Nursing & Midwifery Learning Disability Liaison Nurse Acute Services Band 7 subject to job evaluation. Trustwide

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1 PLYMOUTH HOSPITALS NHS TRUST JOB DESCRIPTION Job Group: Job Title: Existing Grade: Directorate/Division: Unit: E.g., Department, Area, District Location: Reports to: Accountable to: Job Description last reviewed: Nursing & Midwifery Learning Disability Liaison Nurse Acute Services Band 7 subject to job evaluation Professional Practice Trustwide Derriford Hospital Deputy Director of Nursing Director of Nursing (Insert Date) Job Purpose: 1. Improve the quality of care received by individuals with a learning disability in the acute hospital setting. 2. Manage the interface between mainstream general hospital services, primary care services and community specialist disability services. 3. Facilitate open and easy access to general hospital services for people with learning disabilities in Cornwall/Plymouth/Devon. 4. Develop effective and collaborative working with healthcare and multi-agency colleagues, including identifying and meeting the training needs and providing specialist and nursing advice. 5. Incorporate the philosophy outlined in Valuing People Now and the principles embedded within the overarching structures as set within the Learning Disability Strategy, clinical governance framework and Disability Equality Scheme. 6. Providing advice re assessments of special needs such as mental capacity, mental health act assessment and deprivation of liberties assessments. Key Dimensions: This is the numbers section of the job description. Details of the size of budget managed and/or the numbers of staff the post manages. Even if the post does not have any budgetary or staff management responsibility there are often other figures which can be detailed in this section to give an indication of the breadth and scope of the post. These could include the size of caseload managed, average number of referrals or the number of staff or patients an advisory service is provided to etc. 1

2 ORGANISATIONAL CHART Director of Nursing Deputy Director of Nursing Matron Emergency Assessment Units Vulnerable Adult Nurse Specialist Learning Disability Liaison Nurse Acute Services External Learning Disabilities Lead Clinical Supervisor PRIMARY DUTIES & AREAS OF RESPONSIBILITY To act as a resource and point of contact for all Acute/PHT staff, community learning disability services and other professionals. 1. To facilitate the meeting of individual healthcare needs for people with complex needs, liaising with the community learning disability team to co-ordinate support on learning disability referrals who may require help to access acute services To actively assist people with learning disabilities, as well as carers and health and social staff when using acute services. 3. To provide support and advice regarding best interest and consent to the service user, their family/carer, and the professionals involved in decision making about their care. 4. To provide support and advice regarding safeguarding issues specifically for Learning Disability patients but also, in respect of advice, more widely. 5. To act as an advocate for users with learning disabilities ensuring the provision of appropriate information and support. Work with the appropriate users, healthcare professionals, support staff and external agencies to support professional development and practice. 1. To work in partnership with multi-professional / education staff to provide a comprehensive, innovative clinical skills and competency education framework. 2. To assist acute service provider to identify training needs in relation to learning disabilities and assisting with the development of teaching materials / training packages.

3 3. To co-ordinate and assist in the delivery of training to meet identified needs specifically to ensure that colleagues in acute hospitals are aware of and able to meet the needs of people with a learning disability. This should include safeguarding adults. 4. To contribute or deliver educational sessions to all staff groups, liaising with other agencies and users in order to gain their participation in the education delivery. 5. To co-ordinate meetings and providing regular updates to nominated Learning Disability Resource Leads, providing updates and resource materials as required. To promote effective working relationships, including communication/ information network. 1. Raise the profile of the health care needs of people with a learning disability across secondary care provision, bridging the gap between acute clinical care areas to enable better communications and access to healthcare. 2. Escalate the development of the learning disability resource lead role within all clinical areas across Acute/PHT, networking with other healthcare settings, community hospitals within Plymouth/Cornwall/Devon. 3. To actively promote the Acute Liaison Nurse role to service users, families and carers and other professionals and developing and maintaining networks with partners in primary, community and learning disability services. 4. To contribute to the development of healthcare information and resources in accessible formats for service users and their families / carers. 5. Develop constructive relationships by attending and contributing specialist knowledge to case conferences / clinical meetings and discharge planning meetings as appropriate, and to make referrals direct to social services / other agencies as required. 6. Liaise with voluntary services within the Hospital and Trust. 7. To assist clinical nurse managers and others in providing information so that the health needs of people with learning disabilities are reflected within Acute/PHT priorities, ensuring that the delivery on National Service Frameworks, local implementation strategies, local care pathways, Strategic Health Authority Regional Health Framework, are inclusive of their needs. To ensure practice and service across Acute settings is provided within a sound clinical governance framework 1. Support working partnerships with primary health care teams, acute hospitals, audiology, podiatry, dentistry, optometry and other key health care providers in Cornwall / Plymouth / Devon. 2. Assess and advise accordingly on issues surrounding the complex needs of some people with learning disabilities in relation to: 3

