Total 2,417 Health / Beauty / Fitness job vacancies in Homecare - St George

Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs. Please confirm in your application that you meet the specified criteria. Please refer to the attached job description and person specification for full details of responsibilities: To work as an autonomous practitioner with the integrated multi professional team To be accountable for assessing interpreting, planning, implementing and evaluating treatment to patients within professional guidelines To keep the patient at the center of care, ensuring patient and carer participation in decision making Provide support and education of peers, new staff, non registered staff, and students To provide high standards of nursing intervention within a patients own home, this includes lone working , with access to specialist and advanced practitioners when required *DVLA have a number of reciprocal arrangements with overseas countries, for further information please visit the DVLA website

Please refer to the attached job description and person specification for full details of responsibilities To provide an ongoing assessment of the care needs, plan care in collaboration with the service user, their carers (where appropriate) and MDT colleagues. Delivery care in a safe and effective manner and ensure that needs are reviewed on a timely basis commensurate with service user needs. Supporting service user medication concordance in association with MDT colleagues. This will be achieved by demonstrating a working knowledge of medications and policies commonly used in older peoples mental health services including relevant NICE guidance e.g., anti-psychotic prescribing in dementia care To actively engage in partnership working in respect of the patient, carers and service development To have a working knowledge of current mental health and wider legislation, in addition ensuring effective application of CPA assessment and care planning principles and effective risk assessment. Contribute to the assessment, treatment, evaluation, and effectiveness of treatment / care offered and review plan with multi -professional team / team manager. Liaise effectively with other members of the service team, primary health care teams, residential/nursing homes, adult social care and other organisations contingent upon the client. Employ specific skills to help resolve/manage problems in older persons mental health e.g. anxiety management strategies, behavioural management strategies in dementia, family support skills etc. Be familiar with and observe statutory and local policies in the prescribing, custody and administration of medications in line with the Trusts medicine management policies and procedures. Maintain a high standard of written reports, records of visits/interventions, care plans recording the progress of clients in line with standards for records and record keeping Participate in:a. Clinical case management and supervision groups.b. Lead as appropriate, clinical meetings/reviews.c. Administrative/management meetings as required. To be familiar with up-to-date knowledge of current trends, pertinent research findings within this specialised area of practice. To keep up to date with nursing practices ensuring that PREP requirements are met. To engage in clinical supervision and mentorship to enhance professional development Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs. Please confirm in your application that you meet the specified criteria. *DVLA have a number of reciprocal arrangements with overseas countries, for further information please visit the DVLA website

Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs. Please confirm in your application that you meet the specified criteria. Please refer to the attached job description and person specification for full details of responsibilities To work as a member of an interdisciplinary community healthcare team, working across health and social care boundaries. With training, use skills from the professional areas of; Nursing, Allied Health Professionals and Medicines Management to undertake tasks as delegated in order to meet the individual needs of service users. To assist in the delivery of high standards of health care and support patients within their community setting by following prescribed packages of care. Apply competency based treatment techniques/care to patients with specific conditions under the supervision of a qualified practitioner, following a prescribed treatment/care plan. To deliver functional assessments, personal care, medication prompts, including mobility and appropriate exercise ,personal and domestic ADLs, equipment provision To provide a high standard of care Job Responsibilities Make judgements on patients response to prescribed treatment/care plans, and report findings to a qualified professional in line with competency framework. Overcome barriers to understanding, e.g. patients with hearing or cognitive impairment. Communicate with patients/carers by exchanging factual information, reassurance, tact and empathy. Establish and maintain appropriate working relationships with colleagues, patients, carers and other health care professionals. Be responsible for ensuring equipment is used safely, following relevant training, and that it is maintained appropriately. Work under guidance on specified tasks, taking direction from registered and non-registered staff as appropriate, with regular clinical support and supervision by a qualified practitioner. Demonstrate an awareness and understanding of consent, and gain consent as appropriate following organisational policies. To attend relevant external and internal courses to extend knowledge or gain relevant skills to improve clinical practice as identified in the Personal Development Review (PDR). Will be exposed to bodily fluids, infected material, blood products, therefore must utilise universal precautions and adhere to infection control policies. To attend meetings as required. Ensuring patients personal care is provided and highlighting areas of concerns such as pressure areas and reporting any changes to professional Work within the wider disciplinary team and recognise own role within it. Promote patient independence and self-management Provide and maintain a safe, comfortable and dignified environment for all patients/clients and carers To practice the principles and philosophy of individualised patient care in accordance with Trust Policy, procedures and regulatory body's guidelines. To maintain appropriate and timely documentation of each patient contact (ensuring these are recorded on SystmOne or RIO within 24hours). Plan and prioritise own visits to delegated patients, (and ensure these are documented on SystmOne) Ensuring patients personal care is provided, as appropriate. Any data that is taken/shared as part of a phone call or transported, faxed or transferred electronically must be undertaken with regard to the Trust Information Governance and Information Security policies. To assist in the implementation of audit processes under direction from registered staff *DVLA have a number of reciprocal arrangements with overseas countries, for further information please visit the DVLA website You may be required to undertake and successfully complete the new national Care Certificate within a 12 weeks timeframe if you meet our criteria. You will receive full training and support and The Care Certificate sets out 15 national care standards that must be achieved by all health and social care staff to demonstrate that they have the skills and knowledge needed to provide safe and excellent quality of care. It is a foundation programme which can provide the first steps to career development within the NHS.

