Job Description Job title: Deputy Team Leader Community Nursing Band: Band 6 Responsible to: Accountable to: Responsible for: District Nurse Team Leader Service Manager n/a JOB PURPOSE To provide skilled nursing care working as part of the Primary Health Care Team to patients in a variety of community settings between the hours of 08:00 and 21:00, including weekends. To actively monitor, maintain and develop the service provided. To take responsibility for managing the caseload and the team, with the support of the Team Leader. To deliver a proactive case managed approach for patients with long term care needs. To actively participate in service development activities. MAIN DUTIES AND RESPONSIBILITIES 1.0 Clinical 1.1 To provide skilled, effective and evidence based nursing care to patients in a variety of community settings. 1.2 To act as an autonomous Named Nurse taking continued responsibility for first assessments and on-going assessment, planning, implementing and evaluation of care given to individuals, groups of patients and their families. 1.3 To undertake comprehensive assessment of the physical, psychological and social Care needs of patients using the Single Assessment Process and to include the needs of carers. 1.4 To utilise a case managed approach in the co-ordination of care that aims to prevent And reduce hospital admissions. 1.5 Actively work with the Community Matrons, team leads, GPs and others to identify patients with Long Term Conditions requiring proactive case management.
1.6 To act as the patient s advocate and to facilitate the patient s own choices with regard to nursing care, promoting independence and self-care, as appropriate. 1.7 To identify and record new problems and other relevant information reporting back to the District Nurse Team Lead as appropriate. 1.8 To liaise with, and where appropriate initiate referrals, to ensure adequate support to patients and carers. 1.9 To provide information and support to patients, relatives and other carers that promotes and optimises positive health. 1.10 To undertake health promotion and disease prevention activities such as flu immunisation,advice on stopping smoking, dietary advice and foot health. 1.11 To have knowledge of, and be able to effectively use local services and resources To promote patient care. 1.12 To ensure the safe handling of body fluids and contaminated sharps. 1.13 To be alert to the needs of vulnerable adults including routinely undertaking pressure ulcer and falls risk assessments, considering safeguarding and mental capacity and taking appropriate action when required. 1.14 To provide specialist nursing skills such as leg ulcer assessment and management, syringe driver set up, intravenous drug administration, continence assessment and palliative care. 1.15 To support patients and their carers with managing their medicines and undertaking medicines management reviews as directed. 1.16 To provide care to people with long term conditions undertaking reviews in accordance with the individual patient care plan and with the support of more specialist colleagues as required. 1.17 To undertake nutritional assessments and advice and support patients with their nutritional needs. For example PEG feeds. 1.18 To have an innovative approach to practice in response to changing service needs and priorities. 1.19 To manage the caseload with the support of the District Nurse Team Lead. 2.0 Managerial 2.1 To establish and maintain a good working relationship with colleagues, the primary health care team and other health and social care service providers, so as to provide a comprehensive service to patients and carers. 2.2 To be the named link nurse for designated GP practice(s) 2.3 To supervise and co-ordinate the team on a day to day basis and to manage the team, with the support of the District Nurse Team Leader. On-going management responsibilities include the appraisal of staff, reviewing and supporting junior staff with their personal development plan and assist in the recruitment and selection of staff and assisting in the performance management of junior staff. 2.4 To contribute to the implementation, monitoring and reporting of performance
outcome measures, alerting team leads and managers of any shortfalls. 2.5 To complete statistical returns as required by the Trust including entering data onto the computerised system within the required time frames. 2.6 Ensure the timely and correct entry of clinical and statistical data onto the RIO system of own data and that of other team members. 2.7 To be responsible for the care and safe keeping of equipment issued for personal and team use and to report any defect or loss. 2.8 To attend and participate in Team, Locality and other relevant meetings. 2.9 To be a member of working parties and groups considering aspects of the service and professional practice as required. 2.10 To take an active role in service development activities, identifying areas for improvement and options for change. 2.11 Assist in the implementation and monitoring of clinical and service standards. 2.12 Apply equal opportunities in practice taking into account own behaviour and the needs of patients, carers and colleagues. 2.13 Respond to complaints appropriately and in accordance with Trust policy seeking Guidance as required. 3.0 Educational 3.1 To actively participate in the teaching and support of junior staff and act as a preceptor for new staff in the locality. 3.2 To act as a mentor to student nurses and support staff, for example health care assistants and assistant practitioners. 3.3 To provide training and support to nursing colleagues and others, for example allied health professionals. 3.4 To actively participate in clinical supervision on a regular basis in line with Trust guidelines. 3.5 To participate in annual appraisal and maintain a personal development plan. 3.6 To participate in research and audit to ensure the development of effective and innovative practice and maintenance of standards. 3.7 To develop and ensure an active learning environment for all staff grades. 3.8 To provide clinical supervision to others in line with Trust policy. 4.0 Personal and Professional Responsibilities 4.1 To support the development and implementation of the Trust s clinical and Operational guidelines and policies. 4.2 To be aware of, and act in accordance with, the Trust s clinical and organisational policies and guidelines.
