Band 7 Clinical Nurse Specialist – Independent NMP - Bristol

To undertake comprehensive assessments of service users referred to the team, both urgent and routine, including specialist assessments of clients requiring non-medical prescribing, ensuring that a full health and social needs assessment, including medical history and medication history, is undertaken and implemented where required.

To establish diagnosis and prescribe accordingly, discussing all treatment options (including non-pharmacological treatment) and potential side effects with each service user. To ensure that record keeping is both up to date and accurate adhering to Trust, NMC and good practice guidelines, including clear documentation of medications discussed, their effects and risks.

To establish, plan and implement Clinical Management Plans (CMPs) where appropriate and review at least annually. To request formal diagnostic tests in line with Trust, NICE and Department of Health guidelines. To assess and review the service users progress. To prescribe and change medications within area of speciality and competence.

To formulate, implement and evaluate individual care plans and nursing treatment plans with the involvement of all parties in the care of the service user. To work within Trust Medicines and Non-Medical Prescribing Policies. To establish and maintain good liaison with GP practices and other mental health services in the area, including sharing prescribing information and rationale.

Participate in pilot sites for implementing Trust policies, audit working environment producing data, and analysing results. To maintain comprehensive case records in line with Trust requirements, including recording medications prescribed. To ensure that all prescribing decisions are communicated.

To regularly undertake and participate in agreed research projects and to use evidence based findings to the benefit of service user care. To lead clinical audit in own specialist area of Non-Medical Prescribing.

Provide training to other staff regarding specialist area, adhering to Trust policies. Provides input into developing strategies for improving nursing care. Provides a safe and effective learning environment in mentoring and supervising student nurses, participating in their learning objectives and assessments. Ensure that are up to date with UWE requirements for mentoring students by attending annual mentor updates.

To develop a service plan in conjunction with their service manager, SBU Clinical Director and NMP Lead. To be aware of the current legislation and prescribing developments, which may impact on the delivery of services to service users. To manage the prescribing needs of an agreed caseload. To ensure that clinical standards are cascaded to staff. To develop protocols for prescribing within ones own team setting.

To enhance the working of the team by the sharing of ones own specific professional expertise and knowledge. To be responsible for the ordering and safekeeping of FP10s. Have a good knowledge, and apply, current Trust Policy, procedures and guidelines ensuring that junior staff work to these. To liaise with Clinical Governance, attending as required, and ensuring that clinical standards are cascaded to team.

To agree appropriate levels and participate in medical supervision with Independent Medical Prescriber in relation to prescribing practice. To be responsible for their own development and the updating of their professional development. To participate in Clinical Supervision in line with Trust Policy. To develop strategies for continued professional development as Non-Medical Prescriber and Clinical Nurse Specialist, including specialist clinical supervision. To ensure own adequate individual liability cover.

Comply with the Nursing and Midwifery Council The Code, relevant legislation, procedures and policies. To attend and contribute effectively to relevant professional forums. To participate in regular caseload management as agreed with line manager. Undertake regular review of performance with the line manager to agree personal and service goals. Act as a positive role model at work for colleagues in relation to personal and professional conduct and practice.