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Children's Continuing Care Deputy CNS

Guy's and St Thomas' NHS Foundation Trust
£42,471 to £50,364 a year p.a Inc HCA (Pro rata for Part Time Hours)
Closing date
28 Jul 2024

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Other Health Profession
Band 6
Full Time
An exciting opportunity has arisen to join the Evelina London Children's Community Nursing Service as part of the Children's continuing care team. The Continuing Care Team co-ordinates care into the homes of children and young people (CYP) who have complex life threatening/ life limiting conditions across the boroughs of Lambeth and Southwark. These CYP have a range of conditions and needs which can affect their ability to breath, move independently and communicate. We also support a growing number of children with behaviours that challenge.

We are looking for a passionate and enthusiastic individual with excellent transferable paediatric nursing skills, communication skills and a desire to advocate for children and young people with complex needs and their families within our community.

The Continuing Care team is part of the Children's Community Nursing Service, and we have a very close working relationship with all the teams within this service. We are primarily based at Sunshine House in Camberwell.

Our ideal candidate would have excellent communication skills, an ability to work alongside professionals from different professional backgrounds including social care and education. We are a small friendly team, and are really excited to welcome someone who would like to either join us in the community for the first time, or has previous community or continuing care experience.

Main duties of the job

  • To gather confidential, highly sensitive assessments and supporting evidence to be presented at the panel for consideration of funding under Children's Continuing Care criteria which is documented in the National Framework for children and Young Peoples Continuing Care.
  • To attend Panel when required deputise for the Team lead and to present required children to the Panel.
  • The candidate is required to lead co-ordinating with the care provider/hospital and family to ensure a smooth transition of children going home, and have a collaborative working approach.
  • The Candidate is required to organise and order all equipment that the child or YP will need in the home for discharge.
  • The candidate would be required to attend and organise meetings including (but not exhaustive) safeguarding, discharge planning, weekly huddle meetings.
  • The Candidate will be required to attend safeguarding supervision sessions and has access to clinical supervision.
  • The Candidate is required to maintain documentation with absolute accuracy and attention to detail, and have excellent IT skills.
  • The candidate would be able to drive, be adaptable and flexible to the needs of the families, including regular visits to the family home especially for in the first 3 months after a child or young person has been discharged.

About us

Evelina London is part ofGuy's and St Thomas' NHS Foundation Trust and we are responsible for providing services for women and children. With over 3,000 dedicated staff, and led by an Executive Team and Board, we have significant devolved autonomy to focus operationally and strategically upon the needs of our patients. We also benefit from being part of a large and successful NHS foundation trust, whose values we share. We have an ambitious strategic development programme, with backing from Guy's and St Thomas'.

Every year, the number of children and young people Evelina London cares for, in hospital and in the community, continues to grow. We provide comprehensive health services from pre-conception, before birth, throughout childhood and into adult life. Evelina London is here for children, young people and women from London to South East England, and provides specialist care for families around the UK and across the world.

As the only NHS Trust in London with women's and specialist children's services on one site we have unique opportunities to provide excellent, high-quality, integrated care for mothers, babies and children. We operate through four clinical directorates: Neonatology and Medical Specialties, Surgical Services, Theatres and Paediatric Intensive Care, Children's Community Services and Women's Services.

Find out more

Watch our short film to see inside our children's hospital.

