with an emergent corporate strategy that will constantly be influenced by external factors and political changes. The above list of duties and responsibilities is not intended to be fully comprehensive and may be amended to take account of changing circumstances or requirements following consultation with the post holder. Education And in Service Training Be fully conversant in all the clinical computer systems used within FCMS Attend relevant study/induction days, seminars, courses etc, for individual development and for the benefit of the service. Where necessary relevant training in the operation of new or unfamiliar equipment, software or procedures will be provided or arranged. Confidentiality In the course of your duties, you may have access to confidential information about patients, staff or health service business. On no account must such information be divulged to anyone who is not authorised to receive it. Confidentiality of information must be preserved at all times whether at or away from work. FCMS has in place a Whistle-blowers Policy for staff wishing to express concerns. Data Protection Act, 2018 Carry out any requirements within the duties applicable to the Data Protection Act, 2018. Health And Safety At Work Act, 1974 Observe all responsibilities and carry out all duties, whether general to all employees or specific to the post, relating to Health and Safety in accordance with the Practice and Departmental Safety Policies and any statutory requirements. Clinical and Corporate Governance/Quality Assurance All employees are expected to comply with the clinical and corporate governance arrangements of FCMS. Every employee is personally responsible for the quality of the work, and standard of care, which they individually provide. It is their duty to seek to attain the highest standards achievable both individually and collectively within their knowledge, skills and resources available to them. Outside Employment/Outside Interests If you have other work or outside interests, this must not conflict with your duties and responsibilities of your attendance for work as an employee of the Practice. Working Time Directive You are required to comply with the regulations governing working time and to any locally agreed associated arrangements. Harassment And Bullying The Practice condemns all forms of harassment and bullying and is actively seeking to promote a workplace where employees are treated with dignity, respect and without bias. Equal Opportunities In all the foregoing text any reference to one gender whether direct or implied equally includes the opposite gender unless specifically stated to be otherwise. Fire Training Each member of the staff has a statutory obligation to attend a Fire Lecture each year. It is the responsibility of each member of staff to ensure that they comply with this legal requirement. No Smoking Policy FCMS has a no smoking policy Disability Confident Employer - As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy The organisation is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staffto share this commitment. You will be expected to fulfil your mandatory safeguarding training at the level applicable to this role. Disclosure/Criminal Record (DBS) This post is subject to the Rehabilitation of Offenders Act (Exemption 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. This will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence).

Whilst not exhaustive, the following duties represent an indication of the key duties and responsibilities expected of the post holder. Energy and Environment Responsible for development and implementation of Energy and sustainability policy Responsible for Energy and Utility budgets Trust lead on matters relating to Energy and Utility management Management and compliance of government implemented Carbon Reduction Commitment scheme to record and report CO2 emissions Management of energy and utility contracts and accounts Use of Key Performance Indicators to demonstrate energy performance on a monthly basis Working with staff and management at all levels to develop a carbon reduction strategy within the Trust Use of BMS and other systems to ensure optimum energy use and produce recommendations to Estates Manager on changes required Research to identify and apply for funding opportunities Delivery of NHS energy saving targets and CO2 targets Research and Evaluation of new technologies Forecast budget outturn to identify Spend to Save available funding and demonstrate business case for adequate provision of funds Development of business cases for the implementation of CO2 and energy reduction projects alongside implementation of energy management schemes Monitoring and targeting of all energy and utilities Use of benchmarking to identify, and where possible adopt, best practice Working with capital project managers and maintenance staff to ensure energy conservation is appropriately incorporated within engineering and construction schemes Influencing procurement to improve sustainability Energy surveys as required to meet statutory requirements throughout the Trust Sustainability Lead, advise and advocate sustainable practice across Atlas and the Trust estate. Developing and implementing sustainability strategies and programmes. Support the client in the delivery of the Green plan. Integrate sustainability goals into business processes by leading the Atlas sustainability plan and provide evidence of delivery through updating the sustainability dashboard. Organise the training and upskilling of Atlas employees on sustainability issues Develop the Atlas sustainability team. Ensuring the design fits the needs of Atlas and their clients, setting up sustainability champion groups. Ensure the Trust sustainability steering group is adequately represented on behalf of Atlas. Grown the relationship between the Atlas and the Trust green leads. Own, lead and move forward the Sustainability Action plan using the agreed SDAT (Sustainable Development Assessment Tool). Lead and organise the Atlas Sustainability Group ensuring action plans are lead and progressed. Ensure relevant initiatives are identified to deliver on the Atlas sustainability and support the Green Plan and they are costed within the sustainability budget. Environmental and Energy Compliance Monitor compliance with environmental and social standards Identification of statutory and NHS standards applicable to Estates function Working with Estates staff and other stakeholders ensure policies, procedures and systems of evidencing compliance are in place Risk rating of any non-compliance and, with responsible manager, development and monitoring of action plans relating to Estates and sustainability governance Regular reporting to the Deputy Director of Facilities, Director of Facilities and Trust Board as required to meet governance requirements Use of IT systems to collect, report, and monitor compliance evidence Sustainability and Energy Reporting and Data management Prepare sustainability reports (reporting) and ensure Atlas has quality data Collection and validation of data for loading on to ERIC and similar