Speciality Nurse For Dermatology (6) - Dermatology - South Warwickshire University Nhs Foundati[...]

South Warwickshire University NHS Foundation Trust is one of the top performing organisations within the NHS. Our staff think this is a great place to work and we hope you will agree. We have recently been rated as 'Outstanding' by the Care Quality Commission (CQC) following our most recent inspection. We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the whole county. This includes our Community Teams in North Warwickshire. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Over 6000 people work for the Trust and many of them have been here a long time. People find they don't need to go elsewhere to find a fulfilling career in healthcare. The first thing you will notice about us is how we take our values seriously. We believe that our values underpin everything we do. If you are interested in a role with us you need to make sure our values match your own. Our values can be summed up in one sentence. We are 'Trusted to provide inclusive, safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core. Probationary Period All new staff to the Trust will be subject to a standard 6 month probationary period, the details of which will duly follow in your contract of employment. Equality, Diversity, and Inclusion South Warwickshire University NHS Foundation Trust is committed to creating and sustaining a positive and inclusive working environment for all our employees. Our aim is to ensure that employees are equally valued and respected and that our organisation is representative of all members of society. We define diversity as valuing everyone as an individual – we value our employees, job applicants, students, patients and visitors as people. This is reflected within our values of being Inclusive, Safe, Effective, Compassionate and Trusted. Agile and Flexible Working All our staff will have a work base. However the Trust operates as an Agile Working Team therefore staff may be working from home on a regular basis as required by the service. However, occasionally travel around Warwickshire and into your base will be required so access to your own transport would be helpful. The Trust also welcome staff to work flexibly and we would welcome the conversation at interview regarding flexible working. The Trust offer a wide range of additional benefits to staff. Anyone who joins us on a substantive basis can assess things such as the Lease Car Scheme, Electronics Scheme, Discounted Leisure and Travel, Cycle to work scheme amongst many others available. Car Parking The Trust have recently completed the construction of a multi-storey car park at our Warwick Hospital site which has allowed us to reduce waiting times for car parking passes. Job overviewAn exciting opportunity has arisen for a nurse with dermatology experience to join our team as a Band 6 Speciality Nurse delivering high quality service to patients in Warwick.
We have recently located to a new premises in the centre of Warwick, this a newly refurbished unit which houses our dermatology team including consultants and secretaries.
Main duties of the jobThe post holder will be a clinically based practitioner who will take a supportive role in strengthening the nursing contribution to patients and service users within Dermatology.

In partnership with the multi-disciplinary team (MDT), the post holder will assist develop, implement and evaluate a seamless specialist service.

Using specialist nursing skills, contributes to the management of a caseload of patients referred for specialist intervention, care and support.

The post holder will contribute to the ongoing development of innovative practice, standards of care and strategies to ensure practice development and education for other professionals caring for patients within Dermatology.
Working for our organisationCome and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4 th in the country for recommended place to work. Detailed job description and main responsibilitiesKey Result Areas:
Expertise & Excellence in Clinical Practice

Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of specialist practice.
Care will be responsive to individual needs and reflect current local protocols and national guidelines.

Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload which is 80%-100% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care.

Contribute to the management of a caseload of patients within speciality and prioritise workload to meet patient and service need.

Use knowledge of the speciality and treatment to support the development of personalised care pathways for individuals and assist with holistic needs assessment, planning and evaluation of care and all care interventions.

Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients' individual needs are expressed and valued, and individual care plans are understood.

Advise on disease and symptom management for patients within the speciality in both inpatient and outpatient settings. Evaluate response to interventions and cascade to relevant colleagues.

Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need ongoing face to face support.

Assist in the development and delivery of nurse led or parallel clinics in line with National guidance and local service need.

Act as a resource providing specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care.

Undertake clinical competencies relevant to this specialist service to demonstrate expertise in extended nursing roles. Assess and assist in managing individual psychological reactions to diagnosis, treatment and associated side effects.

Management & Leadership

Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation.

Provide support to ensure public and patient involvement is embedded within the sphere of practice.

Participate in the recruitment and selection of staff where required.

Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary.

Contribute to the clinical governance agenda.