CLINICAL & PROFESSIONAL RESPONSIBILITIES Maintain Professional Registratior. Adhere to relevant NMC Code of Practic Act as a role model by demonstrating leadership and expertise, and by maintaining credibility within the care group, the wider health care community, and external agencies, ensuring a positive image of the Trust is maintained. Maintain high visibility in the clinical areas and be aware of current issues through undertaking activities such as clinical practice or observations of care. Develop a work programme that enables designated clinical time based on the unit. QUALITY Ensure effective measurements are in place to promote a safe environment for patients, carers and staff. Ensure there is a robust system in place to ensure lessons are learnt with subsequent changes in practice when highlighted through incidents, complaints, and claims both trust wide and within the Community Services. Ensure national guidance is implemented in a timely and appropriate way, i.e., CQC standards, policies and guidelines and systems and processes are in place to prepare for and monitor external assessment, accreditation, and regulatory inspections. Provide patient safety and governance reports for the care group and trust committees, collating key quality indicators to support assurance mechanisms to demonstrate compliance with key standards and to escalate where improvements need to be made. Ensure all senior nurses participate in monthly nursing audits, ensuring that action plans are implemented within agreed time frames. Ensure that the Community Division has systems in place to identify, report and manage risk which involves taking action and monitoring work areas in accordance with Health and Safety legislation and guidance from the National Patient Safety Agency. Undertake Clinical Risk Assessments as appropriate and discuss with the HON and Directorate Manager. To ensure systems are in place for assessing and prioritising the purchasing of medical devices and ensuring staff are appropriately trained in their use. Work with the divisional management team in the procurement, implementation and decontamination of medical equipment. Ensure systems are in place for training and recording competency in the use of new devices. To ensure that there are high standards of documentation and care planning in all areas of practice. Ensuring there are regular reviews of all documentation, and focused action plans are produced when areas of concern are identified. Lead and coordinate staffing response to a major incident. Oversee trials of new equipment and ensure appropriate legislation and safety measures are adhered. Patient Experience To ensure that there are systems in place to capture and act upon information related to the patient experience. Promote patient centred service delivery by providing visible and accessible senior professional presence to which staff, patients and their carers can turn to for assistance. Maintaining effective channels to obtain views and concerns of service users and to take action as appropriate where in use produce weekly reports derived from Patient Experience Audit. Ensuring that the patient experience remains the focal point for service improvement within the Directorate. Establish effective relationships with PALS and the complaints team encouraging the staff in the proactive resolution of concerns. Ensure that actions arising from patient feedback are progressed Clinical Effectiveness Implement strategies to ensure clinical care within the Directorate complies where appropriate with National Standards for care such as are contained in the Essence of Care, Our NHS our Future (Lord Darzi recommendations) and National Service Frameworks. To ensure the implementation of national, local and Trust standards of best practice and quality and monitor performance against these that informs the corporate performance review programme. and is utilised to improve the effectiveness of clinical practice and service delivery. Support the Involvement and delivery of local and national clinical audits. LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Provide leadership on making changes and improvements in quality of care and development of clinical teams, ensuring that plans are implemented by monitoring and reporting on the impact of change. Provide advice and guidance on plans to encourage patient and public involvement activities in clinical areas, monitoring activity, and making recommendations for improvements. Develop and maintain systems and processes to ensure that work is appropriately prioritised and allocated, and that effective supervision is in place to support staff. Develop and maintain systems and processes to ensure that staff appraisal is in place for all staff in the service. Ensure that recruitment, staff induction and orientation, and mandatory training take place according to Trust policy. Support the Directorate by the effective use of resources, e.g., staff, budget, premises, equipment, supplies and materials. Develop and maintain systems and processes to promote, monitor and maintain a healthy, safe, and secure working environment, ensuring compliance with legal and regulatory requirements, maintaining accurate documentation and reporting any concerns. FINANCIAL RESPONSIBILITY In Liaison with Finance department actively seek solutions to improve cost efficience. To contribute to the development of robust financial management systems. To ensure processes are in place to optimally utilise the Community Care Group resources. Meeting annual financial targets including Cash Releasing Efficiency Savings. Ensure business risk evaluation of all service developments. To be accountable for the cost effective and efficient use of resources, ensuring that all senior staff are trained in resource management strategies. Monitor agency and temporary staffing usage justifying against vacancies and staff absence (maternity, sickness etc). Ensure all staff make efficient and effective use of financial and other resources. RESEARCH & AUDIT Take an active role in the co-ordination and development of research and audit programmes within the nursing arena and apply the outcomes to improve patient care and service delivery. Instigate and implement new innovations within nursing and develop these in collaboration with the nursing staff and team. For further information please refer to the Job Description and Person Specification for the role.

