Thank you for the interest you have shown regarding the above post with Orkney NHS Board. Please find enclosed a Job Pack containing:

Transcription

1 Human Resources Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH Date: 27 October 2015 Tel: Fax: Enquiries to: Danna Wilson Dear Applicant RE: Macmillan Specialist Nurse REF: 0915/062 Thank you for the interest you have shown regarding the above post with Orkney NHS Board. Please find enclosed a Job Pack containing: Application Form and Equal Opportunities Monitoring Sheet Declaration of Suitability Form Advert Job Description Person Specification Your completed application form and Equal Opportunities Monitoring Sheet and Declaration of Suitability form can be returned electronically to ork-hb.recruitment@nhs.net, or if this method is not suitable forms can be sent to the Human Resources Department at the above address. Please note that correspondence regarding your application will be sent by . If this method is not suitable for you, please contact me at the above address to let me know. Please note that CV s will not be accepted and a completed application form is required in order to apply for a post at NHS Orkney. If you require any further information please do not hesitate to contact myself or any of the other contacts stated in the advert. Yours sincerely Danna Wilson Recruitment Officer Orkney NHS Board Headquarters: Caring for the people of Orkney Garden House, New Scapa Road, Kirkwall, Orkney KW15 IBQ Chair: John Ross Scott Chief Executive: Cathie Cowan Orkney NHS Board is the common name of Orkney Health Board

2 Macmillan Cancer and Palliative Care Specialist Nurse Job ref 0915/062 Macmillan Service Band 7 31,383-41,373 plus Distant Islands Allowance per annum pro rata Full time: 37.5 hours Permanent Are you ready to develop and extend your skills and experience in cancer and palliative care nursing while living in an area of outstanding natural beauty and rich culture? Could your expertise and experience help us to achieve our vision of becoming a centre of excellence in remote and rural healthcare? An exciting opportunity has arisen within NHS Orkney s Cancer and Palliative Care Service based in the Macmillan Unit in the Balfour Hospital in Kirkwall. We are looking for an experienced 1 st level registered nurse to join our specialist oncology and palliative care team. This small team of 3 clinical nurse specialists provides oncology and palliative care/support for patients and families predominantly affected by cancer but also other long term conditions throughout Orkney,. You will provide expert clinical care as part of the Macmillan Service team to patients presenting with a range of care needs both within the community and the unit as required. The post holder will be expected to deliver specialist oncology and palliative care interventions, including the delivery of cytotoxic therapy, as an autonomous and self-directed practitioner and ideally be an independent nurse prescriber. Applicants will be expected to have excellent communication and interpersonal skills and have evidence of postgraduate study in either cancer or palliative care. Orkney has an established and highly regarded service providing support and care for patients throughout the islands. Macmillan House is a small unit providing day case treatments alongside 4 in-patient beds for oncology and palliative care based within the Balfour Hospital. The team is based here providing outreach across the Orkney Islands. The Isles of Orkney offer a wonderful opportunity to provide personal nursing care with continuity while working in small integrated teams. The natural and cultural surroundings are superb and the quality of life unparalleled, with small class sizes in the schools, a low level of crime and a real sense of community. Modern Orkney also has a cosmopolitan mix of population that contributes to a lively cultural scene. For further information please contact Fiona Forbes, Senior Charge Nurse, on , fiona.forbes5@nhs.net or Specialist Cancer and Palliative Care Nurse, Roddy Harper on , rharper@nhs.net For an electronic application pack for the above post, please contact Danna Wilson, Human Resources Department, NHS Orkney, Balfour Hospital, Kirkwall KW15 1BH. Tel: or ork-hb.recruitment@nhs.net. Closing date for applications: Wednesday 11 th November This post is subject to a PVG Scheme Record check

3 JOB DESCRIPTION 1. DEPARTMENT Orkney Macmillan House 2. SERVICE DIRECTORATE Nursing, Midwifery and Allied Health Professionals 3. JOB TITLE Macmillan Cancer and Palliative Care Specialist Nurse 4. GRADE 7 5. LOCATION Balfour Hospital 6. REPORTING TO Macmillan Senior Charge Nurse 7. JOB PURPOSE The Macmillan Cancer and Palliative Care Nurse Specialist will ensure that a co-ordinated and timely specialist oncology nursing service is provided for referred patients receiving cancer care across both the hospital and community settings. The post holder will facilitate the development of oncology nursing interventions, including chemotherapy delivery. The specialist nurse will provide clinical expertise, including giving specialist oncology and palliative care advice to nursing staff, medical staff, and other associated health care professionals locally, outside agencies, and the patient and family. The postholder will provide professional leadership within own sphere of responsibility and will be expected to develop and implement educational programmes and participate clinical research as appropriate. The postholder will help promote and develop the Orkney Macmillan Service, whilst increasing public and professional understanding of the nature, scope and function of the Macmillan Service. 8. DIMENSIONS (Job Facts and Figures) NHS Orkney Board employs approximately 600 staff The post-holder is based within the 4 bedded cancer and palliative care unit at the Balfour Hospital that provides a cancer and palliative care service to the population of Orkney. The outpatient provision is coordinated from the unit in conjunction with the in patient service which is a 24/7 service. The unit is geographically remote from the mainland cancer centre and is supported by Consultant Oncologists, Haematologists and Consultants in Palliative Care by telephone and video conference links with Grampian services.

4 The post holder provides: - Specialist nursing to a caseload of patients requiring oncology interventions and support. This service is provided throughout Orkney, including: Macmillan House, the Balfour Hospital and Primary Care. - Specialist cancer and palliative care advice to other services throughout Orkney, when requested including GPs - Organisation of chemotherapy delivery in Orkney. Administers chemotherapy interventions to in-patients and out-patients as and when required and supports other staff in these activities. - Frequent communication with mainland cancer services to help plan individual patient treatments and support - Education and support to ensure that knowledge and skills are shared with clinical staff in the hospital and community. - An accurate and effective record-keeping system, collecting and collating statistics as required. - Support and leadership in the development of local, regional and national initiatives for cancer care frequently communicates with mainland cancer services to help plan individual patient treatments and support frequently participates in bereavement support, initiating further referrals when required - The Specialist Cancer and Palliative Care Nurse is required to demonstrate a range of abilities including expertise and knowledge in advance practice and clinical leadership to enable others healthcare professionals to develop expertise. - The core functions in this specialist-nursing role are clinical expertise, education, research and case management, contributing to multidisciplinary activities in either a hospital or a community setting. - The post holder is expected to function at an advanced nursing level, often autonomously, with the support of both the Scottish mainland cancer services and the local team in Orkney. It is essential that the post holder is at all times mindful of their requirements to facilitate the development of skills and knowledge of other health care staff in the area of cancer care. The post holder will also be required to work in other clinical areas in NHS Orkney, as service demands indicates and/or requested by the Senior Management Team in NHS Orkney. The post holder is accountable for all clinical decision making undertaken and for all clinical assessment and treatment under their management. 9. ORGANISATIONAL POSITION

5 Hospital General Manager Senior Charge Nurse Senior Staff Nurse Macmillan Specialist Nurse in Cancer and Palliative Care Cancer and Palliative care Nurse Specialist Macmillan Specialist Nurse in Cancer and palliative care.(this post) Registered Nurse (Chemotherapy) Registered Nurse Nursing Auxiliary Ancillary Staff The post-holder is responsible to the Senior Charge Nurse (see chart above). In the absence of the Senior Charge Nurse they are responsible to the Hospital General Manager. 10. KEY RESULT AREAS CLINICAL Responsible for leading and directing the assessment, planning, implementation and evaluation of patient care through effective communication and documentation according to professional policies and procedures. Communicates to an optimum level to empathetically and sensitively support patients, families, carers and the multidisciplinary team Frequently responsible for breaking bad news and managing highly distressing clinical circumstances Demonstrates delivery of a high standard of nursing evidence based research practice to patients with cancer, progressive and life limiting illnesses. Proactively participates in health promotion and rehabilitation. Ensures patient is involved in decision-making regarding their care. Demonstrate ability to perform specific clinical skills required within the specialty. Plays a lead role as an effective and competent member of the multidisciplinary team. Possesses extensive up to date knowledge of relevant conditions and procedures. Demonstrates adherence to NHS Orkney/ local policies and procedures. Ensures safe storage and administration of medicines and treatments according to local and National policy. Participates in research and audit Participates in risk management ORGANISATIONAL Practices and promotes confidentiality at all times. Demonstrates ability to listen effectively to other points of view liaising with Grampian Oncology services and Grampian Palliative Care Services as required. Works autonomously but also as part of the wider local Macmillan Service Team Communicates with all colleagues in a professional manner. Demonstrates knowledge and proficiency in implementing NHS Orkney/local policies and procedures. Ensures written communications are accurate, appropriate and neatly recorded, adhering to NMC/NHS Orkney/local policies at all times. Demonstrates ability to address issues arising in a professional and discreet manner whilst

