JOB DESCRIPTION RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: Regional Manager Canterbury

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JOB DESCRIPTION POSITION: Clinical Manager Canterbury RESPONSIBLE TO: Regional Manager Canterbury FUNCTIONAL RELATIONSHIPS: National Clinical Manager Clinical Team Regional Quality and Risk Advisors Care Coordination team Local DHBs, MoH, ACC, Primary Care, Palliative Services, NASC and other agencies External Audit Agencies National Management DIRECT REPORTS: Community Nurses Allied Health Professionals Purpose: To lead and support the team of registered staff responsible for the delivery of a high standard clinical service to Access clients and to ensure that professional development and performance management is integrated and maintained with each individual. To build and maintain strong and effective relationships with local clinical stakeholders, including DHBs, Nasc, Older Persons Health Team, Palliative Services and other providers. To provide clinical expertise, leadership and support to the Organisation s workforce through the delivery of high quality, clinically focussed input into national policy and clinical development. This function shall be delivered primarily in conjunction with the National Clinical Manager.

Key Responsibilities: - To oversee the effective delivery of high quality, client focused home and community based care and support services to the region, within a safety and quality focused framework and in a highly flexible service response environment. - To oversee the effective delivery of high quality, client focussed integrated district nursing services to specific geographic areas as designated by the CDHB contract; including effective and efficient rostering of staff to ensure 24/7 coverage. - To oversee the effective delivery of high quality client focussed CREST services to specific geographic areas designated by the CDHB contract; including effective rostering of staff to ensure contracted service coverage. - To ensure visiting teams meet both Access accreditation requirements and contractual obligations as to initial and review client visits. - To be a voice and representative for Access with key stakeholders, including funders and referrers and to promote the company as one holding professional service delivery and performance standards and to ensure that strong relationships are developed with funders and referrers, NASC, Older Persons Health Teams, Palliative Care Services, Primary Care and other providers/agencies. - To lead, develop and manage the team of registered practitioners to deliver a professional, responsive and customer focused, high quality service, along with providing oversight to the regional off-site registered staff. - To oversee and support all qualified staff in their professional development and in the requirement to operate within professional boundaries and adhere to the Organisations policies and procedures, as well as those of the Nursing Council of New Zealand. - To oversee and provide advice regarding the clinical risks associated with all high needs and complex cases within the region. - To lead clinical auditing across the wider region, with support from other senior staff in the organisation. - To assist and support the national clinical manager in the development of new models of care, national clinical strategies, policies and training programs. - To maintain own professional credibility, accountability and development. - To assist the Regional Manager to meet company performance standards and operational objectives across the clinical area.

- To assist with strategy development for the organisation, from a clinical perspective, promoting clinical and group supervision, peer review, and PDRP engagement. - To provide pragmatic, business focused advice and solutions to day to day service delivery issues within the team. - To facilitate co-operative and cohesive working relationships between the registered workforce and Support Worker teams. - To oversee the effective delivery of an accurate and expeditious referral management service to referrers and other enquirers by maintaining oversight of the full range of clinical client needs for the area. - To oversee clinical placements for Student Nurses and Allied Health Practitioner Students, ensuring that contractual agreements with training schools are met for each individual. Key Accountabilities Performance Outcomes Provision of Clinical Leadership A proficient and capable workforce deliver a high quality clinical service. Help to drive improvements in quality of care. Clinical risk is minimised by robust monitoring and oversight of the registered workforce and high level skilled Support workers. Clinical expertise and advice is shared where appropriate with others within the organisation, to ensure correct care is delivered by the appropriate member of staff. Clinical records are consistent and well documented at all levels. Policies and procedures are reviewed and aligned to relevant statutory documents/ standards. All qualified staff are working within their scope of practice and competency framework. Supports and contributes to National requirements for input; consultation; professional contribution and requests.. Clinical support and advice is provided to staff to ensure clinical standards required by the organisation are met. Guidance, support and where required oversight into the development of support plans, is received appropriately. The provision of support services to all complex and high needs clients with an acuity level of 3 and above is monitored effectively. Regular supervision of all registered staff is provided to ensure assistance is delivered in all difficult and ethical decision making. Regional Manager is made aware of all identified clinical risks, and receives information about their mitigation. Regular clinical audits of clients documentation are undertaken to safeguard service quality and improvement. Strong and supportive relationships are developed and maintained across the registered workforce Staff Management and Professional Development: Expertise is provided as required to enhance the skills and performance of support workers and registered staff across the area Clinical education/information sessions are developed and shared as an in house All registered staff receive a workload / training needs analysis to ensure practice is aligned with the expectations and standards of the organisation. All registered staff are supported to undertake appropriate professional development opportunities relevant to their

