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Job Description Clinical Development Manager Band 8a Date: April 2017 2 Job Profile 1. JOB DETAILS Job Title: Band: Base: Department: Hours of Duty: Responsible to: 2. Clinical Development Manager Band 8a – 12 month (secondment/fixed term contract) Edward Jenner Court with Trust wide travel if required Professional and Clinical Effectiveness (PaCE) directorate 37.5 hours per week Director of Nursing and Deputy Director of Nursing ROLE SUMMARY AND SPECIFIC JOB PURPOSE The clinical development manager will play a strategic leadership role in leading on the development of high quality clinical care pathways across the Trust. This requires the post holder to encourage, influence and facilitate healthcare professionals and other colleagues to develop practice that is patient centred, health promoting and evidence based. The post holder will use service improvement skills, to enable a more consistent performance across the trust. Approaches to care delivery, nursing, allied health and medical protocols will be routinely developed implemented and standardised. The post holder will also work with colleagues to support the development of a culture of continuous improvement across the organisation. The post will focus on a specific identified clinical area and for 2017/18 this will be the deteriorating patient (including Sepsis and early warning scores), pressure ulcers and as required some other Clinical Priorities that may emerge within the PaCE directorate. The post holder will therefore need to have transferable skills to new clinical areas as the portfolio may change within the term of the secondment according to the needs of service users, commissioners and the organisation. 3 3. DIMENSIONS OF JOB The post holder will have a significant impact on the development and success of the organisation and the wider NHS through the use of their clinical credibility and knowledge and skills to define and deliver new or improved clinical care pathways. The post holder will need to identify, balance and manage the complex networks and service and organisational needs and intentions in a context of multi-organisational working. This is a highly visible clinical leadership role that will be flexible and will change according to priorities. And specifically for 2017/18: The post holder will need to focus on a work plan that is consistent with the principles and objectives contained within the National and local strategies, (depending on the emphasis of the specific post). The post is therefore an integral part of the trust’s senior clinical structure within the Professional and Clinical Effectiveness (PaCE) directorate providing senior leadership. 4. ORGANISATIONAL STRUCTURE Please also refer to appendix for wider directorate structure and interrelations. Deputy Director of Nursing Director of Nursing Clinical Development Manager 4 5. KEY DUTIES AND RESPONSIBILITIES Clinical Develop new or improved models of care, engaging the contribution of clinicians and other clinical staff, other stakeholders and service users, which will promote and facilitate clinical developments in practice as well as integrating these into robust new care pathways. Lead on these developments through the chairing of forums, task groups and other areas of work in order to produce improved or new clinical care pathways. Maintain an expert level of professional competency, acting as a positive role model through direct contact with people who are directly affected by the relevant area of clinical care in the clinical areas. Advise and support colleagues using sound knowledge, professional skills and up to date understanding of national and international development in the specified clinical area of care of the post. Exercise a high degree of personal and professional autonomy when supporting and advising clinicians, demonstrating the ability to make critical judgements when complex situations arise, where precedents do not exist. This may have relevance to issues such as mental capacity, management of risk and best interest decision making. Act as a change agent by implementing practice development initiatives that increase the skills and confidence of clinicians in the clinical area. Develop mechanisms that enable clinicians to critically reflect upon their day to day practice, within a supportive and facilitative environment. To provide leadership and support for all staff and to act as a role model and professional support to practitioners at all levels within the trust. To act the as the lead for issues relating to the management of patients within the specified clinical area assigned to the post. To ensure clinical practice follows a sound evidence base and is in the best interests of patient care and to take the lead in co-ordinating action on standards, to ensure the environment is fit for purpose for the particular care pathway being developed. Ensure patient and carer involvement in the evaluation and development of the clinical care pathways. To act as an expert communicator, inspiring and acting to disseminate relevant information as well as receiving feedback from staff and patients. Investigate and respond to comments/complaints relating to the specific clinical area assigned to the post in line with trust policy. Contribute to clinical governance and effectiveness through identifying and leading audit topics for practitioners by promoting the development of research skills and practice within the area of responsibility. 