Lead Specialist Practitioner - Stafford, United Kingdom - Midlands Partnership NHS Foundation Trust

Midlands Partnership NHS Foundation Trust
Midlands Partnership NHS Foundation Trust
Verified Company
Stafford, United Kingdom

1 month ago

Tom O´Connor

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Tom O´Connor

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Description

Key Responsibilities and Duties To provide face to face nursing care, assessing, planning, implementing and evaluating care and treatment for housebound service users with complex physical, psychological and social needs.

Managing and co-ordinating a caseload of service users with complex physical health needs that require multi-systems health assessment; have multiple co-morbidities and may have social and mental health needs that influence their treatment plans.

This may at times include co-ordination of MDT meetings.

To work closely with the service users, their carers and families ensuring that they have the tools to manage and monitor their own condition where appropriate and have robust management plans in place to recognise deterioration and access appropriate care.

Have an understanding of the demographics and population profile of their attached PCN/locality.

Acting as a key stakeholder working with system partners to ensure the physical health needs of the population are met and work to prevent unnecessary admissions to hospital.

Collaborate with the Clinical Education Lead in developing training and practice. Providing support, mentorship and assessment of pre and post-registration nurses within the team, to develop their competence and skills.

Including induction and preceptorship of new staff. Provide consistency through collaborative clinical leadership to their team with Community Education Leads across the care group. Embedding a learning culture underpinned evidence based practice.

Takes a lead in specialist areas and complex caseload management, providing advice and support to others to undertake community nursing care, including but not limited to:

Promoting independence/self-management Maintaining safety including/safeguarding awareness/incident reporting Improvement in health and wellbeing including mental health Interventions in disease/condition management Prevention and reducing of health inequalities Admission avoidance including frequently users of acute services Supported early discharge from hospital (appropriate to the service) Case management/ treatment /care plans Palliative and end of life care Complex decision making Management of complex wounds Will utilise a range of available and emerging technology to support the service user to manage and monitor their condition; including virtual consultations and remote monitoring.


To monitor the skill mix in the team to enable safe delegation of nursing care in line with NMC guidance.

Working closely with the operational lead for the team to support effective workforce planning.

The post holder will participate in service developments as a member of the community nursing team and wider primary care network, and will be a key stakeholder in the development of place based partnership working.

Oversee the caseload to improve the quality of care for patients, ensuring that this is driven by patient outcomes and feedback; evidence based clinical practice that supports the national quality agenda.

Ensuring actions of the caseload review process are carried out.

Work in collaboration with Operational and General Managers providing clinical expertise and decision making support as part of the leadership team to ensure best practice and patient safety are be maintained.

There will be no responsibility for finances other than to make efficient use of resources and to consider cost effectiveness when developing treatment plans and prescribing medication.

Systems and equipment Maintain accurate contemporaneous records and data collection through daily use of a range of electronic clinical systems e.g.

RiO; Safeguard; Microsoft Office Suite. Adhering to information governance standards; legal and professional requirements are maintained at all times. Ensuring that clinical systems are used effectively within their team.

Responsible for ensuring actions are carried out by themselves and their team where safety alerts are issued regarding equipment or medications used by the service.

Maintain an awareness of assistive technology available to support service users to manage their condition.

Decisions and judgements To work autonomously as an experienced nurse using enhanced clinical expertise to assess; plan and evaluate care.

Critically evaluate current evidence; clinical guidelines; policies and SOPs to support clinical decision making.

To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors ascertained through holistic assessment and history taking.


Formulate plans of care and negotiate the implementation of such plans and the sharing of complex, sensitive, confidential, and at times contentious information e.g.

explaining diagnosis and treatment plans; discussing disease progression and prognosis. To contribute to the development, evaluation and monitoring of the services operational policies; objectives and standards. Utilising research, business intell
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