CLINICAL & PROFESSIONAL RESPONSIBILITIES Provide advanced levels of clinical practice, knowledge, and skills in General Practice. Undertake history and physical examination to accurately assess the patients condition. Request, interpret and act upon relevant diagnostic tests and procedures. Interpret, convey and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news). Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work. Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision. Prescribe medication in accordance with current legislation and Trust policy. Maintain comprehensive, contemporaneous, and accurate nursing/medical records and documentation, utilising information technology where available to facilitate caseload management. Effectively manage acute life-threatening conditions in accordance with current ALS guidelines (as appropriate at area of work/need). Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships. Participate in multidisciplinary, case conferences, clinical and audit meetings. Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust policy. Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional and psychological needs. Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills. Issue Fit Notes and Prescriptions. Certify expected deaths as per Trust policy. Facilitate and support general practice doctors/Matron/Trainees to develop effective working relationships with the multi-disciplinary team to enhance the care and management of patients. Act as an autonomous practitioner exercising judgement, discretion and decision making in clinical care. To support junior medical staff, sharing clinical workload and allowing junior doctors to achieve training and development requirements. Act autonomously, referring to appropriate specialists/care agencies EDUCATIONAL RESPONSIBILITIES Adherence to competency framework. Attend mentor meetings with respective Consultants. Take responsibility for ones own professional development and continually assess and acknowledge areas for development as they arise. Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices Recognise situations which may be detrimental to the health and well-being of the individual and manage risk accordingly Seek opportunities to publicise and promote the role of the Advanced Nurse Practitioner and disseminate information regarding the development of practice Assist in identified training and educational needs of the nursing staff/medical staff and participate in its delivery LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Ensure that the patient experience remains the focal point for service improvement within the Division. Provide support for nursing staff in relation to clinical support to complaints, SIRI / SUI investigations. To contribute effectively to service developments both within the divisions and at strategic level. Attend General Practice meetings as required. To act as a role model by demonstrating excellent communication and listening skills with patients, relatives and staff. Promote effective team working within the team along with nursing and medical staff in the service. Network locally, regionally and nationally to share and exchange ideas and principles. Provide an effective leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the Trust e.g., maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence-based practice, etc. Develop clinic skills as required and assist where necessary. RESEARCH & AUDIT Lead the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised. Develop and implement policies and strategies in line with evidence-based practice e.g. NICE/DoH. Be involved in identification, development and implementation of relevant policy/guidelines to aid future management by the MDT. Facilitate and identify clinical audit/research and disseminate findings. PERSONAL RESPONSIBILITIES Develop good working relationships with medical and nursing staff and other members of the multidisciplinary team within and other departments within the Trust and external. Act in accordance with the NMC guidelines/Code of Professional Conduct. SAFEGUARDING RESPONSIBILITIES Comply with Trust Safeguarding Children Policy and standard operating procedures to safeguard vulnerable children up to 18 years throughout the Trust, this includes the Protocol for Children who Do Not Attend Clinics, fulfilling your role as defined in these documents. Liaise with all relevant professionals (Police, Social Services) in relation to safeguarding work undertaken by your Consultant. Type any medical reports for child protection cases as requested by the Consultant, nurse or junior medical staff. Arrange multi-professional meetings regarding child protection/child in need cases. Minute multi-professional meetings as necessary. Provide administrative support for the Named Consultant and Named Nurse for Safeguarding Children Know about the range of physical abuse, emotional abuse, neglect and sexual abuse. Be able to recognise signs of abuse appropriate to role and what action to take Know what to do if concerned that a child is being abused. Know about the Trusts local policies/procedures. Understand the importance of sharing information, how it can help and the dangers of not sharing information. Be able to recognise signs of child abuse as this relates to their role. e.g observe inappropriate parenting, an unusually quiet and withdrawn child etc Be able to seek advice and report concerns, ensuring that they are listened to.

KEY DUTIES To be professional and legally responsible and accountable for all aspects of your own work including the management of patients/clients in your care. To ensure a high standard of clinical care for the patients/clients under your care, and support more junior staff to do likewise. To undertake a comprehensive assessment of patients/clients including those with diverse or complex presentations/multi pathologies; use specialist clinical reasoning skills and appropriate assessment techniques to provide an accurate diagnosis of their condition. Formulate and deliver an individual treatment programme using assessment, reasoning skills and treatment skills based on a sound knowledge of evidence-based practice and treatment options. Formulate an initial diagnosis and prognoses in order to recommend best course of intervention and develop comprehensive discharge plans. To take delegated responsibility from the Band 7 clinician for managing patients/clients with particular conditions and be responsible for providing specialist assessment and treatment plans for patients with these conditions. Evaluate patient progress, reassess and alter treatment programmes as required. To have the ability to undertake self-directed/lone working in a variety of locations. CLINICAL & PROFESSIONAL RESPONSIBILITIES To maintain Professional Registration To work within Trust clinical guidelines, HCPC and Registrant Body guidelines and to have a working knowledge of national and local standards and monitor own and others quality of practise against these. To be responsible for a designated area of work, as delegated by a senior clinician. Plan and organise efficiently and effectively patient/client caseload, and use of time for self and more junior staff. To be responsible for equipment used in carrying out clinical duties, and to adhere to policy, including competence to use equipment and to ensure the safe use of equipment by others through teaching, training and supervision of practice. To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals to promote understanding of the aims of treatment and to ensure a consistent approach to patient care. To provide specialist clinical advice to colleagues working within other clinical areas To provide specialist clinical advice, teaching and training to other members of the MDT regarding the management of patients To train, supervise and performance manage more junior staff and students. This will include the use of formal appraisal documentation. To communicate effectively with patients and carers to maximise potential and to ensure understanding of their condition. To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients/clients who lack capacity to consent to treatment. To communicate highly sensitive information effectively with all patient groups/clients/carers where there may be difficulties in accepting or understanding information. To maintain tact and diplomacy and use highly developed communication skills when working in situations which may become hostile/antagonistic including potential complaints as per Trust Policy. ADMINISTRATIVE RESPONSIBILITIES To maintain accurate, comprehensive and up to date documentation, in line with legal and local requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters. To undertake as directed the collection of appropriate data and statistics for the use of the department. To communicate effectively and work collaboratively with the Multi-Disciplinary Team (MDT) to ensure delivery of a co-ordinated multidisciplinary service. This will include participating in a variety of MDT, internal and external agency meetings and forums plus other forms of verbal/written communication as necessary including report writing and referrals to other agencies. TEACHING & TRAINING RESPONSIBILITIES To maintain own clinical professional development (CPD) by keeping abreast of any new trends and developments and incorporate them as appropriate into your work. To support junior staff to do likewise. To be an active member of relevant training programmes attending and delivering presentations and training sessions at staff meetings, tutorials, and by attending external courses and being a reflective practitioner To participate in the supervision scheme as supervisor and supervisee. LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES To demonstrate leadership by means of: Delivering change within sphere of practice, when and where indicated, to improve service delivery. Influencing, motivating, supporting and enabling others to contribute towards the effectiveness and success of the Therapy Team To provide specialist advice and guidance in working with colleagues locally to ensure best practice across all disciplines in the assessment, treatment and long-term management of patients/ clients within sphere of practice. To deputise for the band 7 in terms of operational issues To take responsibility for their own specialist and complex decision making and the decisions of their team which effect service delivery To undertake any other duties that might be considered appropriate by senior staff. To participate in working parties developing policy changes within speciality which will impact on all service users. CLINICAL GOVERNANCE, RESEARCH & AUDIT To adhere to the appropriate Registrant Body code of Ethics and Professional Conduct and facilitate compliance of staff with local and national standards of practice. Implement policy and service development changes as directed. To demonstrate a sound understanding of clinical governance and risk management and apply to work situation. To undertake the measurement and evaluation of your work and current practices through the use of evidence-based practice projects, audit and outcome measures under the guidance of senior staff. Make recommendations for change and to implement change. To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate. To support research activity within the Service To engage actively in practice development, evaluation, audit and research activities relevant to service to promote evidence-based practice.