4 - Emergency and Elective Admissions - Discharge Planning - Monitoring of length of stays - Access to investigations and diagnostics 3. Identify existing / potential barriers in accessing acute services for people with a learning disability and promote initiatives to overcome these barriers. 4. Support and enable Acute/PHT services to make reasonable adjustments within their care delivery for people with learning disabilities. Develop suitable information systems to monitor and report on critical elements and identify action(s) to be taken as required. To ensure the service adheres to legislation requirements as identified within the organisation s Disability Equality Scheme 1. Assist clinical areas in recognising potential barriers to hospital access and other communication issues in relation to individuals with learning disabilities, and provide advice and support as required. 2. To undertake benchmarking against recognised national standards. 3. To promote active participation of service users and their families / carers in the healthcare process, working within the Public and Patient Involvement agenda. 4. To assist in the development of monitoring of local standards in partnership with people with learning disabilities, Patient and Liaison Service (PALS), and carers groups. 5. To work in partnership with people with learning disabilities, self-advocacy groups, PALS and carers groups in the development, implementation and maintenance of service provision and the establishment of Acute Learning Disability review group. 6. To assess the impact of local and national initiatives and provide feedback on trust initiatives relating to skills competency of its workforce 7. To make recommendations and participate in the formulation of new working practice policies. 8. Contribute to the Risk and Health & Safety Agendas in the Trust. 9. Promote the early resolution of issues and complaints working closely with appropriate Matrons and Clinical Leads. COMMUNICATIONS & WORKING RELATIONSHIPS This section details the main working relationships and communication channels linked to the post including levels of communication i.e. telephone, who with etc. 4

5 Professional Development and Management 1. To be a highly competent and knowledgeable practitioner within a specialty. 2. To act as a role model within the specialty field 3. To ensure that own clinical and theoretical skills are maintained and ensure awareness of current developments 4. To provide an innovative and progressive attitude to the personal and professional development underpinned by research and evidence based practice 5. To participate in regular clinical supervision sessions in order to receive professional support and time to reflect upon practice. 6. Ensure that full and complete nursing records are maintained in accordance to NMC standards 7. Ensure client and personnel confidentiality at all times, and store all confidential information securely in line with the data protection legislation Act in accordance to policies and guidelines Derriford Hospital (PHT). OTHER To include any other non-standard terms. 5

