To work as an integral member of the Complex Discharge Team and in conjunction with the Specialist Palliative Care and End of Life Care Team; to facilitate the safe and coordinated discharge of individual patients in the last weeks of life whose preferred place of care and/or death is home (including residential and nursing home).
Can confidently recognise those patients who are rapidly deteriorating and entering the terminal phase of illness and openly engage in honest and potentially difficult conversations with patients and those important to them.
The End-of-Life Discharge Nurse must strive to improve the quality and clinical effectiveness of services for patients and those important to them, at the end of life, and ultimately facilitate a safe and timely discharge process from hospital. Ensuring that individual patients and those important to them get the right help at the right time from the right people.
Provide dedicated case management, co-ordination, and transfer of care for those patients who are rapidly deteriorating or imminently dying, by working collaboratively, with continuing health care and community teams, to expedite discharge to home where possible.
Maintain a visible profile, to support ward based clinicians to provide high quality, compassionate end of life care and act as a resource, educator and advocate.
Main duties of the job
To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritising and safeguard the patients needs.
Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
Detailed job description and main responsibilities
To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
To facilitate the effective management of patients referred to the team for discharge planning, ensuring their experience is seamless and of high quality.
To demonstrate high levels of autonomy as well as the ability to work as part of a team.
To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritising and safeguard the patients needs.
Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
Contribute to the monitoring and evaluation of End of Life Care tools and processes.
To work collaboratively with both hospital staff and community teams to ensure consistent and up to date communication to facilitate both written and verbal handover of patient information to the appropriate key worker and ensure continuity of care.
Maintain accurate and concise documentation and provide accurate and detailed records to support Trust quality metrics and other audit/evaluation activities.
Management of the discharge process and data collection to demonstrate:
Increase number of patients achieving their preferred place of care
Increase number of patients dying at home
Reduction in the number of expected hospital deaths
Reduction in the length of hospital stay in the last eight weeks of life by supporting patients to be discharged improve coordination of discharge and transfer from hospital to community.
Improve provision of home care packages for patients with palliative care needs.
Improve communication between healthcare professionals caring for rapidly deteriorating patients in the last weeks of life.
Increased patient and carer satisfaction.
Person specification Education, Training and Qualifications
Degree Level or Equivalent Qualifications
Evidence of recent relevant CPD
Credible professional with sound professional knowledge and judgement
Palliative care qualification or experience
Ability to manage a caseload and work as part of a multi-disciplinary team
Skills
Ability to make autonomous decisions
Clinical leadership and effective team working skills
Ability to collaborate with the multi-disciplinary team and successfully negotiate with and influence others
Ability to work on own initiative and prioritise work demonstrating excellent time management skills
Experience of working at a Band 6.
Key Competencies/ Personal Qualities and Attributes
Demonstrates a positive, confident attitude and has an empathetic approach to patients, families, carers, and staff
Understands that the successful candidate may need to attend meetings outside the Trust.
Teaching qualification /MSPP or equivalent
Understanding of the CHC process
Applications will be transferred to TRAC system; by completing an application you are giving authorisation for the transfer of your data.
Correspondence regarding your application will be sent to you via a TRAC system account.
We are an equal opportunities employer, which aims to employ a workforce that reflects the diverse communities we serve. We welcome applications from all suitably qualified persons from all backgrounds.
We welcome applications from members of our black and minority ethnic (BME) communities, especially in relation to senior posts within at KGH.
Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.
Appointments will be made on merit.
In submitting an application form, you authorise Kettering General Hospital (KGH) NHS Foundation Trust to confirm any previous NHS service details via the Electronic Staff Record (ESR) Inter Authority Transfer (IAT) process. Including factual reference, occupational health clearance and statutory and mandatory training record.
If you need to have a Disclosure Barring Service (DBS) check, as a requirement of the role, you will be required to repay the cost of obtaining a DBS check (£49.50) and this amount will be reclaimed from your first salary. From 1st February 2019 all new starters to the Trust are required to join the DBS update service as per Trust DBS Re-checking Policy which has an annual cost of £16. New employees who do not join the update service will be required to pay £49.50 for a new DBS check in 3 years time.
Please note that new starters with KGH are subject to a six-month probationary period.
Please ensure that the information you provide on your application form is correct, accurate and that nothing has been omitted. Any information that is stated in your application form in relation to qualifications/training courses/work/education experience/references must be able to be evidenced. Failure to do so may result in your offer being withdrawn.
"Safeguarding is everyone's business. KGH considers Safeguarding a priority amongst its citizens and a key value for all employed to the service."
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone’s full potential. As an organisation, we value how we communicate and promote our vacancies to all communities. The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative. We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.
Employer certification / accreditation badges 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.
#J-18808-Ljbffr
Can confidently recognise those patients who are rapidly deteriorating and entering the terminal phase of illness and openly engage in honest and potentially difficult conversations with patients and those important to them.
The End-of-Life Discharge Nurse must strive to improve the quality and clinical effectiveness of services for patients and those important to them, at the end of life, and ultimately facilitate a safe and timely discharge process from hospital. Ensuring that individual patients and those important to them get the right help at the right time from the right people.
Provide dedicated case management, co-ordination, and transfer of care for those patients who are rapidly deteriorating or imminently dying, by working collaboratively, with continuing health care and community teams, to expedite discharge to home where possible.
Maintain a visible profile, to support ward based clinicians to provide high quality, compassionate end of life care and act as a resource, educator and advocate.
Main duties of the job
To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritising and safeguard the patients needs.
Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
Detailed job description and main responsibilities
To act as a core member of the Complex Discharge/ Specialist Palliative Care multidisciplinary team.
To facilitate sensitive communication including conversations about Advance Care Planning, End of Life Care and Preferred Place of Care / Place of Death with patients and those close to them.
To facilitate the effective management of patients referred to the team for discharge planning, ensuring their experience is seamless and of high quality.
To demonstrate high levels of autonomy as well as the ability to work as part of a team.
To work proactively to ensure patients are able to be discharged to the place of their choice where possible. Arranging packages of care for patients at the end of life, tailored to the needs of individual patients and clinical need. In addition, be able to recognise any potential limitations or risk and always act to prioritising and safeguard the patients needs.
Providing a central point for professionals to access current information regarding packages of care and liaise accordingly for access and provision of essential equipment required for safe and effective care at home.
In collaboration with members of the multidisciplinary team, assess the needs of the patients, families and those important to them and provide specific advice or support as appropriate.
To demonstrate effective communication skills when discussing complex and emotive clinical situations with all levels of staff.
Promote the use of approved End of Life Care tools and process within the Trust including the Individual Care Plans for Dying People, Advance Care Plan.
Contribute to the monitoring and evaluation of End of Life Care tools and processes.
To work collaboratively with both hospital staff and community teams to ensure consistent and up to date communication to facilitate both written and verbal handover of patient information to the appropriate key worker and ensure continuity of care.
Maintain accurate and concise documentation and provide accurate and detailed records to support Trust quality metrics and other audit/evaluation activities.
Management of the discharge process and data collection to demonstrate:
Increase number of patients achieving their preferred place of care
Increase number of patients dying at home
Reduction in the number of expected hospital deaths
Reduction in the length of hospital stay in the last eight weeks of life by supporting patients to be discharged improve coordination of discharge and transfer from hospital to community.
Improve provision of home care packages for patients with palliative care needs.
Improve communication between healthcare professionals caring for rapidly deteriorating patients in the last weeks of life.
Increased patient and carer satisfaction.
Person specification Education, Training and Qualifications
Degree Level or Equivalent Qualifications
Evidence of recent relevant CPD
Credible professional with sound professional knowledge and judgement
Palliative care qualification or experience
Ability to manage a caseload and work as part of a multi-disciplinary team
Skills
Ability to make autonomous decisions
Clinical leadership and effective team working skills
Ability to collaborate with the multi-disciplinary team and successfully negotiate with and influence others
Ability to work on own initiative and prioritise work demonstrating excellent time management skills
Experience of working at a Band 6.
Key Competencies/ Personal Qualities and Attributes
Demonstrates a positive, confident attitude and has an empathetic approach to patients, families, carers, and staff
Understands that the successful candidate may need to attend meetings outside the Trust.
Teaching qualification /MSPP or equivalent
Understanding of the CHC process
Applications will be transferred to TRAC system; by completing an application you are giving authorisation for the transfer of your data.
Correspondence regarding your application will be sent to you via a TRAC system account.
We are an equal opportunities employer, which aims to employ a workforce that reflects the diverse communities we serve. We welcome applications from all suitably qualified persons from all backgrounds.
We welcome applications from members of our black and minority ethnic (BME) communities, especially in relation to senior posts within at KGH.
Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme. If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible.
Appointments will be made on merit.
In submitting an application form, you authorise Kettering General Hospital (KGH) NHS Foundation Trust to confirm any previous NHS service details via the Electronic Staff Record (ESR) Inter Authority Transfer (IAT) process. Including factual reference, occupational health clearance and statutory and mandatory training record.
If you need to have a Disclosure Barring Service (DBS) check, as a requirement of the role, you will be required to repay the cost of obtaining a DBS check (£49.50) and this amount will be reclaimed from your first salary. From 1st February 2019 all new starters to the Trust are required to join the DBS update service as per Trust DBS Re-checking Policy which has an annual cost of £16. New employees who do not join the update service will be required to pay £49.50 for a new DBS check in 3 years time.
Please note that new starters with KGH are subject to a six-month probationary period.
Please ensure that the information you provide on your application form is correct, accurate and that nothing has been omitted. Any information that is stated in your application form in relation to qualifications/training courses/work/education experience/references must be able to be evidenced. Failure to do so may result in your offer being withdrawn.
"Safeguarding is everyone's business. KGH considers Safeguarding a priority amongst its citizens and a key value for all employed to the service."
We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone’s full potential. As an organisation, we value how we communicate and promote our vacancies to all communities. The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative. We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.
Employer certification / accreditation badges 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.
#J-18808-Ljbffr