4.3 To be aware of, and act in accordance with, the NMC Code of Conduct, Standards and Guidelines. 4.4 To maintain appropriate and up to date knowledge and skills by undertaking continuing education in accordance with personal and service needs. 4.5 To be responsible for own professional development through active learning and reflective practice. 4.6 To maintain accurate and contemporaneous records. 4.7 To work on own initiative, planning, prioritising and organising own workload.. ADDITIONAL INFORMATION Trust Vision, Values and Behaviours The Trust has a clear strategic vision in place: to lead out-of-hospital community Healthcare. The post-holder is expected to have a good understanding of how this post contributes to the achievement of the Trust vision. The Trust expects all staff to share the values which are important to the Trust and to behave in a way that reflects these values. are: We put quality at the heart of everything we do We value our relationships with others We deliver services we are proud of We make a positive difference in our communities
Professional Standards All staff must comply with the Central London Community Healthcare (CLCH) NHS Trust Staff Code of Conduct and demonstrate the Trust s Values and Behaviours. Senior Managers must also comply with the NHS Code of Conduct for Managers, based on the Nolan principles of public accountability. All staff employed in recognised professions are required to ensure they work to the professional standards and/or Codes of Practice set out for their professional group. In addition staff are required to demonstrate the Customer Care Standards of the organisation. Equal Opportunities and Dignity at Work It is the aim of CLCH NHS Trust to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, nationality, ethnic or national origin, gender, marital status or on the grounds of disability or sexual orientation, or is placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. Selection for training and development and promotion will be on the basis of an individual's ability to meet the requirements of the job. To this end CLCH NHS Trust has an Equality and Diversity Policy and it is for each employee to contribute to its success. All staff should treat other staff, patients and the public with dignity and respect. Performance Appraisal and Development Review (PADR) All staff will actively participate in the annual Performance Appraisal and Development Review (PADR) process with their line manager. All staff should have SMART objectives and a personal/professional development plan. Objectives and personal development
plans should be reviewed together on an ongoing basis through regular one to ones and/or supervision. In conjunction with their manager, all staff should actively identify and pursue agreed learning and development opportunities. All managers are required to carry out annual Performance Appraisal and Development Reviews with their direct reports and support their appraisee to achieve their objectives through ongoing management supervision and one to one meetings. Safeguarding CLCH NHS Trust is committed to safeguarding and protecting children and vulnerable adults. All health employees have responsibility for safeguarding and promoting the welfare of children and young people in accordance with "Working Together to Safeguard Children" HM Gov 2006. This applies to employees with both direct and indirect contact with children and families. Employees who do not provide specific services for children and families or vulnerable adults require basic knowledge of their responsibilities to identify and refer concerns appropriately. All employees must undertake training in safeguarding children and vulnerable adults but will have different training needs to fulfil their responsibilities depending on their degree of contact with vulnerable groups and their level of responsibility. Confidentiality and Data Protection Employees will have access to confidential information and will be required to ensure that the highest level of confidentiality is maintained at all times, adhering to all policies relating to confidentiality. Employees are required to obtain, process and/or use person identifiable information in a fair and lawful way. The use of such information is governed by the Data Protection Act 1998 (DPA) and includes both manual and electronic records. Staff are expected to hold data only for the specific registered purpose and not to use or disclose it in any way incompatible with such purpose, and to disclose data only to authorised persons or organisations as instructed, in accordance with the Data Protection Act 1998. Access to Health Records All staff who contribute to patients health records are expected to be familiar with, and adhere to CLCH s NHS Trust Records Management Policy. Staff should be aware that patients records throughout