database Lead the completion of the PAM submission Generation of reports on request from data stored Use of data to assist Finance department to re-charge site overheads including energy and utilities to end users. Structure of data stored to allow response to freedom of information and environmental information request Other Duties: The post holder will: Ensure that all services are delivered in accordance with environment & sustainability and national standards and statutory legislation including relevant HTMs. Attend the various environment & sustainabilitySteering Groups, on an agreed regular basis to discuss environmental, sustainability and energy matters with the membership, who are made up of staff from across the organisation, client representatives and relevant external bodies. Assist with external investigations or inspections by the relevant bodies, relating to environmental matters, ensuring collaboration and transparency. Undertake formal inspections and assessments of all Atlas and Client related premises and workplaces, applying professional and technical skills to identify areas of non-compliance and recommend the remedial actions required to satisfy environmental regulations. Record and fully document all inspections and assessments, including all electronic records, and ensure that findings are shared with the responsible managers and the Health and Safety Group. Support operational managers with local and functional environmental meetings, ensuring a consistent approach across the organisation. Support the capital team, estates team and divisional managers, with any capital development projects to ensure all aspects of relevant sustainability, energy and environmental regulations and legislation have been considered. Lead the management of an effective relationship between Atlas, clients, and other appropriate statutory bodies. Ensure that individual objectives are undertaken on an annual basis and that that associated action plans are developed and completed. Demonstrate effective communication skills, being able to communicate with all stakeholders, including clients, visitors, external third-party contacts, senior managers and staff from other departments. Be able to conduct oneself in meetings professionally and be able to be entrusted with sensitive information. Demonstrate effective negotiation, public relations, and presentation skills. Contribute to achieving and maintaining quality outcomes and standards. Ensure compliance with Data Protection Act and General Data Protection Regulation principles and promote Information Governance. Be required to work independently and be responsible for their own day to day planning and organisation required to fulfil the duties and responsibilities of the post. Act in a way that is compliant with the Atlas Financial Governance Framework in the discharge of any budget management responsibilities; and, where designated as a budget holder for assigned functions and teams, be responsible for ensuring that pay and non-pay related expenditure within the department is managed appropriately, within budget, and that the appropriate documentation is available for scrutiny. Ensure that work is undertaken in line with appropriate policies, procedures and Standard Operating Procedures (SOPs). Ensure that the ordering, receipting, storage, and controlled usage of any materials required for both the acute estates services (procurement/requisitioning), is undertaken via the appropriate systems and in line with agreed SFIs, policies and procedures. Ensure that all official records are maintained as appropriate. When required, deal and respond efficiently with any concerns or complaints in line with the Atlas complaints procedure. Attend any training courses as deemed necessary by Atlas management and identify own personal training requirements and opportunities. Keep knowledge and skills up to date with Continuing Professional Development (CPD) and participation in the Atlas Mandatory Training scheme as appropriate. Where required, represent Atlas with active participation in both national and regional level external working groups. Undertake benchmarking exercises with appropriate datasets to seek continuous improvement ideas. Attend periodic seminars / user groups organised by NHS bodies to keep up to date with the latest policies and directives and to share best practice. Any other duties deemed commensurate with the post. Be available for on-call and out of hours activities as directed from time to time. Any other duties deemed commensurate with the post.

For more information please visit our website via Lancashire & South Cumbria NHS FT. Please see attached the job description and person specification for more information about this role.

Position: Nurse Prescriber - Dermatology Location: Cumbria and Lancashire Rate: Depending on Experience Part time: 1 - 2 Days per month, Aprox 16 Hrs per month Clinic Locations available Morecambe Bay, Blackpool Fylde & Wyre The purpose of the role is to assist the clinical team in the service and delivery of the dermatology service of the local population. The post holder works under indirect supervision of the clinical team and undertakes task and duties delegated by the clinical team or a suitably qualified regulated professional. They will work collaboratively with the clinical team to meet the needs of patients, following policy and procedures while providing supervision to more junior staff. Key Responsibilities • Alert other team members to issues of quality and risk in the care of patients • Ensure own actions are consistent with clinical governance systems •Practice in accordance with agreed standards of care •Enable patients to access appropriate professionals in the team •Ensure stock items under your control are ordered and available for use •Know how clinical governance affects the PN role and bring to the attention of more senior staff any specific risk situation •Be able to manage your own time effectively What is needed to join the Omnes Healthcare Family • Current NMC Registration • Evidence of Professional Updating • Evidence of Post-Registration training Who we are Omnes Healthcare Limited are a growing organisation that have been operating within the NHS since 2006 offering both Primary and Secondary care services with a forward-thinking, dynamic approach to patient healthcare, we are pioneers in a range of projects, from genomics to digital healthcare services, focused on delivering a better patient experience You will be supported by, and work with, a diverse multi-skilled professional team of clinical and non-clinical friendly staff. In return we offer sponsored training, flexible working , family friendly policies, career progression within an expanding organisation, a competitive salary and benefits package, including medical indemnity for all work undertaken for Omnes Healthcare. Apply today if you want to make a difference. We are a very inclusive and diverse business so if you need adjustments for the recruitment process, just get in touch, we will be more than happy to help. If you want more information, please get in touch.

