Lymphoedema Clinical Lead

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Full time
Location: Middlesbrough
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Job offered by: Teesside Hospice
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Job summary

We are seeking an experienced Lymphoedema Clinical Lead to join our dedicated team at Teesside Hospice. This is a unique opportunity to make a difference in the lives of patients and their families, working within a supportive, patient-centered environment.

The purpose of the role is to lead a nurse-led service providing specialist advice and treatment regarding lymphoedema treatment and management.

We provide skilled specialist care and expertise in Lymphoedema management for all patients managed by the service across Tees Valley and North Yorkshire.

If you're friendly, reliable, and eager to contribute to our cause, we'd love to have you join our team!

Main duties of the job

To lead a nurse-led service providing specialist advice and treatment regarding lymphoedema treatment and management. To lead the provision of skilled specialist care and expertise in lymphoedema management for all patients managed by the service across Tees Valley and North Yorkshire. To function effectively as an autonomous practitioner, working independently within the lymphoedema team. Provide education and training on the management of lymphoedema and chronic oedema to a wide range of professional staff within the Tees Valley and North Yorkshire area. To ensure a high-quality coordinated service is delivered, which will require engagement with business planning, resource and budget management, and reviewing clinical outcomes within the service. Promote, lead, and participate in audit and quality improvement.

About us

We are changing lives across Teesside by supporting people and families who have been affected by a terminal illness. We support around 3,000 people in Tees Valley, primarily in Middlesbrough and Redcar & Cleveland. We help them make the most of every day, ensuring they receive the best possible care by creating experiences and memories that last a lifetime.

Everybody gets treated as an individual, whether it's physical, mental, or emotional support they need from us. We support people to stay as independent as possible for as long as possible. We're bringing people together, from patients, family and friends to our clinical team, counsellors, staff, volunteers, and our fundraisers. We make sure that everyone gets to live well until the very end.

We really care. We were founded by local people and will always be here for local people. We understand their lives, the community, and culture, so are incredibly well placed to offer highly personalized levels of care.

It costs us around £17,000 each day to run all our services, which include: a 10-bed Inpatient Unit, Wellbeing Centre, Outreach, Bereavement services for Adults and Children, and a lymphoedema Clinic.

Job description

Job responsibilities

Responsibilities & Accountabilities

Demonstrate the ability to exercise a high degree of personal and professional autonomy. Make decisions and provide advice for patients and professionals concerning the management of lymphoedema. To oversee the triage of patient referrals with lymphoedema including complex problems and utilize advanced clinical skills to assess patients within the context of their long-term health needs. To plan and provide an individualized plan of care for patients with lymphoedema incorporating patient-focused goals and outcomes based on evidence-based practice. To assess the psychological impact of lymphoedema and plan care interventions to enable patients to live well with their condition. Lead a highly specialist lymphoedema service providing advice and support to generalist nurses, care agencies, and health professionals including medical staff to ensure high-quality individualised patient care.

Operational Delivery

To monitor and manage the waiting lists effectively, utilizing team resources effectively and efficiently. Cover other roles within the team where required. Assess, report, and manage any risk, clinical and non-clinical, for the benefit of self, colleagues, and patients, in line with the Risk Management Policy. Be competent in the use of Email, Microsoft Office, PowerPoint, Excel, and SystemOne. Effectively organise own and the team's clinical workload in accordance with service needs and requirements. To participate in and monitor business activity and other reports in line with Hospice and commissioners' requirements. To ensure that all duties are performed in keeping with practice guidelines Trust and national standards and legislation.

Patient/ Customer Care

To establish and maintain effective relationships with patients, carers, and the multi-disciplinary team to facilitate patient choice and independence. To support self-care and health promotion as much as possible, including hospital admission avoidance where appropriate. Provide information and advice at all stages of the patient pathway, communicating complex condition-related information to patients/carers and relatives within scope of professional practice. Actively contribute to interdisciplinary meetings, supervisory sessions, and case conferences to ensure seamless services for patients. Provide accurate, relevant, and timely electronic care records and written communication to support ongoing oedema management. To develop and implement patient information leaflets alongside other team members. To deal with highly complex, sensitive, and contentious information. Liaise with other members of the professional multidisciplinary and social care teams as needed to support the management of the patients' needs as necessary.

Strategic Management

To have an awareness of and engagement with the strategic aims of Teesside Hospice, whilst demonstrating the ability to innovate and continuously improve the delivery of patient care and outcomes. To support the Director of Nursing & Quality with strategic and service development, vision, and direction for the tissue viability services within the Integrated Care System. To review national guidance and best practice and recommend how this can be implemented locally. Contribute to the gathering of required and appropriate information for the Hospice and external agencies e.g., commissioners and CQC as well as report writing and providing evidence around service delivery. Identify the health needs of patients with lymphoedema, chronic oedema, and lipoedema within Tees Valley and North Yorkshire populations and develop strategies for prevention, treatment, self-care, and maintenance of long-term care and management. To utilize the Hospice information systems to supply statistical evidence required for resource management and clinical audit of the service.

Service Development & Improvement

To participate in research, clinical audit, and standard setting within the service and to monitor and review practice regularly. Actively identify areas for service development and lead in the planning and delivery of these within the lymphoedema and wider health care team. Attend clinical and management supervision and use reflection skills to demonstrate improvement in own clinical practice. Positively participate in and promote clinical governance, thus ensuring the highest quality of practice is maintained, within the service. Contribute to the development of clinical and management policies and procedures and to monitor and regularly review these within the service. To embrace digital and virtual/remote care supporting systems and integrate this into caseload management strategy.

Management & Leadership

To manage own time and resources effectively and delegate as appropriate. To ensure that own clinical practice and that of line-managed staff meets the required professional standards of clinical practice. To participate within the context of the wider health care team and promote a positive working environment. To lead and organise nurse-led clinics having regard to the workload of, and pressure on, staff taking appropriate action as necessary. To work within the Frameworks and system that is in place for the appraisal, supervision, training, and development of the team. Share responsibility for ensuring that team members perform effectively, efficiently, and safely taking appropriate action as necessary and reporting any issues to the Director of Nursing & Quality. To plan and deliver training to health professionals within contract delivery areas as required. To engage with the wider Lymphoedema Community (e.g., the British Lymphology Society). Support the development of skills within the team and mentor more junior staff. To deputise for the Director of Nursing & Quality as required.

Communication & Relationship Building

Demonstrate discretion, dignity, and respect when communicating with patients, colleagues, and other agencies. Use tact and diplomacy to communicate complex and sensitive information when motivational negotiating, empathetic, and reassurance skills are needed. Use appropriate, patient-centered methods of communication including oral, written, electronic, or other verbal or non-verbal methods. Attend and contribute to meetings relevant to the specialty and communicate with other health care professionals on matters relating to the care of patients. Liaise with acute and community trust staff, GPs, and Practice Nurses regarding the management of patients. To manage any service complaints that may arise.

Finance and Resource Management

Manage resources efficiently and ensure that they are kept within budget. To bring to the attention of the Director of Nursing & Quality any aspect of patient care that may have resource implications. To maintain the upkeep of equipment used within the department to ensure its safe, effective, and accurate use with patients. Shared responsibility for service budget management, both clinical and non-clinical. Shared responsibility for authorising and monitoring orders using Hospice financial systems and processes. Develop effective staffing rotas within budget.

Person Specification

Skills & Abilities

Essential

Ability to deal with highly sensitive and complex information where agreement and co-operation are required with patients, carers, colleagues, and other professionals. Ability to appraise complex situations and facts and take appropriate action. Ability to use own initiative and take responsibility. Computer literate. Good organisational and time management skills. Motivate self and others.

Desirable

Ability to manage resources within a budget.

Qualifications

Essential

Registered adult nurse or allied HCP. Qualification in lymphoedema management. Evidence of significant experience in lymphoedema. Willingness to undertake further academic or practical study at a higher level for e.g. Masters degree. Teaching qualification.

Desirable

Extended non-medical prescribing qualification or willing to undertake. Current certificate of Complex Decongestion Therapy (Foldi, Vodder, Casley-Smith, Leduc or FLG-MLD).

Experience

Essential

An understanding of, or experience in cancer management and its impact on lymphoedema. Knowledge and understanding of clinical governance and the implications to their own service area. Evidence of experience in teaching and mentoring within your role. Experience of cross boundary working in partnership and collaboration with health, social and voluntary sectors. Expert clinical knowledge in all aspects of lymphoedema management and current best practice. Proven leadership and management skills in some aspect of service development. Experience of using advanced communication skills.

Desirable

An understanding of, or experience in managing long term conditions. Experience of leading change and innovation. Involved in research and audit. Be able to demonstrate a high personal commitment to the development of improving patient care, e.g. participation in research, audit, and education.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Teesside Hospice Address

Teesside Hospice

1 Northgate Road

Middlesbrough

Cleveland

TS5 5NW

Employer's website #J-18808-Ljbffr

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