CLCH NHS Trust will be the subject of regular audit. In addition, all health professionals are advised to compile records on the assumption that they are accessible to patients in line with the Data Protection Act 1998. All staff that have access to patients records have a responsibility to ensure that these are maintained and that confidentiality is protected in line with CLCH NHS Trust Policy. Health and Safety All staff are required to comply with the requirements of the Health and Safety at Work Act and other relevant health and safety legislation and CLCH NHS Trust Policies and Procedures. All staff are required to make positive efforts to promote their own personal safety and that of others by taking reasonable care at work, by carrying out requirements of the law or following recognised codes of practice and co-operating with safety measures provided or advised by CLCH NHS Trust to ensure safe working. Managers are responsible for implementing and monitoring any identified risk management control measures within their designated area/s and scope of responsibility. In situations where significant risks have been identified and where local control measures
are considered to be potentially inadequate, managers are responsible for bringing these risks to the attention of the appropriate Committee if resolution has not been satisfactorily achieved. All staff must ensure that waste produced within CLCH NHS Trust is disposed of in such ways that control risk to health, or safety of staff and the public alike in accordance with relevant legislation and procedures contained within the policy. Fire Safety Fire Safety in all the premises from which we operate is the concern of all those who work within these premises. It is of the utmost importance that all members of Staff whether part-time, temporary, bank or permanent are fully aware of and familiar with the Fire Safety Policy and Procedures in the department they are working in. All employees will receive Fire Safety training as part of the Trust s induction and mandatory refresher training programmes. In addition, all non-clinical employees will receive Fire Warden training as part of the Trusts induction and mandatory refresher training programmes. Infection Control All staff are required to follow CLCH NHS Trust infection control policies and comply with all measures known to be effective in reducing infection risk. All staff must complete infection control training at induction, and all staff whose duties involve patient contact must also complete infection control refresher training annually. No Smoking Policy There is a no smoking policy in operation in CLCH NHS Trust. In accordance with this policy smoking is positively discouraged and is not permitted in any areas. Engaging patients and the public CLCH NHS Trust is committed to putting patients, their carers and the public at the heart of everything we do. Engaging People is everybody s responsibility regardless of the job that you do. Everyone is responsible for encouraging people to be engaged in decisions about their care and treatment, through providing information and responding to concerns. All staff should seek people s views about services, respond to feedback and actively involve people to find solutions to meet expectations, where possible. All staff should take part and promote Trust-wide activity, such as Patient Reported Experience Measures (PREMs) and promoting the recruitment of new Foundation Trust members. All staff should take a note of any feedback that you receive from patients and feed this back to your manager or through complaints and compliments procedures. Job Description The above list of duties is not intended to be exhaustive and you will be required to undertake any other duties commensurate with the grade and in line with the requirements of the post. The duties and responsibilities may be subject to change, which will be done in discussion with the postholder. December 2012
Person Specification JOB TITLE: XXXXXXXXXX Factors Essential/ Desirable Criteria Education/Qualification Essential Desirable 1.1 RGN / RN with current registration 1.2 Evidence of recent and continuing post-registration professional education and training equivalent to post-graduate diploma level 1.3 Mentor training Assessment* ALL AF/C Experience Essential 1.4 Has undertaken formal training in staff and team Management 1.5 Nurse prescribing qualification 2.1 Evidence of recent post-registration nursing experience 2.2 Experience of negotiating and liaising within a multi-disciplinary Team 2.3 Experience of working with people with complex health needs 2.4 Experience of supervising junior staff and co-ordinating a team on a day to day, regular basis 2.5 Experience of teaching and mentoring others including students 2.6 Experience of implementing evidence-based care in practice All AF/IV/T Desirable 2.7 Experience of undertaking comprehensive health needs assessment and writing care plans 2.8 Community nursing and/or primary care post-registration nursing experience Skills and Knowledge ( Essential Knowledge of the following: All AF/IV/T 3.1 Principles of care for patients with long term conditions, relevant NSFs and other national standards 3.2 NMC Code of Professional Conduct and application to practice 3.3 Personal Development Planning 3.4 Primary Health Care structures and roles (overview) 3.5 The audit process 3.6 Applying evidence based care into practice 3.7 The principles of clinical governance and application to practice 3.8 Clinical supervision purpose and application
