Clinical Leadership Provide strategic clinical leadership in relation to area of speciality, working as an autonomous practitioner. Work with community nursing team and colleagues to develop, implement and evaluate a clinical case management strategy and actively seek out individuals, families and communities who will benefit from clinical case management. Lead the co-ordination of the care for people on a defined caseload, demonstrating advance competence in highly complex decision making, assessment and the management of clinical needs within specialist area of practice and refer to specialist services as appropriate. Provide clinical leadership in workforce planning and skills profiling targeting resources to meet the needs of individuals, families and communities. Develop effective partnerships and positive working relationships with a variety of internal and external agencies in order to support seamless care provision across all agencies. Lead appraisal process and PDP in line with the KSF framework and address performance management issues, provide and participate in clinical and peer supervision. Health Needs Assessment Undertake age appropriate advanced physical and psychosocial assessment, interpreting clinical and diagnostic findings in order to determine a diagnosis and develop an evidence based plan of care. Instigate therapeutic interventions and treatments aimed at improving health outcomes and promoting self care, evaluate the effectiveness of interventions, modifying plans for optimal outcomes. Develop an extensive knowledge of disease processes and consequences and provides expert clinical advice to colleagues, individuals, families and communities. Provide high level anticipatory care through the early identification of disease exacerbation in order to reduce the likelihood of acute illness, risks and prevent hospital admission. Applies principles of epidemiology and demography in clinical practice recognising risks, patterns of disease and work collaboratively with a variety of stakeholders to develop health promotion strategies and reduce health inequalities. Actively initiate and lead medicine management, review, prescription and adjustment of medicines, facilitating understanding and concordance of patients and their families. Practice Development: Lead the development, maintenance and monitoring of service standards ensuring clinical and non clinical practice interventions are based on the most recent evidence available and findings are incorporated into nursing practice. Demonstrate advanced clinical and non clinical interventions and act as an advisor and educator to colleagues and a variety of learners in area of speciality. Supervise and teach learners staff in the community working in collaboration with education providers and other key stakeholders Ensure expert knowledge, skills and competency are updated and maintained through appropriate CPD, training and development opportunities to enable effective care to be delivered in line with current research based evidence and practice. Clinical Governance Initiate and contribute towards research in area of expertise and critically appraise, evaluate and apply knowledge of theoretical frameworks, evidence and research findings within specialist area of practice. Lead the development of service standards and policy and ensure compliance with legislation, policies and protocols and identify opportunities for the development of service. Undertake strategic risk assessments and co-ordinate risk management plans that will safeguard protection of public and staff in line with policy. Maintain contemporaneous and accurate clinical records, recording all patient related activity on the clinical systems /databases in accordance with NMC, national legislation and local and national standards... Patient and Public Experience: Develop high level communication strategies to engage individuals, families and communities in an inclusive approach which encourages joint decision making in service delivery, developments and design. Use extensive practice experience to provide highly skilled competent care to individuals, families and communities displaying sensitivity in enabling them to be competent in self care through education and learning . Act as an advocate by working in partnership with patients and carers at all levels of care delivery through empowerment and enablement strategies. Develop systems to signpost, refer, individuals, families, carers and communities to the most appropriate services and agencies. Review patient and public experience/ feedback and complaints and ensure that outcomes of suggestions and recommendations inform the development of a quality evidence based nursing service. |