Contents

Section

Section 1: Introduction to Appointment

Section 2: Person Specification

Section 3: Job Description

Section 4: NHS Lothian Values

Section 5: General Information for Candidates

Section 6: Working in Edinburgh and the Lothians

Section 7: Workplace Equality Monitoring

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers

Section 1: Introduction to Appointment

Reference Number: WGH/MED/WD54/03

Job Title: Respiratory Nurse Specialist

Grade: Band 6

Location: Western General Hospital

Contract Duration: Fixed Term for 1 Year Hours: 37.5 per week

Closing Date: 15 August 2019

Salary Scale: £30,401 - £38,046 per annum

Apply on-line www.jobs.scot.nhs.uk

Please note – the e-mail address you provide on the application form will be used as the primary route of communication for any further correspondence relating to this vacancy so please check your TRASH and SPAM folders. By providing your email address, you are consenting to receive correspondence relating to the recruitment process by email. Furthermore, during the course of the whole recruitment process from application to final offer NHS Lothian may need to contact you using the phone number (land or mobile) you have provided. Below are some examples:

by text message prior to a scheduled interview date if no confirmation of attendance has been received by email

if an invalid email address has been provided

in relation to finalising any offer, if an email has been unsuccessful.

This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

The use of the term “Senior” or “Junior” in this post refers only to the level of experience and responsibility required for this post rather than age. As such, applications from people of all ages are welcomed, subject to meeting the relevant criteria.

NHS LOTHIAN

Post: Respiratory nurse specialist- Band 6

Criteria Essential Desirable Method of Assessment

Personal Traits

Flexible, approachable and adaptable Evidence of good team working skills within respiratory team, hospital wide, and community Effective listening skills Motivational skills Excellent communication skills The ability to work autonomously

Evidence of patient support / counselling Complex communication skills

Qualifications & Training Level of education, professional qualifications, training and learning programmes/courses.

Registered Level 1 Nurse with current NMC registration

Educated to first degree level with view to enrolling for higher degree and evidence of continuing professional development.

Clinical decision making course

Evidence of ongoing professional development specific to respiratory medicine

Commitment to ongoing professional development.

.

Evidence of specialist training, short courses relating to respiratory illness

Project Management experience.

Teaching and assessing skills.

Experience of visiting patients in their own homes would be desirable

Independent supplementary prescriber

Certificates

Experience and Knowledge

Experience of working as

Knowledge of safeguarding and

Application Form,

Section 2: Person Specification

Type of experience, level at which experience gained. Depth and extent of knowledge.

autonomous practitioner.

Relevant post-registration experience,

Relevant post registration experience working in respiratory medicine.

- Other relevant

experience -

Experience of working with a multidisciplinary environment with a wide range of individuals at different levels and within different specialties.

Experience of working across organisational boundaries within health and social care.

Knowledge of Clinical Governance, quality and risk issues and ability to establish safe systems in practice.

Understanding of legal and ethical issues/responsibilities relating to nursing practice research, and autonomous practice

vulnerable adult policies and procedures.

Research and audit experience or knowledge.

Evidence of facilitation skills.

Experience of change management.

Interview, References

Skills/Abilities Range and level of skills, i.e. communication (oral, written, presentation), planning/ organisation, numeracy, leadership etc.

Computer/IT skills

Ability to work flexibly as situations demand.

Clean Driving License

Experience and knowledge of arterial blood gas interpretation, and long term oxygen provision

Application Form, Interview, References

Advanced communication skills with patients and professionals.

Ability to promote and advise on high quality care

Demonstrates highly developed specialist clinical skills within scope of practice

Motivated and forward thinker.

Demonstrates knowledge and advanced skills in health promotion and chronic disease management.

would be desirable

Specific Job

Requirements Environmental conditions, unsociable hours, car driver etc.

Monday – Friday service – flexible working

If you do not meet the essential criteria as detailed above then please do not apply for this post as you will not be short-listed

1. JOB IDENTIFICATION

Job Title: Specialist Nurse (Band 6) Responsible to: Senior Charge Nurse Respiratory Ward Department(s): Respiratory/Cardiology Directorate: Acute Medicine Operating Division: Acute Job Reference: WGH/MED/WD54/03 No of Job Holders: 3

2. JOB PURPOSE

To undertake the role of the specialist nurse, utilising specialist clinical knowledge to inform decision making and clinical judgment. To provide specialist advice to the multidisciplinary team in relation to the management of patient conditions through the assessment, treatment and review planning process in partnership with the patient / carer. Provide specialist advice to healthcare professionals, other agencies, carers, clients and relatives. Support the development of the service to improve practice and work collaboratively across healthcare boundaries, implementing and evaluating evidence based standards, guidelines and policies.

3. DIMENSIONS

The post holder will work as part of the established respiratory nurse specialist service at the Western General Hospital, with a special interest in respiratory disease The post holder will contribute to the strategic planning, and development of the evolving role in partnership with the senior charge nurse and consultant group, including the planning, treatment, and evaluation of care of patients with advanced respiratory disease, and increasingly complex care needs. The role will involve working with acute patients throughout their hospital stay, and visiting patients in their own homes, working in collaboration with hospital physicians, and primary care services to provide enhanced care for patients with advanced chronic respiratory conditions.