3.9 Managing difficult situations and conflict resolution 3.10 How equal opportunities can be implemented in practice The following skills: 3.11 Has high level of competence in a range of clinical skills 3.12 Ability to work in a team 3.13 Able to work without direct supervision, planning and prioritising own workload and that of others 3.14 Able to delegate work effectively and safely 3.15 Ability to risk assess a situation and act appropriately 3.16 Ability to communicate effectively both verbally and in writing 3.17 Able to identify own and others learning and development needs and actively seek ways to meeting those needs 3.18 Basic computer skills Desirable Other (Note: detail any other requirements eg ability to travel, evidence of CPD, the need for flexibility) Essential 4.1 Able to carry out the duties of the post with or without Adaptations All AF/OH 4.2 Able to travel around the district (car/bike/public transport/foot) 4.3 Car driver with full UK driver license and access to a car (Barnet borough only) 4.,4 Able to provide evidence of where you have demonstrated the Trust s Values and Behaviours 4.5 Able to demonstrate excellence in Customer Service 4.6 Able to meet the required IT Skills for the post Desirable * Assessment will take place with reference to the following AF Application Form, IV Interview, P Presentation, T-Test, C Certificate
Terms & Conditions of Service Post Title: Base: [Deputy Team Leader Community Nursing] [To be confirmed] Band: Band 6] Contract Type: Permanent with 6 month probationary period. Hours: [37.5] Salary: Pensions: Annual Leave: 30,940-40,809 pro rata per annum, inclusive of higher cost area supplement. You will automatically join the NHS Pension Scheme, but it is possible to opt out and make your own private pension arrangements. 27 days per year from 01 April to 31 March, increasing to 29 days after 5 years and 33 days after 10 years of service. Sick Pay: Continuous Employment Period Period of Full Pay Period of half pay Up to 12 months 1 month 2 months Over 1 year and up to 2 years 2 months 2 months Over 2 years and up to 3 years 4 months 4 months Over 3 years and up to 5 years 5 months 5 months Over 5 years 6 months 6 months Probation Period: All posts in CLCH are subject to a 6 month probationary period, during which time you will be expected to demonstrate your suitability for the post. Nationality: This post is open to UK nationals, EU and certain non-eu citizens. Other nationals must be free from any restriction to reside or take up employment in the UK, in order to be considered for this post. Notice Period: 8 weeks. Method of Payment: Monthly direct credit transfer into bank or building society. No smoking policy: The Trust has a no smoking policy.
IT Competency Framework Matrix Windows Internet Outlook Word Excel PowerPoint Access Project Visio ESR Clinical Systems 1 Receptionist/Administrator (Bands 2/3) / - - - - Senior Administrator (Bands 4/5) / - Clinical Support / - - - Clinical / - Senior Clinician / - Service Lead / - Human Resources / - - - Business and Senior Administrator (Bands 6/7) / - Finance / - - Key: - : No requirement : Level 2 requirement : Level 1 requirement : Level 3 requirement 1 Various clinical systems in use across CLCH including, but not limited to: RiO, CIS, EMIS, Kodak etc. Kensington and Chelsea, and Westminster Chairman: Pamela J. Chesters Chief Executive: James A. Reilly
IT Competency Levels Where applicable, the competency standards have been mapped to qualifications on offer within CLCH. The standard build for all PCs within CLCH includes Microsoft Office 2003, support and qualifications are also offered on Microsoft Office 2007 and 2010. All staff should be able to apply the competency levels to the version of software installed on their main PC. Standard Software Level 1 Level 2 Level 3 Windows ELITE N/A N/A Internet ELITE SharePoint content editor 2 N/A Outlook ELITE Outlook Specialist N/A Word ELITE Word Specialist Word Expert Excel Excel Introduction Excel Specialist Excel Expert PowerPoint View and present documents PowerPoint Specialist N/A Access View and add data Access Specialist N/A Project View and understand Create Project Plans N/A documents Visio View and understand Create Visio Drawings N/A documents ESR OLM User/Supervisor Self Service 3 HR/Payroll specific functions N/A Clinical Systems Enter and maintain administrative information Enter and maintain clinical information View, manipulate and understand reports 2 Solely for staff nominated as content editors for their team 3 Currently OLM user for staff based in Barnet and supervisor self service for Inner London staff Kensington and Chelsea, and Westminster Chairman: Pamela J. Chesters Chief Executive: James A. Reilly
IT Competency Core Skills To ensure that staff match the required competency levels, each level has skills attached and, where applicable, a matching qualification. All previous competency levels are a pre-requisite for subsequent levels. Software Standard Core Skills KSF Dimension Windows ELITE Qualification Understand how to log in to a PC as well as the importance of correctly logging off versus locking the PC Use a combination of mouse and keyboard to navigate around the standard desktop and to manipulate windows Open and close programs Internet ELITE Qualification Access the internet Use the internet effectively to research information pertinent to role Use the CLCH intranet to access trust policies Use the CLCH intranet to access staff directory Internet SharePoint content editor Create pages on The Hub Add content to pages on The Hub Outlook ELITE Qualification Use Outlook to send and receive emails Attach documents to emails Have an awareness of email as the preferred method of contact within the trust Outlook Microsoft Outlook Specialist Qualification Use the Outlook calendar to store appointments and schedule meetings Create and store contacts and distribution lists Use tasks and notes Word ELITE Qualification Use Word to create basic documentation Format text with simple formatting options Open and save documents Word Word Microsoft Word Specialist Qualification Microsoft Word Expert Qualification Work with and create templates Use tracked changes to work collaboratively on a document Apply and modify styles within a document Use mail merge Use references, including table of contents and footnotes Excel Introduction How to view and understand a spreadsheet Enter basic information into cells Use simple mathematical formulas Excel Microsoft Excel Specialist Qualification Create and modify simple formulas Format worksheets Create simple charts and graphs Core2 L1 Core3 L1 Core4 L1 Core5 L1 Core2 L1 Core4 L1 Core5 L1 Core1 L1,2 Core4 L1 Core5 L1 G5 L2 IK1 L1 C2 L1 Core4 L1 IK1 L2 G5 L2 IK1 L2 IK2 L2,3 IK1 L1 IK1 L1,2 IK2 L2 G3 L2 Kensington and Chelsea, and Westminster Chairman: Mike O'Donovan Chief Executive: James Reilly
Software Standard Core Skills KSF Dimension Boolean functions G4 L3 G7 L2 Excel Microsoft Excel Expert Qualification PowerPoint PowerPoint View and present documents Microsoft PowerPoint Specialist Qualification Use lists, ranges and advanced filtering options to manipulate information Analysis tools Create macros and custom forms to enable simple and consistent use of spreadsheets View existing presentations Modify basic objects on a presentation Run a slide-show Create a new presentation Use a master slide to create a consistent presentation Understand different printing and presentation options Access View and add data Add information to existing Access databases Access Microsoft Access Specialist Qualification Create a new database Import and export data Write and modify queries Create and understand table relationships Project View and understand documents View existing project plans Understand and use different views Project Create Project Plans Populate a project plan with linked tasks Assign resources to tasks Create project baselines Visio Visio ESR ESR Clinical Systems Clinical Systems Clinical Systems View and understand documents Create Visio Drawings Employee/Supervisor Self Service HR/Payroll specific functions Enter and maintain administrative information Enter and maintain clinical information View, manipulate and understand reports View existing Visio drawings Create new Visio drawings including process maps, organisation charts and floor plans Understand best practice theories Update personal details via ESR Book training and track learning record As per individual role Ensure demographics, referrals etc are maintained and processed as per local service processes Ensure care records, progress notes etc are maintained and processed as per local service processes View and interperate data reports from clinical system, whether in program or via data extract IK2 L3 IK3 L 3,4 G3 L2 G4 L2 G7 L2 G1 L1 G1 L2 IK1 L2 G5 L2 IK1 L1 IK1 L3 IK2 L2,3 IK3 L2 G5 L1 G5 L1,2 Core4 L2 Core5 L1 Core5 L1 Core5 L3 G6 L2,3
Kensington and Chelsea, and Westminster Chairman: Mike O'Donovan Chief Executive: James Reilly