Duties and Responsibilities To provide patient education and health promotion To undertake NHS health checks in the community face to face with patients Work to attain the service KPIs and targets Ensure all patient contact is recorded in a timely manner on the IT systems to enable tracking of patient outcomes, both in real-time to support ongoing intervention planning and retrospectively to understand the impact of the service To ensure mandatory training is kept up to date Acknowledge and accommodate barriers to communication and understanding including speech, hearing, language, and emotion. Flexibility in attending organised educational updates and eagerness to expand on current knowledge base and cascading new educational information to colleagues whenever possible Inform the Clinical Manager of any untoward incidents Work within all relevant policies and procedural guidelines e.g., infection control, safeguarding, chaperoning and risk management The above list of duties and responsibilities is not intended to be fully comprehensive and may be amended to take account of changing circumstances or requirements following consultation with the post holder. Education and In Service Training Be fully conversant in all the clinical computer systems used within FCMS Attend relevant study/induction days, seminars, courses etc, for individual development and for the benefit of the service. Where necessary relevant training in the operation of new or unfamiliar equipment, software or procedures will be provided or arranged. Confidentiality In the course of your duties, you may have access to confidential information about patients, staff or health service business. On no account must such information be divulged to anyone who is not authorised to receive it. Confidentiality of information must be always preserved whether at or away from work. FCMS has in place a Whistle blowers Policy for staff wishing to express concerns. Data Protection Act, 1998 Carry out any requirements within the duties applicable to the Data Protection Act, 1998. Health and Safety At Work Act, 1974 Observe all responsibilities and carry out all duties, whether general to all employees or specific to the post, relating to Health and Safety in accordance with the Practice and Departmental Safety Policies and any statutory requirements. Clinical & Corporate Governance/Quality Assurance All employees are expected to comply with the clinical and corporate governance arrangements of FCMS. Every employee is personally responsible for the quality of the work, and standard of care, which they individually provide. It is their duty to seek to attain the highest standards achievable both individually and collectively within their knowledge, skills and resources available to them. Outside Employment/Outside Interests If you have other work or outside interests, this must not conflict with your duties and responsibilities of your attendance for work as an employee of the Practice. It is a condition of appointment that you must inform your manager before taking up of any private practice, work for outside agencies or other employers, other work for this Practice (including bank work), voluntary work or outside interests you have or propose to have. This is to ensure there is no question of it creating a conflict of interest with your NHS duties. You must also therefore seek your manager's approval before taking on any such other work or outside interest at any time after entering employment. Working Time Directive You are required to comply with the regulations governing working time and to any locally agreed associated arrangements. Harassment and Bullying The Practice condemns all forms of harassment and bullying and is actively seeking to promote a work place where employees are treated with dignity, respect and without bias. Equal Opportunities In all the foregoing text any reference to one gender whether direct or implied equally includes the opposite gender unless specifically stated to be otherwise. Fire Training Each member of the staff has a statutory obligation to attend a Fire Lecture each year. It is the responsibility of each member of staff to ensure that they comply with this legal requirement. No Smoking Policy FCMS has a no smoking policy Disclosure/Criminal Record (DBS) This post will be subject to enhanced disclosure under DBS and is subject to the Rehabilitation of Offenders Act (Exemption 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. This will require three forms of valid ID to be produced and verified. The onboarding process is also subject to an Occupational Health check, suitable professional references and eligibility to work in the UK (with the requirement to provide relevant documentation as evidence). Disability Confident Employer - As users of the disability confident scheme, we guarantee to interview all disabled applicants who meet the minimum criteria for the vacancy The organisation is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staffto share this commitment. You will be expected to fulfil your mandatory safeguarding training at the level applicable to this role.

