Central and North West London NHS Foundation Trust
District Nurse Team Leader (Twilight DN Service)

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Job Overview
12 Month Secondment Opportunity - District Nurse Team Leader - Band 7 (Qualified DNSPQ) - Hillingdon Twilight DN Service
An exciting opportunity has arisen for a qualified District Nurse with relevant experience including community nursing to join our Hillingdon Twilight District Nursing Team.
Our forward-thinking District Nursing teams are committed to the delivery of high-quality patient care.
As a Twilight District Nurse Team Leader, you will play an integral part in leading the delivery and development of the service. This is an ideal role for an experienced District Nurse or a newly Specialist Qualified District Nurse looking to further develop their leadership skills and relevant experience including Community Nursing.
The successful candidate will have significant experience of nursing at a Band 6 level or above and an understanding of community nursing is essential.
Main Duties of the Job
The post holder will provide management support and professional nurse leadership to all members of the Twilight DN nursing team. They will work with Senior Nurses in developing, implementing, and reviewing any new initiatives involving District Nursing services and motivate staff to effect any necessary change.
The post holder will have to manage a clinical caseload, which will be GP attached. The caseload will consist of house-bound patients but there are sites where commissioned wound clinics are also held.
The post holder will hold responsibility for all staff in their designated team where clinical and managerial support is paramount to the team and service development. The role also consists of change management where the DN Team Lead will support their own team to embed change positively.
As a District Nurse Team Lead, you will work within an integrated service including specialist care teams such as palliative, tissue viability, bladder and bowel, cardiac, neurology, diabetes, rapid response, and specialist therapy teams such as physiotherapy and occupational therapy. The Twilight District Nursing service is also supported by the core daytime District Nursing service. All community services strive to work collaboratively to ensure individualized patient-centred care alongside support from our GP colleagues and practices.
Working for Our Organisation
CNWL is recognized locally, nationally, and internationally for providing integrated high-quality, innovative healthcare. Our track record in recruiting only the best people is well known, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
Hillingdon is the second largest London borough by area, located 14 miles west of Central London. We are also leaders in developing our Hillingdon Health & Care Partnership working, united to enable shared services and Neighbourhood working across the whole of Hillingdon Borough. As we have Heathrow airport within our boundaries, it is thought that we are the gateway to the UK!
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There are many benefits of working as District Nurse Team Lead in CNWL Hillingdon with a few mentioned below:
- Great team working and a supportive environment
- Outer London Weighting
- Training and career development opportunities
- Opportunities for research and audit to support innovative practice
- Intensive support from an assigned mentor and induction period
- Open to flexible working patterns
- Personalized Clinical and Management Supervision
- DNTL Developmental Days
- Multi-disciplinary team working with other CNWL specialties
- Support from the Lead Nurses, the DN Clinical Facilitator
Detailed Job Description and Main Responsibilities
As one of the leads for District Nursing and in association with other members of the locality team, the post holder will facilitate all aspects of care and information to patients and assist staff already involved in the care of patients through the following interventions.
- Act as a role model in expert practice facilitating and supporting the delivery of effective patient care by use of clinical judgement and decision-making skills.
- Responsible for ensuring the Twilight District Nursing teams develop appropriate plans of care for individual patients, families/carers, or patient groups.
- To take continuing responsibility for the assessment of care needs and the development, implementation, and evaluation of programs of care for and with individual and their families.
- Lead the production of health profiles, formulate objectives, and set priorities within the caseload.
- Develop innovative ways of case-finding patients with a particular focus on house-bound patients and the elderly from community locations and provide assessment & programs of care to meet their primary health care needs.
- To provide a visible professional presence where staff, patients, carers, voluntary, statutory, and private services can approach for assistance, advice & support to enable provision of holistic care.
- Implements the framework of informed consent.
- Use advanced specialist knowledge to enable patients & carers to develop self-care skills with respect to health and health services.
- To ensure appropriate supplies and equipment are in place and maintained in line with best practice in relation to client care and review as per local policy.
- Document consultations and practice to incorporate both audit and the setting and monitoring and evaluation of standards of care.
- Acts as a key coordinator promoting the delivery of seamless services.
- Lead and promote areas for practice development, devising guidelines and procedures to support the delivery of care.
- Implements the National Service Frameworks.
- Ensure that nursing care is evidence-based/best practice.
- Lead and facilitate appropriate audit to ensure evaluation of programs of care & maintenance of high standards.
- Facilitate and participate in Trust-wide groups that require specialist input.
- Support the delivery of care through nurse prescribing.
- Plan and implement management of chronic diseases and work towards preventing the complications of long-term conditions.
- Develop and contribute to health promotion programs.
- Work with the training and development staff and other healthcare professionals and voluntary organizations to build the capacity of Primary Care Teams to address the health care needs of the communities.
- Work with other partners to facilitate access to other programs to promote health for the communities (e.g. training, basic skills training, adult education).


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Person Specification
Education and Qualifications
Essential criteria
- Currently Registered with NMC as RGN
- Educated to Degree Level or above
- Degree qualifications in Public Health, Community Health, or Specialist Practitioner
- Mentorship
Desirable criteria
- Management course – e.g. Cert. in Management Studies (CMS)
- Teaching Qualification – working towards
Skills and Knowledge
Essential criteria
- Excellent communication and interpersonal skills
- IT skills
- Ability to devise & deliver teaching packages to patients and colleagues, formally, informally, individually, and in groups.
- Ability to sensitively manage & resolve complaints
- Ability to work across boundaries to develop new ways of service delivery
- Presentations/ Report writing
- Facilitate change
- Ability to plan own workload and manage time effectively with minimum supervision
- Ability to effectively manage/delegate others' workload
- Caseload management
- Group facilitation
- Car Driver essential
- Manage own and others' stress
Other
Essential criteria
- Ability to act as Clinical Locality Lead in their absence
Experience
Essential criteria
- Community Nursing experience at Band 6 / equivalent or above.
- Experience of team/staff management including PDP & appraisal
- Experience of implementing NMC / NICE Guidelines & Essence of Care Benchmarks
- Multi-agency working
- Audit experience
Desirable criteria
- Project Management
Attitudes, Aptitudes, Personal Characteristics
Essential criteria
- Flexible to change process
- High priority in multi-agency engagement
- Flexible and understanding to staff and team needs
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