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What's involved with this role:

Interim Head Of Integrated Commissioning - Health & Social Care

Reference no: Gloucestershire 5258590

Pay Rate: up to £41.99 per hour PAYE depending on experience

37 Monday – Friday, normal working hours

This opening assignment is for 4-5 months

City: GLOUCESTER

Hybrid working - once a week in the office is substantial.

The ideal candidate needs to be able to hit the ground running with experience within Adults commissioning at a managerial level.

Head of Integrated Commissioning for the County Council and Gloucestershire ICB with responsibility across intermediate care. The person would need to line manage a team of eight commissioners across both organisations and take responsibility for a significant commissioning workload

Work collaboratively within an Integrated Commissioning Management Team and across organisational boundaries to ensure the system’s vision is translated into real services on the ground. Lead on the strategic planning and development of services which support the system flow in Gloucestershire on behalf of Gloucestershire ICB.

This post is also responsible for coordinating work with commissioning leads for Older People, Disabilities and Mental Health Adult services on strategic cross-cutting issues, ensuring effective links across all aspects of people accessing Health & Social Care services.

Key responsibilities:

Intermediate Care / Early Intervention Offer / Prevention
Reablement
Therapy
Local Authority Occupational Therapy (and review recommendations)
Community Therapies
ABI pathways and other related issues
Neuro Pathway
Equipment
Technology Enabled Care
Hospital Discharge Pathway – P0 / P1 / P2 / P3
Section 75 (GCC-GICB)

Qualifications:

Educated to masters level or equivalent level of experience of working at a senior level in a specialist area.

Knowledge:

Extensive knowledge of specialist areas, acquired through post graduate diploma or equivalent experience or training plus further specialist knowledge or experience to master’s level equivalent
Must have detailed working knowledge or experience of managing payment flows to providers across the Health & Social Care system for example experience of working with payments processes such as ContrOCC and Caretrack. Should have an appreciation of the relationship between the various statutory bodies such as the DoH and individual provider and commissioning organisations.
Working knowledge of Microsoft Office with intermediate keyboard skills.
Extensive knowledge and experience at a ‘Head of Service Level’ for Integrated Commissioning and working within an integrated Local Authority and ICB partnership and an understanding of the National policy that governs this area.
Working knowledge of commissioning within the key team responsibility areas to be able to make an immediate impact.
Must have an understanding of the background to relevant national policy and appreciate the implications of this on all elements of the Health and Social Care system for example - System flow and the requirements

Experience:

Extensive experience of working in a collegiate way with CQC, both within GCC as a provider of statutory services and with individual provider organisations that are commissioned to provide community based social care services.

Skills & Abilities:

Problem solving skills and ability to respond to sudden unexpected demands.
Skills for direct line management and staff work allocation management.
Skills for delivering results through managing through others and using a range of levers in the absence of direct line management responsibility.
Skills for managing relationships with a range of different stakeholders.
Ability to analyse complex facts and situations and develop a range of options.
Strategic thinking – ability to anticipate and resolve problems before they arise.
Ability to work on own initiative and organise workload, allocating work as necessary.
Ability to make decisions autonomously, when required, on difficult issues.
Ability to carry out procurements for highly detailed, high value contracts that require analysis, comparison and assessment.
Able to work in a collegiate way to provide and receive highly complex, sensitive and contentious information, negotiate with senior stakeholders on difficult and controversial issues, and present complex and sensitive information to large and influential group


Please quote the Job Title & Vacancy Reference No. in your application, or we will be unable to match your CV to the role being applied for.


Clients are generally looking for candidates who are local to, or who can commute easily to the place of work. It will help your application if your CV states, in broad terms, where you reside – there is no need for a full address.

Please feel free to apply to us directly via jobs@tclrec.com by quoting the job reference and exact job title.

To help speed up the process of uploading your CV to the client we would ask that you send us your CV in Word format (or equivalent) if possible, not as a PDF.