The post-holder will be responsible for leading and supervising a team of clinical staff who are attending to patients presenting with a booked appointment or with an unscheduled care need; diagnosing, treating patients and advising people in respect of their continuing medical and nursing needs. Advanced Clinical Practitioner will act as role model in the delivery of the service by being a highly efficient and productive leader using their expert knowledge and experience. The successful candidate will need to prioritise the needs of the service, team and patients accordingly making any necessary decisions to maintain the safety of the patients and the effectiveness of the service.

Physiotherapy Manager | Spire Fylde Coast | Permanent | Full Time | Band 7 equivalent depending on experience Spire Fylde Coast is looking for a highly motivated and experienced Physiotherapy Manager to join our high performing team on a permanent basis. This is an opportunity to join one of the UK's leading private hospitals and take your career to the next level. Spire Fylde Coast Hospital is based in the seaside town of Blackpool. We have 3 operating theatres undertaking a wide range of procedures in Orthopaedics, ENT, Spines, Ophthalmic, Urology, Vascular, Gynaecology, Endoscopy, Plastics and General Surgery. Your role will be to assist in the cleaning and upkeep of wards, offices and shared spaces throughout the hospital. The purpose of the role will be to take a lead role in the advanced physiotherapy assessment, diagnosis and treatment of patients. These patients may have complex and/or chronic presentations. Duties and responsibilities:- Develop practice in the assessment of health and wellbeing needs. Develop own managerial and clinical knowledge and practice and assist others to continually professionally develop. Develop a working environment and culture that actively improves health safety and security. Develop strategies and policies for service improvement. Improve quality. Enable people to exercise their rights and promote their equality and diversity. Lead others in the development of knowledge, ideas and work practices. Determine the effective use of physical and financial resources. Undertake Human Resource activities for all members of the team. Assist with research and development. Plan, monitor and quality assure the application of technology for measurement, monitoring and treatment of patients. Acknowledge the risk of Healthcare Associated Infections (HCAI) and understand own responsibility as agreed with line manager in the prevention and control of HCAI. In collaboration with specialist/highly specialist physiotherapists, set and monitor the standard of physiotherapy assessment, diagnosis and treatment capabilities and competencies across the team. Ensure they are implemented and regularly audited. Compare current physiotherapy practices, trends and developments against appropriate benchmarks, ensuring the implementation of best practice. Collect, collate and organise data, interpret all of the information and make a justifiable assessment relating to clients' physiotherapy needs, promote their wellbeing and reduce risks in the short and long term. In collaboration with specialist/highly specialist physiotherapists, provide physiotherapy advice and support on assessment approaches and conclusions to colleagues and others, using highly developed clinical and managerial expertise. This should be provided proactively and on request. Who we are looking for : Degree (BSc Hons Physiotherapy) or equivalent Registered with the Healthcare Professional Council Supervisory/Management qualification is desirable. Experience of applying clinical reasoning skills to a range of complex and varied patient case mixes, which must include orthopaedics. Experience of working in partnership with consultants and participating in creating innovative solution for the service Experience of clinical leadership e.g. developing peers and change management. Benefits: We offer employees a competitive salary as well as a comprehensive benefits package which includes but is not limited to: 35 days annual leave inclusive of bank holidays Employer and employee contributory pension with flexible retirement options 'Spire for you' reward platform - discount and cashback for over 1000 retailers Free Bupa wellness screening Private medical insurance Life assurance For further information about this role or for an informal conversation about the range of career options available with Spire please contact Alex Sweeney on or call 07736276134 For us, it's more than just treating patients; it's about looking after people.

Position: Nurse Prescriber - Dermatology Location: Cumbria and Lancashire Rate: Depending on Experience Part time: 1 - 2 Days per month, Aprox 16 Hrs per month Clinic Locations available Morecambe Bay, Blackpool Fylde & Wyre The purpose of the role is to assist the clinical team in the service and delivery of the dermatology service of the local population. The post holder works under indirect supervision of the clinical team and undertakes task and duties delegated by the clinical team or a suitably qualified regulated professional. They will work collaboratively with the clinical team to meet the needs of patients, following policy and procedures while providing supervision to more junior staff. Key Responsibilities • Alert other team members to issues of quality and risk in the care of patients • Ensure own actions are consistent with clinical governance systems •Practice in accordance with agreed standards of care •Enable patients to access appropriate professionals in the team •Ensure stock items under your control are ordered and available for use •Know how clinical governance affects the PN role and bring to the attention of more senior staff any specific risk situation •Be able to manage your own time effectively What is needed to join the Omnes Healthcare Family • Current NMC Registration • Evidence of Professional Updating • Evidence of Post-Registration training Who we are Omnes Healthcare Limited are a growing organisation that have been operating within the NHS since 2006 offering both Primary and Secondary care services with a forward-thinking, dynamic approach to patient healthcare, we are pioneers in a range of projects, from genomics to digital healthcare services, focused on delivering a better patient experience You will be supported by, and work with, a diverse multi-skilled professional team of clinical and non-clinical friendly staff. In return we offer sponsored training, flexible working , family friendly policies, career progression within an expanding organisation, a competitive salary and benefits package, including medical indemnity for all work undertaken for Omnes Healthcare. Apply today if you want to make a difference. We are a very inclusive and diverse business so if you need adjustments for the recruitment process, just get in touch, we will be more than happy to help. If you want more information, please get in touch.

