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    Learning Disability Community Nurse - Wigan, Greater Manchester, United Kingdom - Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

    Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
    Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust Wigan, Greater Manchester, United Kingdom

    2 weeks ago

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    Description

    To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs.

    This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs.

    This is a permanent part time post (30 hours) to be worked across Monday to Friday.

    The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early ageing conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from children's to adult services.

    Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas.

    WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity.

    At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.

    To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs.

    This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs.

    The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early aging conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from childrens to adult services.

    To support primary care to manage appropriate cases within the primary care setting in collaboration with the Locality Hub services and to support appropriate referral to secondary services, under the direction of the Senior Management team.

    To effectively support the all age service model for children, young people and adults with Learning Disabilities.

    To provide formal, on-going clinical supervision and caseload management supervision to junior and less experienced community learning disability staff and students, as directed.

    To maintain effective case management of a clinical caseload within the Community Learning Disability Team in line with recommendations
    To carry out all relevant forms of care without direct supervision and may be required to demonstrate procedures to and supervise and teach qualified and / or unqualified staff and pre-registration Nursing Students
    To undertake Breakaway/Physical Intervention Techniques (Restrictive Physical Intervention) according to the Community Learning Disability Service Policy.
    To participate in the service Referral and Initial Assessment Process and Procedure

    To participate as an effective member of the MDT, undertaking referrals, direct liaison with Primary Care and Locality Hub to ensure identified needs of service users and their carers are met in a timely manner and in the most appropriate setting.

    Facilitate and maintain effective liaison with parents, other health professionals, social workers, primary care teams and any other relevant services to ensure intervention is consistent and co-ordinated, providing person centred care.

    To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for client specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to client care.

    Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual client need.
    To promote client self-care and independence towards an individuals maximum optimal potential.
    To develop and deliver specific individualised focused training to staff / carers (paid/unpaid) / families and services that have a significant role in the delivery of care for the individual

    To participate in and assist in the co-ordination of supporting clients within a working week according to individual clients needs.

    Maintain clear, comprehensive and contemporaneous clinical records on all patients in response to personally generated clinical observations, in accordance with professional standards and Trust policies.

    To undertake safe practice by the assessment/implementation/evaluation of effective client Risk Assessment/Management.

    Planning and Organisational Duties

    To support the Learning Disability Senior Management Team in delivering the teams core functions

    To adhere/practice as per the Community Learning Disability Service and Trust Policies Procedures, Protocols and provide comments on possible developments that involve the Community Learning Disability Team.

    To report financial and physical resource needs to the Senior Management Team.
    To be responsible for personal input of data to Systm1 (client activity) as per Service and Trust Policy.

    To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/ Trust.

    To demonstrate commitment to personal/professional development within Trust Clinical Governance Framework.
    To receive Clinical supervision, Care Management & appraisal from your SeniorManager

    To be a full and active member of the multi-professional team including Nursing, Speech and Language Therapists, Occupational Therapists, Assistant Practitioners, Nursing Associates, Support Workers, Apprentices and Admin.

    To work in partnership with Social Care, Council Services Secondary Care, Third Sector and Primary Care in the delivery of an integrated service that facilitates the wellbeing of service users.

    To be responsible for ensuring the effective selection and use of all treatment resources available both in the community.

    To operate efficiently and minimise waste of resources across all spheres of work.

    To advise the Team Leader on ordering, monitoring and maintaining equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through, teaching, training and supervision of practice.


    Responsibility for Health & Safety

    ~ Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

    Deliver Service/organisational training to qualified/non-qualified staff as required.

    Assist in the facilitation of a supportive learning environment which enables the Team, Pre-registration students and the Nurse to develop.

    Act as preceptor/mentor and support other trained staff / nursing and therapy students accessing the wider service.

    Develop, review and update clinical assessments using research based evidence for use within recall clinic and as part of assessment process for all individuals identified in service.

    Experience of undertaking specialist assessments in relation to: unmet health needs, mental health.
    Experience of working within Multi-disciplinary Service / Team
    Experience of working with adults and Children with a Learning Disability.

    Knowledge of current local and national guidance with regards to health needs assessment and behaviour assessments of people with learning disabilities.

    Experience of project management / service improvement

    Registered Nurse Learning Disability (Part 5 or Part 14 NMC Register) or BSc (Hons) Learning Disability Nursing and Social Work
    Mentorship qualifications or willing to undertake training

    BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree.

    Assessment, planning, information analysis, intervention, evaluation of package of care.

    To be able to communicate effectively with patients who have expressive and receptive communication difficulties due to their learning disability.

    Implement policies and proposed changes to practice for own area
    Ability to organise qualified/unqualified staff - Pre/Post Registration Nursing Students & day to day practice.
    Ability to delegate to junior members of staff
    Ability to deliver training to staff, carers & Services.
    Flexible in approach - over 24 hours.

    Ability to manage patients (and families) who present with, early ageing conditions, terminal illness, other unmet health needs and behaviours that challenge.

    Willingness to participate in and undertake physical intervention training
    Demonstrate the ability to undertake ongoing theoretical / practical professional development according to Service needs.
    Ability to work in partnership with other agencies and positively influence others service delivery

    To be able to communicate with individuals who have expressive and receptive communication difficulties due to their learning disability/cognition and who additionally present with severe challenging behaviour within an environment, which has frequent conflict/hostility.

    Ability to work within a Learning Disability Multi-disciplinary/Inter-agency Team.
    The ability to work flexibly in accordance with client and service needs
    Promoting / enabling Personal Skills / Direct Care Development
    Administration of Clinical Nursing Procedures e.g. blood pressure, etc.
    Understanding of policies for children and young people
    Awareness of current professional nursing issues and Regional, National Health Policy
    Knowledge of the safeguarding processes
    Knowledge of Learning Disability Team's role and function
    Insight into Learning Disability National Strategy
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