Position Description Position Title: Reports to: Key Relationships: Direct Reports: Clinical Team Leader Chief Executive Officer/ General Manager Internal: Finance Administrator, Fundraising Manager, Volunteer Manager, Retail Manager, Project Manager, Administration staff, Volunteers External: Patients, whanau and caregivers, General Practice Providers, Lakes DHB - hospital and community services, Planning and Funding, and Needs Assessment and Coordination Service, Waikato DHB Palliative Care Service, other community and Iwi health providers, Hospice New Zealand (including Nurse Leaders Network), Cancer Society Liaison Nurses, other hospices, Midland Cancer & Palliative Care Networks, education providers, nursing and medical students, other key stakeholders Family Support Team Leader Clinical Nurse Educator Registered Nurses x 5 (and casual RNs) Family Support staff (Social Worker/Counsellor) Activities Coordinator Clinical Education Administrator Kaiawhina Massage Therapist Lake Taupo Hospice Lake Taupo Hospice strives to be a patient and family/whānau focused centre of excellence, for providing specialist palliative care to all those with active progressive life limiting illness. We recognise diversity and act professionally with compassion. We work in partnership with our communities and other health service providers to ensure that our patients may live every moment and die well supported with dignity, in the place of their choice. Vision: Living Every Moment Role Purpose The primary function of this role is to provide consistent clinical and operational leadership for the effective delivery of Lake Taupo Hospice clinical services. As part of the clinical team at Lake Taupo Hospice the Clinical Team Leader will provide leadership, actively promote and deliver high quality clinical care, clinical education and career progression planning for clinical staff. The Clinical Team Leader is also a key player in promoting and upholding the brand integrity of Lake Taupo Hospice and ensuring the Hospice continues to be recognised as a professional service provider of high quality, patient focused, palliative care. The Clinical Team Leader has a focus on improving and enhancing clinical practice, centred on the patient and their family/whānau. The Clinical Team Leader practices at a level that requires a high degree of competency in the theoretical and practical application of palliative care nursing and family DRAFT 24 September 2018 1
support services, and demonstrates expert utilisation of this knowledge in implementing and advising on the holistic care of patients and their family/whānau. The Clinical Team Leader effectively manages the clinical team (Nursing and Family Support) and resources, role model s quality clinical practice, facilitates the use of evidence based practice standards, policy and guidelines, and fosters both education and research review. The role contributes to the strategic direction for clinical services and the wider organisation. The Clinical Team Leader networks across the health services at national, regional and local levels to contribute to palliative care clinical service development, and to inform internal and external stakeholders of palliative care developments. Key Accountabilities Key Areas of Accountability What is the activity? Provide clinical and professional leadership for the Nursing and Family Support teams (Clinical Team) Develop a positive culture within the Clinical Team that consistently reflects Lake Taupo Hospice values, is aligned with service-wide developments, and encourages a sense of commitment and shared purpose. Lead and motivate staff to develop a cohesive and highly functioning team and an environment that encourages learning. Act as a professional role model, advocate and mentor for staff. Develop and monitor appropriate systems and processes to ensure all stages of the patient s journey are managed efficiently and effectively, from referral to discharge. Work collaboratively with staff and involve them in case reviews, relevant forums, and the planning, delivery and evaluation of initiatives, to encourage and support a culture of shared leadership. Act as a clinical resource for staff to develop ongoing knowledge and skills across the team. Utilise a range of strategies to provide visible clinical leadership and oversight for the team to ensure that an excellent standard of care is consistently provided and patient safety is enhanced. Encourage and / or provide innovative and proactive solutions to emerging issues. Establish and maintain effective working relationships with colleagues and a range of internal and external stakeholders. Work collaboratively with DHB, primary care and age related residential care providers, Key Performance Indicators How is it measured? There is a high level of engagement, and the Clinical Team is highly regarded amongst their peers. Clinical Team maintain appropriate and accurate electronic records. Information is recorded, if not immediately, within a 24-hour period. Consistent audits are undertaken. Patients have continued confidence in the knowledge and skills of the Clinical Team evidence is collected to measure this i.e. surveys, patient stories, compliments or complaints. % of Role 30% DRAFT 24 September 2018 2
