Ward Manager Acute Admissions Unit Professional Leadership / Management Clinical Practice Clinical Governance · To ensure compliance with infection control guidelines and audits Communication

The Acute Admissions Unit is a 54 bedded ward, included in this is a 9 bedded enhanced care area equipped to provide care for patients needing level 1 care. The ward specialises in the care of acute medical patients who are being admitted through the Emergency Department.
The ward works closely with the Emergency Department to support the admissions of emergency patients as well as the inpatient wards in the hospital to provide level 1 care for patients who have a clinical deterioration and their needs cannot be met on an inpatient ward. The patient's admission on the ward should be no longer than 72 hours. If the patient care is expected to exceed this they will be transferred to an inpatient ward for ongoing care.
The ward is supported by a wide Multidisciplinary team including an acute therapy team, frailty team and Integrated Discharge Hub. We have a wide range of Specialist Nurses who assess our patients and help to plan individualised care for our patients. Each professional brings their specialised knowledge to ensure a holistic approach to each patient.
Staff on the ward are dedicated to provide high quality care and have successfully initiated several improvement projects to improve patient safety, including the introduction of portering team to support the transfers of patients., + In collaboration with the Modern Matron, service manager & clinicians, the Ward Sister/Charge nurse is responsible for the effective delivery of care given to patients within the clinical area.
+ To provide professional leadership within the clinical area.
+ To have 24-hr responsibility for clinical area.
+ To deliver care in accordance with the NMC Code of Practice/Scope of Professional Practice and the Trust's policies and protocols.
+ To ensure the safety of patients in accordance with local and national safeguarding procedures.
+ The post holder will provide expert advice and take a lead in the development and implementation of shared practice protocols in line with national recommendations and standards where these are available.
+ To lead a daily multidisciplinary meeting to ensure all patients have all patients have a clear treatment and discharge plan.
+ To reduce length of stay for patients ensuring timely pathways to support highest standard of care are in place.
+ To achieve financial balance
+ Assess staff performance and sickness, set up action plans and complete return to work interviews ensuring all documentation is completed., · Ensure the service continually improves to meet the needs of patients.
· Develop nursing staff to improve patient care by enhancing assessment and technical skills, and actively promoting advanced clinical skills and competencies.
· Provide leadership that promotes effective discharge planning that incorporates the patient & carers view.
· Provide expert advice on all aspects of patient care, through others where appropriate.
· Monitor standards of cleanliness and the patient environment within the clinical area.
· Ensure health and safety of staff and patients by complying with appropriate standards. These include radiological protection, decontamination, COSHH, Medical Devices, Infection Control and the safe administration of medicines standards.
· Ensure staffing rotas incorporate effective use of resources, managing within financial envelope.
· To achieve length of stay reductions through implementation of enhanced recovery programmes, effective discharge planning and supporting the Medical teams to utilise other resources such as Virtual Ward and Ambulatory Emergency Care for the ongoing treatment of patients.
· Deputise for the Modern Matron in their absence.

Clinical Practice
· Have excellent knowledge in recognising and caring for acutely unwell patients.
· Develop and maintain competence in agreed basic and advanced clinical skills
· To be competent to manage an emergency situation
· Have excellent skills and knowledge to care for patients in acute respiratory failure.
· Clinical duties are expected to be carried out for 40% of the working week
· Be an effective role model for junior staff including students
· Work with Specialist Nurses to develop & maintain competencies in the clinical area
· Provide effective communication channels with senior & junior staff
· Work with Modern Matron to implement, maintain & monitor Essence of Care
· Ensure Care Pathways are followed
· To be competent in delivering End of life care when required

Clinical Governance
· Lead the development of evidence-based multi-professional & inter-agency practice guidelines that support the implementation of good practice
· Work with the Matron to establish effective audit processes to monitor adherence to these guidelines and take appropriate action to influence/change practice where necessary
· Ensure annual appraisal review for all staff directly line-managed and identify individual development plans for each member of staff
· Ensure Clinical Supervision is provided for all nursing staff.
· Lead on Risk Management & incident reporting and foster a culture of "no-blame"
· Obtain regular patient & public feedback to ensure standards are continuously monitored.
· To ensure mandatory and statutory training are carried out as per Trust policies.

· To ensure compliance with infection control guidelines and audits

Communication
· Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
· Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
· Maintain effective, appropriate communication and dissemination of information to all others including relatives, significant others and colleagues.
· Welcome patients and their families to the ward and treat them holistically and as individuals.
· Have due regard for the customs, values and beliefs of all including patients including those who require End of life care.
· Work with the outside service providers and the multi-disciplinary team to ensure effective bed utilisation and safe patient discharge planning.
· Maintain and develop effective communication between the patients, families and the MDT.
· Show an awareness of ethical dilemmas and encourage discussion amongst the MDT.
· To investigate concerns and complaints as they arise, including speaking to patients and/or relatives

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites-Chelsea and Westminster Hospital and West Middlesex University Hospital-along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

+ Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
+ If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
+ In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
+ During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
+ Employment at the Trust is offered subject to successful completion of a six month probationary period.