December 2010 v1(Final)

JOB DESCRIPTION

Job Title:

Divisional Head of Nursing

Department / Division

Paediatrics

Band:

8B

Hours:

37.5

Responsible to:

Divisional Director

Accountable to:

Divisional Director

Professionally Accountable to:

Chief Nurse

Base:

Ashford or St. Peter’s Hospital as required

Criminal Records Bureau Disclosure check required:

Enhanced

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Job Summary:

The Divisional Head of Nursing, in conjunction with the Divisional Director and Divisional General Manager will:

• Provide strategic direction with the Divisional Director to the Division’s nursing workforce

• Provide high level professional and operational support for nursing across the wider Foundation Trust (FT) and support the successful achievement of the FT vision

• Lead the delivery of excellent quality Paediatric nursing care providing expert advice to the FT and Division on all nursing matters

• In collaboration with the Divisional Director and Divisional General Manager Lead the Clinical Governance Assurance Framework and ensure the quality of care, patient experience, comprise patient safety and clinical effectiveness is of the highest standard, meeting national and local outcomes and achievement of agreed CQUIN payments for Children and young people wherever they are cared for within the Trust.

• Ensure the Integrated Clinical Governance Assurance Framework is embedded within the Division

• Integrate corporate nursing plans with the Divisional clinical service plans. Work with senior nurses across the FT to evolve and develop predictive/early warning clinical quality dashboards that enable targeted intervention

• Ensure the nursing agenda is delivered by providing leadership and professional management of Matrons, Nurse Consultants, Clinical Nurse Specialists, Clinical Practice Educators and all nurses within the Directorate

• Lead the work to strengthen and optimise the role of the ward sister both within the Division but also across the FT.

• Ensure the Care Quality Commission (CQC) Registration Standards are achieved and exceeded

• Lead on the improvement and sustainment of patient safety across the Division and the wider FT, with a focus on minimising risk to children and young people.

• Lead nursing innovation, use of technology and quality improvement initiatives to meet the changing needs of patients and users of the service

• Be accountable for the nursing budget in the Division and ensure the nursing resource is used effectively, contributing to continuous improvement, increased productivity and realisation of benefits both in financial cost improvement savings and in resource terms

• Contribute to the delivery of agreed corporate schemes

• Contribute to the achievement of specific targets and statutory requirements associated with the role of the Division.

• Lead on strategic nursing issues as determined by the Chief Nurse

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Key Result Areas:

To contribute to reaching the FT’s vision, strategic objectives and key work programmes such that measurable improvements in patient experience, safety, effectiveness and productivity have been achieved.

Date of last review: December 2010

Strategic Responsibilities 1. Lead on the Clinical Governance Assurance Framework and implementation for the Division and

across the FT, with regard to children and young people. 2. Contribute to the development of the profession through proactive involvement in local, regional and

national forums. Represent the FT and Chief Nurse when required. 3. Manage the nursing workforce and associated budget for the Division and contribute to and

implement the cost improvement savings programme. 4. Provide professional and operational advice and guidance, at a senior level. 5. Deputise for the Deputy Chief Nurse as required. 6. Participate in the FT on-call senior manager rota. 7. Lead in the FT investigations and disciplinary hearings as required. 8. Contribute to the delivery of the FT’s Aim and Strategic Objectives. 9. Take the lead for designated corporate projects or programmes of work. 10. Effectively contribute to relevant senior nurse forums and meetings associated with clinical

governance. 11. Attend appropriate external networks/meetings related to the work of the Division. 12. Role model the ASPH nursing philosophy, leading and inspiring others. 13. Act as an Ambassador for the FT. 14. In conjunction with the Divisional team contribute to the development of the Paediatric services. 15. To lead on Safeguarding Children ensuring compliance with training across the FT. 16. To create a ‘child friendly’ environment across the FT. 17. To create an environment appropriate for young people across the FT. 18. To ensure standards and recommendations related to “Every Child Matters” and the Children’s

National Service Framework – Hospital standard are implemented, evaluated and monitored. 19. To lead on nursing issues in the Neonatal intensive care unit (NICU) ensuring representation on

internal and external meetings/networks. Professional Leadership Responsibilities 1. Provide leadership and direction to nursing staff 2. Lead the implementation of the corporate nursing plans within the Division 3. Work with senior nurses across the FT to design and implement a Ward/Department Sisters/Charge

Nurse Development Programme 4. Undertake annual performance development review of Matrons, Nurse Consultants, Clinical Nurse

Specialists and Clinical Practice Educators, ensuring each has a personal development plan to optimize their performance and potential for career progression. This is in conjunction with the Divisional Director and Divisional General Manager

5. Act as a role model, maintaining and upholding high standards of professional behaviour and maintaining own clinical skills

6. Develop and promote a positive and open culture within the Division to enable continuous quality and service improvement which results in financial and other benefits.