Participate in operational and strategic planning for the development and delivery of the specialist service. Support service improvement activities.

Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision.

Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality.

Contribute to an annual service review, gathering information to support the annual report.

Assist with complaint investigation and ensure appropriate escalation.

Communication

Take personal responsibility for ensuring effective communication between all service providers.

Act as a role model for excellent communication skills.

Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations.

Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis.

Refer to other health professionals and outside agencies to ensure optimum care and ongoing support for individual patients/carers, and to ensure the seamless transition from primary to secondary care appropriate to patients' individual needs and circumstance.

Maintain links with local and national organisations, which support the care of patients within this speciality.

Education

Identify and use educational strategies to deliver information to patients and carers.

Participate in the development of patient focused education including training to support self-management and health promotion activities.

Assist in the development of other professionals by contributing to Trust wide specialist education and training.

Support the delivery of formal and informal teaching initiatives as part of the Trust's education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients.

Act as a mentor/clinical supervisor as appropriate.

Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met.

Quality, Audit, Innovation and Research

Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need.

Work within the NMC code of professional conduct.

Contribute to the development of policies and clinical guidelines to support the specialist service.

Collaborate with other MDT members to develop and update multiprofessional Trust operational policies and guidelines.

Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care.

Promote the service where applicable.

Use creative reasoning, experience and vision to support advancement of care.

Develop new skills in response to emerging knowledge and techniques.

Supports management of change as required.

Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable.

Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research.

Contribute to the identification of patients eligible for trial entry. Provide support to patients considering entry to clinical trials in relation to informed consent and advocacy.

Participate in clinical research relevant to practice area.

Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need.

Additional Responsibilities for specialty

As per the British Dermatological Nursing Group a band 6 nurse is expected to work within the outlined scope of practice.
Clinical

Making clinical decisions for a defined patient group.

May be an independent prescriber for a defined patient group or undertaking medicines management including use of a patient group direction (PGD).

As per band 5 role frequently without close direction.
- Phototherapy
- Wound-care
- Assisting surgery
- General advice and support to patients / families / carers
- Administration of medicines
- Patch testing
- Treatment counselling
- Topical treatment / bandaging
- Camouflage advice
- Iontophoresis

Lower risk, less invasive skin surgery procedures

Photodynamic therapy

Disease or therapy focused nurse led follow up clinics with protocol e.g. wound care, biologics, isotretinoin
Leadership

Leader of a small team

Showing initiative in change management

Active participant in quality improvement projects

Education

Formal teaching sessions for other staff within the organisation

Involvement in patient/public information initiatives

Research

Aware of the literature around practice

Using literature to inform practice

Aware of literature searching and reviewing

Undertaking audit
Person specificationQualificationsRegistered General Nurse, NMC registeredEvidence of continued professional development in DermatologyRecognised teaching qualification (ENB 998, C&G 730 or equivalent)Willingness to complete Health/Clinical Assessment course and non – medical prescribing courseLevel 2 Psychology trainingAdvanced Communication trainingExperienceRelevant and up to date post registration experience within DermatologyExperience of student supervision and teachingProven leadership skillsExperience of delivering patient advocacyExperience and understanding of clinical audit and evidence-based careExperience of working in a multidisciplinary and cross agency work environmentExperience in the below treatments: - PDT/Photodynamic Therapy - Patch testing - Phototherapy/TLO1 - Minor Surgeries - PUVA - IontophoresisExperience of undertaking researchExperience in nurse led follow ups for isotretinoin, Systemics, Biologics.SkillsClinical, managerial and leadership skills in specialityProven listening and counselling skillsUp to date knowledge of current clinical and professional issuesExcellent verbal, written, interpersonal and communication skillsManaging a caseloadGood decision making abilitiesUnderstanding of change management processDemonstrate an awareness of the National agenda for specialityKnowledge of quality standards and relevantAwareness of NICE guidelines, NSF CQUINs etcTeam playerAbility to write reports and maintain accurate recordsAssist in the development of nurse led clinicsPersonal QualitiesCreative thinkerDiplomaticAbility to adapt behaviour to changing circumstancesDelivers high quality careOther Job RequirementsFlexible and positive approach to workAble to attend network wide meetingsAble to travel and work between sites
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