Section 3: Job Description

The post holder will be expected to participate in physical examinations and clinical assessment of patients both in the patient’s home and hospital environment. The post holder will be expected to review and assess patients with long term oxygen to evaluate their oxygen needs and provide appropriate equipment and support. There will be ongoing involvement and participation in Lothian MCN’s long term strategy on home oxygen. The post holder will participate in the ongoing education, teaching and support of other members of the multi-professional team. They will also participate in research projects, and advanced clinical audit within the team. Staffing responsibilities: none Financial/Budgetary eg ordering supplies, stock control Maintaining stock levels within budget as delegated by the Senior Charge Nurse. Level of prescribing responsibility: independent supplementary prescribing (v300) required to undertake specialist role The post is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands.

4. ORGANISATIONAL POSITION

Clinical nurse manager Senior charge Nurse RNS x1 RNS x1 RNS (this post)

5. ROLE OF DEPARTMENT

The respiratory/cardiology directorate offers a comprehensive specialist service to respiratory patients with acute and chronic respiratory and cardiology conditions for Lothian and the East of Scotland. The ward is a regional centre for adult cystic fibrosis patients. The ward can provide telemetry monitoring for up to 8 cardiology patients and host the pleural service for the Western General Hospital site. Health promotion and rehabilitation advice is delivered to this patient group by a highly effective multi-disciplinary team.

To provide high quality, safe and supportive environment in order to care for patients within the respiratory and cardiology directorate, meeting the identified physical and psychosocial needs

6. KEY RESULT AREAS

Clinical Practice 1. Responsible for providing specialist advice in relation to patient conditions and supporting the

development of specialist care plan / package through assessment to meet the physical and psychological needs of the patient.

2. Participate in policy development through attending national / specialist groups, which facilitate

net-working and sharing best practice through the provision of specialist professional advice. 3. May initiate medication prescribing, administration and management in line with Patient Group

Directive’s or Prescribing as required for specialist role and in line with prescribing competence. 4. Apply principles of epidemiology and demography in clinical practice recognising risks, patterns of

disease and work collaboratively with a variety of stakeholders to develop health promotion strategies and reduce health inequalities.

5. To undertake risk assessment (including patient behaviours and working environment) and

incident management within clinical area including implementation of action plans and associated learning to ensure ongoing compliance with related legislation and guidelines, including Health and Safety at Work Act and NHS Lothian Health and Safety policy and reporting systems, to safeguard patients, visitors and staff.

Clinical Leadership 6. Provide clinical leadership in relation to the management of patient condition working at specialist

practice level to provide mentoring, supervision and clinical advice where required to the multidisciplinary team.

7. Develop effective partnerships and positive working relationships with a variety of internal and

external agencies in order to support seamless care provision across all agencies. 8. Participate in business continuity, workforce planning and skills profiling to ensure the targeting of

resources to meet the needs of the team, individuals and families. 9. Participate in the appraisal process and Personal Development Plan Review in line with the

Knowledge and Skills Framework. Support management of performance issues for area of responsibility. Provide and participate in clinical and peer supervision.

10. Participate in the development of local procedures and protocols ensuring compliance with

National legislation and NHS Lothian policies and identify opportunities for the continuous development of service.

11. To support NHS Lothian’s values of quality, teamwork, care and compassion, dignity and respect,

and openness, honesty and responsibility through the application of appropriate behaviours and attitudes.

Practice Development and Facilitated Learning 12. For area of expertise provide specialist advice and teaching to the multidisciplinary team. May

work in collaboration with education providers and other key stakeholders to ensure staff competency is achieved and maintained.

Research and Development 13. May participate in research and undertake clinical audit to support own and the team’s best

practice which is research and evidence based leading to continuous improvement in care. Disseminate findings as appropriate to influence best practice.

7a. EQUIPMENT AND MACHINERY

The following are examples of equipment which will be used when undertaking the role: This list is not exhaustive: Digital thermometers, sats monitors, blood glucose monitors, portable ECG machines therapeutic mattresses and beds, arterial blood gas sampling and analysis The postholder will be expected to be responsible and knowledgeable in the safe use of all clinical and non clinical equipment used within the area ensuring this is checked and maintained and where problem are identified these resolved so that all equipment is fit for purpose. Note: New equipment may be introduced as the organisation and technology develops, however training will be provided.

7b. SYSTEMS

The following are examples of systems which will be used when undertaking the role:

To maintain accurate and up to date clinical records complying with patient confidentiality and provide data for core surveillance

To be responsible for recording all activity/contact on appropriate local system

To update and maintain a range of information databases

Responsible for ordering supplies e.g. supplies and equipment using ordering systems

To be proficient in the use of IT systems - internet/intranet including use of email

Risk assessments

Note: New systems may be introduced as the organisation and technology develops, however training will be provided.