6 All Job Holders are required to THIS PAGE MUST BE INCLUDED IN ALL JOB DESCRIPTIONS Work to the Trust values - Put patients first, Take ownership, Respect others, Be positive. Adhere to Trust policies and procedures, e.g. Health and Safety at Work, Equal Opportunities etc. Maintain personal and professional development to meet the changing demands of the job, participate in appropriate training activities and encourage and support staff development and training. Attend statutory, essential and mandatory training. Respect the confidentiality of all matters relating to their employment and other members of staff. All members of staff are required to comply with the requirements of the Data Protection Act Comply with the Corporate Governance structure in keeping with the principles and standards set out by the Trust. Comply with the codes of professional conduct set out by the professional body of which registration is required for the post. Ensure they are familiar with the Risk Management Framework, follow policies, procedures and safe systems of work, make known any hazards or risks that they identify and take all necessary actions to reduce risk. Ensure the welfare and safety of children within their care. This includes staff who come into contact with children and families in the course of their work as well as those staff who have a specific role with children and families. Maintain the prevention and control of infection and fully comply with all current Trust Infection Control policies and procedures. Take responsibility for any records that they create or use in the course of their duties, in line with the Public Records Act and be aware that any records created by an employee of the NHS are public records and may be subject to both legal and professional obligations. All Managers are responsible for Assessing risks and implementing the necessary actions to minimise these risks within their sphere of responsibility. They must also enable staff to attend the relevant statutory and essential training. Managing attendance in accordance with the Trusts Attendance Management Policy. All Heads of Departments are responsible for Ensuring all necessary risk assessments are carried out within their division, directorate or department in liaison with relevant sources of specialist support and expertise within the Trust. They must also ensure that the risk management process is completed appropriately. Note 6

7 This job description is neither definitive nor exhaustive and is not intended to be totally comprehensive. It may be reviewed in the light of changing circumstances following consultation with the post holder. This job description is to be read in conjunction with all current Plymouth Hospitals NHS Trust policies, procedures & guidelines. PERSON SPECIFICATION TEMPLATE ATTRIBUTES ESSENTIAL DESIRABLE KNOWLEDGE & EXPERIENCE QUALIFICATIONS APTITUDE & ABILITIES In-depth knowledge of safeguarding adult services and mental capacity Act including DOLS. Evidence of dynamic continuing professional development linked to demonstrable clinical competencies Experience of handling clinical incidents and complaints Understanding of professional and current issues in nursing learning disabilities in acute areas Understanding of the wider NHS and local agendas including the learning disability workplan Understanding of resource management, health and safety, clinical risk and quality issues Awareness of equality and diversity Clinical governance Current entry on NMC register learning disabilities or General Nursing Assessing and mentoring qualification Possession of a relevant degree or studying towards or equivalent. Evidence of fulfilling PREP. Excellent managerial, leadership and organisational skills Excellent verbal and written communication skills Excellent teaching, training and preceptorship skills Able to problem solve and initiate change Able to work across professional team and organisational boundaries Skilled negotiator Analytical skills Experience of taking charge of a service or department Experience of leading and managing a team of multi professional staff including management of conflict, absence etc Previous experience of research and audit Experience of dealing with violence & verbal aggression Experience of caring for Learning disabled patients in a general environment. Counselling Skills 7

8 Ability to delegate and prioritise Ability to mange various demanding agendas at the same time Computer literate Ability to undertake the tasks of the job Ability to deal with exposure to distressing circumstances Ability to work as an autonomous practitioner Ability to support staff with bereavement care Ability to deal with highly emotional situations and support staff Ability to maintain concentration- Ability to work as part of a multidisciplinary team Ability to deal with conflict situations DISPOSITION / ATTITUDE / MOTIVATION A flexible approach to work. Effective time management. Accountability Takes responsibility for own actions and promotes good team working Openness Shares information and good practice appropriately Mutual respect Treats others with courtesy and respect at all times OTHER FACTORS 8

9 Agenda for Change Version 12 Author: Mark Wilson Date: 20/04/2008 Appendix 2 Sign-off-sheet Plymouth Hospitals NHS Trust AGENDA FOR CHANGE Post. Current Grade... Directorate/Speciality.. Department... DECLARATION: Post Holder: I confirm my agreement that this Job Description & Job Specification are a proper reflection of my job and that I am happy for them to go forward to the Agenda for Change Job Matching Process. Signed. Date Full Name Line Manager: I confirm my agreement that this Job Description & Job Specification are an accurate reflection of the job of the post-holder for whom I am responsible and that I am happy for them to go forward to the Agenda for Change Job Matching Process. Signed.. Date... Name Job Title.. 9

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