and other relevant services, to support continuity of care, service integration and high-quality palliative care for patients and their families/whānau. Support Clinical Team to facilitate safe and culturally appropriate services to Maori, including access to Maori treatment options and involvement of whānau in planning and delivery of care. Recognise and facilitate the rights of all patients/clients and their whānau to participate in cultural activities. Efficiently fulfil all operational management functions Participate in strategic and operational planning processes for Lake Taupo Hospice and lead delegated areas of responsibility. Actively monitor and manage the Clinical Team budget ensuring costs are maintained within planned budget and informaning CEO/GM and Finance Administrator of any variations. Participate in budget development and monitoring processes, assist with development of the annual capital plan, and demonstrate fiscal responsibility. Ensure relevant initiatives are planned, implemented, monitored and reported upon in a timely manner. Promote collaboration within Lake Taupo Hospice Clinical Team and foster harmonious working relationships with all departments. Ensure rostering and staff allocation processes reflect best practice and enable equitable workloads. Maintain effective human resource practices in accordance with Lake Taupo Hospice policies and procedures. Participate in planning strategies for recruitment and retention of nursing staff to maintain an appropriately skilled and qualified workforce. Provides a voice for provincial /rural palliative care and influences decision making at local, regional and national level. Work with the CEO/GM to address performance issues and with investigations that involve departures from professional practice standards. Meet regularly with the CEO/GM to discuss patient safety and quality issues, resource Clinical Team operates within allocated budget. Clinical Team delivers organisational and patient focused KPI s. Good level of team work and apparent. Absenteeism kept at minimum level. Appropriate qualified staff are available as required at all times. Leadership initiatives visible across Clinical Team. Active engagement in projects of self and Clinical Team. Continuous improvement modelling across Clinical Team and organisation. Promotion of Lake Taupo Hospice visible in practice. 30% DRAFT 24 September 2018 3
utilisation, performance against budget, professional issues and developments. Ensure daily operational issues that arise within the team are effectively and efficiently managed. Work with the Volunteer Manager and volunteers to ensure the loan equipment service functions effectively. Where relevant, and in collaboration with relevant team members, facilitate and evaluate trials of new products and/or equipment. Decrease risk and enhance quality of care and patient safety through leading and contributing to quality improvement initiatives Promote evidence-based practice and a culture of patient safety and continuous quality improvement. Ensure that staff work to documented, appropriately approved policies, procedures and guidelines, and contribute to the development and review of these documents. Ensure that documentation meets legislative, ethical and professional standards. Support clinical audit processes and ensure aspects identified as requiring improvement are addressed in a timely manner. Actively lead and participate in a range of quality improvement activities and facilitate the integration of Hospice New Zealand standards for Palliative care into clinical practice. Ensure that incidents are investigated and resolved appropriately, and that actual/potential risks are identified and addressed. As appropriate, work with the CEO to address and resolve complaints. Ensure systems are developed and maintained to support the professional development of the team Support the Clinical Nurse Educator and designated preceptors in the development and implementation of a comprehensive orientation programme for nursing staff. In collaboration with the Clinical Nurse Educator, provide support for nurses undertaking preceptorship training and fulfilling this role. Robust best practice Palliative Care plan is in place for patients and family/whānau. Interdisciplinary initiatives visible across Clinical Team. Organisation is not exposed to unnecessary risk or costs associated with EEO noncompliance or treaty principles. Organisation is not exposed to Health and Disability commission complaints due to poor professional standards or practice. Incident, Accidents and Near Miss reports are investigated, and appropriate actions taken according to LTH policy. Risk register is maintained up to date. Effective working relationships in place in required areas. Effective professional networks are in place and maintained. Performance measures in place and annual performance reviews undertaken for Clinical Team. 15% 15% DRAFT 24 September 2018 4
Work with Clinical Nurse Educator and Clinical Team members to ensure processes are established to assess and meet educational requirements of individuals within the Clinical Team, and the team as a whole. Assist staff to resolve ethical issues and support debriefing sessions for staff as required. Provide mentorship and coaching for staff. Undertake annual performance appraisals for members of the Clinical Team and support / monitor the achievement of objectives agreed upon during the year. Organisational Contribution Work with the CEO/GM to promote and implement the Lake Taupo Hospice strategic direction. Implement annual business, operations and financial plans that relate to the Clinical Team. Proactively engage as a member of the Clinical Team. Proactively lead by example and champion Lake Taupo Hospice policies and procedures. Proactively contribute to special projects when required. Work alongside the Fundraising and Promotions Manager to strengthen the public profile of hospice. Work alongside the Manager of Volunteer Services to foster and support the contribution of volunteers within the service Work alongside the Financial Administrator to develop the annual budget. Actively seek opportunities to improve systems, processes and work practices within own position and Lake Taupo Hospice as a whole. Actively promote the services of Lake Taupo Hospice externally. Integrate the Lake Taupo Hospice values into work practices and relationships. Health & Safety Promoting and supporting safe working practices within Lake Taupo Hospice at all times. Contributing to maintaining a safe and hazard free work environment by proactively identifying and managing hazards. Working collaboratively with Clinical Nurse Educator setting up training opportunities and continued development of Clinical Team, 12-month future planning. Active engagement in projects of self and direct reports. Lake Taupo Hospice values visible in work ethic and behaviours. Potential improvements identified and highlighted across organisation. Promotion of Lake Taupo Hospice visible in practice. Relationships developed with Te Arawa and Ngati Tuwharetoa (Te Kapua Whakapipi Trustees) in the planning and delivery of services. Establish relationships with, and maintain working knowledge of, the Taupo/ Turangi Maori communities. Organisational Compliance with the Health & Safety at Work Act 2015 is ensured. Lake Taupo Hospice is not exposed to unnecessary risk or 5% 5% DRAFT 24 September 2018 5
Ensuring any visitors brought into the workplace are aware of and remain compliant with the relevant health & safety policies and procedures. Ensuring the accurate reporting of all workplace near miss incidents accidents. costs associated with noncompliance. Lost time injuries do not occur as a result of health and safety procedures not being followed. Ongoing and Periodic Challenges Managing and planning for the changing and variable Clinical Team workloads Staff rostering, effective recruitment and retention Managing the clinical services to achieve the annual financial plan, within operational budget Reinforcing the Strategic Directions Plan throughout the organisation Scope Dimension Current year (Number, $ value, etc.) Indirect/Direct Reports Payroll 11 direct reports, $ Other budget responsibilities Other service delivery costs, $ Person Profile for role Essential Qualification Tertiary qualification in Specialist Palliative Care or similar Expert level of practice within Palliative Care Registration with Nursing Council of NZ inclusive of scope of practice Current practising certificate with Nursing Council of NZ Experience A minimum of 2 years clinical leadership experience within palliative care or related field Proven success in managing palliative care clinical staff Proven success in managing resources within a budget Knowledge Sound knowledge of palliative care health system and associated Government agencies within New Zealand Sound knowledge of relevant laws, regulations and standards related to health and palliative care service delivery. Desirable DRAFT 24 September 2018 6
Skills & Attributes A visible passion for the field of palliative care Strong people leadership skills with the ability to influence and encourage others behaviour to achieve success Strong people leadership skills with the ability to influence and encourage others to achieve success Evidenced success in mentoring and coaching others to achieve growth and development Proven ability to develop trust and build successful and effective community wide networks Effective communicator with strong presentation skills able to deliver engaging oral and written communication to internal and external audiences Demonstrates a collaborative working style, enabling the creation of strong relationships with key stakeholders and colleagues Visible energy and commitment to delivering results above expectations Demonstrates appropriate sensitivity and empathy to a broad range of cultures, needs and behaviours Ability to work effectively through conflict and maintain personal resilience in difficult situations Sound level of understanding of EEO and Treaty of Waitangi principles and their application to the work of Lake Taupo Hospice Lake Taupo Hospice Values Compassion: Valuing empathy, concern, kindness, caring, faith and hope Excellence: Valuing leadership, education, innovation, advocacy and quality Respect: Valuing honesty, thoughtfulness and consideration Trust: Valuing reliability, fairness, truth, responsibility and competence Partnership: Valuing collaboration, friendship and consultation Declaration I have read and understand this position description. I understand that I may be asked to perform other duties as reasonably required by the employer in accordance with the conditions of the position. This position description may evolve over time and may be amended by the employer following reasonable notice to me. DRAFT 24 September 2018 7
Signed as confirmation of understanding and acceptance of the role and its key areas of accountability and key performance indicators. Manager s Signature: Date: Name: Employee s Signature: Date: Name: DRAFT 24 September 2018 8