8. ASSIGNMENT AND REVIEW OF WORK

Works within occupational, national and local policies and guidelines. Will have a Professional Personal Development Plan including an assessment of clinical competence which will be reviewed annually by the responsible line manager. Professional nursing advice may be provided by the Senior Charge Nurses. The post is self directed, organising own workload in relation to specialist caseload to meet the demands of the service. The clinical workload is generated through various referral protocols of multidisciplinary teams in line with legislation and performance indicators set by the Scottish Government Health Department.

9. DECISIONS AND JUDGEMENTS

Makes autonomous clinical decisions in relation to patient assessment, care planning and review within area of specialty. Agree referral protocols, undertake risk assessments and using specialist clinical reasoning skills, make further referrals to Clinicians when it is identified that further clinical intervention is required. Uses own initiative and acts independently within the boundaries of own knowledge and Skills. Participate in the appraisal process through Personal Development Planning and review in line with the Knowledge and Skills Framework.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Continued promotion of the specialist role and challenging the boundaries of the current parameters of practice.

11. COMMUNICATIONS AND RELATIONSHIPS

Communicates sensitive, complex clinical condition related information to patients, relatives and carers in relation to specialist area.

Communicate verbally and in writing to members of the multidisciplinary team - members of Primary and Secondary Health Care Teams, Social Care; statutory and non-statutory services with the ability to express professional views within group settings and support client advocacy.

In addition to the above other contact falls into the following main categories in relation to healthcare, staffing and service issues:

The patient, their relatives and the multidisciplinary team involved in the provision of care

Nursing staff regarding patient care, allocation of work, workload issues

Partnership, Trade Union and Professional Organisation representatives in relation to service and staffing issues

Acts as a patient /staff advocate through the application of ethical, legal and professional knowledge and skills.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

This section may vary depending on clinical area. Examples may include:

Physical Skills: Administer medicines, injections, syringe drivers, intravenous infusions and blood transfusions. Administer enteral tube feeding. Insert urinary catheters. Apply wound dressings. Manual handling techniques. Keyboard skills. Taking blood for arterial blood gas analysis

Physical Demands:

Physical manual handling of patient, patient movement with use of mechanical aides Push wheelchairs and other mobile equipment. Stand/walk for the majority of shift.

Mental Demands:

Concentration is required at all times when caring for patients and undertaking clinical decision making. Maintenance of precise and accurate records and report writing. Frequent interruptions from patients / relatives / team members. Concentration required when observing patient behaviours which may be unpredictable

Emotional Demands:

Communicating with distressed / anxious / worried patients and relatives.

Caring for patients and relatives following receipt of bad news and supporting them in identifying

realistic expectations in relation to clinical conditions.

Communicating with and caring for patients who have reduced understanding and insight due to cognitive impairments. Caring for the terminally ill. Motivating and supporting junior staff / colleagues in the work environment.

Working Conditions:

Exposure to body fluids. Potential exposure to verbal and physical aggression from patients and relatives / other visitors. Exposure to infections and temperature variations.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Registered nurse Evidence of significant post registration professional practice experience to undertake and fulfill the key areas for this post e.g. - postgraduate courses in clinical specialty Prescribing experience relevant to specialist role eg nurse prescribing (v100/v150) or independent supplementary prescribing (v300) Evidence of management, education and training Effective listening and interpersonal skills Time management skills/ability to prioritise workload Evidence of research /audit experience Evidence of effective problem solving skills Competent in standard IT packages e.g. Microsoft Word & Excel

14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom

the job description applies.

Job Holder’s Signature: Head of Department Signature:

Date: Date:

Section 4: NHS Lothian Values into Action

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are:

Quality

Dignity and Respect

Care and Compassion

Openness, Honesty and Responsibility

Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk

Section 5: General Information for Candidates

Data Protection Act During the course of our activities we will collect, store and process personal information about our prospective, current and former staff. The law determines how organisations can use personal information. For further information on the type of data that is handled, what the purpose is of processing the data and where and why we share data, please see the NHS Lothian Staff Privacy Notice, found at https://www.nhslothian.scot.nhs.uk/YourRights/DataProtection/Pages/StaffPrivacyNotice.aspx. For the purposes of this privacy notice, 'staff' includes applicants, employees, workers (including agency, casual and contracted staff), volunteers, trainees and those carrying out work experience. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.audit-scotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application.

NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in regulated work – Protection of Vulnerable Groups Scheme membership

For all other posts which are subject to a criminal conviction record check – A Police Act check

For posts not subject to a criminal conviction record check – A self-declaration For further information please visit our careers site: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/FAQsdisclosurescotlandandselfassessmentform/Pages/default.aspx

Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/Pages/default.aspx

Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/OverseasWorkers/Pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change

Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair.

Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.) Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application. For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/HelpAndAdvice/ApplyingForPosts/Pages/default.aspx

NHS Staff Benefits As a staff member in NHS Lothian, you will have access to a wide variety of offers and discounts from local and national businesses. For more information and to view these discounts, visit www.nhsstaffbenefits.co.uk - new offers are added on a weekly basis.

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/Location/RelocatingToLothian/Pages/default.aspx

Section 7: Workplace Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued.

Section 6: Working in Edinburgh and the Lothians

In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/EqualOpportunities/Pages/default.aspx

If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers