Contents
Section
Section 1: / Introduction to Appointment
Section 2: / Person Specification
Section 3: / Job Description
Section 4: / NHS Lothian Values
Section 5: / General Information for Candidates
Section 6: / Working in Edinburgh and the Lothians
Section 7: / Workplace Equality Monitoring
Section 8: / Equal Opportunities Policy Statement

Section 1: Introduction to Appointment

Reference Number: LOTH/GR/B5/LDS/COM/18A

Job Title:Community LD Nurse

Grade:Band 5

Location: North East Edinburgh

Contract Duration: Permanent

Hours: Full Time

Closing Date: Friday 16th February 2018

Informal Contact: Heather McCorrie – Nurse Team Lead – 0131 536 6224

Interview Date: To be confirmed

This post provides an opportunity for an enthusiastic and experienced RNLD to join the multi-professional Community Learning Disability Team, which provides a specialist service to children and adults with learning disabilities in North East Edinburgh. The team is based at the Leith Community Treatment Centre, Edinburgh.

Apply on-line

**Please note – the e-mail address you provide on the application form will be used to communicate any further correspondence relating to this vacancy so please check your TRASH and SPAM folders**

This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

Section 2:Person Specification

Criteria / Essential / Desirable
Personal Traits / Excellent Communication Skills. Confident and Articulate. Communicates enthusiasm for the post. Committed to the development and maintenance of good relationships with colleagues, patients, carers and communities.
Qualifications and Training / Registered Learning Disabilities Nurse (Part 5) / Registration as a nurse in other parts of the NMC Register.
Registered mentor for undergraduate student nurses.
Evidence of post registration training in areas of study relevant to this post.
Experience and Knowledge / Understanding of health inequalities experienced by people with learning disabilities.
Aware of demographic issues affecting learning disabilities population.
Knowledge of Adult Protection Guidelines and Child Protection Procedures. / Good understanding of Adults with Incapacity legislation.
Experience of working with children with learning disabilties.
Skills and/or Abilities / Able to describe their role as a team member.
Able to effectively manage conflict.
Skills in negotiation.
Able to describe how evidence based practice can be applied in this post.
Specific Job Requirements / Ability to work without close supervision
Able to travel independently around Lothian

Section 3:Job Description

1.JOB IDENTIFICATION

Job Title: Community Nurse (Learning Disability) Band 5
Responsible to: Community Nurse (Learning Disability) Band 6
Department(s): CLDT
Directorate: Learning Disability Service
Operating Division: Edinburgh Health & Social Care Partnership
Job Reference:
No of Job Holders: 9
Last Update: 6 October 2014

2. JOB PURPOSE

Under the direction of a Community Nurse Band 6, the post holder works collaboratively with other professionals and agencies to provide a high quality, comprehensive and dynamic specialist nursing service to maintain and improve the health and well being of children and adults with learning disabilities in a community setting.
3. DIMENSIONS
  • Geographically based
  • The post holder works with a defined caseload under the supervision of a Community Nurse Band 6 contributing to assessment, planning, implementation and evaluation of care, working with client to discharge from the service
  • Clinical practice within the client’s home is not usually directly supervised

4. ORGANISATIONAL POSITION


DIRECTOR OF OPERATIONS
CHIEF NURSE
CLUSTER MANAGER

CLDNTEAM LEADER

COMMUNITY NURSE Band 6 COMMUNITY NURSE Band 6

COMMUNITY NURSE Band 5

COMMUNITY NURSING ASSISTANT/SUPPORT WORKER

5. ROLE OF DEPARTMENT

The community nursing service forms part of the Learning Disabilities Service which forms part of the Royal Edinburgh and Associated Services (REAS). The service operates on a Lothian wide basis. The community nursing service is available to both children and adults.
The Learning Disabilities Service provides specialist health care advice and treatment relating to the person’s learning disability across the life span. It supports other NHS services and care agencies to provide mainstream services to people with learning disabilities to enable health improvement.

6. KEY RESULT AREAS

1.Work with the Community Nurse Band 6 to provide specialist health and nursing advice to other professionals, relevant agencies and carers within the clinical area.

2.Provide a specialist health and nursing perspective at case conferences and reviews to ensure health needs of clients are addressed in a variety of environments

3.Establish and maintain therapeutic patient relationships through assessing, planning, implementing and evaluating individual specialised nursing care plans under the supervision of the caseload holder, following the philosophy and standards of the Community Learning Disability Team.