Responsible for duties as a key member of the Trust Fire Team, to attend the fire incident and the activated fire panel. Assist and liaise with the fire brigade and inform fire chief of any technical information required such as location of services to be isolated and to carry out isolations as required. Silence and reset the fire alarm panel as directed by the fire chief and issue stand down on completion of the incident. Also to assist and liaise with the Senior Nurse on call and other members of the fire team, providing technical information, assist with evacuations and making decisions in unforeseen circumstances (ie. during fire brigade industrial action). . Responsible for duties as a key member of the Trust Chemical Incident Team, including setting up of the fixed decontamination unit and assist / liaise with the emergency services, medical staff and Trust managers, providing technical information as required. Carry out special projects for management, as requested, including surveys, developing procedures and plant history records. Out of normal hours ensure supervisory duties are met, to include, monitoring of contractors, raising defect / new work jobs on CAFM system, previewing jobs and ordering spare parts. Responsible for accessing stores and maintaining stock control out of normal working hours. Writing of reports as required. Responsible for the maintenance of the hardware for the door access on the PAC system (site wide electronic security locking system) out of normal working hours. Liaise with Estates management to assist in organising maintenance shutdowns, which may involve major interruption to services. Inspect and test the Hospital Emergency Standby Electricity Generator sets on a regular basis. Also responsible for attending any mains power failures on site, to ensure continuity of electrical supplies to critical and non-critical units. Attend any emergency situation that affects the health and safety of any patients, i.e. where patients are trapped in hospital equipment or a clinician requests assistance. Respond to emergency situations and assist/liaise with the emergency services as requested by the Senior Nurse on site, out of normal hours. Work in accordance with the requirements of statute, technical guidance and codes of practice and Trust and Departmental Policies and Procedures. Be conversant with the latest edition of the electrical safety code for Low Voltage (LV) systems for competent persons. BS7671 & HTM06-02 The post holder will be required to work on drainage systems, including the clearing of blockages in drains, Bed Pan Macerators, and other sanitary equipment, which may lead to contact with raw/infected sewage and hazardous chemicals on a regular basis and as such will be expected to take all necessary health and safety measures to prevent danger and avoid injury. Carry out planned preventative maintenance inspections and commissioning tests in accordance with Trust Procedures and schedules. Inspect patient personal electrical equipment and advise them on the safety and suitability for use in the hospital out of hours. Undertake fault finding and testing of complex (LV) installations, critical systems and equipment. Maintain Steam, condensate, heating and DHW and all associated plant and equipment and dismantle and rebuild when required. Carry out maintenance and repairs to ventilation plant and equipment, medical gas pipeline services, laundry equipment, catering equipment, steam raising plant and equipment etc. Have an extensive working knowledge in relation to all site Electrical and Mechanical Engineering and Building services. Have an extensive working knowledge of domestic portable and non-portable[JC1] Water systems including all maintenance and testing regimes in connection with the Trust Prevention of Legionella Policy. Carry a pager and telephone / radio (2-way communication) tool to provide response any incident or emergency situation, whilst working on site. Refer to and understand all Building/Engineering/Technical drawings and specifications. Interpret technical detailed manuals, carryout both routine and non-routine fault diagnosis and carry out repairs, assist in commissioning, problem solving in new technical services and communicate technical knowledge to others. Please read the attached Job Description & Person Specification, for further information, and before applying.

