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Specialist nurse - headache & neurology (Band 7- secondment)

Band 7

Main area
Specialist Nurse - Headache and Neurology
Grade
Band 7
Contract
Fixed term: 12 months (0.8wte)
Hours
Part time - 30 hours per week
Job ref
813-854-0822-LR-D
Site
MCH House
Town
Gillingham
Salary
£41,659 - £47,672 pro rata
Salary period
Yearly
Closing
07/12/2022 23:59
Interview date
19/12/2022

Do you want to be part of an award winning and dynamic social enterprise that:

  • is renowned for providing high quality care and is ranked ‘Good’ by the CQC;
  • is a for-better-profit organisation, reinvesting any surplus back into our health and care services and our local community;
  • is friendly, ambitious, welcomes innovation and rewards excellence;
  • offers superior benefits; everything you get in the NHS and more;
  • and whose achievements reflect the passion, dedication and commitment demonstrated by our staff across all services?

Our vision is to be a successful, vibrant, community interest company that benefits the communities we serve. So if you want be a part of this, we would love to hear from you.

Job overview

  • Are you looking for a new challenge?
  • Are you interested in service redesign and improving patient pathways?
  • Do you have a special interest in neurology and headache management?
  • Secondment opportunity is available.

If you answered yes, we’ve got the perfect role for you!

MCH have recently implemented the neurological assessment service in collaboration with the ICB.  This means patients with early neurological signs, including headaches, can be seen quickly in the community, diagnostic tests initiated, and onward referral made to secondary care providers only when needed (approx. 20% of referrals). The surge in demand means we want to develop a bespoke headache pathway and the successful post holder will lead on its development and implementation.

Funding is currently for one year. However, it is likely to be made permanent if the role is a success this would be a great secondment opportunity.

Main duties of the job

  • To provide specialist neurological assessment and care of people presenting with undiagnosed neurological disorders and, in particular, headache presentations in Medway and Swale under the supervision of senior AHP community colleagues.
  • To provide expert advice to health care professionals throughout Medway, working closely with all stakeholders, including primary & secondary care.
  • To have clinical responsibility for a caseload of complex patients.
  • To request relevant diagnostic tests were appropriate, analyse results and devise treatment plans accordingly.
  • To provide expert clinical advice to patients, including lifestyle modification, in order to promote self care and management of presenting condition.
  • Lead in the development of the headache pathway across Medway & Swale, working with stakeholders in primary, community and secondary care.

Working for our organisation

So what else?

  • Secondment will be considered for the right candidate.
  • This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you’ll even have the opportunity to become an MCH shareholder.
  • We encourage staff to get involved in exploring new ways of working and service development.
  • We’ll provide well established, in-service training, one to one supervision, and appraisals with regular support.
  • You’ll be able to develop your skills in a friendly and supportive team.
  • Would you like to work flexibly?  In the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement which will not mean sacrificing time for personal interests or family commitments. We aim to support you to work flexibly in a way that will suit you and us." 

So what are you waiting for? We can’t wait to hear from you, and look forward to receiving your application.

The small print

  • Informal visits can be arranged on request.
  • We will always appoint the best person for the job, but applications are particularly welcome from candidates from BAME groups which are underrepresented in our service.
  • We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.

Detailed job description and main responsibilities

  1. Communication and relationship skills
  • To be able to communicate and provide support to patients and families regarding diagnosis and presentation and to be aware of and make relevant referrals to other professionals, charities and support groups.
  • To provide appropriate lifestyle advice to patients and carers using advanced communication skills in an environment that can often be highly emotive and antagonistic.
  • To use effective written and verbal communication in order to transfer sensitive patient information to other healthcare professionals including GPs, practice nurses and physiotherapists and to patients and their carers
  1. Knowledge, training and experience
  • Working as a senior member of the team to holistically assess, implement, evaluate and provide specialist neurological/headache care management, including appropriate follow up, for patients in the community ensuring person centred, evidence-based care with the aim of reducing unnecessary referral to secondary care.
  • To work as an Independent Prescriber (desirable or working towards)
  • To use Patient Group Directions to administer appropriate medications to identified patients following training and competency assessment** (TBC)
  1. Analytical and judgement skills
  • To work as part of the wider neurological assessment service and to provide support to the manager of the team and deputise in their absence to maintain a consistent, high standard of service.
  • To record accurate, legible clinical observations in a timely manner
  1. Planning and organisational skills
  • Plans specialist caseload
  • To achieve the effective daily management of a complex caseload of patients including the provision of timely clinical advice to others, prioritising clinical work and balancing other patient related and professional activities in accordance with service standards.
  • Plans training programmes for staff in response to service/individual/ organisation/ publication of new evidence in lead area
  1. Physical skills
  • Post holder processes highly developed dexterity, co-ordination and palpatory sensory skills necessary for assessment and treatment of patients.
  • Post holder must have standard keyboard skills
  • Responsible for own safe and competent use of all equipment, patient appliances and aids from own caseload.
  • To be responsible for equipment used in carrying out duties and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through teaching training and supervision of practice.
  1. Responsibility for patient / client care
  • Post holder develops specialised treatment plans. This may include recommending a package of care to another member of MCH clinical teams.
  • The post holder provides specialised knowledge on assessing, diagnosing and treatment modalities to other staff.
  • The post holder will be involved in the development of care pathways across all local primary and secondary care providers of neurological and headache care. During the first 6 months of the role, a priority is to develop the headache pathway.
  • Following assessment, the post holder will be able to request a wide range of diagnostic tests which are not accessible to other clinicians within MCH.
  • Post holder develops specialised care plans, which involves the interpretation of highly complex diagnostic test results and correlation to clinical presentation, in order to determine the patient’s ongoing management.
  • Responsibility for the prioritisation & triage of referrals and the identification of serious pathology with appropriate response and management.
  • To continually reassess patient progress, adapt treatment plans accordingly, and develop discharge plans to maximise rehabilitation potential, to allow a resumption of normal activities of daily living.
  • To assess patient understanding of treatment proposals, gain valid consent and have the capacity to work within a legal framework with patients who lack the capacity to consent to treatment
  • To work closely with providers of “emergency” secondary care when patients present with serious pathology.
  • Responsible for identifying aspects of patient client care outside the scope of their own knowledge and skills and referring on to appropriate agency as required.
  • Post holder follows organisational and professional standards relating to record keepin
  1. Responsibility for policy and service development implementation
  • To participate in the development, implementation and review of the neurological assessment service development plans, policies and procedures to ensure that the teams objectives are being met.
  1. Responsibilities for financial and physical resources
  • To be responsible for ensuring the correct and safe use of equipment given to patients (if appropriate)
  1. Responsibilities for human resources (HR)
  • No direct line management within this role
  1. Responsibilities for information resources
  • To promote the work of the Team to colleagues, other professions and Service users, in order to raise the profile of the team.
  • Act as a resource and educator for patients, carers, families, team members, GP’s and other professionals within the MDT to provide and advise on evidence-based practices, including effective health promotional aspects, in order to fulfil requirements of local and national guidelines thus ensuring best possible care for those with respiratory conditions. 
  1. Responsibilities for research and development (R&D)
  • To participate in clinical audit and monitoring of the service to continuously evaluate the effectiveness of the team and to comply with Clinical Governance requirements.
  1. Freedom to act

The extent to which the jobholder is required to be accountable for own actions and those of others, to use own initiative and act independently and the discretion allowed to the jobholder to take action.

It takes account of any restrictions on the jobholder’s freedom to act imposed by, for example supervisory control, instructions, procedures, practices and policies, professional & technical codes of practice.

Person specification

Qualifications

Essential criteria
  • Registered nurse
Desirable criteria
  • Independent prescribing qualification

Experience

Essential criteria
  • Knowledge of neurological conditions - symptoms and management

Knowledge

Essential criteria
  • Knowledge of common causes & management of Headaches

Experience

Essential criteria
  • Experience of service redesign and pathway work

Employer certification / accreditation badges

Armed Forces CovenantApprenticeships logoNo smoking policyCare quality commission - GoodWorkplace Wellbeing Charter LogoDisability confident committedStep into health

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Emma Chambers
Job title
Head of Adult Therapy
Email address
emmachambers1@nhs.net
Telephone number
03001233444