If you are successful in securing this role, please note that for the entire duration of this contract, regardless of extension, you will be working at the PAYE rate that has been advertised. For absolute clarity, we only work on a PAYE basis, rather than umbrella pay terms. We do not offer Ltd/umbrella or outside IR35 rates. If you wish to understand PAYE vs Umbrella more, please let us know and we can send you some additional information for clarity.

Due to the number of CVs being sent to us under current market conditions, unfortunately we cannot respond to all applications. If you have not heard from us within 3 working days please assume that you have not been shortlisted on this occasion. We will, however, be very happy to receive future applications from you for other roles.

ALD
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Job Ref: Gloucestershire 5258590


Anticipated Length of Assignment: Unless otherwise stated (we do carry the occasional permanent vacancy) all of our roles are technically temporary, though opening assignments can be and often are, extended by clients on a longer term basis and can sometimes become permanent.

Please do try to resist contacting us with requests for progress updates.

We really do read every CV sent to us. All applications will be acknowledged by a human, not a robot, provided the job remains live and provided your CV meets the “Essential Requirements” listed.

Please note that we do our level best to take down ads as soon as roles have been filled. We are not in the business of harvesting CVs.

Important: We will interpret your application as being permission to submit your CV to this role (with the right to represent you) unless you advise us to the contrary.

The post holder will be a senior member of the Learning disability Intensive Support Service (LDISS) working with service users throughout Gloucestershire. The purpose of this role is to: Provide specialist skills and knowledge to deliver evidence based occupational therapy assessment and treatment to service users with complex learning disabilities Work as a key member of a specialist multidisciplinary service contributing expert knowledge and outcomes of assessments to support the creation of specialist intervention plans to manage complex needs including behaviours that challenge others Provide advice, and training to support primary and secondary health care professionals, social care providers and carers to enable them to better meet the health needs of service users Optimise the service users ability to remain in the community and / or be cared for in the least restrictive environment. Facilitate appropriate discharge from hospital and respond to agencies requiring assessment of service users who are being considered for hospital admission. Implement and monitor PBS strategies or equivalent strategies. Be lead mentor for students under the remit of the profession Supervising staff at band 5 and below

The post holder will be a senior member of the Learning disability Intensive Support Service (LDISS) working with service users throughout Gloucestershire. The purpose of this role is to: Provide specialist skills and knowledge to deliver evidence based occupational therapy assessment and treatment to service users with complex learning disabilities Work as a key member of a specialist multidisciplinary service contributing expert knowledge and outcomes of assessments to support the creation of specialist intervention plans to manage complex needs including behaviours that challenge others Provide advice, and training to support primary and secondary health care professionals, social care providers and carers to enable them to better meet the health needs of service users Optimise the service users ability to remain in the community and / or be cared for in the least restrictive environment. Facilitate appropriate discharge from hospital and respond to agencies requiring assessment of service users who are being considered for hospital admission. Implement and monitor PBS strategies or equivalent strategies. Be lead mentor for students under the remit of the profession Supervising staff at band 5 and below

Key Result Areas Whilst the organisation and structure within specialities/divisions may vary the specific remit of this role will include: Transcription Typing correspondence to patients, GPs, medical staff and any other required addressee following clinical attendance. Outcomes, Results and Clinics - Tracking of results/ appointments and highlighting to the clinical team members any results, correspondence or patient queries that need response and taking action e.g. booking investigations, transcription, etc, to ensure that RTT guidelines are achieved for patients. Specialty Specific Support - Providing a comprehensive secretarial support to the consultant surgeons whilst being the first point of call for patients, GPs, family members and other professional colleagues and organisations. - Regularly informing the Secretary Supervisor about progress and flagging up as a matter of urgency any issues, for example, capacity or delays due to internal or external factors, difficult queries from patients, etc - Liaising with external organisations for the benefit and progress of patient care, such as Social Services, other hospitals, etc Service Improvement - Support the development of improvements to working practices and processes and contribute to service reviews and the implementation of new arrangements. -As directed, support the resolution of complaints or concerns from patients/carers by helping to collate information and work with the supervisor to respond or escalate appropriately. Team-working - To work cohesively with the Secretary Supervisor to ensure that administrative work is shared out equally and performed to excellent, efficient and safe standards - To cover colleagues during absences/annual/sick leave as directed. You may also be required to undertake job rotation for cross cover as well as for development and training purposes. - Undertaking routine office duties including electronic note tracking, photocopying and filing of correspondence and results and maintenance of records. - Liaise with relevant team members to ensure that any process changes run smoothly and efficiently. - Undertake any other appropriate duties commensurate with the role, as required at the request of your line manager.

Gloucestershire Health and Care is committed to embedding and providing personalised care through all of its services as part of our high-quality care strategy. The purpose of personalised care is to empower people to lead the lives they want to live. Personalised care starts with a conversation with people about what matters to them. It builds on what people can do, as well as addressing their health needs. Including new ways of working and delivering care, emphasising that we need to make effective use of the full range of our peoples skills and experience to deliver the best possible patient care. So we want to know What Matters to You and that you will share our values and join us on this very important journey. We provide a Multi-professional preceptorship programme that is aligned to the National Preceptorship Framework for Nursing and have been awarded the Interim quality mark from NHS England. Our programme is provided to all Newly Qualified; Nurses, Nursing Associates, Internationally Educated Practitioners, Allied Health Professionals and Return to Practice Practitioners. In addition to the programme we also offer all preceptees the opportunity of enrolling and completing the level 7 (Masters) 15 credit validated module Preceptorship for Healthcare (AP7026). Newly qualified Social Workers are offered the Assessed and Supported Year in Employment programme (ASYE) which is similar to a preceptorship programme.

Share in our team experience, with hours to suit you. Gloucestershire Hospitals NHS Foundation Trust is currently recruiting caring, dedicated Registered Nurses & ODPs to work at Gloucester Royal and Cheltenham General Hospitals. Our temporary staff bank offers a flexible way of working, with both ad hoc and longer-term bookings available. You can choose shifts, locations and days to suit your lifestyle. There are opportunities to work on our general and specialist departments, providing excellent patient care. As a member of the Gloucestershire Hospitals Bank you will: - Gain experience of supporting/providing services within a large Trust - Have access to a diverse range of roles and opportunities to gain more experience - Have the flexibility to work hours that suit you - Be part of a local team that supports your career aspirations and provides full training and development free of charge - Priority booking over agency workers - Access to our friendly bank team who work 7 days a week, providing support for all of your queries - Have the ability to book your own bank shifts from home using an online booking system - Have access to internal job adverts, benefits such as the NHS pension scheme, staff discount benefits and staff support services Please inform us at interview if you have ever worked at our trust via an agency. This is required to ensure that we serve an adequate notice period to our agency suppliers. Detailed Job Description and Main Responsibilities - Previous perioperative experience working as either an anaesthetic, scrub or recovery practitioner - Must have recent relevant experience - Can demonstrate the ability to deliver high standards of care - Evidence of continued professional development - Can demonstrate the ability to solve problems and prioritise workloads Skills/Knowledge/Ability Essential - Able to demonstrate good communication skills - Able to demonstrate that they work well within a team -Able to maintain accurate patient records. - Basic IT skills - Able to work with limited supervision - Able to demonstrate self-motivation and the motivation of others. - Understanding of the need for change in the clinical setting due to strive for quality Work Related Circumstances Essential - Flexible working shifts - Good general health and attendance record - Ability to cope with exposure to sometimes highly unpleasant working conditions/ body fluids/noxious fumes/ COSHH regulated substances - Ability to work with an unpredictable workload and deal with traumatic situations should they arise Salary Details (Hourly Rate) Weekday £27.22 Night and Saturday £35.39 Sunday and Bank Holiday £43.56