5 Ensure any planning and management of capital or revenue projects meets the requirements of people within the specified clinical area assigned to the post. When appropriate, be an advocate for the person/service user who is affected by the specific clinical area assigned to the post. Clinical Systems (e.g. SystmOne) To contribute to the performance of the trust in respect of delivery of solutions to information management and technology programmes, addressing ineffective processes, identifying benefits and development of appropriate change plans to enhance service delivery and performance standards. Key Performance Indicators Ensure that appropriate systems are in place to closely monitor and deliver relevant performance targets related to the clinical pathways assigned to the post. Assist and where necessary lead on the investigation and response to reported incidents and verbal and written complaints within the specified clinical area of the post (both formally and informally in line with trust guidelines). Professional Leadership Liaise with charitable organisations, the independent sector, primary, secondary and social service providers of the clinical care pertaining to the pathway in order to identify greater integration of local care pathways for the service users. Influence health and social care workers through collaborative relationships across the organisational boundaries. This will include clinical scrutiny of recommended new pathways of care, clinical, financial and cost-benefit analysis of new proposals, challenge and raising of risks where appropriate, as well as leading celebrations on new clinical initiatives. Actively promote the physical, psychological and social needs of people affected by the clinical domain specified in the post by working with colleagues to set standards for best practice and disseminating these throughout the trust. Act as a source of expert strategic and clinical advice and critical thinking, empowering others to develop creative approaches to problem solving. Take the lead in developing frameworks for improvement, recognising that the views of service users and their families/carers have an integral part to play in any quality initiative. Evaluate the service against existing frameworks and take responsibility for further developing this via national and international networks. The post holder will be expected to demonstrate a methodical structured approach to their work and be able to implement project management skills when introducing new or improving existing clinical care pathways. Foster a culture of innovation, working in collaboration with senior leaders across the trust, embracing the Listening in to Action culture and working where appropriate with the Ambassador of Cultural Change. 6 To be available on the management and capcity on-call rota as per Trust Policy. Coach and mentor staff to develop where appropriate. Act as a champion for patients and their interests, ensuring the patient’s voice is at the heart of clinical pathway and network activities. Keep up to date with the evidence base of the relevant clinical pathway for continuous improvement and disseminate the specialist knowledge both locally and where appropriate nationally. To deputise for the Director of Nursing or Deputy Director of Nursing as and when required. Able to produce detailed reports for the various trust committees, including Clinical Reference Group, Quality and Performance Committee and Trust Board. The post holder will have excellent general computer and other information technology skills and have a sound working knowledge of SystmOne. Ability to communicate with staff at all levels in the organisation and the public. Work collaboratively with other specialities and professional groups to ensure that best practice is achieved for all aspects of clinical care. Able to innovate, motivate, and implement development of improved clinical practice through excellent persuasive and negotiation skills. Steer the production of key communications materials associated with the respective clinical pathway programme for executive directors and senior managers in the trust as well as trust colleagues and external stakeholders. Liaising with others both within the organisation and outside the organisation to ensure the trust’s relevant care pathway strategy is embedded into and integral to other developments across the trust, including the overall clinical strategy. Project management skills To develop and implement a detailed and robust project plan for the clinical pathway with all stakeholders. Develop, refine, maintain and monitor the project plan ensuring progress is tracked and reported on to the relevant care pathway/strategy group and higher committees. To Lead, manage and coordinate work streams to achieve their objectives which will include; a) Setting up of meetings and management of the necessary documents b) Facilitating work stream meetings c) Proactively manage stakeholders (e.g. events) Analysing and presenting data to help identify good practice and other’s experiences of the process that may be relevant. Education Work with the Head of Professional Practice to ensure high quality training to the Trust’s colleagues. Provide a strategic overview of the training requirements for any relevant clinical area/pathway to support local and national recommendations. 7 Demonstrate the ability to work closely where appropriate with academic institutions to develop educational programs that are relevant to the specific clinical pathway. Responsibility for Patient/Client Care Required to ensure work is bound to Caldicott standards. Responsibility for Policy/Service Development Translate the significance and potential impact of government policies, NICE guidance and other standards as they relate to the specific area of care/clinical pathway to the development of policies, guidelines and standard operating procedures. Freedom to Act To lead on the design and delivery of specified clinical care pathways as detailed above. Physical Effort Required to spend a high percentage of time sitting at a computer or at meetings. Mental Effort Required to undertake analysis of complex data and report in the most effective manner. To manage conflicting priorities in order to effectively meet objectives and deadlines. Emotional Effort The post holder will have limited exposure to distressing or emotional circumstances however tight deadlines for reports and other pieces of work will be the norm. Personal/Professional Development To take every reasonable opportunity to maintain and improve professional knowledge and competence. To participate in personal objective setting and review, including the creation of a personal development plan and plans for revalidation. Other This job description is not intended to be exhaustive and may be subject to change from time to time with consultation with the post holder. 