OVERALL PURPOSE: To develop skills and competencies to provide specialist palliative care knowledge, expertise and support to patients, carers, their GPs and all other health care professionals to maximise the patients quality of life. JOB PURPOSE: The intention is that the post holder has an opportunity to develop their skills in palliative care and increase their clinical competencies and skills, moving from intermediate to advanced clinical practitioner in this defined area. The post holder will have a key role in providing support to patients in their own homes who have palliative and end of life care needs, raising clinical standards and promoting a learning environment for other health care providers. You will be responsible for planning, assessing, implementing and evaluating care in partnership with the District nurse teams and out of hours providers. The post holder will take responsibility for the management of the designated case load in the absence of the CNS.. MAIN DUTIES OF POST Assess patients requiring palliative care in the community and contribute to their total nursing care and management of symptoms by providing support and specialist advice to both the patient and carers. Participate in the development and delivery of management plans in conjunction with the primary health care team. Reviewing and undertaking assessments as required for the management of complex symptoms. To liaise with the health care professionals working in the neighbourhoods and other members of the Trinity Clinical Nurse Specialist Team To liaise and work closely with the Trinity Clinical Nurse Specialist Team Leader and Specialist Palliative Care Nursing staff in the community to ensure that the community service remains efficient and effective. Set and maintain high standards of patient care in Palliative Nursing, Demonstrate enhanced communication skills, when dealing with patients and families. Undertake discussion regarding advanced care planning. Take referrals direct from General Practitioners, Hospital Consultants and Clinical Nurse Specialists. Support the Clinical Nurse specialist to maintain a designated case load, ensuring effective use of resources and regular review of patients, prioritising workload and managing resource allocation when required. Feedback to designated caseload holders Advise and support the Primary Health Care Team regarding End of Life care Advise and liaise with third sector and voluntary organisations regarding patients requiring Specialist Palliative Care. Contribute to the assessment and prioritisation of patients for admission to the Hospice. Advise and liaise with General Practitioners regarding pain and complex symptom management, care needs, admission to Hospice or referral for appropriate care. Develop enhanced skills to understand family dynamics and give specialist emotional and psychological interventions to the patient and carers as needed. Liaise with Hospice Chaplains and the Clergy in order to provide spiritual support when needed. Continue to support relatives during bereavement, as appropriate. Identify problems and refer them for appropriate care to the Linden Centre. Keep accurate and up to date nursing records of each patient, reporting and discussing any problems which may occur with Trinity Clinical Nurse Specialist mentor, Manager and Hospice Consultant as appropriate. Be involved in audit of patient care and participate in research programmes to promote high standards of Specialist Palliative Care. Attend staff meetings in the community and Trinity, communicating information as appropriate (GSF, MDT, Complex neighbourhood discussions, extensive care). Maintain confidentiality in all matters, presenting a professional attitude at all times. Supervise the work of healthcare assistants and ensure hospice policies are followed. Be prepared to cope with incidents or emergency situations as they arise and report to senior nurse on duty. Cover a 24 hour nursing rota for enhanced professional development in the total care of patients requiring specialist palliative care. GENERAL RESPONSIBILITIES To undertake all mandatory training as required by Trinity Hospice and Palliative Care Services. Maintaining the strict confidentiality of all information acquired especially with regard to patients and staff. To participate in the appraisal and personal development reviews annually Improve knowledge and utilise competencies to influence self-development. To be a co-operative and supportive member of the Trinity staff team, ensuring that all members are aware of any issues in the post holders workload, which may affect other members of the Trinity team and identify to the Line Manager. To take responsibility for being up to date with current policies and procedures and to adhere to these. Cooperating fully in the introduction of any new technology and new methods as appropriate. To promote at all times the Hospice philosophy and uphold the Trinity core values. Any other duties that may be reasonably requested. CLINICAL Support the management of an identified caseload of patients with advancing disease who require Specialist Palliative Care in the community setting and communicate with the case load holder regarding the progress of such. Develop expert clinical skills to manage patients with complex Specialist palliative care needs Develop advanced com skills to enable patients and carers to make informed choices regarding their care and management. Act as patient advocate in often emotionally charged situations involving other health care professionals, family and carers. Maintain accurate records of all patient, carer and healthcare professional contacts so the activity of the Trinity Clinical Nurse Specialist Community Palliative Care Team can be audited and evaluated. Record all contacts in our IT system as required to fulfil the minimum data set requirements Assess and refer appropriately to other Hospice services with the consent of the patient. To administer drugs and assist with their ordering in accordance with NMC standards for the Administration of medicines. To verify when a death has occurred, notify families and carers as appropriate. Be responsible for co-ordinating flexible care provision to enable patients to stay at home (72 hour care package) Undertake V300 non-medical prescribing course and actively prescribe within competencies (Following completion of symptom management portfolio and discussion with NMP lead) EDUCATION Support the education of families in helping them to give care and support to the patient. Participate alongside clinical mentor in Education Programmes organised at the Education and Learning Centre for Palliative Care Studies based at Trinity and in the Community Neighbourhoods. Participate in