Senior Specialist Nurse - Community Palliative Care Team (CPCT)

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Job summary

The Palliative Care service is proud to be delivering specialist palliative care and advice to the population of Oxfordshire and South Northants.

The Community Palliative Care Team provide a 7-day service and extended hours working will be required,

We are looking for candidates who display excellent communication skills, strong leadership qualities and who are able to act as a role-model to staff across the Trust

Specialist Palliative Care experience and advanced history taking and assessment skills are essential.

Main duties of the job

The community palliative care team is a dynamic multi-disciplinary team who provide specialist palliative care services to Oxfordshire and South Northants. This includes home visiting, outpatient clinics and a telephone advice line. A full driving license is essential, as is the ability to work anywhere within Oxfordshire and South Northants.

The Community Palliative Care Team provides end of life, symptom management and communication skills training and teaching to all levels of staff. A strong aspiration for learning and teaching is therefore essential.

As a specialist nurse within the team, the post holder will be expected to demonstrate patient focused expert clinical assessment and judgement. The post holder will also be expected to show autonomous and multi-disciplinary team working, including supporting other members of the team with development.

Senior specialist palliative care nurses are expected to be non-medical prescribers or willing to undertake the course

About us

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more here www.ouh.nhs.uk

The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

COVID-19 Vaccination Update: There has been a national announcement that COVID-19 vaccinations will be mandatory for all patient-facing staff from 1 April 2022. This role could be affected by this, we therefore urge all applicants to consider this before applying. Patient-facing staff who have not had both vaccinations by 1 April 2022 will not be able to continue in their role.

Job description

Job responsibilities

Senior Specialist Nurses will be able to;

• Use their expert knowledge and clinical judgement to decide whether to refer patients for investigations and discuss potential diagnoses with members of the wider MDT.
• Decide on and carry out treatment, which may include advice on the prescribing and de-prescribing of medicines, or referring patients to an appropriate specialist.
• Where appropriately qualified and registered with the NMC, prescribe for the initiation and titration of medication for symptom relief.
• Assess individuals, families and populations holistically using a range of different methods, using physical assessment and advanced history taking skills and other specialist health needs assessments.
• Ensure the provision of continuity of care.
• Assess and evaluate, with patients and /or carers, the effectiveness of the treatment and care provided and make changes as needed.
• Work autonomously within a wider health care team and as a lone practitioner.
• Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health outcomes and healthcare delivery systems.

KEY RESULT AREAS:

Clinical Practice:

Senior Specialist Nurses will:

• Work at an advanced level of practice within the specialist area of practice, autonomously as well as within a multi-disciplinary team and using self-directed skills.
• Work clinically to optimise health and wellbeing, demonstrate autonomous decision making related to comprehensive history taking and physical assessment of patients.
• Work at an advanced level drawing on a diverse range of specialist knowledge in complex decision making to determine evidence-based therapeutic interventions, which may include advising the wider MDT on the prescribing of medication.
• Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients.
• Act as key worker where this model exists.
• Use professional judgement in managing complex and unpredictable care events.
• Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
• Appropriately define boundaries in practice.
• Promote a high standard of advanced specialist nursing by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/families through evidence-based practice following agreed policies, protocols and guidelines.
• Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies. Utilise evidence-based information through a variety of communication media.
• Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.

Job description
Job responsibilities

Senior Specialist Nurses will be able to;

• Use their expert knowledge and clinical judgement to decide whether to refer patients for investigations and discuss potential diagnoses with members of the wider MDT.
• Decide on and carry out treatment, which may include advice on the prescribing and de-prescribing of medicines, or referring patients to an appropriate specialist.
• Where appropriately qualified and registered with the NMC, prescribe for the initiation and titration of medication for symptom relief.
• Assess individuals, families and populations holistically using a range of different methods, using physical assessment and advanced history taking skills and other specialist health needs assessments.
• Ensure the provision of continuity of care.
• Assess and evaluate, with patients and /or carers, the effectiveness of the treatment and care provided and make changes as needed.
• Work autonomously within a wider health care team and as a lone practitioner.
• Work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health outcomes and healthcare delivery systems.

KEY RESULT AREAS:

Clinical Practice:

Senior Specialist Nurses will:

• Work at an advanced level of practice within the specialist area of practice, autonomously as well as within a multi-disciplinary team and using self-directed skills.
• Work clinically to optimise health and wellbeing, demonstrate autonomous decision making related to comprehensive history taking and physical assessment of patients.
• Work at an advanced level drawing on a diverse range of specialist knowledge in complex decision making to determine evidence-based therapeutic interventions, which may include advising the wider MDT on the prescribing of medication.
• Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients.
• Act as key worker where this model exists.
• Use professional judgement in managing complex and unpredictable care events.
• Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
• Appropriately define boundaries in practice.
• Promote a high standard of advanced specialist nursing by initiating and coordinating the assessment, planning, delivery and evaluation of the holistic needs of patients/families through evidence-based practice following agreed policies, protocols and guidelines.
• Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies. Utilise evidence-based information through a variety of communication media.
• Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.

Person Specification

Education & Qualifications

Essential

• oGraduate with 1st level registration
• oPost registration qualification or equivalent experience
• oQualification in teaching and assessing in clinical practice
• Advanced history taking and assessment skills

Desirable

• oMasters level education in Nursing
• Teaching qualification
• oNon medical prescribing

Experience and Knowledge

Essential

• oDemonstrable expertise in specialist palliative care nursing
• oAbility to discuss and demonstrate evidence based practice
• omanagement role
• oKnowledge and experience of change management
• oUnderstanding of clinical governance and audit
• oEvidence of ability to work across organisational boundaries
• oUnderstanding of national strategy and implications for service

Desirable

• oExperience in introducing and managing nurse-led practice
• oExperience of research methods and procedure
• oLeadership training

Skills and Abilities

Essential

• oAbility to motivate self and others
• oAbility to achieve effective outcomes from challenging situations
• oGood presentation skills
• ocomputer literacy and experience with EPR
• oReflective practice
• oAdvanced communication skills
• oadvanced history taking skills

Personal Qualities

Essential

• oHighly professional attitude, Professional role model
• oconfident with conflict management
• oCar owner with full UK driving licence
• oPatient centred philosophy
• oCommitted to professional development of self and colleagues
• oTime management skills

Person Specification
Education & Qualifications

Essential

• oGraduate with 1st level registration
• oPost registration qualification or equivalent experience
• oQualification in teaching and assessing in clinical practice
• Advanced history taking and assessment skills

Desirable

• oMasters level education in Nursing
• Teaching qualification
• oNon medical prescribing

Experience and Knowledge

Essential

• oDemonstrable expertise in specialist palliative care nursing
• oAbility to discuss and demonstrate evidence based practice
• omanagement role
• oKnowledge and experience of change management
• oUnderstanding of clinical governance and audit
• oEvidence of ability to work across organisational boundaries
• oUnderstanding of national strategy and implications for service

Desirable

• oExperience in introducing and managing nurse-led practice
• oExperience of research methods and procedure
• oLeadership training

Skills and Abilities

Essential

• oAbility to motivate self and others
• oAbility to achieve effective outcomes from challenging situations
• oGood presentation skills
• ocomputer literacy and experience with EPR
• oReflective practice
• oAdvanced communication skills
• oadvanced history taking skills

Personal Qualities

Essential

• oHighly professional attitude, Professional role model
• oconfident with conflict management
• oCar owner with full UK driving licence
• oPatient centred philosophy
• oCommitted to professional development of self and colleagues
• oTime management skills

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Oxford University NHS Foundation Trust
Address

Sobell House

Old Road

Headington, Oxford

OX39DU

Employer's website