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Clinical Responsibilities

·         To provide and manage an expert specialist nursing service for people with specialist needs

·         To provide expert nursing advice and support to patients, their families and other healthcare professionals following diagnosis and through treatment

·         To ensure continuity of a high standard of evidence-based nursing care, assessing health, health-related and nursing needs of patients, their families and other carers by identifying and initiating appropriate steps for effective care.  This can include:

×     Managing a patient caseload

×     Ordering diagnostic tests

×     Making and receiving referrals

×     Admitting and discharging patients for specified conditions and within agreed protocols

×     Running clinics

×     Prescribing medicines and treatments

·         To accept responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made ensuring clear documentation in the patient’s record and hand held records

·         To be actively involved in inpatient care, liaising with ward staff to ensure high quality nursing care

·         Where appropriate to lead nurse led out patient services ensuring nurse consultation with all newly diagnosed patients

·         To follow-up patients as appropriate and ensure all relevant information is available to enable patients to make an informed choice about their treatment.

·         To coordinate a seamless service through the development of enhanced Multidisciplinary team (MDT) processes and communication.

·         To lead the identification and development of clinical protocols and strategies to enhance both the continuity and standard of specialist care whilst ensuring equity of access to the service.

·         To ensure operational policies are reviewed annually following national standards

·         To ensure all care is given by agreed protocols.

·         To liaise with the ward staff to ensure appropriate and timely discharge/follow-up arrangement in place for patients.

·         To identify, implement and maintain a suitable mechanism for MDT referrals to the Clinical Nurse Specialists.

·         To work with the MDT to develop, implement and evaluate integrated care pathways and systems of MDT documentation.

·         To liaise with the local community, social services, paramedics and voluntary organisations in order to develop existing services for clients, careers and health professionals.

·         To actively involve service users in providing feedback on their experience of the current service and suggestions for improvements.

·         To lead the development of appropriate patient group directives to facilitate/enhance the discharge process.

·         To participate in relevant fora at Divisional, Trust or PCG/PCT or National/International Level to represent the service perspective.

·         To contribute to the development of nursing practice within the team.  Additionally, where appropriate, to act as a practice supervisor to Trust and honorary contract employees.

Service Management: 

 ·         To play an integral role in the operational and strategic development of specialist service, both in and outpatients.

·         To develop policies and protocols to improve patient care.

·         To liaise effectively with all other disciplines within the Trust and at the local level.

·         To initiate and participate in the management of change to improve standards and communication links from Acute trust through Primary Care.

·         To actively contribute to any relevant initiatives within the care group and provide support to senior colleagues and the Head of Nursing.

·         To provide information for clients, careers and health professionals about all aspects of specialist care.

·         To contribute positively to the leadership of nursing within the care group acting as an effective role model.

·         To work with the support managers and clinical staff to identify areas where changes in practice are required.

·         To introduce measures to actively manage and reduce risk to patients.  Ensure the formal reporting and recording of adverse incidents in line with Trust policy.

·         To support the Heads of Nursing in implementing Trust initiatives and strategies.

·         To network with the team of clinical nurse specialists within the Trust to evaluate, develop and promote the specialist-nursing role.

·         To utilise and maintain information systems to aid audit and to provide regular active analysis reports.

·         To maintain records and send reports set by various bodies pertaining to the specific speciality.

·         To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested.

·         To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.

·         To ensure the best use of available resources is within the agreed budget to provide a cost-effective service.

·         To forge effective links within primary secondary and tertiary care to ensure effective communication.

·         To ensure compliance with the Trust’s Equality and Diversity Policy, supporting the delivery of the Trust's Race Equality Scheme and the Trust’s duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.

Education and Training

×        To work towards meeting Cancer CNSs ACCEND framework assessment competency as appropriate to the role and level of practice

·         To ensure appropriate information and education literature, including services provided by the Macmillan Information Centre at KCH, is available to help patients, make informed choices as to their treatment plan and continuing management developing and regularly updating literature.

·         To initiate, lead and develop programmes of education to enhance the nursing contribution and quality of care to nurses both across the Trust, Nationally and Internationally.

·         To act as a clinical expert and advise on educational opportunities that will facilitate the development and support of their specialist knowledge and skills to ensure they develop their clinical practice.

·         To work with and support ward managers and other clinical staff to identify areas where changes to practice are required. 

·         To improve treatment and support for patients.

·         To actively participate in educational events provided by the Trust and primary care sector.

·         To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally.

·         To lead on clinical audit, in particular ensuring patient experience surveys are completed and action plans developed.

·         To lead nursing research initiatives and support research activity within individual Divisions and also through collaboration with other agencies.

·         To identify, apply and disseminate research findings relating to specialist nursing practice.

·         To participate and assist with any Trust-approved research projects conducted within the department.

·         To publish and present relevant clinical practice and service developments.

 PERSONAL PROFESSIONAL DEVELOPMENT

·         To achieve a range of clinical competencies as required within the Trust and Care Group.

·         To keep up to date with current literature and research in nursing and the speciality.

·         To maintain your own personal and professional development in accordance with PREP requirements, attending mandatory study sessions as required.

·         To undergo and actively participate in your own performance appraisals.

·         To keep up to date with NMC, relevant specialist Faculty and Trust guidelines and protocols.

·         To adhere to the NMC Code of Professional Conduct working within and accepting responsibility for maintaining agreed levels of competence.

- To be working towards a master's degree