7. Promote a positive image of nursing internal and external to the FT. 8. Lead on the line management of nursing staff within the Division and manage the nursing

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establishment budget. In collaboration with the Nursing Directorate undertake a regular annual review of the nursing workforce and a review when a change in service occurs.

9. Take a lead role in managing the Divisional Patient and Public engagement and experience work, using corporate surveys and results and other tools to seek user views as appropriate and ensure action is taken as appropriate

10. Work with Divisional Clinical Directors and Divisional General Managers to develop skills to manage effectively the nursing agenda and ensure safe and effective patient care

11. Be an effective leader of change, embedding a culture of continuous quality improvement, innovation and use of technology that meets the changing needs of patients and users.

12. In collaboration with the Chief Nurse and Divisional Director and General Manager, influence the development of the future professional agenda and the development of policies.

13. Implement robust systems to ensure the nursing workforce is fit for purpose in relation to health and well-being and statutory and mandatory training, specialist training, leadership skills/competence and Bands 1 – 4 development

14. Represent the FT at a local, regional or national level through membership of working groups, publications or conference presentations as required

15. Ensure the Chief Nurse is briefed on all professional issues within the Division 16. Manage own professional development using 360 degree review and IPRs for self and team. Standards of Care 1. Work with the Divisional Director and Divisional General Manager to embed systems to deliver high

standards of quality and safe care based on best practice and clear evidence and participate in Divisional reviews. This includes leading on the Care Quality Commission’s (CQC) Quality Risk Profiles (QRP) to ensure the 16 quality standards are met and risks mitigated. Lead the delivery and maintenance of clinical quality across the Division and in particular:

• Infection Prevention

• Environmental Cleanliness

• Same Sex Accommodation

• Privacy and Dignity

• Empathetic and Compassionate Care

• Reducing Patient Harm 2. Identify risks relating to nursing, developing and implementing action plans to mitigate them as well

as alerting the Divisional Director, Chief Nurse and Divisional General Manager and ensuring they are recorded appropriately

3. Work with senior colleagues across the FT to refine clinical quality dashboards so that they increasingly enable early intervention before significant risks or harm occur

4. Implement a robust system across the Directorate to evidence and monitor the nursing contribution to national and local standards of care;

• Lead on the ward performance review process within the Division

• Lead on the nursing quality audits

• Lead on the High Impact Nursing Actions and Energising for Excellence within the Division

• Lead on regular establishment and activity reviews per ward area and advise on staffing issues, taking action where necessary to resolve

5. Work with senior nurses across the FT to develop and implement a routine Ward and Clinical Area Peer Review Process

6. Maintain a high visibility within clinical areas and develop a work plan that ensures a minimum 50% of working time is spent in clinical areas in order to undertake clinical activity to monitor the quality of care and experience of patients in all clinical settings – this should be via clinical shifts, PEAT audits;

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quality reviews etc.

7. Support and participate in the development of the nursing research and audit agenda within the Division

8. Be accountable regarding the monitoring of complaints and incidents relating to nursing within the Division, ensuring appropriate responses and the implementation of action plans to resolve issues identified effectively.

9. Develop and implement systems to identify opportunities for learning and sharing good practice creating a learning environment for the Division.