CLINICAL & PROFESSIONAL RESPONSIBILITIES Provide first contact assessment, confirm diagnosis and reason for surgery and comprehensively assess patient with complex/advanced conditions and co-morbidities where more specialist assessment is required. Order/undertake, interpret and act upon diagnostic tests and investigations. Clinically assess patients to determine need for preoperative anaesthetic assessment. Liaise with Anaesthetic Leads based on agreed protocols for patients graded high risk for anaesthetic. Liaise with other clinical teams regarding abnormal findings within agreed protocols, to offer a differential diagnosis and ensure patient clinical safety. Act as advanced practitioner exercising judgement, discretion, and decision making in clinical care. Ensure compliance with specific regulations with regard to drugs/omission of drugs prior to surgery, and record keeping within area of work. Document patients clinical conditions and action plans in preoperative assessment notes, communicating with relevant medical/nursing staff and ensure all documentation is directed to the appropriate department for electronic scanning, or direct to ward in event of imminent patient admission. Take active role in nurse led clinics, developing and advancing service. Refer complex cases to Anaesthetist for further discussion, assessment and action as appropriate. Liaise with primary and secondary care Clinicians as required. Prescribe medication in accordance with current legislation and trust policy. GOVERNANCE RESPONSIBILITIES Active participation in collection and collation of research and audit data as appropriate, presenting the outcomes to clinical audit. Active participation in the reporting of clinical incidents/concerns and take appropriate action to address any safety and quality issues raised. Adhere to policies, procedures and protocols relevant to area of work. Monitor standards of care and participate in the improvement of care through ad hoc benchmarking/audit/research. Maintain clear, concise, legible and contemporaneous records at all times, in line with Trust Policy and the Standard for Record keeping (NMC Act 1993). Demonstrate understanding of evidence based care, including where to obtain evidence. Provide verbal and written advice to patients/carers about discharge planning, equipment needs, etc. Ensure decisions regarding consent and mental capacity are taken in accordance with Trust protocols. TEACHING & TRAINING RESPONSBILITIES Impart high level knowledge, advice and support to colleagues, patients, carers and relatives; in relation to planned surgery and recovery. Raise awareness of specialist conditions and their specific requirements for surgery/anaesthetics, by development of protocols for practice. Assist in the provision of an appropriate learning/practice environment for nursing students allocated to the department COMMUNICATION RESPONSIBILITIES Establish effective communication with patients, carers and relatives attending the department. Provide sensitive, complex information to patients, carers, relatives and professionals across multidisciplinary and multi-agency boundaries, as appropriate to the patients specific needs. Support patients, carers and relatives in their understanding and acceptance of their diagnosis and surgical treatments, and provide education and support in their postoperative needs. Liaise with consultant surgical/anaesthetic team as appropriate to ensure preoperative needs are met and to ensure effective planning for postoperative care package. Liaise with consultant surgical/anaesthetic team as appropriate to ensure preoperative needs are met and to ensure effective planning for postoperative care package. SERVICE IMPROVEMENT AND CHANGE MANAGEMENT Provide leadership support to Department Manager and Pre Op Lead Nurse in the continued development of preoperative assessment department. Take lead of development projects as appropriate. Continually promote equality and diversity, undertaking equality impact assessments when appropriate. Ensure effective uses of physical and financial resources within the service. Promote patient and public involvement activities in specialist area to promote service improvement. PROFESSIONAL DEVELOPMENT Develop and maintain specialist clinical skills in assessment, diagnosis and investigation request/interpretation within the preoperative service. Attend annual appraisal to identify and agree training and development needs as part of a Personal Development Plan. Participate in clinical supervision sessions and provide leadership to colleagues, arranged by the team Leader/Clinical Supervisor. Deputise, if required, for Pre-Op Manager maintaining smooth running of the clinic. TEAM WORK AND DEVELOPMENT Be responsible for own development, including attendance at mandatory training and continually keep up to date with changes to legislation and current best practice. Support nursing colleagues in their continuous professional development including peer supervision. GENERAL DUTIES To observe the provisions of and adhere to all Trust policies and procedures. To actively participate in the annual performance review to identify personal development needs. To attend Trust Statutory and Mandatory training sessions as required and any other training courses relevant to the post. To fully comply with the relevant sections of the Health and Safety at Work Act. They must also understand and implement St Helens and Knowsley Hospitals NHS Hospitals Trust Statement of Policy on Health and Safety at Work and the Trust corporate Health and Safety Policies and Procedures. You are required to follow all applicable rules and procedures relating to Health and Safety at Work and to take all responsible precautions to avoid actions. To keep up to date with the requirements of information governance; undertake mandatory training and follow Trust policies and procedures to ensure that trust information is dealt with legally, securely, efficiently and effectively. You must maintain the confidentiality of information about service user staff and organisational business in accordance with the Data Protection Act 1998 and Caldicott principles. To ensure that when creating, managing and sharing information records it is done in an appropriate way, subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines. All employees are responsible for implementing and maintaining data quality, ensuring that records are legible and attributable and that the record keeping is contemporaneous. To be aware of the confidential aspects of the post. Breaches of confidentiality will result in disciplinary action that may involve dismissal. The post holder should also be aware that, regardless of any action taken by the employing authority, breaches of confidentiality could result in civil action for damages. All employees will be treated with respect by management, colleagues, patients and visitors and equally staff will treat management, colleagues, patients and visitors with the same level of respect. Staff will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status. To fully comply with the relevant sections of the Health and Safety at Work Act. They must also understand and implement St Helens and Knowsley Hospitals NHS Hospitals Trust Statement of Policy on Health and Safety at Work and the Trust corporate Health and Safety Policies and Procedures. You are required to follow all applicable rules and procedures relating to Health and Safety at Work and to take all responsible precautions to avoid actions. You will be expected to undertake the Trusts commitment to safeguarding and promoting the welfare of children, young people and vulnerable adults. To adhere to relevant Code of Practice of Professional body (if appropriate). The duties contained in this job description are not intended to be exhaustive. The duties and responsibilities of this post are likely to evolve in line with the Trusts continued organisational development The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be cross site. The Trust is a non-smoking site. Failure to follow this rule could lead to disciplinary action.

