Lead Nurse CNS

Overview

The Lead Nurse CNS role for heart failure in the Hospital at Home (H@H) will incorporate expert clinical practice, education, leadership, management and research.

The post holder will be required to liaise with all key members of the multidisciplinary team to advise and support colleagues in delivering specialised patient care across professional boundaries within a virtual ward setting.

The role involves working autonomously to deliver specialist clinical care appropriate to the needs of the patient group, based on research‑based principles that enhance the quality of patient care.

The Lead Nurse CNS will undertake nurse‑led care and be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse‑led clinics and services.

The post holder will line‑manage clinical nurse specialists within the speciality and across boundaries, lead and support the development and implementation of programmes of nursing care for individual patients and the client group as a whole, and contribute to the facilitation of the planning, delivery and evaluation of care pathways.

Responsibilities

• Act as the autonomous first line of contact for patients seeking advice or support.
• Provide professional and clinical leadership, ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas.
• Identify outcome measures that illustrate the quality of the service, with a particular emphasis on patient‑related outcome measures.
• Recognise and champion innovations in nursing practice, ensuring they are supported, evaluated, and contribute to develop an evidence base to meet the needs of patients, families, relatives and staff.
• Liaise with all key members of the multidisciplinary team, advise and support colleagues in delivery of specialised patient care across professional boundaries within a H@H setting.
• Work autonomously to deliver specialist clinical care appropriate to the needs of the patient group, based on principles that are research‑based and enhance the quality of patient care.
• Undertake nurse‑led care and be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse‑led clinics and services.
• Line‑manage clinical nurse specialists within speciality and across boundaries.
• 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.
• Contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients.
• Contribute to training and education within specialist area.
• 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.
• Act as a visible role model and expert practitioner.
• Maintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust in line with World Class Care values.
• Ensure that the needs of patients are placed at the centre of care delivery.
• 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 and evaluate and review treatment plan.
• Make any alterations in the patient's current treatment plan or drug regimen required in response to evaluating test or investigation results or changes in patients' condition.
• Use advanced clinical knowledge and expertise in undertaking clinical assessments in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedents.
• Provide professional, clinical and managerial leadership to nursing and associated staff and ensure the provision of a high‑quality, responsive nursing service.
• Collaborate on all aspects of quality management related to the nursing and clinical area.

Qualifications & Experience

• Registered general nurse.
• Evidence of recent professional / management / leadership development.
• Appropriate teaching certificate or extensive teaching experience.
• Advanced assessment qualification.
• Non‑medical prescribing course or willingness to undertake.
• Relevant qualification and experience in the specialty.
• Substantial experience in a senior nurse operational role in a Community NHS setting.
• Experience in running nurse‑led clinics pathways.
• Proven ability to initiate audits/research & assess evidence.
• Experience of developing business and workforce plans in line with future service requirements.
• Knowledge and experience of leading significant change, delivering tangible and sustained improvements.
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