6 acknowledging own limitations. Effectively analyses, prioritise and organise own workload. Demonstrates an understanding of and adherence to local and National Health and Safety policies and procedures Demonstrates enhanced negotiation, influencing and conflict management skills. MANAGERIAL Demonstrates established leadership skills by managing the workload of the service area and staff, ensuring efficient and effective time and resource management. Demonstrates ability to take responsibility for own and junior staff s workload. Provides support to Senior Charge Nurse and others within the team. Demonstrates ability to delegate to staff effectively in order to achieve optimal use of time and resources. Demonstrates an awareness of available resources, how they should be most effectively used, and economy in the use of supplies and an awareness of stock control systems. Actively participates in the care and maintenance of ward stock/equipment. PROFESSIONAL DEVELOPMENT Be involved in recruitment and selection procedures as required Acts as a positive role model for all disciplines of staff. Demonstrates commitment to developing clinical skills and expertise in cancer and palliative care. Demonstrates commitment for setting up and maintaining teaching programmes at unit level Contribute to achieving and maintaining a quality clinical learning environment for staff and students including responding to the opportunity to teach formally or informally. Promote multi disciplinary learning Plan and deliver continuing education programs for cancer and palliative care, as appropriate Maintain skills and knowledge through continuing professional development activity Attend statutory training as required Use reflection and critical appraisal as a tool for professional and personal development Maintain nursing and service developments through attendance at conferences/ lectures and visits as appropriate and where identified in Professional Development Plan. Take responsibility for the training, supervision and personal development of staff in involved in chemotherapy administration. Maintains responsibility for own personal development. Demonstrates willingness to develop management skills. Participates in the orientation of new staff. SERVICE DELIVERY Actively contributes to the provision of continuity of care for all patients in the service Supports the Senior Charge Nurse in contributing toward the future development of the service Demonstrates positive attitude to suggested changes in practice through the introduction of evidence based care Demonstrates an awareness of future service redesign in accordance with local and national priorities Review / update guidelines /protocols for the Macmillan Service in collaboration with Macmillan team and multi disciplinary team Develop specific chemotherapy and oncology related protocols for delivering oncology services throughout Orkney. 11a. EQUIPMENT AND MACHINERY

7 The post holder is required to directly use and/or maintain resuscitation equipment, manual handling aids and all clinical equipment as required within the service. The Post Holder will be familiar with and use and the following equipment: Digital thermometers Oxygen and suction systems Syringe drivers IV infusion pumps Oxygen saturation monitor Blood pressure monitor Medisense Glucose testing machine Naso-gastic/PEG feeding system Basic Life Support Equipment Defibrillator machine Nebuliser machines Doppler ECG Sluice master 11b. SYSTEMS Local and national systems to record patient and staff information within the boundaries of local and national policies and legislation e.g. SSTS, Outlook,TRAKCARE and RIM. Maintains and develops clinical standards and documentation in accordance with NMC Code of conduct and assists in the development of new initiatives The post holder is required to be computer literate, be able to access current research and development and be competent in the skills required within the service area E.g. intra/internet skills. The post holder is required to report and investigate any incidents according to the Datix Reporting System 12. ASSIGNMENT AND REVIEW OF WORK This Job Description will be used as a basis for individual performance review between the post holder and the manager. Regular 1:1 meetings will ensure a regular review of work. The Job Description covers only the key result areas and, as such, does not intend to provide a comprehensive list of objectives. Specific objectives will be reviewed each year and may develop to meet the changing needs of the service. The post holder will need to take due account, in the way they achieve the key result areas, of Board policies and procedures. Professional Leadership will be provided by the Lead Nurse. The Board aims to maintain the goodwill and confidence of its own staff, service users and the general public. To assist in achieving this objective it is essential: The post holder is required to be a registered Nurse with current Nursing and Midwifery Council registration with at least 5 years of clinical experience with proof of CPD Previous experience working within Cancer and Palliative Care field as a registered nurse (Band 6) is essential for at least 2 years. The post holder should be able to insert venflons, nasogostric tube, urethral catheter, administer chemotherapy, look after patient with hickman/picc lines post chemotherapy/radiotherapy - If the post holder does not have above skills it would be essential to complete the core competence within 6 months 13. DECISIONS AND JUDGEMENTS The postholder must always work within the NMC Code of Professional Conduct The post holder will be required to use their own initiative and be able to make sound and rational decisions and remain focused and directed throughout the process.

8 The post holder requires the ability to remain objective and supportive of others at all times. The post holder will be required to use own judgment whilst observing patient s condition and should report any change in prescriptive care to relevant disciplines The post holder will be required to use rapid judgment in the assessment and treatment of patients efficiently and appropriately in all clinical situations. The post holder will be required to use safe and efficient bed utilisation due to the unpredictability of emergency admissions 14. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB The post holder will need to use a variety of communication skills effectively and professionally at all times. Utilising effective leadership skills in order to manage workload and develop a clinical environment which is positive and effective for both staff and patients. Supporting the SCN in maintaining adequate skill mix while recognising individual staff needs in line with NHS Orkney Human Resources guidelines Maximizing nursing opportunities for self and juniors in line with an evolving clinical service. Using own initiative and generation of ideas in order to meet the strategic needs of the service. Acting as a change agent in terms of organisational issues and future strategy and service redesign. Promoting a happy and safe work environment to minimise stress levels. The post holder should have the ability to adapt to a variety of situations that they will be presented with as the patients conditions can change rapidly. The ability to constantly change priorities as the demands of the workload dictates. Constantly dealing with complex emotional and psychological difficulties associated with palliative and terminal care including bereavement 15. COMMUNICATIONS AND RELATIONSHIPS The main focus of communication for the post holder is to be the central point of contact and knowledge for all members of the multidisciplinary team to ensure that the optimum care is delivered to the patient. The post holder must therefore possess effective interpersonal skills and participate in cross boundary working. Internal - Senior Charge Nurse, patients, carers, members of the multi-disciplinary team: in particular the Intermediate Care Team, Community Nursing team, all Allied Health Professionals. - Act as a specialist resource to hospital and primary care teams, including GPs, community nursing teams and other agencies involved in caring for cancer and palliative care patients at whatever stage of the disease trajectory External - Skills and ability to deal with with distressed, upset, angry or anxious patients, carers, relatives and staff. - Use communication skills to de-escalate situations whilst ensuring the safety of the post holder, other patients and staff.

9 16. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB The post holder will require manual handling skills, which should be kept up to date yearly or more frequently if required. Can work within confined spaces as other medical equipment maybe required for monitoring and supporting the patient s condition. The post holder will also frequently come into contact with and is exposed to bodily fluids and other clinical waste. Will frequently deal with and manage cytotoxic substances. This post holder will also have to drive a car regularly as part of their duties which will include driving in difficult weather and road conditions at times. There is also a requirement to sit for periods of time administering bolus chemotherapy. There is a need for accuracy and appropriate maintenance in the use of all clinical and other equipment used particularly regarding the administration and delivery of medicines and treatments. Maintenance of approiate emergency care, ensuring that ILS training is updated at least annually. Emotional demands ; By nature of the work involved, and close working proximity of small teams, sensitivity, confidentiality and understanding of the balance of professional and personal roles can be challenging within small rural communities. The post holder will be required to deal effectively with limited resources, whilst also being required to prioritise own workload and adapt flexibly to competing demands from various people.

10 PERSON SPECIFICATION Job Title: Department: Location: Macmillan Cancer and Palliative Care Specialist Nurse Macmillan House Balfour Hospital, Kirkwall FACTOR ESSENTIAL DESIRABLE QUALIFICATIONS TRAINING RESEARCH PUBLICATIONS Current NMC 1 st level nurse registration Educated to first degree level Proof of ongoing continuing professional development in oncology and palliative care clinical skills Willingness and ability to further develop within the service needs and keep abreast of current legislation Ability and willingness to undertake formal training such as independent nurse prescribing / clinical examination skills training. MSc in relevant field Formal chemotherapy training Independent non medical prescriber Communication or counselling qualification Qualification as a mentor for students and other staff EXPERIENCE Minimum of 5 years post registration experience with a minimum of 2 years at band 6 or 7 in a palliative or oncology care setting Ability to work within current guidelines and evidence based research, with a willingness to share learning Evidence of leadership skills and excellent organisational skills Evidence of ability to influence evidence based practice Evidence of critical appraisal and ability to use valid research as a basis for patient care Resource management, clinical risk management and people management. Chemotherapy administration experience Research/audit experience. Evidence of ability to maintain effective working relationships and excellent communication with colleagues, G:\Human Resources\Recruitment\app pack to \ \registered Nurses\Macmillan Band 7\October 2015\Pack to be sent\nhs Orkney Application Pack Macmillan Specialist Nurse.docx

11 patients and staff from other agencies Evidence of an ability to manage time effectively KNOWLEDGE AND SKILLS Excellent knowledge of oncology and palliative care nursing Evidence of developed leadership skills Ability to deal with and resolve conflict Knowledge of recent developments in palliative or oncology care Experience and knowledge in caring for complex cancer, palliative and end of life care patients. Understanding of clinical governance and ability to establish systems in practice Demonstrates a commitment to an empathetic and caring approach to patients and relatives and has the ability to motivate staff to demonstrate this to ensure that patients dignity and respect is maintained at all times Can demonstrate IT literacy Able to prioritise workload Ability to use own initiative in emergency situations Able to work as part of the wider team To demonstrate effective skills of change management DISPOSITION Good verbal and written communication skills Ability to work in a team Car driver G:\Human Resources\Recruitment\app pack to \ \registered Nurses\Macmillan Band 7\October 2015\Pack to be sent\nhs Orkney Application Pack Macmillan Specialist Nurse.docx