The post holder will be expected: To work within a multi-professional primary care team to provide a service for adults18+ with varying levels of mental health needs, including SMI and Complex Emotional Needs that may co-exist with physical health problems within the registered patient population. To exercise a high degree of professional autonomy and make critical judgments to satisfy the expectations and demands of the role. To act as a practice leader, managing your own workload and to work across professional, organisational and system boundaries to improve services and develop practice. To navigate, liaise with and refer onto mental health services, voluntary and public sector agencies and community support groups. To support the delivery of annual mental health reviews for adults on the practices mental health register. To provide specialist advice, supervision and support to practice colleagues in relation to patients with mental health issues. In particular to help identify (through Risk Stratification) those patients potentially at risk of relapse to support their continued wellbeing and to reduce their impact on the Health and Wellbeing service as a whole. The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.

Job Purpose Assess, plan, implement and evaluate the nursing care needs of a specific group of service users requiring enhanced care. To work effectively as a member of the multidisciplinary team To manage a patient / caseload of patients within defined clinical area Teach Staff where appropriate. Key Dimensions Working as an integrated member of the team providing evidenced based interventions for service users, acting as Care Coordinator where identified. Work and liaise with other agencies and organisations. As a Registered Mental Health Nurse the expectation is that, with adequate training, supervision and assessment, you will be able to; Clinical Work according to the Nursing and Midwifery Council (NMC) Code of Professional Conduct and relevant professional guidelines as a named nurse or key worker, taking responsibility for the assessment of care and health education needs Develop, implement and evaluate care plans in conjunction with service users, carers and other professionals ensuring individual needs are met Ensure that everyone involved in the care plan receives a copy and to ensure that all relevant details are recorded on trust IT systems. Utilising the Care Programme Approach (CPA) and in line with Trust policy, provide specialist care, education and advice to service users (including carers) who are suffering from common, severe and enduring mental health problem to promote recovery and social inclusion. Assist service users to meet their personal care needs e.g. assisting with bathing and washing, as outlined in the Care Plan. Liaise with and offer specialist assessment and advice to other agencies and professions. To participate in Multi-Agency meetings to offer advice and opinions to facilitate the ongoing treatment and care of clients and to ensure adherence to National Service Framework (NSF) guidelines Actively support service users in the management of their medication within a concordance framework and relevant policies. Administer medication, including Intra-muscular injections depot medication as appropriate and monitor side effects. Delegate the checking and delivery of medication when appropriate. Professional Maintain accurate written records and statistics to ensure that service user details and details of care given are recorded in notes and on the trust database(s) in line with trust policy Contribute if required to the preparation of appropriate reports, including reports for Mental Health Act Tribunals and Mental Health Managers review meetings as required by rule 6 (1) of the Mental Health Tribunal rules. Provide and receive complex and sensitive information from service users, carers or other professionals and agencies, on a daily basis. Work with and support other members of the Multidisciplinary team, using clinical judgements in the absence of key members of the team, including medical staff. Ensure that psychological intervention or treatment is offered to clients as outlined in National Institute for Health and Clinical Excellence (NICE) guidelines De-escalation of aggression using verbal de-escalation skills and physical breakaway technique. Leadership / Management Undertaking other duties appropriate to the post requested by his/her senior managers. Provide support to junior nurses, nurses in training and other members of the multi-disciplinary team ensuring training objectives are met. Implementing risk assessments and management plans on a daily basis working with people with common, severe, and enduring mental health problems who are frequently distressed and emotionally disturbed. To take responsibility for ordering and maintaining stocks of medication and clinical supplies, ensuring clinical waste is disposed of safely and in accordance with trust and national policies (if applicable) Multidisciplinary team Patients and relatives General public Community Support Services Physical, Mental & Emotional Effort & Working Conditions Will be required to utilise recognised manual handling techniques and guidelines May be expected to frequently manoeuvre patients / objects over 15 kg using appropriate aids Will have frequent exposure to unpleasant working conditions and will be required to follow policies and procedures pertaining to infestations, bodily fluids, infection control and COSHH regulations Frequent exposure to distressing and emotionally demanding situations involving patients and relatives Some exposure to patients displaying verbal and physical abuse The work pattern may be unpredictable and there is a frequent requirement for long periods of concentration. You will be expected to work within both Gloucestershire Royal and Cheltenham General Hospital if the demand of the service requires you to move sites. There is the on-going requirement to maintain excellent standards of care whilst working under pressure in an ever-changing and challenging environment

The main responsibilities of the role include being instrumental in; Leadership and management Clinical Responsibilities Improving patient safety, quality and experience Strategy and planning Education and Development Responsibilities People management and development Finance & performance management Information management and research Quality governance Job purpose: Focus on the provision of high quality, visible professional leadership for day surgery Provide clinical and professional support to the day surgery team to ensure effective management and drive change Provide assurance to the Ward Manger and Matron that there is continuous improvement in the delivery of clinical services and are tailored to the needs of the patients Act as a strong patient advocate ensuring that a culture of continuous improvement and learning is supported in order to drive quality care delivery across the division Ensure that clinical and non-clinical risks are managed, reported and investigated and that remedial action is completed where appropriate. Identifies and deals with issues of poor performance with the support of the Ward Manager Work in partnership and collaboration with other leaders within the Division Provide nursing leadership, set and maintain professional nursing standards, provide professional nursing advice and direction to the other colleagues within their Division. for further details please see the attached job description.

Gloucestershire Health and Care is committed to embedding and providing personalised care through all of its services as part of our high-quality care strategy. The purpose of personalised care is to empower people to lead the lives they want to live. Personalised care starts with a conversation with people about what matters to them. It builds on what people can do, as well as addressing their health needs. Including new ways of working and delivering care, emphasising that we need to make effective use of the full range of our peoples skills and experience to deliver the best possible patient care. So we want to know What Matters to You and that you will share our values and join us on this very important journey. The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification. Please refer to the Additional Information attachment before submitting your application.

- To support families with children with an endocrine condition from diagnosis through to transition. - Provide diagnostic testing and staring treatments where required - Act as a expert resource for patients, parents, schools, nurserys and other community settings as well as for medical staff. - Support the organisation and development of health care education packages for children and families, nurseries, schools and respite care facilities. - Reviewing and monitoring of blood results - Ensure the delivery of accurate research based information, for the administration of clinical procedures/treatments within the specialist area, e.g. NICE guidelines for Growth Hormone Treatment for children with Growth Hormone Deficiency. -Training and education -Support the development of nursing policy, protocols and guidelines within defined speciality, ensuring consistency with National and International standards and current research, e.g. Policy for the Management of Congenital Hypothroidism and Protocols for Hormone Provocation Tests. To deliver safe care within a challenging and changing clinical environment, using equipment and resources safely and as appropriate. If you are interested in the above position and would like more information or would like to arrange an informal visit, then please contact: 0300 422 8476 Or e-mail Sarah.wynn@nhs.net

The successful candidate will be committed to team working, a highly resilient and self-motivated individual who is determined to add value to the organisation and is committed to our vision and standards. Flexible working arrangements will be considered. Any request will be set against genuine operational requirements and limitations and it is not obligatory for a manager to accede to the request. Please note that all candidates who declare themselves on their application form to be disabled and who meet the essential criteria for the post will be shortlisted in accordance with the Trusts Two Ticks Pledge on disability. The Trust reserves the right to close this vacancy when sufficient applications have been received. Please refer to the Additional Information attachment before submitting your application.

Job Title: Clinical Lead for Occupational Health (Band 8B)
Location: Working Well Gloucester
Pay Rate: £42 per hour
Contract Type: Temporary / Agency

Job Description:
An exciting opportunity has arisen for a highly skilled and experienced Clinical Lead for Occupational Health (Band 8B) to join the team at Working Well Gloucester. This role is ideal for an occupational health professional with a strong clinical background and leadership experience who is ready to take on a pivotal role in shaping and delivering exceptional occupational health services.
As the Clinical Lead, you will be responsible for overseeing clinical practices, ensuring the highest standards of care, and supporting the well-being of a diverse workforce. You'll work closely with other healthcare professionals, provide expert guidance, and drive quality improvements across the service. This is a dynamic and rewarding position that combines clinical expertise, strategic planning, and people management.
Key Responsibilities:

