Thoracic Nurse Consultant

An exciting opportunity has arisen for the position of Nurse Consultant in Thoracic Surgery.
The post holder will be an expert advanced practitioner who exercises judgment, discretion and decision making in clinical care.
This includes using advanced clinical skills and providing expert professional advice, demonstrating the understanding of the issues related to the identification, assessment, diagnosis, treatment and management of surgical patients., The post holder will monitor and lead improvements in standards of care through supervision of practice, clinical audit, evidence based practice, the teaching and supporting of professional colleagues and the provision of skilled professional leadership.
They will lead the implementation of research into practice contributing to further development of the evidence base through research and audit.
Contribute to clinical governance within the service by leading audit and research as part of the multi-disciplinary tea, ( MDT)
Work in partnership with others to develop a strategic approach for the provision of post operative services across all primary, secondary, and tertiary interfaces.
Develop any new services that are deemed appropriate to enhance patient care.
Lead on developments and innovations between the service and relevant external agencies, locally, nationally and internationally., · To act as an expert, autonomous practitioner, demonstrating advanced knowledge and skill beyond that associated with traditional nursing roles, including integration of research evidence into practice by expert clinical reasoning and decision-making.
· As an acknowledged expert in the provision of patient management the consultant nurse will be responsible for the care and management of thoracic surgical patients requiring specific support within the specialist field of thoracic surgery in collaboration with clinicians.
· Support and contribute to the development and learning of medical and nursing students and Doctors in training during clinical sessions. To utilise advanced clinical reasoning skills and evidence-based knowledge in the management of patients with highly complex presentations and to be clinically competent to utilise expert skills and knowledge in a variety of clinical settings. To develop, establish and implement guidelines and nurse led initiatives, particularly where precedents do not exist.
· To develop strategies for the process of referral of patients to the consultant Nurse clinics.
· To create, develop and design, with other multi-professional team members, care pathways for referral of the patients, with the aim of disseminating good practice and improving outcomes throughout the organisation.
· To work autonomously and make independent clinical decisions and initiate investigations, care/ treatment, and technological intervention.
· To direct and use the results of investigations to assist formulation of diagnoses and plan patient management form a range of interventions.
· To interpret and analyse complex clinical and non-clinical facts, to regularly provide expert advice and second opinion to health care professionals, including when views may differ or conflict. This includes the formulation of accurate prognoses where possible.
· To use expert theoretical and practical knowledge to refer to other departments/colleagues within or outside the organisation as necessary replying on own interpretation of investigation results and expert clinical decision-making.
· To work in collaboration with clinical teams and general management, in order to ensure there is a defined pathway of care for a patient including timely transfer or discharge.
· To work within trust guidelines in relation to non-medical prescribing practices for the supply and administration of medicines.
· To utilise expert re-assessment to ensure that the management of planned intervention with other MDT members is maintained via the development of systematic process of 'follow-up' of patients within the service and wider health spectrum.
Communication
· To demonstrate an expert ability to communicate highly complex and sensitive information to patients, carers and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities. This must be done whilst ensuring confidentiality at all times and ensuring sensitivity to the audience's level of understanding and prior knowledge.
· To be able to motivate others through advanced communications skills, using written and electronic information where needed.
· To effectively articulate their expert perspective on a patient's condition with colleagues, when various management options are available.
Governance & Quality
+ To incorporate national and international standards into local practice.
+ To inform and influence local management teams to ensure that the service responds to relevant national initiatives (eg: NICE).
+ To lead and interpret clinical policy change and provide expert recommendations to managers and local and national policy working parties.
+ To be responsible for any clinical risk management and competency-based training requirement that arises from such role development.
Service Development
+ · To be responsible, with other core members of the Thoracic surgical team, for the strategic and operational planning of the service and the developments of nursing professional practice both in the organisation and across its partners
· Contribute to business planning process in service, initiating bids for resources where appropriate.
· Involvement in the delivery of health and social care locally and nationally.
· To see new and follow-up patients in clinics.
· Outpatient management of patients with chest drains, pneumothorax and empyema surveillance pre and post-surgery enabling improved patient care and experience, improved bed flow and efficiency.
· To facilitate the integration of research into best practice.
· To develop nurse led clinics to meet the needs of patients using the service.
· To create, develop and implement guidelines and protocols of care in partnership with local / national / international stakeholders.