10. Take action when professional standards fall short of those acceptable – including disciplinary action and reporting to the NMC

11. Implement a robust system to deliver patient safety assurance and mitigate risk. 12. Ensure the implementation and monitoring of practice standards that meet the Hygiene Code (2009)

taking a lead for infection control and cleanliness within the Division 13. Take a lead role within the Division on roll out and embedding the Productive Ward: Releasing Time

to Care programme 14. Take a Divisional lead role for staff engagement activity and actions as a result of staff surveys 15. Ensure systems of staff support and development are embedded in Division e.g. preceptorship,

clinical supervision and mentorship 16. Take the Divisional lead for safeguarding, including:

• Vulnerable Adults and Children

• Deprivation of Liberty

• Mental Capacity

• Learning Disability

Financial Responsibility 1. To work in partnership with the Divisional Director and Divisional General Manager, in the ongoing

identification and operational delivery of schemes to contribute to the FT cost improvement programme (CIP) and maintain cost effectiveness of services through ensuring and demonstrating that services are provided in the most efficient manner possible

2. To work in partnership with the Divisional Director and Divisional General Manager to ensure that nursing budgets (pay and non-pay) are managed appropriately

3. To work in partnership with the Divisional Director and Divisional General Manager to identify the cost and productivity benefits of increased clinical quality in order to focus on those care and clinical interventions; pressure ulcers and nutrition for example, that have the greatest opportunity and potential impact

4. To develop an understanding of Service Line Reporting (SLR).

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Service Delivery 1. Take a lead role in the short and long term strategic planning for redesign and modernisation of

nursing and nursing roles within the Division 2. Translate national guidance and direction into local actions for service delivery 3. Take responsibility for the review and development of roles ensuring they add value to the patient

experience 4. Ensure the Matron has an effective workforce plan to support service delivery and quality standards.

Lead in the production of a Divisional nursing workforce plan 5. Recommend optimum deployment of the senior nursing workforce 6. With the Professional Development Lead Nurse, develop a Divisional training plan for nursing to

inform the education and training commissioning and in-house provision 7. Work as part of the Divisional management in identifying savings/QIPP ideas and solutions 8. Lead on e-rostering within the Division 9. To work in partnership with the Divisional Director and Divisional General Manager in using

Experience Based Design to enhance and improve service structure and delivery 10. Take every opportunity to work across organisational boundaries (primary and community care) in

order to smooth care pathways and enhance patient flow across the health economy Public and Patient and Staff Engagement and Experience 1. Use an evidence and values based approach to lead clinical staff in delivering the very best patient

experience which includes internal and external benchmarks. 2. Identify and implement high impact initiatives to improve the patient experience 3. Integrate staff experience monitoring and improvement initiatives with patient experience initiatives

and work across the Division to develop understanding of one upon the other 4. Translate the corporate Patient Experience and survey results for implementation in the Division 5. Ensure an effective mechanism exists within the Division to implement the Patient Experience agenda 6. Monitor and report Divisional progress, driving change where necessary 7. Ensure lessons learned within the Division are translated into effective and sustainable change

GENERAL RESPONSIBILITIES FOR ALL WORKERS IN FOUNDATION TRUST: ALL TRUST EMPLOYMENT POLICIES CAN BE ACCESSED EXTERNALLY THROUGH THE FT WEBSITE AT: http://www.ashfordstpeters.org.uk/employment. ALL OTHER FT POLICIES CAN BE ACCESSED EXTERNALLY VIA: http://www.ashfordstpeters.org.uk/organisational

1. Foundation Trust Vision, Strategic Objectives and Values All those working within the FT will carry out their duties in accordance with FT vision, strategic objectives and values: Vision To become one of the best healthcare FT in the country. Strategic Objectives

• To achieve the highest possible quality standards for our patients: meeting and exceeding their expectations in terms of outcome, safety and experience.

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• To recruit, retain and develop a high performing workforce to deliver high quality care and the wider strategy of the FT.

• To deliver the FT clinical strategy; redefining our market position to better meet the needs of patients and commissioners and increasing market penetration.

• To improve the productivity and efficiency of the FT in a financially sustainable manner, within an effective governance framework

Our Pledge 2. Communication and Confidentiality (Information Governance) You must communicate clearly by actively listening and responding to what people are saying:

a) check information from other people and check its accuracy b) establish any help people require and act on this appropriately c) ensure confidentiality at all times

All those working within the FT must not without prior permission disclose any information regarding patients or staff obtained during the course of employment except to authorised bodies or individuals acting in an official capacity. The Data Protection Act may render an individual liable for prosecution in the event of unauthorised disclosure of information. See Confidentiality Policy http://trustnet/documents/menu113.htm and Information Governance Policy