• Lead and manage clinical services within the Occupational Health department, ensuring compliance with clinical standards and best practices.
• Provide expert guidance on occupational health issues, including risk assessments, workplace health promotion, and employee rehabilitation.
• Conduct clinical assessments, manage case reviews, and oversee complex cases.
• Collaborate with multidisciplinary teams to develop and implement health and wellness programs.
• Ensure service standards are met and that the Occupational Health unit operates efficiently and effectively.
• Support and mentor junior team members, fostering a positive and productive work environment.
• Contribute to policy development and service improvements in line with current legislation and best practices in occupational health.

Requirements:

• Registered Nurse with specialist training in Occupational Health or equivalent experience.
• Proven experience in a senior occupational health role, ideally within an NHS or similar healthcare setting.
• Demonstrated leadership and management skills with the ability to inspire and develop teams.
• Strong understanding of occupational health standards, legislation, and compliance.
• Excellent interpersonal and communication skills with the ability to engage effectively with staff at all levels.
• Competency in assessing and managing clinical risks and complex cases.

Benefits of Joining Service Care Solutions:

• Competitive hourly rate of £42.
• Opportunity to make a meaningful impact within a leading occupational health service.
• Flexible working arrangements to support work-life balance.
• Supportive and collaborative team environment.
• Please also bear in mind our £250 referral fee bonus for any health care professional you refer who we place in to work on a 3 month contract.
• We also offer a £250 sign up bonus for any qualified professionals that register with our agency. This will be paid in your first pay packet.
• The Benefits of working with Service Care Solutions:
• - DBS disclosures provided via fast track online services free of charge
• - £250 training allowance
  - Excellent pay rates
  - Specialist consultants offering single point of contact
  - Frequent notifications of upcoming opportunities via text and email
  - Ltd and PAYE payment options available
  - Nationwide provider of mental health staff to over 40 different NHS Trusts and over 200 local authorities

This role offers the chance to drive clinical excellence in occupational health at a prestigious organisation. If you're a proactive and dedicated professional looking to advance your career, we'd love to hear from you.

• Salary: £37,500 - £43,000 + £2,000 after one year + ongoing bonus of up to 10%
• Hours: Monday-Friday 9am-5pm, Part-Time Available
• Hybrid

Are you a qualified Occupational Therapist in need of better work-life balance? Do you want regular hours so you can make the most of life? If so, we can offer you a Functional Assessor role that comes with 9 to 5 hours and true hybrid working - plus the chance to make the most of your medical skills. Could you be a Functional Assessor? Read on to find out.

The role

As a Functional Assessor, your main task will be to assess individuals and how their disabilities or conditions affect their work life. Drawing on your clinical expertise, you'll listen carefully and take down each person's medical history before performing a physical examination. You'll then produce concise, accurate reports for the Department of Work & Pensions (DWP) so they can decide each person's eligibility for benefits.

The role involves meeting people both face-to-face and via telephone/video. But whether you connect online or in person, you'll be sensitive, compassionate and able to ask the right questions while upholding best practice standards.

Rest assured that you'll have the time you need to make a precise assessment and give each person your whole attention. And while you'll work unsupervised, you'll be part of a wider multi-disciplinary team - support is all part of the package.

Once you apply, one of our specialist sjb medical recruiters will support you through the virtual application submission process. Please note that you must be committed to working at least three days per week for the part-time role.

About you

• An HCPC registered Occupational Therapist with a minimum of 12 months' post-registration experience within the past five years.
• Continuous Professional Development present on your CV.
• Great oral and written communication skills, with the ability to negotiate and respond to a rapidly changing environment.
• IT skills and experience of using a range of software
• Self-aware and focused on professional development
• Honest and able to maintain integrity and customer confidentiality
• Motivated to contribute to quality customer service, demonstrating empathy, respect and sensitivity in assessment delivery.
• Able to work on your own initiative to meet deadlines and standards.
• Ready to work as a reliable and efficient team member and willing to support the multi-disciplinary team.
• Are eligible to work in the UK (Unfortunately, sponsorship is not possible.)