12 Guidance for completing the NHSScotland application form If you need this, or any of the attached forms in large print or other formats please call our recruitment office on An electronic version is available by contacting General guidance If you have any questions or need some help with completing the form, please call Please have the job reference number handy if possible. If you are using the hard copy version of our application form, please use black ink and write clearly in BLOCK CAPITALS. This makes the form much easier to read and clearer when we scan it. The job reference number can be copied from the job advert. The job location will be on the job advert. The candidate ID number will be written in by us once you have returned the form to our office. The people who look through your completed form (short listing or short leeting team) to see if you have the skills and abilities needed for the job, will only see Part C of the form. They will only see your candidate ID number and all personal details will be anonymous. Please do not send in a CV instead of, or as well as, the application form. We do not consider CVs during the selection process. Please fill in all sections of the application form. If some parts are not relevant, write not applicable or N/A in that space. If you need more space to complete any section, please use extra sheets of paper. Do not put your name or any identifying information on it as it needs to remain anonymous. Secure it to the relevant section, and we will add a candidate ID number to it when we receive it. When you have completed all of the forms, please them to orkhb.recruitment@nhs.net 12

13 Or if this method is not suitable you can send them to the following address: Human Resources Department NHS Orkney Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH Personal Details section This gives us your contact details such as name and address. Under title you would put either Mr, Mrs, Ms, Dr or just leave blank if you prefer. We may need to contact you at some time throughout the recruitment process. Please let us know the most suitable method of contacting you, for example a text message, or phone call and the most convenient time. Sickness Please list in this section the number of occasions you were off work in the past year because of illness. If you would like to discuss this for further clarification please call our recruitment office. Declarations Only if it is asked for in the job description, person specification or application pack about the job, you must tell us about all convictions and cautions regardless of how long ago the offence may have occurred. Convictions from other countries must also be notified. If in doubt please call our office at the help line number on page one of this guidance. Please note that having a conviction will not automatically disqualify you from getting a job with us. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated Remember to read, consider and sign the declaration at the bottom of page 2 Qualifications section Please tell us of any qualifications you have. This can include school standard grades, GCSEs highers, or work based qualifications such as SVQs or NVQs Remember to write down any non formal qualifications or certificates that you think are relevant to the job you are applying for. 13

14 Present (or most recent) post section If you are currently out of work, please write this in the job title space Please write your start date in month/year format MM/YYYY Please tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main tasks, and any responsibility for supervising others. There is not a lot of space here so continue on a separate sheet if you need to. Employment History section This is where you write down all the jobs you have done previously. Remember that if a job you have done in the past supports or is similar to the job you are applying for, please tell us more about it in your support of application statement on page 6 of the application form use a separate sheet if you need more space. References section Referees are people who know you at work. Please give the full names and addresses of 2 referees, one of whom must be your present or most recent employer and can confirm your job details. You should check that the people you have put on your form are happy to be referees. Your referees will not be contacted unless you are a preferred candidate after interview. A preferred candidate is someone who is the preferred choice for the job, subject to satisfactory checks where appropriate. Driving Licence You only need to complete this if the job requires you to drive. Please check the job description or person specification. For example, some jobs with the Ambulance Service require you to be able to drive class C1 and D1 vehicles. Statement in support of your application This is one of the most important parts of the form. In here you say why it is you want this job, and can list all your skills and abilities that you think help to match up you against the person specification. In here you could describe how something you have done in a non work setting (for example, planning and leading a group outing) shows planning skill and some leadership qualities. Where did you see the advert section Please try to remember where you heard about this job, and tick the relevant box. The information you give will help us find out how good our advertising is. Equal opportunities monitoring 14

15 Please note that all details on this section (Part D) will remain totally anonymous. It will be detached from the rest of the form as soon as we get it and remain anonymous. We want to ensure that there are no barriers to joining our workforce. As an employer, NHSScotland is as fully inclusive as possible. One way we can ensure this is to analyse all the data provided in this section and ensure that job opportunities are being accessed by as wide a community as possible. Please your completed form to ork-hb.recruitment@nhs.net However if you are un-able to submit your application electronically, you can send it to: Human Resources Department NHS Orkney Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH 15