Contents Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: Section 7: Section 8: Section 9: Introduction to Appointment Person Specification Job Description NHS Lothian Values General Information for Candidates Working in Edinburgh and the Lothians Workplace Equality Monitoring Equal Opportunities Policy Statement Code of Conduct for Healthcare Support Workers

Section 1: Introduction to Appointment Reference Number: NHSL/2018/0423 Job Title: Community Learning Disability Nurse Grade: Band 6 Location: Gracemount Medical Centre Contract Duration: Permanent Hours: 37.5 hours per week Closing Date: 23 April 2018 Salary Scale: 26,830-35,933 per annum Apply on-line www.jobs.scot.nhs.uk Please note the e-mail address you provide on the application form will be used to communicate any further correspondence relating to this vacancy therefore please check your TRASH and SPAM folders This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post. **Please note: we anticipate a high level of interest in this position and may close the vacancy early once a sufficient amount of applications are received. Therefore, please make sure you complete and submit your application at an early stage.**

Section 2: Person Specification NHS LOTHIAN Post: Community Learning Disability Nurse Band 6 PERSON SPECIFICATION In order to be shortlisted you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist. Criteria Essential Desirable Personal Traits Excellent Communication Skills. Confident and Articulate. Communicates enthusiasm for the post. Committed to the development and maintenance of good relationships with colleagues, patients, carers and communities. How assessed I and R Qualifications and Training Registered Learning Disabilities Nurse (Part 5) Registration as a nurse in other parts of the NMC Register. A and C A and C Registered mentor for undergraduate student nurses. A and I Experience and Knowledge Understanding of health inequalities experienced by people with learning disabilities and strategies used to try to reduce these. Evidence of post registration training in areas of study relevant this post. Good understanding of Adults with Incapacity legislation and Mental Health (Care and Treatment) Act. A and I I Aware of demographic issues affecting learning disabilities population. Experience of working with Knowledge of Adult Protection Guidelines children with learning disabilties. and legislation and Child Protection Procedure Skills and/or AbilitieAble to describe their role as a team member and innovative practitioner. Able to effectively manage conflict. Skilled in negotiation. Able to describe how evidence based practice can be applied in this post. A and I A and I

Specific Job Requirements Ability to work without close supervision Able to travel independently around Lothian I and R A A = Application form C = Copies of certificates P = Presentation Key how assessed I = Interview T= Test or exercise R = References

Section 3: Job Description Job Description 1. Job Identification Job Title: Community Learning Disability Nurse - Band 6 Responsible to: Clinical Service Development Manager Community Department: Community Learning Disabilities Directorate: Learning Disabilities Operating Division: Royal Edinburgh and Associated Services Job Reference: NHSL/2018/0423 No. of Job Holders: 25 2. Job Purpose The Post holder works collaboratively with other professionals and agencies to provide a high quality, comprehensive and dynamic specialist nursing service to maintain and improve the health and well being of children and adults with learning disability in a community setting. 3. Dimensions Geographically based. Named link nurse for G.P. Practices. Accept referrals through an open referral system. Continuing responsibility for nursing care and management of a defined caseload, including assessment, planning and evaluation of care, working with client to discharge from service. To manage junior staff and provide caseload supervision. Work as a core member of a multi professional adult learning disability team as well as work with child multi professional agencies including transition from child to adult services Undertake teaching of qualified and unqualified nursing staff, including undergraduate and post registration nursing students

4. Organisational Position ASSISTANT GENERAL MANAGER CHIEF NURSE CLINICAL SERVICES DEVELOPMENT MANAGER CLDN Team Leader Band 7 COMMUNITY NURSE BAND 6 COMMUNITY NURSE BAND 5 SUPPORT WORKER BAND 3 Management Acountability Professional accountability

5. Role of Department The community nursing service forms part of the Learning Disabilities Service which is hosted by Midlothian Community Health Partnership. The service operates on a Lothian wide basis. The community nursing service is available to both children and adults. The Learning Disabilities Service provides specialist health care advice and treatment relating to the person s learning disability across the life span. It supports other NHS services and care agencies to provide mainstream services to people with learning disabilities to enable health improvement. 6. Key Result Areas To provide specialist health and nursing advice to other professionals, agencies and carers within the clinical area, to ensure the health needs of clients are addressed in a variety of environments. To lead and promote the development of flexible working within the nursing team, as a core member of the adult multi professional team, and with child and transition services. To promote health surveillance assessment, health education and health promotion including developing client related resources to improve health and well being Administer prescribed medication, monitoring for side effects, liaising with prescribing staff. Have the skills and knowledge to address the potential range of challenging behaviour displayed by client group. Be able to implement de-escalation strategies in hostile and difficult environments. Be involved in recruitment and selection of junior staff, facilitate appraisal, including professional development opportunities, acting as a resource and mentor to junior staff. Be aware of research findings that will influence and promote evidence based nursing practice, participate fully in audit and the development of standards and contribute to the development of policy by actively participating in consultation. Practise within the legal and ethical framework of the Nursing & Midwifery Council and within local, regional and national policies and guidelines e.g. those pertaining to child and adult protection, mental health and community care to ensure patient well being and needs are met.

Develop and deliver courses of training for relevant care staff working in a range of statutory and non statutory agencies 7a. Equipment and Machinery Mobile phone. Personal computer. Clinical equipment used to carry out health screening assessment i.e. blood pressure monitors, urinalysis, syringes, sharps boxes, scales, auroscope. 7b. Systems Maintaining client records. Input into and update computerised patient information system (PiMS) Single shared assessment e assess. Responsible for completing timesheets/mileage Responsible for ordering supplies e.g. surgical supplies and equipment 8. Assignment & Review of Work From the point of referral provide an initial assessment, including risk assessment, to identify health needs and develop individualised programme of care for children and adults in partnership with other agencies as appropriate Ability to work autonomously and manage own caseload on a daily basis. Participate in clinical supervision.

Receive annual appraisal and agree a personal development plan with Clinical Service Development Manager Self review and liaison with Community Services Development Manager. 9. Decisions & Judgements Clinically and professionally expected to anticipate and resolve problems, make autonomous decisions on a daily basis including provision of advice to junior staff, colleagues from other professions and other agencies in clinical decision making. This will include the need to facilitate a quality and effective delivery of care balancing conflicting priorities. Refer onto other services as appropriate. 10. Most Challenging Parts of the Job Adapting interpersonal skills to a wide range of cognitive abilities and modes of communication, alleviating barriers to successful therapeutic relationships. Working across the lifespan with this complex client group requires a vast range of skills, knowledge and expertise to meet the diverse care needs presented, often with many clients living within chaotic lifestyles. Maintaining and expanding clinical skills and professional knowledge. Participation in the identification of broader service needs and development of strategies to meet those needs.

11. Communications and Relationships The post holder will be expected to have a well developed level of interpersonal skill to communicate effectively with colleagues both internal and external to the organisation: Internal: Multi-professional Community Learning Disability Team Members Community Child Health Primary Care Teams Learning Disability Assessment and Treatment staff Child and Adolescent Mental Health Services Hospital Liaison Nurses Epilepsy Team Challenging Behaviour Team Transition Nurse Facilitator External: Social Work Education Voluntary Organisations Police Be able to provide and receive complex, sensitive or contentious information using highly developed interpersonal skills. This may involve motivating and negotiating in a hostile or volatile situation Be skilled in non verbal and augmented modes of communication to address barriers to client involvement

12. Physical, Mental, Emotional & Environmental Demands 1. Physical skills Car driver Manual handling skills Keyboard and IT skills Administering IM injections 2. Physical effort Carrying health screening equipment 3. Mental demands Working with both predictable and unpredictable case management system. Crisis management. Working with clients with complex and diverse care needs 4. Emotional demands Child protection and vulnerable adult work. Work with families resistant to service involvement. Work with clients displaying challenging behaviour. Recognise personal stress and act upon this Environmental and Working Conditions Occasional exposure to body fluids. Inclement weather. Occasional exposure to verbal and physical aggression from clients and families/carers Lone working Occasionally visiting clients with a marked range of living standards with the potential risk of infestation. 13. Knowledge, Training and Experience RNMH / RNLD with post registration experience. Expected to hold a relevant community nursing qualification at first degree level or above or work towards obtaining one Evidence of ongoing professional development and competence.

Be skilled in a broad range of therapeutic interventions appropriate to the specific care needs of children and adults with learning disability in the community. Well developed interpersonal skills with capacity to develop both negotiating and influencing skills and counselling skills. Basic IT skills. Car driver 14. Job Description Agreement Signature of Job Holder Signature of Head of Department Date Date

Section 4: NHS Lothian Values into Action NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are: Quality Dignity and Respect Care and Compassion Openness, Honesty and Responsibility Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk Section 5: General Information for Candidates Data Protection Legislation Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with Data Protection Legislation. Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.auditscotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application.

NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following: For posts in regulated work Protection of Vulnerable Groups Scheme membership For all other posts which are subject to a criminal conviction record check A Police Act check For posts not subject to a criminal conviction record check A self-declaration For further information please visit our careers site: /HelpAndAdvice/Recruitmentofexoffenders/FAQsdisclosurescotlan dandselfassessmentform/pages/default.aspx Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: /HelpAndAdvice/Recruitmentofexoffenders/Pages/default.aspx Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/overseasworkers/pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.)

Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV s as a form of application. For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/helpandadvice/applyingforposts/pages/default.aspx Section 6: Working in Edinburgh and the Lothians NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/aboutnhslothian/location/relocatingtolothian/pages/default.as px Section 7: Workplace Equality Monitoring NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

Section 8: Equal Opportunities Policy Statement NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/aboutnhslothian/equalopportunities/pages/default.aspx Section 9: Code of Conduct for Healthcare Support Workers If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf