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Community Learning Disability Nurse (Complex Needs Team)

To provide long term intervention to people aged 18+ who have a learning disability and complex physical health needs. The goal is to enable access to mainstream services with a view to achieving and maintaining good health whilst continuing to live in the local community.

The Aim is to:
  • Reduce Nursing home admissions
  • Reduce hospital admissions
  • Reduce prolonged hospital stays
  • Improve end of life care for people with learning disabilities and a life limiting condition and enable them to die in their preferred place.

The role includes
  • Management of feeding tubes and tracheostomy care and to provide training to carers to manage health in their home.
  • Close liaison and input with a multi professional team including physios, the hospice etc

The complex physical care team work with people over a long period of time. Input from the team involves clinical intervention, providing training for the patient's carers and family, support and advice, liaison with professionals.

This is a permanent full time post (37.5 hours) to be worked across Monday to Friday. An Enhanced DBS with Adults' Barred List will be obtained during pre-employment checks.

The successful candidate will be suitably qualified and have considerable NHS community experience working with patients with learning disabilities & complex physical health needs.

Main duties of the job

To be a full and active member of a Multidisciplinary / Interagency Team concerned with the maintenance and further development of needs led service for individuals 18+ who are described as having a learning disability and who also have current unmet complex health care needs, terminal illness, communication needs, sexual health and promotion needs by assessment, planning, intervention and evaluation of programmes of care for the individuals + team under the management of the Clinical Lead, Community Nurse.

About us

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. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.

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. With this in mind we are seeking to recruit people who share our values and beliefs.

On-Call

Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.

Job description

Job responsibilities

Key results from the job holder
  • To be a full and active member of a Multidisciplinary / Interagency Team concerned with the maintenance and further development of needs led service for individuals 18+ who are described as having a learning disability and who also have current unmet complex health care needs, terminal illness, communication needs, sexual health and promotion needs by assessment, planning, intervention and evaluation of programmes of care for the individuals + team under the management of the Clinical Lead, Community Nurse.
  • To effectively support the Adult service for people 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 accept responsibility for own professional practice as an accountable practitioner.
  • 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 secondary care 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 patient specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to patient care. Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual patient need.
  • To deliver direct care to patients as required which includes the administration of Clinical Nursing Procedures i.e PEG care
  • To promote patient 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 patients within a working week according to individual patients 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 patient Risk Assessment/Management.

Planning and Organisational Duties
  • To support the Learning Disability Senior Management Team in delivering the teams core functions
  • To ensure safe practice by clarifying level of authority in role and seeking appropriate supervision and direction
  • 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 clinical systems as per Service and Trust Policy.
  • To ensure written communications are meaningful, relevant, and timely in line with
  • Service, Trust and Professional Guidelines and Practices.
  • 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 reflect on and evaluate on personal professional practice and patient outcome experiences.
  • To receive Clinical supervision, Care Management & appraisal from your Senior Manager.

Communications and Key Working Relationships
  • To plan and co-ordinate and lead patient focused Multi-agency Meetings as required
  • To be a full and active member of the multi-professional team including Nursing, Physiotherapy, 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.
  • Prepare and present clinical reports as required.
  • To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for patient specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to patient care. Delegate as necessary to unqualified staff and refer onwards as per induvial patient needs.
  • To plan and co-ordinate and lead patient focused multi-agency meetings as required.
  • To deliver direct care to patients as required which include the administration of clinical nursing procedures.
  • To promote patient self-care and independence towards an individuals maximum optimal potential.
  • To participate in and assist in the co-ordination of supporting patients within a working week according to patients needs.
  • To undertake safe practice by the assessment/implementation/evaluation of effective patient Risk Assessment/Management
  • To adhere/practice as per the Community Learning Disability and WWL Trust Policies Procedures, Protocols and provide comments on possible developments that involved the Complex Needs team and integrated Community Learning Disability Team.
  • To report financial and physical resource needs to the Clinical Lead
  • To be responsible for personal input of data to the Electronic Patient Record (patient activity) as per WWL Trust Policy
  • To ensure written communications are meaningful, relevant and timely in line with Service./WWL Trust and Professional Guidelines and Practices
  • To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/WWL Trust
  • To demonstrate commitment to personal/professional development within WWL Trust Clinical Governance Framework.
  • To reflect on and evaluate on personal professional practice and patient outcome experiences.
  • To receive Clinical Supervision, Case Management and appraisal from the Clinical lead.

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.

Responsibility for Teaching
  • To deliver specific patient focused training to staff/carers and services e.g. WWL Trust/Acute Trust/Independent Organisations/Local Authority.
  • To deliver Service/organisational training to qualified/non-qualified staff as required.
  • To assist in the facilitation of a supportive learning environment which enables the tea, pre-registration students and the nurse to develop.
  • To participate within the Induction Programme for new starters to the team.

Work Circumstances & on-call

Monday to Friday with no on-call

Person Specification

Quaifications

Essential

  • 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


Desirable

  • BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree.
  • Specialist Practitioner (Learning Disability)
  • Health needs assessment for people with learning disabilities
  • Mental capacity act training


Experience

Essential

  • Significant Post registration experience
  • Experience of working with people with Complex Physical health needs
  • Experience of PEG and Tracheostomy care and management.
  • Experience of working with adults with a Learning Disability
  • Experience of working within Multi-disciplinary Service / Team
  • Principles/experience of ordinary life models
  • 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
  • Experience of undertaking specialist assessments in relation to: unmet health needs, mental health.


Desirable

  • Experience of working in a Community team
  • Experience of project management / service improvement
  • Experience of liaison with primary and secondary care to meet the health needs of people with learning disabilities
  • Experience of implementing reasonable adjustments


Skills

Essential

  • Any attachments will be accessible after you click to apply.

    302-23-5834045CM

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