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http://trustnet/documents/menu1107.htm All workers must be aware of their responsibilities under the Freedom of Information Act 2000. See FT Freedom of Information Policy at http://www.ashfordstpeters.org.uk/attachments/799_Freedom%20of%20Information%20Policy.pdf Workers who use a computer, must abide by the terms of the FT’s Information and Technology Policies at: http://trustnet/documents/menu11.htm 3. Development , Modernisation and Change The Department of Health, the FT, and Directorate/Departments have targets to achieve in respect of service delivery and improving and progressing patient care. We ask that you are aware of these targets and contribute and work to achieve them. All workers are to be familiar with the FT’s policies and procedures, which are available on the FT Intranet http://trustnet/documents/menu.html or externally via http://www.ashfordstpeters.org.uk/organisational This job description is an outline of the role and responsibilities. From time to time due to the needs of the service, we may ask you to undertake other duties that are consistent with your role / band. Details and emphasis of your role may change but this would be in consultation with you and in line with the needs of your work area. 4. Diversity and Rights All those working within the FT have a duty promote people’s equality, diversity and rights, and treat others with dignity and respect The FT is unreservedly opposed to any form of discrimination being practiced against its employees whether on the grounds of gender or marital status, sexual orientation, disability, race, colour, creed, ethnic or national origin or age. A copy of the FT’s Single Integrated Equality Scheme is available on the FT’s Intranet site. You are required to familiarise yourself with the terms of the policy at: http://www.ashfordstpeters.org.uk/attachments/054_Single_Equality_Scheme.pdf 5. Monitoring and Maintaining Good Health and Safety The safety of patients, staff, workers and visitors is paramount. All workers have a duty to recognise safety as a fundamental element of their role and to comply with FT policies, procedures, protocols and guidelines related to safety and well being. Under the Health and Safety at Work Act 1974, all employees have a duty:

a) to take reasonable care of ourselves and others at work b) to co-operate in meeting the requirements of the law c) not intentionally or recklessly interfere with or misuse anything provided in the interests of health

safety or welfare

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You are required to familiarise yourself with the details of the FT’s Health and Safety Policies posted on the Intranet at http://trustnet/documents/menu3.htm .A department policy which will cover your usual place of work is available through your head of department. There are a number of health and safety training sessions which will be mandatory for you to attend depending on your type of work. 6. Mandatory Training All those working in the FT have a responsibility to ensure that they are up to date on essential knowledge and skills related to their sphere of work. Some areas of training are common to all workers and staff, such as Health & Safety, Safeguarding and Information Governance. Workers must ensure that they attend Mandatory Training sessions as required. 7. NHS Constitution The NHS commits:

• To provide all workers with clear roles and responsibilities and rewarding jobs for teams and individuals that make a difference to patients, their families and carers and communities.

• To provide support and opportunities for workers to maintain their health, well-being and safety.

• To engage workers in decisions that affect them and the services they provide, individually, through representative organisations and through local partnership working arrangements. All workers will be empowered to put forward ways to deliver better and safer services for patients and their families.

Staff responsibilities: • You have a duty to accept professional accountability and maintain the standards of professional

practice as set by the appropriate regulatory body applicable to your profession or role. • You have a duty to take reasonable care of health and safety at work for you, your team and

others, and to co-operate with employers to ensure compliance with health and safety requirements.

• You have a duty to act in accordance with the express and implied terms of your terms of engagement.

• You have a duty not to discriminate against patients or staff and to adhere to equal opportunities and equality and human rights legislation.

• You have a duty to protect the confidentiality of personal information that you hold unless to do so would put anyone at risk of significant harm.

• You have a duty to be honest and truthful in applying for a bank position and in carrying out all work assignments.

Details at: http://www.dh.gov.uk/en/Healthcare/NHSConstitution 8. Quality and Risk Management The Trust, as a public organisation is committed to acting with honesty, with integrity and in an open way. We are working together to achieve the highest levels of compliance with risk management via the NHS Litigation Authority (NHS LA) and Clinical Negligence Scheme for FT (CNST) for maternity services. You are expected to become familiar with these standards as they relate to your work and further details are available from your manager.