educational events with the general public on the role of Palliative Care Services in the community as required Work actively towards degree using opportunity to extend clinical and professional knowledge. Complete Symptom management portfolio. Develop computer skills to maintain records and collate statistics. PERSONAL To seek Clinical Supervision from clinical mentor and community Consultant as appropriate for complex clinical scenarios. Use opportunities to extend clinical and professional knowledge. Take responsibility for own professional development, identifying training and development needs to line manager. Participate in 1-1s Ensure personal safety in accordance with the Lone worker policy Monitor relevant research developments and disseminate the findings to patients, relatives and colleagues in the extended Health Care Team as appropriate to promote effective patient care. To join with other staff in the promotion of the overall Palliative Care Service as appropriate. Comply with Nursing and Midwifery Council Regulations. For professional registration and practice. To undertake and support appropriate research activity and ensure awareness of and act in accordance with Health and Safety at work. Promote the family of services at Trinity

1. To work alongside RGN in a patient’s home environment, to facilitate care and support for patients and their families who are entering the last year of life 2. To provide practical personnel care and psychological and emotional support 3. To support the management of symptoms associated with the end of life phase in partnership with the RGN, this involves the checking of medication 4. Be fully aware and comply with all Trinity Hospice and Palliative Care Services policies and procedures. 5. To maintain a high standard of patient care ensuring policies and procedures are adhered to. 6. To develop and maintain specialist skills in all aspects of palliative care relevant to the role. 7. Accommodate a flexible work shift pattern, covering a 24 hour rota as a need arises, and during quite periods of community work on the inpatient unit. 8. To work effectively and efficiently alongside community based healthcare professionals (GPs, DNs / CMs.) 9. To share responsibility with the community based healthcare professionals for planning, implementing and evaluating the total care of patients and their families. 10. To monitor the community care plan and give individualised patient care 11. To effectively and accurately communicate information related to care management and the patient condition to the Trinity hospice at home Team and Community Healthcare Professional team. 12. Participate in Multidisciplinary Team working and participate in handover of care from nights to days 13. To professionally and compassionately support family/ carers as patients condition deteriorates and death may be imminent. 14. To provide last offices after death of patient. 15. To provide support and information to families and carers after patient death. 16. To communicate and liaise effectively with Funeral Home staff to facilitate dignified transition of patient to Funeral Home. 17. To ensure correct use and due economy is made of equipment and resources. 18. To ensure all documentation is completed in an accurate and timely manner. 19. To ensure Trinity Community Nursing service is represented in a professional and compassionate manner. GENERAL RESPONSIBILITIES: 20. To undertake all mandatory training as required by Trinity Hospice and Palliative Care services and participate in appropriate in-service training as and when required. 20. Maintain the strict confidentiality of all information acquired especially with regard to patients and staff. 21. To undertake appraisal and personal development review annually and through self development, continuously update and improve knowledge and competencies. 22. Attend 62% of staff meetings 23. To be a co-operative and supportive member of the Hospice at Home Team ensuring that all members are aware of any issues in the post holders workload, which may affect other team members. 24. To take responsibility for being up to date with current policies and procedures and adhere to these. 24. Cooperate fully in the introduction of any new technology and new methods as appropriate. 25. To promote at all times the Hospice philosophy and uphold Trinity’s core values. 26. Promote best practice in relation to Health and Safety. 27. Any other duties that may be reasonably requested.

OVERALL PURPOSE: To utilise specialist skill and knowledge in providing a high level of practical and emotional care. Provide support to patients and their families who are in the last year of life and whose preferred place of care is home. JOB PURPOSE: The HCA will assist in the identification of health needs and participate in the delivery and evaluation of care that meets the needs of the designated patient caseload. Working in partnership with a range of health care professionals they will undertake a range of delegated tasks that include: · Supporting admission/discharge of patients · Provide care to enable patients to remain at home · Bereavement support CLINICAL CARE · Under the direction of the healthcare professional, participate in the assessment, admission and discharge and handover of patients. · Assist in the management of continence including catheter drainage, stoma care and incontinence garments. · Provide support and assistance to professionals in the implementation of plans of care for individual patients. · Assist with washing, bathing, showering, dressing, undressing, hair and oral care as part of 72-hour care package. · Recognise when patients’ symptoms or general well-being has changed and report to nurse in charge. · Monitor and report pressure area concerns. · Respond appropriately to clinical emergencies to ensure the patient receives appropriate care. · Ensure the safe handling and mobilisation of patients and when necessary to assist in the transportation of patients. · Chaperone patients to and from home/hospital/hospice following assessment by a registered nurse, to maintain patient safety. · Care for the body after death and support family members/carers appropriately. · Respond to patient requests for non-clinical information to improve communication. · Facilitate an effective and efficient handover of patients between each community service. · Provide practical comfort, care and support to patients, carers, and families. Ensure that patients receive high quality clinical and personal care and a good patient experience, having regard for their customs, religious beliefs, and doctrines. · Recognise the patient’s right to privacy, dignity and confidentiality, showing due regard for the patient’s property. · Act as an