Job description

Job responsibilities

Job Purpose:

To improve the primary care management of patients with chronic skin conditions and improve their quality of life, providing highly specialised nursing care with expert knowledge and evidence-based practice.

To help prevent unnecessary referrals to secondary care and provide a seamless service of care for patients and their families and carers. To work collaboratively with members of the wider multi-disciplinary team and allied health professionals providing highly specialised information and support to dermatology patients through from diagnosis, treatment and follow up care.

Be responsible for assessing, planning, implementing and evaluating plans of care for patients referred with both acute and chronic skin conditions. To provide expert nursing advice to patients and carers ensuring their needs are met by the team. To support the clinical team to do this by leading and challenging, disseminating knowledge and sharing best practice.

Clinical Practice

To deliver the highest quality of care by utilising all highly specialist nursing skills and practice. To assess, plan, implement and evaluate programmes of evidence-based nursing care for dermatological patients. To work autonomously delivering individualised direct patient care.

To address highly complex patient issues such as treatment variations, interpretation of results, safe and effective monitoring of side effects in line with local and national policy and protocol.

To take a lead in the promotion of patient centred care and establish and maintain a supportive relationship with the patient and their family during their treatment journey. To develop motivational and empathetic training and education for the patient around their skin condition encouraging agreement and co-operation.

To manage and prioritise appropriate referrals as per referral criteria. To triage referrals and signpost to the most appropriate clinics making clinical judgements based upon the information available.

To establish, organise and run both complex and noncomplex nurse led clinics as required within locally agreed protocols within Primary Care Settings. To maintain and develop current expert knowledge levels in order to provide specialist dermatology nurse led clinics. Undertake thorough patient assessment, developing a clear and concise evidence-based treatment plan, evaluating this.

To provide highly developed specialist advice on symptom management, patient monitoring and support with close liaison and collaboration with dermatology medical staff.

To work as part of the Dermatology team within primary and secondary care, negotiating elements of care as required.

Manage own caseload by co-ordinating appointments and review systems, ensuring continuity of care during periods of leave.

To act within the guidelines laid down by the NMC Code of Professional Conduct.

Undertake skin surgery utilising highly skilled and specialist knowledge to ensure patient outcomes are met, all safety and infection control measures are adhered to and best practice is maintained in line with local and national policies.

To maintain professional accountability through maintenance of knowledge and training.

Ensuring that Safeguarding is in place for the respective team and apply in all cases

Leadership

In conjunction with other members of the Dermatology team, take a lead role in the development and regular evaluation of protocols related to own work area to maintain up to date evidence-based practice within the dermatology team.

Act as a source of specialist advice, education, highly developed specialist knowledge, counselling and support for all health professionals, patients, families/carers and other agencies with regards to chronic skin conditions.

As an experienced clinician, be able to advise on educational opportunities that will facilitate the development and support of specialist knowledge and skills in relation to the development of clinical nursing practice and the wider dermatology team

Take autonomous responsibility for highly specialist treatment decisions utilising evidence-based practice, national and local clinical guidance. Communicate and negotiate these with patients undertaking sensitive and highly complex treatment decisions as required. Utilise expert clinical judgement to review and lead on complex cases and treatment decisions as required.

Plan, organise and run clinics as required displaying flexibility to ensure patient needs are met in line with service standards and clinical guidance.

Co-ordinate clinics to ensure patient demand is met considering staff requirements and capabilities, maintaining safety and effective services delivery.

Provide mentorship, observation and education to colleagues, students and other health professionals to enhance their knowledge and skills in managing patients with dermatological conditions in primary and secondary care.

Co-ordinate the provision of specialist dermatology services to patients in the community effectively liaising with team members and other multidisciplinary colleagues.

Establish, develop and maintain effective working relationships between clinicians, practitioners and managers within the speciality and across the trust.

Work in conjunction with the lead consultant to lead a patient focused service.

Provide a safe environment for the treatment of patients and protection of staff, patients and visitors, by ensuring the use of equipment and materials complies with Health and Safety policies.

To offer expert clinical knowledge and leadership skills to clinical colleagues, patients and carers/relatives.

Utilising own highly developed specialist clinical knowledge, influence policies, protocols and procedures affecting patient health and chronic skin condition management.

Take a lead role in the assessment, planning and evaluation of programmes of care for patients with complex chronic skin conditions. Maintain expert knowledge through regular education and attendance at relevant training and conferences.

Manage programmes of care effectively through working in partnership with others, making referrals into other services as appropriate. Empower patients to take a lead role in their treatment and symptom management through education, specialist support and expert knowledge

To act as advocate for the patient, liaising with appropriate others to ensure optimum care for the patient. Maintain safeguarding procedures and local policy and support other staff to ensure this is adhered to.

Identify health-related learning needs of individuals/family/carer and develop appropriate action plans.

Act as a role model by demonstrating leadership and expertise, and by maintaining credibility across the Trust, the wider health care community and external agencies, ensuring a positive image of the Trust is maintained.

Management

To contribute towards strategic decision making stimulating innovative practice and policy in order to improve service provision

To recognise opportunities to drive local policy forward by influencing local policy development.

Be accountable for own professional actions and time management.

Implement and work within the trusts HR policies on all staffing matters including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources.

Adhere to all trust and departmental policies and ensure all staff do the same.

Ensure optimised skill mix within dermatology reviewing as necessary and monitoring the use of bank and agency staff.

Organise team meetings at appropriate intervals ensuring correct documentation and circulation of minutes.

Lead and participate in meetings internally or externally to the Trust, relevant to specialist area of practice, proactively contributing to the meeting by providing highly complex and specialist advice and expertise.

Work with the Operational Manager, Head of Services, Director of Nursing in providing managerial support, participating in the recruitment, induction and orientation of new staff, carrying out appraisal and clinical supervision, and by ensuring that mandatory training take place according to Trust policy.

Maintain systems and processes to promote a healthy, safe and secure working environment, ensuring compliance with legal and regulatory requirements, maintaining accurate documentation and reporting any concerns

Responsible for the management of the identified team and ensuring supervision is in place for all staff within team.

Responsible for the setting of clear performance objectives in line with the agreed trust appraisal process, ensuring that each member understands their individual responsibilities, and act accordingly within their sphere of responsibility as defined by the team lead

Responsible for the effective management, utilisation and monitoring of financial resources and budget both pay and non-pay budgets, in consultation with the Central finance manager.

Non -Medical Prescriber

To safely and effectively prescribe medication to patients, as an independent prescriber.To apply knowledge of drug actions in prescribing practice.To understand the legislation relevant to the practice of nurse prescribing.To understand the roles and relationships of others involved in prescribing, supplying and administering of medicines.

Ensure that wherever non-medical prescribing is undertaken the non-medical prescribing policy is adhered to. Maintain own personal formulary and ensure this is regularly updated. Maintain specialist prescribing knowledge as per requirement of the non-medical prescribing role ensuring current evidence and guidance is adhered to.

*Please see full Job Description in document attached.*

Job responsibilities

Job Purpose:

To improve the primary care management of patients with chronic skin conditions and improve their quality of life, providing highly specialised nursing care with expert knowledge and evidence-based practice.

To help prevent unnecessary referrals to secondary care and provide a seamless service of care for patients and their families and carers. To work collaboratively with members of the wider multi-disciplinary team and allied health professionals providing highly specialised information and support to dermatology patients through from diagnosis, treatment and follow up care.

Be responsible for assessing, planning, implementing and evaluating plans of care for patients referred with both acute and chronic skin conditions. To provide expert nursing advice to patients and carers ensuring their needs are met by the team. To support the clinical team to do this by leading and challenging, disseminating knowledge and sharing best practice.

Clinical Practice

To deliver the highest quality of care by utilising all highly specialist nursing skills and practice. To assess, plan, implement and evaluate programmes of evidence-based nursing care for dermatological patients. To work autonomously delivering individualised direct patient care.

To address highly complex patient issues such as treatment variations, interpretation of results, safe and effective monitoring of side effects in line with local and national policy and protocol.

To take a lead in the promotion of patient centred care and establish and maintain a supportive relationship with the patient and their family during their treatment journey. To develop motivational and empathetic training and education for the patient around their skin condition encouraging agreement and co-operation.

To manage and prioritise appropriate referrals as per referral criteria. To triage referrals and signpost to the most appropriate clinics making clinical judgements based upon the information available.

To establish, organise and run both complex and noncomplex nurse led clinics as required within locally agreed protocols within Primary Care Settings. To maintain and develop current expert knowledge levels in order to provide specialist dermatology nurse led clinics. Undertake thorough patient assessment, developing a clear and concise evidence-based treatment plan, evaluating this.

To provide highly developed specialist advice on symptom management, patient monitoring and support with close liaison and collaboration with dermatology medical staff.

To work as part of the Dermatology team within primary and secondary care, negotiating elements of care as required.

Manage own caseload by co-ordinating appointments and review systems, ensuring continuity of care during periods of leave.

To act within the guidelines laid down by the NMC Code of Professional Conduct.

Undertake skin surgery utilising highly skilled and specialist knowledge to ensure patient outcomes are met, all safety and infection control measures are adhered to and best practice is maintained in line with local and national policies.

To maintain professional accountability through maintenance of knowledge and training.

Ensuring that Safeguarding is in place for the respective team and apply in all cases

Leadership

In conjunction with other members of the Dermatology team, take a lead role in the development and regular evaluation of protocols related to own work area to maintain up to date evidence-based practice within the dermatology team.

Act as a source of specialist advice, education, highly developed specialist knowledge, counselling and support for all health professionals, patients, families/carers and other agencies with regards to chronic skin conditions.

As an experienced clinician, be able to advise on educational opportunities that will facilitate the development and support of specialist knowledge and skills in relation to the development of clinical nursing practice and the wider dermatology team

Take autonomous responsibility for highly specialist treatment decisions utilising evidence-based practice, national and local clinical guidance. Communicate and negotiate these with patients undertaking sensitive and highly complex treatment decisions as required. Utilise expert clinical judgement to review and lead on complex cases and treatment decisions as required.

Plan, organise and run clinics as required displaying flexibility to ensure patient needs are met in line with service standards and clinical guidance.

Co-ordinate clinics to ensure patient demand is met considering staff requirements and capabilities, maintaining safety and effective services delivery.

Provide mentorship, observation and education to colleagues, students and other health professionals to enhance their knowledge and skills in managing patients with dermatological conditions in primary and secondary care.

Co-ordinate the provision of specialist dermatology services to patients in the community effectively liaising with team members and other multidisciplinary colleagues.

Establish, develop and maintain effective working relationships between clinicians, practitioners and managers within the speciality and across the trust.

Work in conjunction with the lead consultant to lead a patient focused service.

Provide a safe environment for the treatment of patients and protection of staff, patients and visitors, by ensuring the use of equipment and materials complies with Health and Safety policies.

To offer expert clinical knowledge and leadership skills to clinical colleagues, patients and carers/relatives.

Utilising own highly developed specialist clinical knowledge, influence policies, protocols and procedures affecting patient health and chronic skin condition management.

Take a lead role in the assessment, planning and evaluation of programmes of care for patients with complex chronic skin conditions. Maintain expert knowledge through regular education and attendance at relevant training and conferences.

Manage programmes of care effectively through working in partnership with others, making referrals into other services as appropriate. Empower patients to take a lead role in their treatment and symptom management through education, specialist support and expert knowledge

To act as advocate for the patient, liaising with appropriate others to ensure optimum care for the patient. Maintain safeguarding procedures and local policy and support other staff to ensure this is adhered to.

Identify health-related learning needs of individuals/family/carer and develop appropriate action plans.

Act as a role model by demonstrating leadership and expertise, and by maintaining credibility across the Trust, the wider health care community and external agencies, ensuring a positive image of the Trust is maintained.

Management

To contribute towards strategic decision making stimulating innovative practice and policy in order to improve service provision

To recognise opportunities to drive local policy forward by influencing local policy development.

Be accountable for own professional actions and time management.

Implement and work within the trusts HR policies on all staffing matters including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources.

Adhere to all trust and departmental policies and ensure all staff do the same.

Ensure optimised skill mix within dermatology reviewing as necessary and monitoring the use of bank and agency staff.

Organise team meetings at appropriate intervals ensuring correct documentation and circulation of minutes.

Lead and participate in meetings internally or externally to the Trust, relevant to specialist area of practice, proactively contributing to the meeting by providing highly complex and specialist advice and expertise.

Work with the Operational Manager, Head of Services, Director of Nursing in providing managerial support, participating in the recruitment, induction and orientation of new staff, carrying out appraisal and clinical supervision, and by ensuring that mandatory training take place according to Trust policy.

Maintain systems and processes to promote a healthy, safe and secure working environment, ensuring compliance with legal and regulatory requirements, maintaining accurate documentation and reporting any concerns

Responsible for the management of the identified team and ensuring supervision is in place for all staff within team.

Responsible for the setting of clear performance objectives in line with the agreed trust appraisal process, ensuring that each member understands their individual responsibilities, and act accordingly within their sphere of responsibility as defined by the team lead

Responsible for the effective management, utilisation and monitoring of financial resources and budget both pay and non-pay budgets, in consultation with the Central finance manager.

Non -Medical Prescriber

To safely and effectively prescribe medication to patients, as an independent prescriber.To apply knowledge of drug actions in prescribing practice.To understand the legislation relevant to the practice of nurse prescribing.To understand the roles and relationships of others involved in prescribing, supplying and administering of medicines.

Ensure that wherever non-medical prescribing is undertaken the non-medical prescribing policy is adhered to. Maintain own personal formulary and ensure this is regularly updated. Maintain specialist prescribing knowledge as per requirement of the non-medical prescribing role ensuring current evidence and guidance is adhered to.

*Please see full Job Description in document attached.*

Person Specification

Skills & Attributes

Essential

• Evidence of teaching skills
• Basic keyboard skills
• Evidence of contribution to the development of programmes of care, protocols and clinical audit.
• Knowledge of chronic skin disease and the complications of this condition-physically and psychologically.
• Excellent, well developed communication skills allowing for contentious and highly sensitive discussions.
• IT skills including knowledge of system one, high-cost drug database and NHS digital patient input.
• Leadership and management skills.
• Knowledge of inflammatory dermatoses and their management including appropriate investigations, drug therapy and light therapy.
• Skilled to undertake skin surgery autonomously.
• Knowledge and skills of patch testing and investigations.
• Thorough understanding of holistic care and health promotion

Desirable

• Knowledge of databases
• Knowledge of other chronic diseases and their management.
• Knowledge of support groups, voluntary agencies and social care agencies

Qualifications

Essential

• RGN
• Degree in Nursing or equivalent portfolio of evidence
• Teaching certificate
• Level 6 Dermatology for Health Professionals qualification
• Skin surgery qualification
• Non-medical prescribing (Independent prescriber)
• Mentorship qualification
• Non-medical prescribing V300

Desirable

• Relevant diploma or degree in dermatology or on pathway
• Undertaken or working towards MSc degree
• Dermoscopy training

Additional Criteria

Essential

• If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:

Job Specific Requirements

Essential

• The ability to travel independently across the Trust
• The ability to work flexibly in accordance with service needs.
• Passion and tenacity for the role.
• Membership of the British Dermatology Nursing Group.
• The ability to attend courses and conferences as appropriate to develop the role.

Right to Work

Essential

• Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)

Experience

Essential

• Evidence of professional/clinical knowledge in areas and of continuing professional development.
• Evidence of working with and undertaking clinical assessment of chronic skin condition.
• Extensive experience of working autonomously in dermatology.
• At least 3 years experience in specialist area with skills in Biologics medications, skin surgery, inflammatory skin conditions and medicines monitoring.
• Experience of running own clinics autonomously and managing patient caseload.
• Experience in autonomous new patient assessments and care planning.

Desirable

• Dermoscopy experience

Skills & Attributes

Essential

• Evidence of teaching skills
• Basic keyboard skills
• Evidence of contribution to the development of programmes of care, protocols and clinical audit.
• Knowledge of chronic skin disease and the complications of this condition-physically and psychologically.
• Excellent, well developed communication skills allowing for contentious and highly sensitive discussions.
• IT skills including knowledge of system one, high-cost drug database and NHS digital patient input.
• Leadership and management skills.
• Knowledge of inflammatory dermatoses and their management including appropriate investigations, drug therapy and light therapy.
• Skilled to undertake skin surgery autonomously.
• Knowledge and skills of patch testing and investigations.
• Thorough understanding of holistic care and health promotion

Desirable

• Knowledge of databases
• Knowledge of other chronic diseases and their management.
• Knowledge of support groups, voluntary agencies and social care agencies

Qualifications

Essential

• RGN
• Degree in Nursing or equivalent portfolio of evidence
• Teaching certificate
• Level 6 Dermatology for Health Professionals qualification
• Skin surgery qualification
• Non-medical prescribing (Independent prescriber)
• Mentorship qualification
• Non-medical prescribing V300

Desirable

• Relevant diploma or degree in dermatology or on pathway
• Undertaken or working towards MSc degree
• Dermoscopy training

Additional Criteria

Essential

• If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:

Job Specific Requirements

Essential

• The ability to travel independently across the Trust
• The ability to work flexibly in accordance with service needs.
• Passion and tenacity for the role.
• Membership of the British Dermatology Nursing Group.
• The ability to attend courses and conferences as appropriate to develop the role.

Right to Work

Essential

• Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)

Experience

Essential

• Evidence of professional/clinical knowledge in areas and of continuing professional development.
• Evidence of working with and undertaking clinical assessment of chronic skin condition.
• Extensive experience of working autonomously in dermatology.
• At least 3 years experience in specialist area with skills in Biologics medications, skin surgery, inflammatory skin conditions and medicines monitoring.
• Experience of running own clinics autonomously and managing patient caseload.
• Experience in autonomous new patient assessments and care planning.

Desirable

• Dermoscopy experience

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bridgewater Community Healthcare NHS Foundation Trust

Address

Health Services At Wolves

Winwick Road

Warrington

WA2 7NE

Employer's website

http://bridgewater.nhs.uk/ (Opens in a new tab)