Benefits:

• A competitive salary.
• £1,000 after six months & £1,000 after 12 months (if approved).
• Quality-related bonus of up to 10% once approved and eligible.
• 25 days of annual leave + BH with option to buy additional days or sell back.
• Annual registration fees paid.
• A comprehensive training programme.
• Full IT equipment provided for remote working.
• Regular 1-2-1 reviews with your manager.
• Up to 6% employer matched pension contribution.
• Access to a huge range of discounts and exclusive deals such as Merlin Attractions, Mobile Phone discounts, Cinema discounts, Leisure, and Hospitality discounts.
• Wellbeing, care and support - i.e. Room to talk (counselling), peer support, wellbeing webinars, a Wisdom Wellbeing app and more.

Training

You can look forward to four days of dedicated CPD per year, 1:1 clinical coaching with a dedicated coach and communities of practice. There'll also be the opportunity to undertake professional and personal development with a wide range of training and coaching to expand your capabilities. Other development opportunities include internal promotion and the chance to be part of a global network of healthcare professionals and work in various sectors. This is where it starts: apply now and take the first step.

Why SJB Medical

We are the longest-standing recruitment agency for DWP assessor contractors and pride ourselves on the support we give our healthcare candidates throughout the whole recruitment process. We believe that a diverse workforce adds to the success of our clients and as such, are committed to maintaining and supporting a culture of equality and diversity throughout our recruitment process.

Job applicants will receive equal and fair treatment, regardless of sex, race, age, disability, sexual orientation, religion or marital status. Our job advertisements will clearly and accurately state the requirements of the role to enable applicants to assess their suitability. To give everyone a fair experience, we will review and consider reasonable adjustments and accommodations during the recruitment process.

The Liver Specialist Nurses works closely with the Lead Consultant for Hepatology in delivering a nurse led service for patients providing symptom management; counselling; surveillance; advice, helpline advice; prescription management; working and communicating with the wider MDT and ascites management. The number of patients with end stage liver disease has increased over the past decade. We now have 1000 patients within our service and these are increasing year on year. Liver disease is now the third leading cause of premature death in the UK. This Nurse-led service is well-established but forever expanding so requires flexible thinking and working. 1. To provide specialist knowledge and support to patients, staff and family within the acute setting, and through nurse-led outpatient clinics. 2. Conduct nurse-led chronic liver disease, follow-up and drug counselling/monitoring clinics. 3. Manage a telephone helpline for patients with liver disease offering support, advice, information and counselling. 4. Manage a blood monitoring service for liver patients. 5. Communicate effectively with patients where understanding is limited or patient ability to communicate is compromised. 6. To deliver and receive information which may cause emotional distress to all parties. 7. To disseminate contentious and delicate information to patients and their families / carers appropriately. 8. To lead and deliver safe care within a challenging and changing clinical environment, using equipment and resources safely and as appropriate. 9. Determine from phone call interaction, course of action and advise on treatment. 10. Take and prioritise referrals from for example GPs, wards, other teams, Sue Ryder, cardiology and oncology. 11. Work with a challenging client group to negotiate effective plans for symptom management. 12. Work closely with other specialist providers including GPs, consultants and palliative care services to provide a seamless service for those with acute and chronic liver disease. 13. Participate as required in audit 14. Contribute to policy and service development as required. 15. To act as a role model and specialist resource to all staff disseminating clinical skills, knowledge and best practice. 16. To adhere to all Trust policies and procedures and professional code of conduct. 17. In accordance with the Data Protection Act, ensuring own and staffs ability to input and retrieve patient and staff information from computer based system and maintain accurate and contemporaneous patient records. 18. To actively support and assist line managers with public patient involvement. 19. To organise own time.