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You must ensure your actions help to maintain quality and reduce risk. This involves accepting individual responsibility for meeting required standards, and for following quality and safety processes and procedures. These include national requirements set out by the Healthcare Commission, FT policies, the FT’s Standards for Practice and Care, local Codes of Practice and local service or departmental standards. (http://trustnet/documents/Standards%20for%20Practice%20and%20Care.doc) It is expected that you understand and comply with current emergency resuscitation techniques (where appropriate), infection control procedures, and fire regulation procedures. See risk & health & safety policies at http://trustnet/documents/menu3.htm and patient care policies at http://trustnet/documentss/menu8.htm ; the fire policy at http://trustnet.asph.nhs.uk/documents/document306.htm ; control of infection policies at http://trustnet/documents/menu7.htm . All other relevant policies can be found at http://trustnet/documents/menu.html . 9. Safeguarding All those working within the FT have a responsibility to take appropriate action if they believe that a child or vulnerable adult is in need of services or in need of protection and they must be committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. Everyone is responsible for accessing the relevant level of training and following the FT local and SSCB’s Child Protection and Safeguarding procedures. Information on Child Protection is available at: http://www.ashfordstpeters.org.uk/attachments/1247_Child%20Protection%20Safeguarding%20Policy.pdf and http://trustnet/docsdata/paed/index20.htm Information on the Abuse or Suspected Abuse of Vulnerable Adults is at: http://www.ashfordstpeters.org.uk/attachments/723_Abuse%20or%20suspected%20abuse%20of%20vulnerable%20adults.pdf

The FT complies with the requirements of the Criminal Records Bureau (CRB) and the requirement to report safeguarding issues to the Independent Safeguarding Authority (ISA). All bank workers required to have a CRB disclosure for their post will undergo a recheck every year. Employees must cooperate with the renewal process and submit their CRB applications promptly when requested.

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PERSON SPECIFICATION

Post: Divisional Head of Nursing

Department: Paediatrics

Factors Essential Desirable Assessed

by: Personal Qualities/Attitudes Behaviours

• Always puts patients first

• Customer service focus

• Highly self motivated

• Leadership skills and ability to motivate a team

• Strong interpersonal skills

• Practical problem solving ability

• Persuasive and influencing skills

• Change management skills

• Able to grasp concepts and understand their wider significance

• Able to make judgements about highly complex and sometimes conflicting facts or situations

• Positive and enthusiastic

• Can act on own initiative

• Flexible approach to work

• Ability to adapt behaviour to changing circumstances

• Evidence of a flexible and innovative approach to service delivery and development

• Clinical skills when undertaking clinical work

• Be committed to improving patient care

Application form and interview

Qualifications and Further Training

• Must be an NMC Registered Nurse (RGN)

• Paediatric Unit: o NMC registered sick children’s

nurse (RSCN) or RN with Nursing qualification in Neonatal Intensive Care (Diploma or above).

• Management qualification at diploma level

• BSc in Healthcare or equivalent

• Mentorship/ENB 998 or equivalent

• Evidence of recent clinical update

• Masters qualification or working towards

Experience of Paediatric/neonatal intensive care unit (NICU)

Application form

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Experience

• Proven experience of senior nursing operational role at Grade 8a or above in an acute setting

• Experience and working knowledge of Child Safeguarding and Child death review processes and agenda.

• Proven Experience of leading clinical teams and professional agendas

• Proven Experience of leading corporate wide/cross boundary projects

• Proven Experience of budgetary/financial management

• Proven track record in improving patient experience and gaining patient/public views

• Previous experience of HR management

• Previous experience of budgetary management/accountability

• Ability to develop business cases

• Experience in chairing meetings

Application form

Knowledge

• A sound working knowledge of acute service provision

• Good understanding of current and developing NHS Paediatric policy and frameworks.

• An understanding of the complexity of service delivery in a large organisation

• A sound understanding of the professional Nursing agenda

• Knowledge of the governance agenda and role of CQC, NHSLA , Monitor etc.

• Understanding of the professional educational system and processes

• Knowledge of performance management systems

• Understanding of strategic planning

Application form and interview

Skills

• Ability to produce regular reports for use internally and externally to the FT.

• Ability to develop Policies and Guidelines

• Excellent full range of communication skills with a range of people and organisations

• Formal presentation skills (to groups at all levels, both within the organisation and externally)

• Proven performance management and monitoring

• Proven workforce planning and development skills

• Ability to apply evidence base in practice

Application form and interview

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• Proven practice and service development skills

• Demonstrable data collection, analysis and evaluation skills

• Be able to manage all aspects of work including; identifying training needs, carrying out appraisals, full management of sickness absence, conduct and capability cases of a department

• Computer literate Other requirements

• Required to carry a FT pager and participate in on call duties