education development plan. All Registered staff participate in a PDRP and are supervised through the process. Recruits appropriately skilled staff to clinical roles Monitor and manage performance and service delivery of all registered s staff. Develops a team of appropriately qualified, high performing clinical staff who adapt to change and commit to culture of excellence. role The National Clinical Manager is assisted in developing relationships with other organisations to enable access for registered staff on PDRP (Professional Development and Recognition Programme). Area Support Worker Co-ordinator s are assisted in providing teaching sessions for support workers. A case review process is designed and implemented whereby difficult and complex case studies are shared with national teams to spread the learning, maintaining the clients / workers confidentiality at all times. Peer support groups are participated in, with learning and development shared across the group. Utilises sound recruitment practises when recruiting registered staff Proactively manages performance of the registered workforce. Coaches with a view to best practise and professional standards Conducts regular performance appraisals Relationship Management Networking and participation in relevant committees, groups, and forums will be formulated to ensure the organisation is a participating member in new service models, clinical care development and integrated service delivery. Provides a positive face and voice for the organisation promoting the Principles of Access. Strong relationships with other agencies and organisations are in place, to share and learn regarding new models of care and ongoing professional education opportunities, as well as integrating home and community care within the health sector. Access is known and respected by referrers and other key influencers Access interests are well represented across local health and social care area, through committee involvement, focus groups, networking and using influence wherever possible. Strong and extensive networks are developed and maintained across the sector, with particular emphasis on DHB, NASC, Older Persons Health Team, Palliative Services, Primary Care and other providers Financial & Contractual Management Actions recommendations, taking into account the need for commercially viable and cost effective clinical practises that enhance business improvement opportunities Service Delivery meets service specification requirements in funder contracts and Access accreditation requirements.

Other Responsibilities Health and Safety Professional development Quality standards Te Tiriti o Waitangi Understands and applies the principles of the Treaty of Waitangi/Te Tiriti o Waitangi Partnership, Participation and Protection -and its relevance to the health of Maori in Aotearoa/ New Zealand Shows awareness of differing health and socio-economic status of Maori and non- Maori and acts accordingly Accepts and provides constructive feedback and makes appropriate adjustments. Actively pursues goals relevant to personal and professional growth Identifies and utilises professional networks Supports and contributes to the professional development of others Identifies and reports on health and safety hazards and takes corrective action if necessary Supports health and safety reps in the implementation of the health and safety plan Provides clinical advice on accidents and incidents where necessary Complies with all OSH legislation Leads and supports OSH initiatives as expertise allows Pro actively contributes to a culture of continuous improvement and motivates others to do the same. Ensures that all quality standards, policies and guidelines both national and regional are integrated into own and teams practise Documentation meets organisation and best practice quality standards Performs any other reasonable duties as requested by your manager, in a timely and professional manner Is familiar with and follows all company policies and procedures and relevant industry codes and legislation that provide guidance and set down the requirements of staff. Appendix 1 The Standards adopted by Access Homehealth Limited include, but are not limited to: Home and Community Support Sector Standard (NZS 8158:2003) Infection Control Standard (NZS 8142:2000) Risk Management Standard ( AS/NZS ISO 31000:2009) ACC Workplace Management Practices Audit Standard New Zealand Qualification Authority Audit Specifications Home and Community Support Sector Standard Audit tool and any derivative. WSMP and any derivative.

Person Specification: Qualifications: A clinical qualification and a relevant practising certificate. Practical experience within the home care /or community care sector as a registered practitioner. Sound understanding of the legislative framework, standards and best practice methodology that apply to clinical management within the Homecare sector. Experience in leading teams of registered staff Embraces change and has demonstrated ability to implement clinical management and improvement initiatives through structured programmes and processes. Strong information technology literacy, including Microsoft package, spreadsheets, databases and internet research ability. Excellent interpersonal skills that enable the building of effective relationships with a wide variety of key people, both internal and external. Excellent written and oral communication skills. Experience in supporting teams including registered staff. Ability to maintain focus and balance multiple and conflicting priorities whilst under pressure. Ability to think creatively and strategically and utilise problem-solving skills. A strong customer service focus, with the ability to understand customer needs and deliver effective solutions within a Home Care environment. EMPLOYEE Signed: Date: / / EMPLOYER Signed: Date: / /