· To contribute to and influence the national policy agenda.
· To ensure that quality standards and effectiveness of patient care are continually monitored and improved in conjunction with local managers. Involved in workforce planning to meet service development and policy change.
· To identify appropriate outcome measures and service impact measures, which evaluate accurately patient response and service development's needs.
Training & Research
+ To provide clinical and professional leadership and career development for clinical teams.
+ To give input into performance / appraisal review of appropriate staff.
+ To have a key responsibility for clinical teaching and staff development of peers, other health professionals within the clinical area, across the service and outside the organisation relating to chronic pain and advanced nursing practice
+ To develop formal links through partnerships with local universities and relevant professional bodies.
+ To assist in the local and national recruitment of staff as a clinical expert panel member.
+ To provide clinical supervision to other staff and engage in own supervision. Authorised signatory and input into the budget control.
+ To lead the training and education needs of staff, at individual , team and organisational level.
+ To initiate new programmes of education and training, to facilitate changes in practice. To provide learning opportunities for nurses and other health care professionals via mentorship and supervision. This includes providing inter-professional support for staff of all disciplines.
+ To contribute to the development of the undergraduate and postgraduate training programmes locally and nationally in order to facilitate the advancement of structured, evidence-based career progression.
+ Support education and research nationally and internationally by lecturing and though journal publications.
We reserve the right to close this vacancy early. Therefore, interested applicants are advised to apply as early as possible.
Please review the job description and person specification carefully before applying to ensure that you meet the essential requirements for the post.
All applicants will be contacted and informed by email whether they were successfully shortlisted for interview.
As part of you pre-employment checks we will be required to obtain satisfactory references. We require at least one written reference from your current or most recent employer. We are only able to accept references from a professional work email address.
From April 2017 the Government plans to extend the requirement to provide a criminal record certificate to Tier 2 visa applicants coming to work in Education, Health and Social Care sectors and to their adult dependants.
If you are a Tier 2 visa applicant and you are coming to work in an occupation defined by the relevant Standard Occupational Classification (SOC) code, you will be required to provide a criminal record certificate from any country you have lived in for 12 months or more in the last 10 years, this is also applicable for your adult dependants.
Employers are expected to implement the Care Certificate for all applicable new starters from April 2015. The Care Certificate aims to equip health and social care support workers with the knowledge and skills which they need to provide safe, compassionate care. We expect all new starters in clinical, patient facing posts (bands 1-4) to complete all 15 standards of the Care Certificate, within their first 6 months with the Trust.
Flexible Working applications will be considered in line the Trusts flexible working policies.
The Trust is a no-smoking site.
We reserve the right to close adverts earlier than the closing date should we receive sufficient applications and so urge you to submit your application as soon as possible.
Please note UKVI guidelines prohibits sponsorship for all Band 2 posts. Guidelines state that many non-clinical posts are also not eligible for sponsorship. Please use UKVI guidance on Skilled Worker Visas to determine whether you would be eligible for sponsorship if you were to gain a conditional offer for this role.

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging, both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Heart and lung disease continue to be amongst the biggest killers in the UK and the communities we serve are marked by increased prevalence of cardiovascular disease, higher levels of heart failure, hypertension, coronary artery disease and an ageing population.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and facilitated by technology. New and upgraded clinical areas are designed with patients and families fully involved to deliver their needs.
As part of our long term plan, we aim to form strong clinical and organisational relationships where possible. There is clear evidence that partnerships improve patient care and enhance quality and we aim to collaborate with a range of other providers and professionals with the aim to extending access and improve quality.
Our vision is underpinned by five strategic goals:
+ Quality: to deliver the highest quality, safest and best experience for patients and their families by providing reliable care
+ Service and Innovation: to develop our service portfolio for patients by developing innovative models of care
+ Value: to maintain financial viability, enhance service delivery and develop new models of care to improve the health of our patients and safely reduce costs
+ Workforce: to be the best NHS Employer by 2019 by attracting and retaining the best staff to deliver excellent patient care
+ Stakeholders: to develop productive relationships with key stakeholders in order to enhance our profile and reputation.
Our Mission
"Excellent, Compassionate and Safe care for every patient, every day", As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.
Please visit our website - https://www.lhch.nhs.uk/
Please follow this link for a tour of our site - https://bit.ly/36ylsoq