To develop and deliver a service to improve the health and wellbeing of patients requiring assessment for heart failure, working within the heart failure team and the virtual ward. The West Suffolk Virtual Ward provides specialist led care to a variety of medical and surgical patients (adult and paediatric) across a broad range of specialties. Care is provided to them in the comfort of their own homes using an advanced personal remote monitoring platform, enabling them to safely leave hospital sooner or not come into hospital at all. The Virtual Ward team includes community nurses, specialist nurses, advanced care practitioners, consultants, therapists, healthcare assistants and a range of other health and social care staff. The postholder will be working within the heart failure service (acute and community setting) and will work closely with the Virtual Ward team providing specialist advice and support for patients with heart failure, identifying and assessing patients suitable for Virtual Ward care, reviewing patients on daily ward round calls and providing advice on treatment, escalation, and discharge. The job plan will include outpatient heart failure clinics within primary and secondary care. This post is available for Band 6 or Band 7 pending on previous experience and qualifications. If criteria for Band 7 is not met there will be support and opportunity to progress within the role. Expectations for progressing to Band 7 would be completion of Independent Nurse prescriber course, working towards masters level programme, independently supporting heart failure clinics and Virtual ward duties. The aim once working independantly between the team is to offer cover over a six day working week. In partnership with the multidisciplinary team support and develop integrated models of care, ensuring all patients receive the highest standard of clinical care. Be responsible for development and facilitating clinical and educational programmes for a variety of staff within the cardiac centre and throughout the trust. Promoting a supportive learning environment.

To plan and implement individual and/or group interventions in collaboration with the service user, using graded activity to achieve therapeutic goals.To undertake occupational therapy assessments for a designated caseload,addressing occupational performance and skill deficits, enabling the serviceuser in areas of self-maintenance, productivity and leisure.To build on existing knowledge of the Model of Human Occupation (MOHO) through the use of standardised assessment and intervention tools.Following assessment, to undertake case formulation in order to highlightoccupational strengths and limitations and to inform the intervention planmoving forward.To work collaboratively with service users to identify OT goals as part of theoverall recovery plan.To provide interventions in the manner that is consistent with Trust standards and values.To routinely provide feedback to the MDT regarding observed occupationalperformance throughout contact, which inform ongoing assessment andtherapeutic intervention?To provide support and education to service users and carers regardingaspects of occupational therapy e.g. equipment fitting, rehabilitationprogrammes.To maintain clinical records using the electronic patient record system. For Clinical Duties and more indepth information regarding Person and Job Description please read attached document

Why join us?
 

We have a long history of providing exceptional care that empowers older people to live a full life.  As a not-for-profit aged care provider, were able to invest in providing an exceptional experience to our clients as well as support and develop our frontline staff to achieve this.  When you join us, you will be provided with a competitive rate of pay with shift allowances, not-for-profit salary packaging benefits  and the support of a wonderful leadership team and colleagues.
 
 
In this rewarding role you will work in a team environment where every day will be different.  With your can-do attitude, you will be responsible for the direct clinical care of our residents ensuring they are able to 'Live Life to the Full' in our home-like environment.  
 
Take a look around! - Nagle Residential Aged
... Click here to view more detail / apply for Registered Nurse ? Sutherland | Nagle

An exciting and challenging opportunity has become available for a Band 6 Nurse Assessor. The post holder will see a template of patients clinically, determining fitness for surgery and suitability. You will work alongside Triage practitioners and independently make decisions and communicating the patient’s fitness for surgery to the wider MDT.

We are a busy department assessing all patients undergoing surgery. You will work closely with a wide MDT, including other hospitals and GP services to ensure a smooth, safe and positive journey for all our patients. We also support weekly Anaesthetic clinics, for complex patient assessment and planning.

Please note you must have your clinical examination skills to apply for this role

An Enhanced DBS with barred lists for both Adults & Children is required for this post.
• To be able to provide care and emotional support to patients and their relatives who are planned admissions for surgical procedures.
• To manage a template of patient caseload in the holistic pre-operative assessment setting, and to recognize and organise individual patient care needs, and to be able to manage own workload and prioritise care.
• To ensure the admission process of the patients, including clinical examination, obtaining results of investigations and any action required is comprehensive, concise and valid and the planned admission for surgery is within set protocols.
• To communicate clearly, effectively and politely with all levels of the multi-disciplinary team, patients, relatives and other departments.
• To undertake in Clinical audit
• To oversee Triage Practitioners caseload and assist with any training needs
• To work alongside Clinical Nurse Practitioners in the Formal setting
• To commence and participate in research/special projects as required/directed.
• To contribute to the setting, maintaining and monitoring of pre-operative assessment modernisation within the unit.
• To have responsibility for the security and maintenance of equipment belonging to the unit.

The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.

From 1stJuly we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.

The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.

The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:
• CARE that is evidence based, high quality and compassionate
• ​​​​​​SAFETY that is of the highest standards
• COMMUNICATION that is open, inclusive and respectful
• SYSTEMS that are efficient, patient centred and reliable
• PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:
• Trust rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme

Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.

KEY DUTIES
• To be able to provide care and emotional support to patients and their relatives who are planned admissions for surgical procedures.
• To manage a template of patient caseload in the holistic pre-operative assessment setting, and to recognize and organise individual patient care needs, and to be able to manage own workload and prioritise care.
• To ensure the admission process of the patients, including clinical examination, obtaining results of investigations and any action required is comprehensive, concise and valid and the planned admission for surgery is within set protocols.
• To communicate clearly, effectively and politely with all levels of the multi-disciplinary team, patients, relatives and other departments.
• To undertake in Clinical audit
• To oversee Triage Practitioners caseload and assist with any training needs
• To work alongside Clinical Nurse Practitioners in the Formal setting
• To commence and participate in research/special projects as required/directed.
• To contribute to the setting, maintaining and monitoring of pre-operative assessment modernisation within the unit.
• To have responsibility for the security and maintenance of equipment belonging to the unit.

CLINICAL & PROFESSIONAL RESPONSIBILITIES
• Adhere to relevant Code of Practice of Professional body
• To report, investigate and record any untoward incidences/complaints.
• To display a consistently professional manner, and to be always caring and approachable.

ADMINISTRATIVE RESPONSIBILITIES
• To ensure the admission process of the patients, including clinical examination, obtaining results of investigations and any action required is comprehensive, concise and valid and the planned admission for surgery is within set protocols.

TEACHING & TRAINING RESPONSIBILITIES
• To participate in the teaching of student nurses and the in-service training of qualified nurses and health care assistants, and to participate in the induction of new starters.

HEALTH & SAFETY
• All employees must fully comply with relevant sections of the Health and Safety at Work. They must also understand and implement the hospital Trusts “Statement of Policy on Health and Safety at Work” and the Trust corporate “Health and Safety Policies and Procedures”. You are required to follow all applicable rules and procedures relating to Health and Safety at work and to take all responsible precautions to avoid actions.
• This list is not exclusive or exhaustive and you may be expected to perform other duties not hitherto noted.
• The job description will be regularly reviewed and changes made according to the needs


This advert closes on Thursday 2 May 2024

Proud member of the Disability Confident employer scheme

**This post attracts a recruitment premium of £3,000 (pro-rata for part time roles). This is a one off payment with half paid on appointment and half paid after the completion of a satisfactory probation period (6 months). The premium is taxable. Please note that should you leave employment, or choose to move to an alternative post within the Trust that does not attract this recruitment premium, you will be required to reimburse all or some it, as follows: 100% of the value of the premium in the first 12 months; 50% of the value of the premium in the period 12 months to 2 years following appointment. Please note this recruitment premium is for external applicants only. Not applicable to newly qualified applicants ** Please find attached our Job Description and Person Specification for more detail on your Key Accountabilities, then if you feel you have what it takes to make a difference, click APPLY! Interview dates are to be confirmed and candidates may only be given a minimum of 3 days notice. You will be contacted via email and invited to book a time. These emails may go to your SPAM, so please keep checking all your emails if applying. Please visit our Facebook and Twitter page @NSFTjobs * Previous applicants need not apply *

The role of pharmacy within General Practice is part of an exciting programme of transformationwhich is underpinned by the NHS Long Term Plan. This is an innovative role to work within the Lakeside Healthcare Pharmacy team to ensure safeand effective use of medicines for patients within Lakeside Healthcare. As a starting point the role will initially focus on medicines reconciliation from clinic and dischargeletters, and will develop further as the role of the Pharmacy team expands within theorganisation. It is vital that effective systems and procedures are in place to ensure that thisprocess is effective, safe and efficient. The right candidate will be involved in day to daymanagement of this with regular and thorough reviews of all medications. The process alsoensures that patients receive the appropriate monitoring necessary for the medication they areprescribed. DUTIES & AREAS OF RESPONSIBILITY Job Responsibilities/Principal Duties to include: Medicines reconciliation from clinic and discharge letters Take a central role in the clinical aspects of shared care protocols Level 1 medication reviews to include: o Identifying patients on repeat medication who have not had a medication review o Check medical notes to assess if any monitoring is required and arrange as appropriate o Update medication as appropriate following defined protocols o Remove any old or unnecessary medication from repeat o Update quantities to provide appropriate supply each month o Review dosage instructions to ensure concise and clear instructions Ensure prescribing is in-line with the Lakeside Drug Formulary whilst taking consideration of CCG prescribing guidance. Support Clinical Pharmacists with general prescription requests and medication queries toallow them to review the more clinically complex requests. Liaise with the pharmacist if there are any concerns regarding patient medication regimens. Promote and support the implementation of electronic repeat dispensing. Conduct searches for audits and high-risk drug monitoring using clinical systems. Participate in practice meetings, and other meetings to improve engagement of the role ofpharmacy technician within the Lakeside Pharmacy model and to promote issues relevant toprescribing. Undertake training and development, to ensure the required knowledge and skills forpractice-based work. Support initiatives for antimicrobial stewardship to reduce inappropriate antibiotic prescribing. Assist in the delivery of medicines optimisation incentive schemes and audits relating toMHRA alerts, drug monitoring and other patient safety initiatives. Develop relationships with other pharmacy technicians, pharmacists and members of themulti-disciplinary team to support integration of the pharmacy team across health and socialcare including primary care, community pharmacy, secondary care, and mental health. Training and personal development: You will participate in any training and development programmes implemented by Lakeside Healthcare. This could include: Participation in individual performance reviews, including maintaining a record of your own personal and professional development. Working with the Senior Pharmacist and the Management team to assess own learning needs and undertaken any training as appropriate. Make effective use of learning opportunities inside and outside the workplace, andprovide relevant feedback where appropriate. Disseminate learning and information gained to other team members in order to sharegood practice and inform others about current and future developments. Undertake mandatory and statutory training as required.

Please see the Job Description and Person Specification attached for full details of the post. The Microbiology Department The Microbiology Laboratory provides a comprehensive service covering all aspects of general microbiology to the West Suffolk Hospital NHS Foundation Trust (circa 500 beds plus Virtual Ward), Newmarket Community Hospital (33 beds) and GPs in Bury St Edmunds and the surrounding catchment area. The laboratory is located in the main West Suffolk Hospital building. The microbiology department was assessed by UKAS in December 2023 and recommended for accreditation subject to clearing the non-conformances. The evidence to demonstrate this was submitted in March 2024 and the outcome is awaited. The microbiology Laboratory Manager is Mr Marcus Milner. There are four Band 7 Biomedical Scientists who lead on Health & Safety, Quality and Training. Administrative support for the Microbiology Department, Consultants and Infection Prevention Team is provided by named members of the Pathology Administrative & Clerical team. Team-based administrative support across Pathology helps ensure demand is met regardless of holidays, sickness and any other absence. This team approach also helps with appropriate support when most needed, for example during outbreaks. Pathology uses the CliniSys WinPath Enterprise laboratory information management system and the Q-pulse quality management system. Office space containing a personal computer (with access to email, the internet and the relevant IT systems) will be provided within the West Suffolk Hospital Microbiology Department. A laptop will also be provided to facilitate remote on-call working. The Laboratory undertakes routine bacteriology, parasitology, serology and antibiotic susceptibility testing. It participates in the UKNEQAS schemes for general bacteriology, antimicrobial susceptibility, faecal parasitology, mycology and appropriate viral serology. There is also an internal quality assurance scheme. There is an automated blood culture system (BioMerieux BacT/ALERT), automated urinalysis (Beckman Coulter DxU), a Bruker MALDI-TOF, Serosep EntericBio and BioMerieux BioFire FilmArray. C. difficile toxin gene testing is performed on a Cepheid GeneXpert. Rapid antigen testing is available for Norovirus. The bulk of SARS-CoV-2 and influenza testing is performed on SAMBA IIs in a designated laboratory area within the Emergency Department. Paediatrics have Roche LIAT and Lumira DX analysers for point-of-care Influenza, RSV and SARS-CoV-2 testing. Antimicrobial susceptibility testing uses both the BioMerieux Vitek 2 automated system and EUCAST standardised disc methods. Gentamicin and Vancomycin assays are performed in the Biochemistry department; other antimicrobial assays are referred to the Bristol antimicrobial reference laboratory. Serological testing, including antenatal serology, is performed on a DiaSorin Liaison XL. Chlamydia & Neisseria gonorrhoeae NAATs testing is currently performed at Micropathology. Other molecular testing is performed at UKHSA Cambridge, and specialist virology advice is obtained from regional virologists. Mycobacterial culture is undertaken at a reference laboratory at present. AAFB staining is performed on site. Urgent overnight microbiology samples are transported to UKHSA Cambridge for testing at present, with a plan to repatriate this service. Abnormal results are communicated to the West Suffolk Hospital Consultant Microbiologist on call. WSFT has also been confirmed as one of 40 Trusts across the country to receive funding for a new build hospital from the Governments Health Infrastructure Programme. Planning is well underway, and the Pathology Department has a wonderful opportunity to create a purpose-built department to enable further development of a modernised service for our patients and users. The post-holder will be provided with a Trust laptop to enable remote access into the hospital and pathology computer systems.Out-of-hours infection prevention advice is provided by the on-call Consultant Microbiologist.

JOB SUMMARY: Supporting the overarching Lakeside Healthcare Partnership strategy, the Lead nurse/ACP/ACP is responsible for leading and managing the Nursing Teams and responsible for all aspects of performance related to their clinical teams and specialty clinical services. Reporting to the Non-Executive Director and in conjunction with the Head of Nursing & Allied Health Professionals, Medical Directors and local Operational Teams, the Lead nurse/ACP/ACP plays a crucial role in delivering day-to-day services, leading service improvement and development programmes. Acting as a role model, the Lead nurse/ACP will deliver high clinical and operational performance standards by developing and supporting the Nursing Teams in all aspects of clinical and professional practice. As a professional and experienced Lead nurse/ACP the post holder will also: - Motivate, develop and empower staff, leading by example and ensuring that local standards of care are delivered, monitored and reported within the Quality Governance framework, including CQC & Risk Management, and ensure that operational performance is consistent with the expectations of the Lakeside Healthcare Partnership. Be instrumental in assisting Lakeside Healthcare to achieve its service development plans, performance targets and organisational strategy including QOF. In conjunction with the multi-disciplinary team, ensure that there is an embedded philosophy and practice of continuous improvement by encouraging innovation and creativity; undertaking ongoing assessment and review of clinical and nursing practice standards, patient pathways and experience as well as operational performance and outcomes. Be clinically visible and directive, leading the clinical nursing teams and ensure consistent and timely decision-making in relation to clinical and operational management of the nursing team. Key Performance Areas Management responsibilities: Enable the nursing team to work effectively and provide a high-quality service to patients and to work effectively with other agencies. Monitor and advise on the effective use of physical and financial resources for/by the nursing team. Enable the nursing team to apply and improve clinical governance and risk management systems. Lead and monitor the development and implementation of policies, standards and guidelines across the Lakeside Healthcare nursing team. Analyse, interpret and report data on health and well-being, related needs and service use. Allocate, co-ordinate, monitor and assess the work of the nursing team and individuals. Recruit and select staff to meet the health and well-being needs of the local/practice hub population. Offer and provide clinical supervision to other members of the practice nursing team and act as a clinical ''expert. Develop a working environment that promotes healthy, safe and effective work outcomes. Work collaboratively and organisationally with the other clinical services and external partners. Quality Assurance, Risk Management & Performance In partnership working with the Practice Leadership Team, the Lead nurse/ACP will be jointly responsible for locally delivering the following: - Ensuring all care and services are delivered to the highest standards at all times and across the CQC domains, Safe, Effective, Caring, Well-led and Responsive. Continually monitor the quality of care and make appropriate and timely decisions to ensure the highest standards are maintained at all times. Work collaboratively with the broader MDT to ensure delivery plans are compatible and produce more efficient, patient centric and quality focused. Work closely with nursing teams to continually review and assess efficacy or roles and responsibilities, ensuring alignment to overall local and organisational strategy. Contribute towards and support staff with re-design projects, providing experience and advice. Ensure that the nursing workforce has the right numbers of staff with correct skills and expertise to deliver high quality care in the most effective and efficient way. Work closely with the NED to maintain the Risk Register and undertake investigations of incidents as required. Ensure management information provided is utilised to inform all resultant actions focusing on enhancing the quality of care and patient experience. Contribute to financial performance delivery in line with the Lakeside Healthcare agreed financial plan; oversee budgets relating to the Nursing Teams, ensuring that they are managed correctly and identify opportunities for cost improvements or improved resource management. Ensure compliance with statutory requirements including quality schedule, standing financial instructions and Lakeside policies and procedures. Ensure all complaints for the nursing Teams are responded to within the agreed standards and process. Represent Lakeside Healthcare at appropriate meetings and undertake project work as required/directed. Support the nursing team to initiate activities in response to recommendations from reviews /audits (clinical and non-clinical) and inspections. Responsible for the implementation of strategies and policies on infection, prevention and control and antimicrobial stewardship for system implementation. Act on legislation, national policies and guidance and assess their impact; ensuring effective policies are in place and audited. Professional Leadership In partnership working with the Practice Leadership Team, the Lead nurse/ACP will be jointly responsible for delivering the following: - Collect and analyse information in order to make effective decisions and lead the change process, where indicated, to develop and maintain high quality patient pathways. Retain clinical credibility and act as a role model in delivery of patient care, maintain an overview of the effectiveness of care and services by staff within area of remit. Work closely with the HoN and NED to help lead, deliver and embed the Lakeside Nursing Strategy. Be conversant with national professional nursing agenda and provide local professional nursing leadership; this includes line management, mentorship, advice and support, monitoring and compliance, including adherence to Lakeside Protocols, Procedures, Guidelines and Policies. Be available and accessible to patients, public and staff to discuss issues of concern and take appropriate action where indicated. Workforce Management In partnership working with the Practice Leadership Team, the Lead nurse/ACP will be jointly responsible for delivering the following: - Provide effective leadership to all staff for whom they are accountable including motivation, support and development, effective communication with and between all staff, and adherence at all times by all staff to the highest quality and behavioural standards. Within this to ensure that all staff have an annual appraisal and agree clear objectives against which they are managed appropriately. To ensure attendance at work, for nursing staff, is managed appropriately and in line with Lakeside policy and process. Continually work to develop forward-thinking manpower plans to achieve resilient and robust daily performance. Enhance the performance, capability and development of others through formal and informal interactions. Motivate nursing staff by increasing their commitment to the organisations objectives and strategy, clarifying the vision and developing effective team working. Support the monitoring systems in place to provide assurance that all nursing staff are appropriately qualified and registered with the NMC. Ensure all mandatory training is delivered with ongoing training to enable staff to competently and safely undertake their roles.