Clinical Lead - HMP Holme House

Main Responsibilities

Clinical Lead - HMP Holme House

Stockton-on-Tees, Durham

£31,696 - £41,787 per annum

Full Time - 37.5 hours per week 

Holme House is a prison that holds up to 1200 sentenced men over the age of 18, in 7 residential units, it also includes a 16 bedded in patient unit for the North East Region.

We provide primary care in a range of clinics which include but are not limited to Dressings / Venepuncture/ Nurse Triage / Smoking Cessation. We also provide 16 dedicated 24 hour inpatient beds for the North East region. The needs of the men range from Physical / Social Care to Mental Health conditions and also 2 dedicated ‘palliative care beds’. Holme House also has a dedicated DART (Drug Alcohol Recovery Team). We also administer medication up to 4 times a day; this includes Controlled Drugs (CD’s) and Opiate Substitution Treatment (OST).

Our team is made up of Head of Health care Mr Paul McTague, 4 Senior Managers then 8 teams managed by a Senior Nurse. Each team consists of a Senior Nurse, Staff Nurses, Team Support Workers and Pharmacy Technicians. Each team also has a specific specialist role e.g.: Diabetes / Cardiac Disease / Health promotion.

At Holme House we are close to the A19 for easy access. We have a free staff car park and a gym within the prison that staff may use. We also have supermarkets in the vicinity.

Job Outline:

To lead a team of Primary Care Nurses within HMP/ HMYOI, providing clinical and operational leadership and management to the Nursing Team employed within the service. Establish inter-agency working where necessary to ensure good communication. Improve quality and standards of care for patients. Ensure that own clinical practice is consistent with autonomous practice within the role which covers areas of acute injury / illness and chronic disease management / health promotion / traditional patient care. This includes being the clinical lead in the collection, analysis, and the interpretation of data for Key Performance Indicators, Clinical Risk and Audit, related to G4S Clinical Governance programme. Contribute to providing senior management support and advice to Prison cluster out of hours via a formal on-call system.

Responsibilities:

Managerial

• Oversee the operational day to day management for clinical healthcare delivery including actively monitoring patient satisfaction and patient health outcomes.

• To have responsibility in ensuring both HJIP and QOF clinical key performance indicators (KPI’s) are met.

• Manage and provide leadership and support to the Healthcare Team, inclusive of sub-contractors within the facility.

• Ensure effective and documented orientation and support to new staff to the facility.

• Support senior staff with supervision and development.

• In the event of any emergency situation investigate and perform root-cause analysis to ensure lessons are learnt and implemented accordingly.

• Supervise the collation of the off duty rota, ensuring effective use of resources.

• Deputise for the Head of Healthcare in their absence when requested.

• Ensure services are delivered within budgetary constraints, and be responsible and accountable in the annual budget setting.

Communication

• Ensure that identified lines of communication are maintained with patients, colleagues, internal partnerships and external agencies to demonstrate politeness and courtesy and sensitivity promoting the corporate image of G4S.

• Communicate and liaise with healthcare internally and externally and other stakeholders.

• Play an integral role in ensuring that junior team members are aware of local and general Health & Safety matters, Clinical Governance and other ongoing issues, which arise including patient safety issues.

• Complex and written verbal communications with solicitors and legal representatives

• Provide and organise support through the means of clinical and managerial supervision in accordance with G4S company policy.

• Demonstrate the ability to be able to motivate and persuade others through advanced communication skills.

• Be actively involved in Management Forums and facilitate own team meetings and inter-team meetings to ensure flexible working and service provisions. Provide and circulate minutes and all relating documents/presentations formally and informally.

• Effectively communicate with line managers.

Clinical Governance

• Has full responsibility for monitoring compliance ensuring that physical health risk assessments of prisoners are completed as they come through reception. Ensure accurate records of identified needs are kept and those who require it are referred onto specialist services.

• Has full responsibility for monitoring and compliance that risk assessments are completed which assess the potential of self-harm and that care plans are developed using ACCT documentation.

• Has full responsibility for monitoring and compliance to review and evaluate nursing practice through clinical audit.

• To lead and implement in setting standards of patient care based on sound research findings in collaboration with Head of Nursing.

• Work within the G4S Clinical Governance framework in coordination with the Clinical Governance Lead, North East Prison Cluster.

• Take a personal responsibility to maintain NMC registration and professional development in line with the expectations of the role.

• Promote clinical excellence and best evidence based practice reflecting the G4S nursing philosophy.

• Ensure full and accurate records are maintained and confidentially policy adhered to.

• Be responsible for the reporting and investigation of Clinical and Non-Clinical Risk Assessments and incidents.

• Be conversant and comply with G4S Health and Safety Policy and ensure implementation

• Lead and or assist in the investigation of verbal and written complaints according to Company Policy.

• Responsible for coordinating the collection of evidence for performance data to meet the requirements of external auditors i.e. CQC, HMIP.

Clinical Professional Responsibilities

• Actively demonstrates and facilitates health promotion activities at all opportunities.

• Act as a positive role model to staff and patients.

• Assess individual’s health needs displaying excellent nursing skills.

• Provide timely and expert assistance to the nursing team as and when required.

• Create the provision of holistic care.