  1. Practise within the legal and ethical framework of the Nursing and Midwifery Council.
  1. Practise within local, regional and national policies and guidelines e.g. those pertaining to child and adult protection, mental health and community care to ensure client well being and needs are met.
  1. To promote the development of flexible working within the nursing team, as a core member of the adult multi-professional team, and with child and transition services.
  1. Undertake teaching and mentorship of unqualified nursing staff and undergraduate nursing students
  1. Work with the Community Nurse Band 6 to promote health surveillance assessment, health education and health promotion to improve health and well being
  1. Work with the Community Nurse Band 6 to develop, implement and audit uni and multi professional standards of care
  1. Administer prescribed medication, monitoring for side effects, liaising with prescribing staff
  1. Be aware of research findings relevant to the delivery of care and service development that will influence and promote evidence based practice
  1. Have the skills and knowledge to address the potential range of challenging behaviours displayed by client group. Be able to implement de escalation strategies in hostile and difficult environments

7a. EQUIPMENT AND MACHINERY

7b. SYSTEMS
  • Maintaining client records
  • Input into and update computerised information system (Trak)
  • Input into and update Regional computerised single shared assessment system
  • Responsible for completing SSTS/eExpenses
  • Responsible for ordering surgical supplies

8. ASSIGNMENT AND REVIEW OF WORK

  • Work with the Community Nurse Band 6 to provide initial assessment, including risk assessment, to identify health needs and develop individualised programmes of care for children and adults in partnership with other agencies as appropriate
  • Case reviews will take place at least 6 weekly between postholder and caseholder.
  • Receive annual appraisal and agree a personal development plan with the Community Nurse Band 6
  • Participate in clinical supervision

9. DECISIONS AND JUDGEMENTS
  • Makes clinical judgements, involving complex facts/ situations, from a range of information sources relevant to the patient and acts upon them e.g. referral to other professionals, amendment of nursing care plans, advice to carers/ patient.
  • Responsible for time management of allocated cases and prioritising workload.
  • Plans and organises a broad range of learning disability nursing interventions, some of which are long term and will facilitate meetings between relevant agencies involved in individuals’ care to ensure a comprehensive and consistent approach to patient care.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

  • Adapting interpersonal skills to a very wide range of cognitive abilities and modes of communication, alleviating barriers to successful therapeutic relationships.
  • Working across the life span with a complex client group who have diverse care needs, often with many clients living within chaotic lifestyles
  • To deliver quality and effective health care balancing conflicting priorities

11. COMMUNICATIONS AND RELATIONSHIPS
  • Be skilled in non-verbal and augmented modes of communication to address barriers to patient involvement.
  • Skilled in adapting information, considering patients cognitive ability, communication and interpersonal skills/ deficits, into a suitable format to ensure optimum understanding and retention of health advice.
  • The post holder will be expected to have a developed level of interpersonal skill to communicate effectively with colleagues, both internal and external to the organisation
Internal:
Multi-professional Community Learning Disability Team Members
Community Child Health
Primary Care Teams
Learning Disability Assessment and Treatment staff
Child and Adolescent Mental Health Services
Hospital Liaison Nurses
Epilepsy Team
Challenging Behaviour Team
Transition Nurse Facilitator
External:
Social Work
Education
Voluntary Organisations
Police
  • Be able to provide and receive complex, sensitive or contentious information using developed interpersonal skills. This may involve motivating and negotiating in a hostile or volatile situation.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical skills
  • Keyboard & IT skills
  • Car driver
  • Manual handling skills
  • Administrating IM injections
Physical effort
  • Carrying health screening equipment
Mental Skills
  • Working with both predictable and unpredictable case management system
  • Crisis management
  • Working with clients with complex and diverse care needs
Emotional
  • Child protection and vulnerable adult work
  • Work with clients displaying challenging behaviour
  • Recognise personal stress and act upon this
Environmental factors
  • Occasional exposure to Body fluids
  • Inclement weather
  • Occasional exposure to verbal and physical aggression from clients and families/carers (on average twice per month)
  • Lone working
  • Occasionally visiting clients with a marked range of living standards with the potential risk of infestation

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

  • RNMH/RNLD
  • Evidence of continued professional development, developing skills in a broad range of therapeutic interventions appropriate to the specific care needs of children and adults with learning disability in the community
  • Good interpersonal skills with capacity to develop negotiating and influencing and counselling skills
  • Basic IT skills
  • Car driver

14. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom the job description applies.
Job Holder’s Signature:
Head of Department Signature: / Date:
Date:

Section 4: NHS Lothian Values into Action

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients.

Our Values are:

  • Quality
  • Dignity and Respect
  • Care and Compassion
  • Openness, Honesty and Responsibility
  • Teamwork

Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values.

More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page:

Section 5: General Information for Candidates

Data Protection Act 1998

Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with the Data Protection Act 1998. Information will be available to the recruiting manager and to the Human Resource staff.

Counter Fraud

NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website:

References

All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job.

Disclosure Scotland

Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available from the recruitment centre.

Work Visa

If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: or visit our Careers website:

Overseas Registration and Qualifications

NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post.

Job Interview Guarantee Scheme

As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview.

Terms and Conditions

For an overview of our Agenda for Change terms and conditions please click on this link:

Travel Expenses

Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair.

Application Form Completion

The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for.

Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required.

Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application.

For general help and advice on how to complete an application form please visit our careers website:

Section 6: Working in Edinburgh and the Lothians

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits.

The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians.

Edinburgh and the Lothians

Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East, Mid and West Lothian.

NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian.

It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages.

For further information on relocating Edinburgh please visit our careers website:

Section 7: Workplace Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued.

In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

Section 8: Equal Opportunities Policy Statement

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination.

The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Our Equal Opportunities in Employment policy can be viewed on our careers website: