The clinical and operational Lead for ERAS will incorporate the dimensions of expert clinical practice, education, leadership, management and research. The post holder will be required:
Liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries within a ERAS setting.
To work autonomously to deliver high level clinical care appropriate to the needs of the patient group and based on principles that are research-based and enhance the quality of patient care.
To undertake nurse-led care and to be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse-led services.
Line-manage clinical nurse specialists and therapists within speciality and across boundaries.
To lead and support with specialist nursing knowledge the development and implementation of programmes of nursing care for individual patients and the client group as a whole.
To contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients.
To contribute to training and education within specialist area.
To promote an innovative and progressive attitude to the continual improvement of patient care through reviewing the evidence base and embedding this in practice through engagement in research activities, including QI work.
1. CLINICAL RESPONSIBILITIES
1.1 Maintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.
1.2 Ensure that the needs of patients are placed at the centre of care delivery, thus achieving trust and national standards for clinical quality, safety and patient experience.
1.3 To lead, negotiate, supervise, participate in, and manage caseload of patients within nurse led clinics both on and off site using advanced clinical assessment skills and clinical judgement to take a detailed history, physically assess, make any required differential diagnosis, order any tests or investigations required to confirm diagnosis, prescribe medication, evaluate and review treatment plan.
1.4 Make any alterations in the patient’s current treatment plan or drug regimen required in response to evaluating test & investigation results or changes in patients’ condition. Use advanced clinical knowledge & expertise in undertaking clinical assessments in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedents
1.5 Provide professional, clinical and managerial leadership to nursing and associated staff and ensure the provision of a high-quality, responsive nursing service.
5. RESPONSIBILITY FOR LEADING AND MANAGING
5.1 Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
5.2 Contribute to the workforce and financial planning for nursing and support services within own areas of responsibility and where appropriate, work collaboratively across the trust to support these initiatives.
5.3 Engage in the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback. 5.4 To have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
5.5 To ensure the delivery and compliance of mandatory training requirements for specialist nursing team when appropriate.
6. RESPONSIBILITY FOR INFORMATION RESOURCES
6.1 Act as a resource to nursing staff in relation to the analysis of audit, research and quality improvement data.
6.2 Contributes to the development of appropriate outcomes and service impact measures to evaluate patient response and service development needs.
6.3 Ensures all information is stored in accordance with the Data Protection Act and Caldecott guidance.
6.4 Identify educational and training requirements on Information Resources for all relevant staff.
5. RESPONSIBILITY FOR LEADING AND MANAGING
5.1 Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
5.2 Contribute to the workforce and financial planning for nursing and support services within own areas of responsibility and where appropriate, work collaboratively across the trust to support these initiatives.
5.3 Engage in the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback. 5.4 To have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
5.5 To ensure the delivery and compliance of mandatory training requirements for specialist nursing team when appropriate.
6. RESPONSIBILITY FOR INFORMATION RESOURCES
6.1 Act as a resource to nursing staff in relation to the analysis of audit, research and quality improvement data.
6.2 Contributes to the development of appropriate outcomes and service impact measures to evaluate patient response and service development needs.
6.3 Ensures all information is stored in accordance with the Data Protection Act and Caldecott guidance.
6.4 Identify educational and training requirements on Information Resources for all relevant staff.
6.5 Process information electronically and manually.
6.6 Ensure information is communicated through the appropriate trust channels as required.
6.7 Oversees high standards of record keeping within areas of responsibility.