• Hold clinics, give advice and administer treatment within local guidelines / protocols.

• To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice.

• Administer medication and advice within protocols.

• Develop / maintain advanced clinical skills. i.e. prescribing, suturing, nurse led services.

• Provide patient information and education.

• Ensure G4S clinical protocols are adhered to at all times.

• Work at all times within the NMC Code of professional practice.

• Support line managers.

• To participate and assist in the setting of standards of patient care based on sound research findings.

• Maintain own personal and professional development plan, in line with G4S company and service objectives.

• Appraise own performance and discuss development needs with mentors, supervisors and line manager. Appraise more junior staff members as applicable to the role / structure.

• Participate in regular clinical supervision.

• Support and supervise junior staff.

• Be conversant and comply with the Service’s emergency procedures and ensure the nursing teams’ compliance to these procedures.

• To maintain standards of infection control within the facility and during clinical care and to assist patients to maintain their own infection control needs.

• Recognise innovation and promote clinical service improvement.

• Be an integral part of the medicines management team conducting prescribing audits for all nurse prescribers to ensure safe medicines management.

Education and Training

• To have a proactive approach to self-development, working within the NMC Code of Conduct.

• Be involved in health care initiatives and health promotion within the facility.

• To be responsible for the systematic monitoring, review and evaluation of nursing practice through clinical audit. Providing feedback results to all staff members to improve patient care in the facility.

• To research, develop, introduce and apply up to date research-based findings to nursing practice, thus ensuring best evidence based practice is followed.

• To lead and coordinate annual educational training programme within budgetary capability coordinating evidence for the CQC.

• Show commitment to lifelong learning and a learning environment through personal example and dissemination of skills, attitude and knowledge to others.

• Maintain NMC registration and professional development in line with the expectations of the role.

• Comply with the G4S appraisal system and attend appraisal annually.

• To participate in and deliver training within the facility.

• Ensure updated mandatory training requirements are met and equipment training records are maintained.

Quality Issues

• Promote clinical excellence and best evidence practice reflecting the G4S nursing philosophy.

• Participate in annual review of protocols and evidence based documentation.

• Lead in Healthcare division clinical audit strategy ensuring that results create action plans for implementation of improvements.

• Act responsibly as an employee to maintain a safe and healthy environment for service users, visitors and staff.

• Investigate any incidents as per G4S Incident Policy.

• Advocate for patients where feedback has been received.

• Effectively deal with complex and difficult situations which may involve challenging situations.

• Lead on patient satisfaction programmes and implement changes where necessary.

Performance Assessment

Participate fully in an annual appraisal process and agree a personal development plan that will ensure that the objectives of the individual, the team are achieved.

Security – Specific to the Prison Environment

• To observe, HMP/ HMYOI       Health and Safety regulations, policies and procedures.

• To be familiar with Prison Service Standards, Standing Orders/Instructions, Notices to Staff, Prison Rule and any other relevant material, in order to function as in informed clinical staff member within the prison setting.

• To remain alert to security requirements, whereabouts, actions, safety and likelihood of violence / aggression of prisoners or potential hostage taking situations on all shifts.

• Ensure that medications security is maintained at all times and that administration and recording is in line with G4S policy and NMC Standards.

• To assure adequate levels of security in line with security requirements as lay down by the Governor and Home Office instructions.

The Ideal Candidate

Essential Skills: 

• 1st level Registered Nurse with current registration with the UK Nursing Midwifery Council (NMC).

• Be willing to undertake Non medical Prescriber course and utilise skills within a reasonable timeframe

• Evidence of Continuous Professional Development to maintain up-to-date knowledge and on-going competence in all aspects of the senior healthcare role

• Post registration qualification in autonomous practice or equivalent

• Leadership experience within a healthcare setting at a senior level

• Experience of managing a team Evidence of participation in clinical supervision (either in the supervised or supervisor role) Proven post registration experience including evidence of working in any of these following clinical areas; Accident & Emergency, Primary Care environments, Minor Injuries / Illness Units

• Acute specialities at a Band 6 or equivalent

• Experience of working autonomously

• Experience of working within a multidisciplinary team

•  Evidence of autonomous working / evidence of extended skills eg suturing, prescribing

• Has excellent health promotion knowledge within a prison environment Evidence of knowledge in:

  - current professional Nursing issues

  - health promotion

  - clinical governance

  - national initiatives e.g. NICE guidelines

  - pharmacology

  - evidence based practice

  - Standard for Better Health

  - Care Quality Commission

• Ability to communicate effectively, verbally and in writing.

• Experience of presenting information to a wider audience Basic IT skills

• Able to analyze data and suggest implications on patient care

• Ability to lead and promote clinical expertise and knowledge of audit

• Demonstrable critical reasoning skills and decision making

• Demonstrable evidence of multi-professional / multi-agency working

• Ability to prioritise patient care  

• Perceptive, flexible and effective leadership skills

• Ability to demonstrate effective use of staff and resources

• Complete understanding of the medico-legal aspects of the role

   
   

Desirable Skills: 

• Teaching and assessing qualification.
• Post graduate registration certificate in a speciality.
• Management qualification/training.
• Non Medical Prescribing qualification and Registration.
• Clinical skills qualification and practicing practitioner.​​