Job description

Job responsibilities

Please see attached Job Description for full details of duties and responsibilities.
  • To be able to work autonomously, working in the community setting and office environment.
  • To oversee the day to day management of the caseload working closely with the Team Leads.
  • Be responsible for regular contact with all families on the caseload.
  • Be responsible for oversight of the Equipment only group of children, and to ensure that their equipment needs are being monitored.
  • To lead on hospital discharge planning for children who have been offered a package of care, to liaise closely with wider MDT, care provider and family.
  • To visit the child and family regularly post discharge and to be the point of contact for the family for the Community Nursing Service for the first three months post discharge (Monty Pathway)
  • Independently manage a group of patients within the specialty whilst working as part of the multidisciplinary team, delivering specialised individualised and personalised direct patient care
  • Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
  • Responsible for the correct administration of prescribed medication including transfusion of blood and blood products
  • Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
  • Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
  • Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
  • Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.
  • To provide leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualised specialist care.
  • Is wholly accountable for his / her practice in line with the NMC code of professional conduct and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence.
  • Ensure safe and effective care for complex patients requiring advanced specialist clinical skills and responsible for carrying out specialist nursing procedures to area.
  • To be responsible, for maintaining a safe environment for patients, visitors and other staff within the clinical environment.
  • Ensure that sensitive patient records are stored appropriately.
  • Assess educational and information needs for patients and families, and devise plans to ensure need are met.
  • To be an effective communicator with patients/carers/families regarding disease treatment and management.
  • Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
  • Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.
  • Quality
  • Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by the Trust
  • Lead on and participate in key developments relating to the specialty so that high quality patient focused services are promoted.
  • Enhance the interface between staff, patients, community staff and visitors
  • Develop and utilise information systems to aid regular audit of the clinical role and to provide a quarterly incidence report for the Health Authority and an annual activity analysis and speciality report.
  • Attend and participate in multi-professional team meetings.
  • Set, monitor and review standards of care on a regular basis and initiate corrective action plans
  • Identify and intervene where circumstances contribute to an unsafe environment for patients and staff. To bring instances to the attention on of the Matron/Nurse Consultant/ANP/Senior CNS for the speciality
  • Education and Leadership
  • To deputise for the Continuing Care Team Leads when required.
  • To present at the monthly Lambeth and Southwark ICS Panels when required.
  • To ensure that Student nurses on placement in the Continuing Care Team gain a thorough understanding of the service.
  • Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
  • Contribute in the Trusts clinical supervision programme for staff
  • Identify and raise awareness of the educational needs of patients and carers and implement appropriate education programmes
  • Support and participate in education and training programmes and develop training packages as required.
  • To assist in developing a culture that is challenging, stimulating, rewarding and supportive.
  • Assess the need for, plan and implement suitable staff development programmes for nursing staff within clinical area to ensure the effective care of all patients.
  • To act as mentor/assessor to unqualified staff and to provide education, advice and support to ward and department nurses.
  • Ensuring within mentorship that student nurses and post-registration students in wards and departments are given appropriate teaching, support and guidance, in accordance with clinical area/personal objectives and that all documentation is complete.
  • Contribute and assist and foster a learning environment within the clinical area.
  • To participate in education on a national and international level by attending, presenting at, and/or assisting in the coordination of study days/seminars/conferences etc.
  • Be aware of the local equipment training programme for staff in relation to the Clinical Negligence Scheme for Trusts and maintain training records.
  • Research and Development
  • Promote and undertake nursing research updating own knowledge to promote excellence in clinical practice.
  • Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
  • Participate in and be aware of other clinical research trials for patients
  • Participate and contribute to audit and research within the specialty in collaboration with colleagues.
  • Management and Leadership
  • Provide a leadership role model and demonstrate specialist knowledge and high standards of clinical practice and provide support or advice when necessary.
  • Develop the role according to patients changing needs and research findings, within the resources available.
  • Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to.
  • Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
  • To be fully aware of the targets set out in the NHS Plan and Corporate & Directorates objectives and in conjunction with the multi-professional team use the available resources to meet these targets.
  • Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
  • To be involved in the development, assessment and implementation of guidelines, protocols and pathways.
  • To deputise for the Senior CNS/ANP in their absence
  • Compliance and Governance
  • Take an active role in risk assessment, supporting implementation of strategies to minimise risk. Ensuring incidents and near misses are reported, through promoting a no blame culture.
  • Ensure all staff act in accordance with Local, Hospital and Statutory Guidelines & Policies including Health and Safety initiatives.
  • Will be familiar with the Health and Safety at Works Act, and be aware of its implications and ensure that local unit and departmental policies are followed.
  • Will work in accordance with Corporate Objectives and ensure that all staff are aware.
  • Will ensure that the Hospitals policy is understood and carried out with regard to the care and custody of drugs/medications, especially with regard to those covered by the Control of Drugs Act.
  • Will be familiar with the Trusts fire, manual handling and C.O.S.H.H. policies to minimise risks to patients and staff.
  • Will be fully conversant with the trust major incident plan, and understand the procedure.
  • Take all possible precautions to safeguard the welfare and safety of staff, service users, visitors and the public, by implementing all policies related to health, safety, security and risk.
  • Communication
  • To have a clear understanding of the importance of clear communication with families and the wider Multi-Disciplinary Team.
  • Continuing Care liaises with many professionals outside of the health sector. It is important that understanding and fostering excellent communication with external agencies is maintained at all times.
  • To create an environment that fosters good communication between patient and health care professionals, that meets individuals needs.
  • Be an effective communicator and be a role model in liaising with the community and other members of the health care team.
  • Provide support mechanisms for sharing good practice within the Wards/Departments and Trust wide.

We are committed to supporting flexible working we want to support you to work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether thats job share, part time or another flexible pattern. If it works for the service, we will do our best t
Any attachments will be accessible after you click to apply.


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