Post holder is responsible for ensuring care to the relevant client group who require liver cancer surveillance within Lancashire and South Cumbria (L& SC) Operational Delivery Network. East Lancashire Hospitals NHS trust is the host site of L& SC ODN Hepatitis C and will be the work base. The post holder will support and assist the clinical teams in four provider trusts (East Lancashire Hospital NHS Trust, Blackpool Teaching Hospitals, Lancashire Teaching Hospitals and University Hospitals of Morecambe Bay) and Prison Health Care Teams. Liaison with primary care will also be essential as part of the ongoing national pilot to support case finding. The post holder will also support and assist third party providers such as drug and alcohol services, custodial premises, hostels, homeless centres and charities in assuring that high standards of quality care are delivered and maintained.There will be a requirement to contribute to data collection for NHSE liver surveillance data.
The post holder will support the ODN in delivering specialist care following diagnosis of advanced fibrosis or liver cirrhosis. The post holder will play an active role in the monitoring, support, treatment of defined patients undergoing treatment and monitoring of their condition within specifications of clinical protocols/guidelines. This will include close working with Hep C Trust peer support workers, ensuring that patient pathways to access support are robust and effective.Main duties of the job Develop and maintain communication with people about complex issues and/or in difficult situations. Client groups will include people who are alcohol dependent, people who inject drugs, prisoners, migrant and hard to reach populations. Support the Hepatology/ Blood born virus teams with service delivery, expansion and complying with protocols Under supervision, undertake interventions and treatments as per protocols within evidence-based practice and national guidelines Support equality and value diversity Plan, develop and implement approaches to promote health and wellbeing and prevent adverse effects on health and wellbeing Signpost and support patients in their understanding of their condition through patient education and health promotion. Support the team in the surveillance of patients with chronic liver disease to ensure effective care co-ordination to an identified caseload, maintaining safety and concordance with NHS England guidance. This will include data collection and submission of data on NHSE templates. Under direct/indirect supervision the post-holder will plan and organise work effectively and will be accountable for the quality and standard of work performed Develop and evaluate self-management plan with the patient who has predisposing factors to liver disease. To provide ODN wide cover for diagnosis and surveillance of chronic liver disease as required, working across multiple organisations About us
This post will be working with a new, enthusiastic team, alongside the established hepatology team and the ODN roaming Hepatitis C team. We guarantee a supportive and welcoming environment. We are a team that will listen to new ideas and treat each other with respect. Supporting vulnerable groups to access healthcare is a key part of our work and we believe passionately in this. Our ideals are aligned with the NHSE early diagnosis of liver cancer aims and objectives.Job descriptionJob responsibilitiesResponsibility for Patient Care (including monitoring, diagnostics + investigations) To be professionally and legally responsible and accountable for all aspects of own work, to ensure a high standard of clinical care for the patients, by following clinical protocols and accessing support from the team for a caseload of patients with liver cirrhosis.
2. To accept partial responsibility for a diverse caseload of patients, and to organise this efficiently and effectively, with the support of the CNS lead, the programme manager and the provider trust clinical teams. To refer for Ultrasound scanning for hepatocellular carcinoma. To perform Fibroscanning of patients at risk of chronic liver disease and liaison with the CNS lead/ANP hepatology medical staff/ Clinical Lead to interpret the findings. To request agreed investigations and procedures for patients within your care according to protocols, guidelines and on further discussion with the hepatology team. Complete competencies required for clinical role and update as necessary
Promotion and assessment of health and well-being To work effectively with people to identify their concerns about health and wellbeing and approaches available to improve their wellbeing or prevent deterioration Work in partnership to plan and develop various approaches for health promotion Act as a resource for improving health, particularly lifestyle changes and brief interventions. Work closely with members of the public and users of the service so that health and wellbeing can be promoted effectively Work with the lead CNS using protocols to explain assessment process clearly including the benefits and risks of the assessment and any alternative approaches obtaining their consent whilst respecting their dignity, wishes and beliefs. Be able to identify abnormalities within monitoring or deteriorating liver function and to seek help from lead CNS or ANP / clinical teams in provider trusts.
Assessment and Treatment planning Identify and review current information/factors available as per protocol and discuss with the CNS lead weekly. Following training, undertake Fibroscanning, venepuncture including External Jugular Venepuncture (EJV) and observations of patients on caseload. Review and discuss the patients regularly with the surveillance team and peer support workers. Alert the team in an effective manner should there be concerns highlighted that were deemed outside of their clinical/professional competence. Refer to other areas such as endoscopy, radiology, HPB MDT, community Drug and alcohol service and Dietetics. To ensure patients are commenced on clinical care pathways in a timely manner.
Intervention and treatment To develop the skills required to perform EJV, Fibroscanning and complicated venepuncture (if appropriate). Identifies appropriate interventions/treatments to be undertaken within the context of the overall treatment plan Undertakes intervention/treatments in a manner that is consistent with evidence based practice/clinical guidelines applying own skills, knowledge and experience and using considered judgment to meet individuals complex needs Evaluates the effectiveness of interventions/treatments and makes any necessary modification Maintains accurate and legible patient notes (written and electronic) in accordance with Trust and national professional policies and guidelines Person SpecificationEssentialEssential
- Registered nurse NMC
- Relevant post-registration experience
- Evidence of involvement in producing protocols and programmes of care
- Good communication skills
- Leadership and people management skills
- Knowledge of liver function and the causes of liver fibrosis and cirrhosis
Employer detailsEmployer name
- Post basic qualification in hepatology
- Experience of working with hard to reach or disadvantaged groups
- IRMER training
- Experience of triaging patient results and/or referrals
- Experience of service development
- Experience of data management / collection for national targets
East Lancashire Hospitals NHS TrustAddress
Accrington Victoria Community Hospital
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