advocate for patients to ensure a patient-orientated approach to the delivery of care. PSYCHOLOGICAL CARE · Lead the ‘what matters to me’ conversations with patients and families incorporating PPD discussions and ensuring information is passed on to appropriate health care professionals involved in care. · Provide comfort and support to patients, carers, and family, including bereavement support. · Ensure Trinity community nursing service is represented in a professional and compassionate manner. · Work alongside Clinical Psychologist/ Linden Centre/Clergy to ensure psychological needs of patient and family are met. · Report/ Discuss any safeguarding concerns to adult safeguarding lead. MANAGEMENT OF DESIGNATED COHORT OF PATIENTS · Support the transfer of information via Team leader/ CNS manager at shift handover regarding patient’s progress. · Attend and actively participate in care planning meetings, case conferences and Complex MDT neighbourhood meetings. · Ensure all essential information is collated on EMIS for your designated cohort of patients. · Record a summary of care at agreed designated times. · Report any concerns back to nurse in charge. · Take responsibility for the organisation of care and support to patients and families, following the plan of care outlined by qualified lead nurse. · Accommodate a flexible work shift pattern covering a 24-hour rota. GENERAL RESPONSIBILITIES · To undertake all mandatory training as required by Trinity hospice and palliative care services. · Participate in appropriate in-service training as and when required. · Maintain the strict confidentiality of all information acquired especially regarding patients and staff. · To ensure all documentation is contemporaneous, clear, and accurate and plans of care are updated in accordance with the needs of the patient. · To undertake an appraisal and personal development review annually, and through self-development continuously update and improve knowledge and competencies. · To be a co-operative and supportive member of the Trinity staff team, ensuring that all members are aware of any issues in the post holders’ workload, which may affect other members of the Trinity team. · Act in accordance with Trinity hospice values and associated behaviours. · To support volunteers utilised in your area and to develop working relationships providing regular feedback on their performance. · To take responsibility for being up to date with current policies and procedures and to adhere to these. · Attend staff meetings · Promote best practice in relation to health and safety. · To always promote the Hospice philosophy and uphold Trinity’s core values. · Make use of available opportunities to extend clinical and professional knowledge. · Develop and maintain communication skills at a high level when speaking to patients, families, and other health care professionals. · Maintain personal development plan. This job description is not exhaustive and is subject to review in conjunction with the post holder and according to future changes/developments in the service.

What you'll be working: 37.5 Hrs per week Monday - Friday (9-5) What you'll be doing: Provide day to day management of a team of staff working within the service. Contribute to the ongoing development of patient-centred services. Contribute to the successful attainment of national quality and safety objectives. Provide specialist clinical advice and care within designated area responsibility. Take responsibility for the care provided to patients whilst on duty. Ensure that care needs are assessed and programs of care are developed, implemented, evaluated and documented contemporaneously for caseload of patients. Provide professional advice, guidance and support to team members so that they are able to assume responsibility to carry out their roles. Ensure compliance with the safe storage and administration of drugs/medication in accordance with ACG policies. Undertake and be proficient in the relevant clinical skills and be able to provide/undertake supervision/assessment of other members of the nursing team in their day to day working practices. Working in collaboration with the Matron to implement relevant infection prevention and control measures and minimise the risks of infections for the ward. Maintain effective communication of patient care and other essential information with the internal/external members of the nursing and multi-disciplinary team. Be able to communicate difficult, sometimes complex and emotive information e.g. breaking bad news etc. effectively and, when appropriate, support and coach junior staff in doing the same. Communicate effectively via verbal, written and electronic routes and maintain robust processes to ensure the cascade of information to the team and the engagement of team members with plans and objectives. Ensure accurate and legible record keeping in accordance with local policies and NMC guidelines within own practice and sphere of responsibility. What you'll have: A current NMC Pin registration, with at least 4 years’ experience in a similar environment A legal right to work in the UK Evidence of continuous personal and professional development Passionate about providing high quality care and the Patient and Carer Experience. Forward thinking, proactive and creative. We also want to ensure that individuals with disabilities are provided reasonable facilities to participate in job applications or interviews to perform essential job functions. To support this, we are a Disability Confident committed employer. What to look forward to: 25 days plus bank holidays Birthday off Join the Active Learning Hub and benefit from a wide range of e learning and face to face training and development opportunities Active Reward App giving discounts and savings on your weekly shop Free 24 hour confidential Employee Assistance Programme Helpline & App to support with legal, health, wellbeing, relationship and consumer advice A Nest Personal Pension account Access to join a Medicash Health Plan for you and your family to save money on everyday health essentials – like going to the dentist or opticians We recognise outstanding Active Behaviours via the Active Awards programme Enhanced Sick & Maternity Pay benefits Refer a Friend Scheme and earn yourself up to £1500 for Nurses, Therapists & Doctors, £500 all other roles, by recommending someone you know…… and, of course, the support and guidance of our qualified clinical and business leadership teams so that you can really develop your career with Active Care Group

Please see the attached Job Description and Person Specification for further details about this post. The Job Description for this post has been submitted to the Royal College of Psychiatrists for approval.