Detailed job description and main responsibilities

 Delivery of the evidence based expert clinical care exercising a high degree of professional autonomy, demonstrating the ability to make sound decisions based on the knowledge and experience.

·         Holistic individual consultation of patients using a range of different assessment methods including medical history taking, physical assessment, clinical investigations and risk stratifications tools, all of these appropriate to the presentation within the boundaries of the role.

·         Order and interpret investigations, laboratory tests, appropriate imaging, and act on results as appropriate.

·         Reach a valid, reliable, and comprehensive conclusion based the history and clinical findings.

·         Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.

·         Communicate with patients in ways that empowers them to make informed choices about their health and healthcare.

·         Actively implement and manage, evidence based therapeutic programmes, which are in the interest of patient and improve health outcomes.

·         Work in partnership with other clinical teams making appropriate referrals to optimise health outcomes and resources.

·         In partnership with patients, clients and other professions, make sounds decision which are ethically based in the interest of patients and clients in the absence of precedents and protocols. 

·         Provide specialist knowledge, advice, resource information and support to clinical staff across the trust.

1.    Service & Practice improvement

·         Promote the improvement of quality and clinical effectiveness within the resource constraints.

·         Develop practices that are appropriate to patient and service need thought understanding the wider implications of epidemiological, demographic, social, political, legislative, and professional trends and developments.

·         Identify the need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.

·         Develop and undertake activities to monitor the progress and efficiency of the service and owns practice.

·         Continually assess and monitor risk in their own and others practice and challenge others if necessary.

·         Critically appraise and synthesise the outcomes of relevant research, evaluations and audits, and apply the information when seeking to improve practice.

2.    Management and Leadership

·         Contribute to the development to the specialist service and act as a change agent and facilitate the change process whilst encouraging other to be innovative and adaptable in the approach to change.

·         Work across professional, organisational and system boundaries to proactively develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems.

·         Review and update documentation and policies specially required by the team.

·         To be conversant with all the relevant Trust policies and procedures and ensure they are correctly implemented.

·         Lead the team in establishing and maintaining effective communication channels with the multi-disciplinary team, patients and their careers and external agencies.

·         To work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.

·         Coordinate, lead and manage the activities of clinics on a day to day basis.

·         Assisting with the investigation of complaints and lead on the development of action plans to address areas of concern.

·         Participate in the recruitment, selection and retention of staff.

·         To represent the Trust on National forums related to the role and Advanced Clinical Practice.

·         Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

3.    Information management

·         Adhere to confidentiality at all times with sensitive personal data.

·         Responsible for the systematic monitoring of investigations and appointments, in collaboration with administration and managerial staff.

·         Ensure compliance with care pathways and service development.

·         Provide reports of the statistics, service and practice developments when required.

·         Provide high standards of documentation in accordance with the Trust documentation policy. 

4.    Education and training

·         To participate in teaching programmes for nursing in the care of patients relevant to the haemoglobinopathy service cross sites.

·         To exhibit a personal commitment to clinical education and development. Work in collaborations with others to plan and deliver interventions to meet the learning and development needs of their own and other professions.

·         Raise awareness of the current local, regional, national and international perspectives in clinical specialities.

·         Provide training and education opportunities within the team, the Trust, local and national areas.

5.    Audit and research

·         Contribute/assist in the development of multidisciplinary research and clinical audit in the haemophilia and haematology service and, implementing effective and evidence-based practice

·         Develop research skills and provide support and appropriate implementation strategies for changes in clinical practice.

·         Participate and contribute to any on-going regional and national research to evaluate the effectiveness of care strategies related to the patient experience within emergency and unscheduled care.

·         To share best practice; through publications and attendance/presentation opportunities at conference level

6.    Resource Management

·         To apply sound financial evaluation to proposed service developments.

·         Maintain accurate records in relation to equipment used and maintained by the haemoglobinopathies and haematology service team.

7.    Risk Management

·         To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others within the RDC department.

·         To monitor incidents highlighted by members of the emergency team and communicate to appropriate areas to address risk issues.

·         Promote best practice in health & safety, utilising unit and Trust policies.