Service Lead - Band 8 - Specialist Palliative Urgent Response (SPUR)

Main duties and responsibilities Expert Clinical Practice Ensure the NMC Code professional standards of practice and behaviour for nurses, midwives, and nursing associates (2018) is always upheld To administer drugs in accordance with Hospice policy and the professional guidance on the sage and secure handling of medicines (2018) Identify risk involved with patient care and/or lone working, escalating concerns where appropriate and implementing learning outcomes from recorded incidents To be responsible for identifying and acting on any risks of safeguarding to patients and their families/cares in line with Hospice and National Policies and Procedures Give encourage, support, empathy, time, reassurance and advice to patients, their families, and carers, to enable them to explore and express feeling and issues of concern promoting informed choice. Demonstrate advanced practice in holistic assessment, development and evaluation of individual specialist nursing care programmes involving patients, families, and carers as appropriate Facilitate the management and support of palliative care patients to ensure the pathway is seamless and of a high quality To promote autonomy and advocacy to ensure the delivery of appropriate care Demonstrate a high level of empathetic and interpersonal skills for patients and carers needing palliative care Utilise Non-Medical Prescribing skills and holistic health assessment within competence as part of patients medicine and symptom management Demonstrate advanced knowledge as an expert practitioner in palliative care by use of innovative practice and skills Maintain accurate records using a system of nursing documentation and appropriate information systems which reflect advanced assessment and practice Act as a role model demonstrating high standards of holistic care, promoting clinical excellence and leadership Identify and apply innovative care and practice to ensure best clinical outcomes to benefit the patients, families, carers, and organisational needs Analyse complex situations and develop action plans to improve the quality of patient care Use a range of strategies to improve and lead patient care and management Contribute to effective multidisciplinary team working and discussion Attend multidisciplinary team meetings, both internal and external to the organisation Provide initial support to bereaved families, friends and carers, referring to the Hospice bereavement service as appropriate Liaise with GP and District Nursing teams to advise and implement appropriate treatment regimens for the management of symptoms Clinical Effectiveness Ensure practice is research based by implementing evidence, research, policy and standards that are relevant to specialist palliative care Promote an environment where enquire is valued as a means to improve patient care Identify areas of palliative care practice or service provision which could be developed through audit or research and actively participate in audit or other reviews to improve clinical care Demonstrate continual evaluation of practice, make agreed changes and work within the multidisciplinary team to enhance service provision Monitor quality initiatives in line with local and national guidelines by assessing, monitoring and reviewing own and others practice ensuring safe delivery of care, reduce risks and effectively use resources Participate in the development and implementation of the Birmingham Hospices Clinical Strategy Contribute to a questioning and open culture in practice to enhance a higher standard of care allowing patients, families, and carers to participate in this process Demonstrate a proactive approach to the development of policies, protocols, and clinical guidelines in order to develop and adapt the role to the healthcare needs of patients, families and carers Assess and monitor risks in own and others practice ensuring safe delivery of care, which is evidence based and adheres to good practice guidelines Works alongside stakeholders to develop, monitor and record ongoing KPIs for the service. Management and Leadership Operational management and delivery of the SPUR service, including management of our clinical and administrative service team. Promote the safety, wellbeing and interest of patients and staff in the service Report, monitor and investigate accidents, incidents and complaints, ensuring that lessons learnt are shared and timely feedback of information occurs Actively contribute to the hospice clinical governance framework Participate in the development of operational plans for the delivery of safe and effective care Demonstrate positive and motivational leadership to staff and volunteers in the service Ensure Team Leads and Nurses in charge are supported in managing their teams effectively Line Manage the Team Leads and wider SPUR Team Co-ordinate, supervise and support team caseload management Ensure appraisals are conducted annually and on time as part of the performance management of the SPUR staff, and copies provided to the People Team Identify performance/conduct improvement issues among staff and ensure supportive training and other appropriate improvement programmes ware implemented, monitored, reviewed and reported Manage any employee relations cases which arise, in line with Hospice policy Take responsibility for the effective management of the SPUR budget Take a lead role in the recruitment, selection, and induction of SPUR staff Monitor the quality and content of patient record keeping, ensuring this meets the standards required by the NMC and CQC Manage data entry for the clinical area including generating statistics and reports, ensuring these are disseminated appropriately Monitor medicines management ensuring compliance with Hospice policy and NMC guidelines, and working with pharmacy colleagues/providers Assist in the development of policies and procedures relating to the hospice and to review and update in line with relevant legislation, research, or guidance Support the clinical team in audit and learning from the recommendations of clinical audits Be proactive in embracing future processes which promote the utilisation of available and emerging technology in the delivery of service aims and objectives Support the development and effectiveness of Gold Standard Framework Meetings through appropriate attendance and participation Support the use of reflective skills and facilitation skills to evaluate and improve current practice To receive clinical supervision and ensure that clinical supervision is offered to your team members Manage time effectively and respond creatively to situations within the resources available to manage the team and caseload Effectively manage change by understanding group developmental needs in order to maintain good working relationships across organisational and professional boundaries to enhance and improve team working To participate in the on-call rota.

Service Development As the Lead Clinical for the SPUR Team, undertake service reviews and develop business cases for any increase in establishment or changes to the service Streamline the service, reviewing clinical and administrative pathways, implement change as necessary and ensure the best and most efficient use of resources Escalate any budgetary issues to the Head of Services, Community Work closely and collaborate with other services leads and stakeholders ensuring a seamless patient pathway across all departments Education, Research and Audit Recognise the importance of knowledge and learning to maintain standards in palliative care Utilise advanced knowledge of specialist palliative care to ensure all opportunities are taken to advise, educate and share information Deliver formal and informal education initiatives to staff (internal and external organisation), patients, and carers to achieve effective clinical outcomes Contribute to curriculum design and education strategy development together with the Hospices education department to ensure effective training programmes are available Supervise the development of healthcare professionals on placement Support practice development through the facilitation of complex case discussion/reflection with District Nurses and other healthcare providers as appropriate Participate in meetings, conferences, and education sessions to promote the services provided by the hospice Encourage individual practitioners and teams to participate in the education strategy to develop palliative care knowledge and competence in their own practice Utilise up-to-date research/evidence to deliver patient care and disseminate knowledge to all members of the multidisciplinary team Participate in/contribute to research studies and projects as agreed by the Hospice Evaluate research which is appropriate and relevant to specialist palliative care provision Initiate, monitor and regularly audit aspects of the SPUR service to continuously improve care Identify and act upon opportunities that arise for informal teaching/sharing of knowledge through joint working and shared care approaches Identify innovative opportunities for sharing practice development initiatives and examples of good practice Role model effective clinical practice Complete all mandatory training, according to hospice guidelines and ensure that your team remains up-to-date and compliant