8 6. PERSON SPECIFICATION Essential (Desirable) What National Occupational standard applies to this post and what formal qualifications are necessary to undertake this role e.g. NVQ, GCSE, Registered Nurse, ACA, degree, post graduate qualifications, masters degree etc. Essential Registered health professional of their relevant regulatory body. Masters level qualification (or equivalent professional knowledge acquired through degree/diploma supplemented by specialist training or equivalent experience to masters level) Desirable Leadership Qualification Mentorship/Teaching and assessing qualification or equivalent experience Describe and quantify the length and type of experience required to undertake the job. This could be work or academic experience. Essential High level IT skills Managerial experience High level written report skills Safeguarding knowledge 3-5 years recent NHS clinical experience (Band 7 or above). Expertise in a wide range of clinical conditions and nursing or allied health skills with the ability to transfer skills to new clinical areas. Senior leadership experience. Desirable Change management experience and/or skills Experience of delivering training Project management experience What other Professional or Specialist Knowledge is required e.g. specific post graduate qualifications or courses, specialist clinical skills (give length / level of short courses) Essential IT literate Excellent presentation skills Understanding of clinical governance and evidence based practice Review and interpretation of complex information 9 What other skills are needed to undertake the role e.g. oral and written communication skills, presentation skills, training or computer skills, audio typing or shorthand skills, research methodology skills, counselling skills, clinical skills etc. Essential Excellent interpersonal skills Able to work with staff at all levels across the Trust Enthusiastic and able to motivate Flexible Attentive to detail Analytical Able to work to tight deadlines and cope under pressure Ability to multi-task Assertiveness Diplomatic Advanced negotiation skills Confident public speaker What other attributes are required e.g. innovation, objectivity, motivation and enthusiasm, confidence Smart, neat appearance Articulate 10 7. COMMITMENT TO SAFEGUARDING, HEALTH AND SAFETY, CONFIDENTIALITY, EQUAL OPPORTUNITIES & IMPROVING WORKING LIVES Duty of Candour All workers and employees of GCSNHST are required to observe the Duty of Candour which requires individuals to be open and honest with patients when things go wrong in their area of responsibility Safeguarding Children and Adults Safeguarding children and vulnerable adults is the personal priority and responsibility of everyone who works with, or for, Gloucestershire Care Services NHS Trust. If you ever see, hear about or suspect harm is taking, or has taken, place you must report it immediately to a senior member of staff or to the designated safeguarding leads. You are expected to act in accordance with the Safeguarding training provided by GCSNHST and Safeguarding policy documents which are available on the intranet. GCSNHST is committed to the highest levels of care and protection for all those using our services. Health & Safety/Security It is the duty of every employee to adhere to the Trust’s Health & Safety Policy and work in such a way that accidents to themselves and to others are avoided, and to co-operate in maintaining their place of work in a tidy and safe condition, thereby minimising risk. Employees will, therefore, refer any matters of concern through their respective line managers. Similarly, it is each person's responsibility to ensure a secure environment and bring any breaches of security to the attention of their managers. Sustainable Development It is the duty of every employee to act in accordance with Gloucestershire Care Services NHS Trust’s Sustainable Development policy and strategy. That is to assist the trust in reducing our use of natural resources: electricity, fossil fuels, water, paper and other resources and minimising the production of waste. Employees will, therefore, refer any matters of concern regarding the use of natural resources through their respective line managers. Employees must assist the organisation in achieving its goal to be a Good Corporate Citizen that is to reduce our impacts through travel, procurement, buildings and facilities management and improving knowledge of sustainability whilst contributing to the local community. Confidentiality In the course of every employee's duties, they may have access to confidential material about patients, members of staff or other health service business. On no account must information relating to identifiable patients be divulged to anyone other than authorised persons, for example, medical, nursing or other professional staff, who are concerned directly with the care, diagnosis and/or treatment of the patient. Similarly, information relating to staff records or information concerning contracts, tenders and other commercially sensitive matters etc. are considered to be confidential and must not be divulged without prior authority. Breaches of confidentiality will result in disciplinary action. If in any doubt whatsoever as to the authority of a person or body asking for information of this nature, seek advice from your manager. Equal Opportunities, Respect and Dignity at Work, ‘Improving Working Lives’ Gloucestershire Care Services NHS Trust is committed to equality of opportunity & diversity in the workplace; all managers and staff are responsible for ensuring that this is delivered in practice. 11 GCSNHST is equally committed to respect for other people and all managers and staff are expected to be clear of what is expected of them and for ensuring that they commit to this policy in their day to day working life. GCSNHST will not tolerate any forms of bullying or harassment in the workplace. Everyone has a personal responsibility to seek to improve their own and colleagues working lives to create a healthy and productive working environment. 8. APPRAISAL AND PERSONAL DEVELOPMENT GCSNHST is committed to lifelong learning for all staff. All employees have a responsibility to participate in regular appraisal with their line manager and to identify performance standards for the post. As part of the appraisal process employees have a joint responsibility with their line manager to identify any learning development needs in order to meet the agreed performance standards. 9. REVIEW OF JOB DESCRIPTION This job description outlines current duties and responsibilities; however it is subject to review and amendment in the light of developing or changing services and as part of the annual Individual Performance Review. 10. CONFIRMATION OF AGREEMENT Name of Employee: Signed (Employee): Name of Line Manager: Signed (Line Manager): Dated: 12