Clinical Site Manager

The role is a senior nursing role with significant operational and clinical responsibility. Operational to ensure flow and resolution of capacity related pressures. Clinical, in which quality and safety of patient care and experience are paramount in Trust priorities. The Clinical Site Manager provides a 24-hour leadership and managerial presence on the Royal Blackburn site with oversight of peripheral sites . Providing immediate response to emergency incidents across the site to safeguard patients, carers, relatives and staff. Taking a lead in managing and co-ordinating emergency situations, liaising with Trust Management and external stakeholders to bring incidents to a safe conclusion. The Clinical Site Manager will provide strong clinical leadership for the Patient Flow Team and take an active part in the achievement of objectives, targets and strategic plans of the Trust. Reporting to the Head of Patient Flow and Site operations, the Clinical Site Manager will operationally lead and manage the Patient Flow Team, ensuring the safe and timely flow of patients through all emergency and elective pathways throughout the Trust, across all hospital sites., Monitor and review financial services Maintain and develop an environment and culture that improves health, safety and security. Appraise interpret and apply suggestions recommendations and directives to improve services and promote the highest standards of patient care.. Promote equality and value diversity, This will require the delivery of effective site management to meet agreed local and national performance targets and standards, within budget and resources available. The post holder will be aware of financial limitations and ensure the effective use of Trust resources. The post holder will ensure that the SMOC and DOC are appraised of problems and that all potential incidents are dealt with effectively as per Trust Policy. Monitor the effectiveness of admission/discharge management on a regular basis, providing feedback and implementing changes as required. Maintain effective communications systems to ensure that information on capacity is kept up to date and used to inform decision-making. Work proactively to reduce delays in the admission and discharge of emergency and elective patients. Provide advice and support for patients, carers and relatives, by being visible and accessible, acting as the first point of call for information and concerns referred on from the ward, liaising with other staff, clinical teams, patient services and external agencies as required. Collect, collate, analyse and report information, ensuring that accurate patient records/documentation are maintained, taking action to address issues and solve problems. Establish an effective working relationship with ward nursing and clerical staff to promote services and embed changes. Assist with the logistical challenges of opening escalation areas during times of capacity pressure. Implement the Major Incident Plan if required. Implement disciplinary procedures & initiate first line action where required. Clinical Leadership To be responsible for the management of sickness & absence, appraisals and mandatory training, for the Patient Flow Team. To proactively attend appropriate meetings to support team and service development. To maintain clinical skills and knowledge appropriate to the role. Ensure nursing practice is undertaken within the policies and procedures of the Trust. To manage violence and aggression, attending all inpatient security calls if needed, ensuring safety of patients, staff and visitors. Use the e-roster, Safe care systems and IRIS to facilitate and organise nursing skill mix across the Trust out of hours, to ensure every area is as safe as possible. Respond to clinical areas that escalate staffing concerns out of hours in line with the Trusts Safer Staffing and Escalation Policy. Respond to all emergencies, clinical, security and fire calls. Respond to concerns and complaints from patients and relatives. Maintain overview of all patients requiring special observations during the out of hours periods to ensure that patient safety, policy compliance and efficient use of staff resources are maintained. Monitor all wards to assess and maintain assurance of patient safety and quality each night. Provide safeguarding adults and children and DOLS advice. Carry out regular quality reviews focussing on elements of care provision on wards at night, sharing findings with Divisions. PERSONAL AND PEOPLE DEVELOPMENT To support line reports with confidence in decision making, interpersonal and organisational knowledge and skill and managing the implementation of frameworks that provides evidence of patient experience and quality of care. To undertake projects Trust wide, developing nurses' contribution to the Trust strategy as well as national and local nursing strategy. To contribute to and ensure a culture that encourages each individual to take responsibility for his/her own performance. CLINICAL GOVERNANCE Promote the individual needs of the patient, by acknowledging preferences, rights and choices, respecting privacy and dignity, and by promoting anti-discriminatory practice, including acting on inappropriate behaviour, alerting senior staff if patient care appears to be disrespectful or discriminatory. Establish and maintain effective communication, maintaining confidentiality of information. Continually monitor standards, by identifying risks, benchmarking, audit and research, ensuring that ward action plans are prepared and implemented to improve quality of care and services. Monitor systems and processes for ensuring the effective management of risk, accurate recording and reporting, and maintenance of all records and documentation. Analyse clinical risk reports/complaints, develop, implement and monitor action plans to address specific issues and shortfalls, reporting on improvements. Monitor the implementation of policies, procedures and clinical guidelines, ensuring that reviews take place, including influencing improvements to care provided by other clinical teams and external agencies. Ensure compliance with Trust policies, procedures and clinical guidelines for self and others, alerting senior staff if practice appears to contravene policy, or if concerned about any aspect of patient care. Financial Resources Work within agreed budget targets and with the Head of Patient Flow identifying changes in service delivery to release agreed efficiency savings. Identify and report on the resource implications of proposed and likely developments in the service. Work collaboratively with the senior management team in the directorate in the preparation of bids for financial resources Supports the senior management team in procurement and commissions services products and equipment. Identify any problems with financial resource use/availability and make recommendations which are consistent with directorate objectives and organisational policies. Plan and schedule the efficient and effective use of material resources/supplies within the directorate and actively manage variances. Ensure systems are in place to effectively monitor and manage the use of agency staff. Research development and Audit Contribute and implement the Strategy for Nursing and Midwifery and lead the implementation and monitoring of the local delivery ensuring that it is reflective of national and local agendas and priorities and contributes to the achievement of the Trust's objectives. Contribute to the development and auditing of nursing practice, ensuring that the Trust is at the leading edge of practice development and that supporting policies and procedures are developed and reviewed through a robust mechanism. To keep up to date and act consistently with quality standards and guidelines within their own clinical area and associated areas To alert others to new developments and lead them in understanding how their practice should change to improve quality To continuously monitor quality and take effective action to address quality issues and promote quality. To raise quality issues and related risks with relevant people and follow this up and address poor performance as per Trust policy e.g. complaints, incidents, poor communication.

The post holder will possess the skills and experience to identify and implement contingency plans to resolve capacity pressures and show sound clinical judgement regarding appropriate patient placement at times of extreme pressure on bed capacity. The post holder will use their clinical expertise and local standard operating procedures to identify and authorise patients to 'outlie' at times of extreme capacity pressure.,

• RGN
• Degree or Leadership qualification
• Familiar with EPR and Trust IT systems
• Acute Clinical experience in hospital setting
Desirable criteria
• Experience within acute environment using flow systems
• Understanding of escalation and major incident policies
• Ability to work under pressure, manage fluctuating work load.
• KPI & UEC standards and targets
• Able to de-escalate stressful situations
• Work within & lead a diverse team and wider MDT
• Awareness of clinical governance and patient safety systems and reports
• Knowledge of national targets and 10 year NHS plan., You must have appropriate UK professional registration.
  
  At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work., The Trust is an equal opportunities employer, committed to improving the working lives of our staff and operates a 'Zero Tolerance' policy to aggression, violence, bullying and harassment. In addition, our aim is to help protect children and vulnerable adults by providing a first-class service to the recruitment of people into positions of trust.
We aim to employ a workforce that reflects the diverse communities we serve. We welcome applications from everyone irrespective of ethnic origin, gender, age, gender identity, sexual orientation, religion, marital status, disability or social background. We especially welcome applications from members of our black, Asian and minority ethnic (BAME) communities, as we have identified that ELHT has an under-representation of BAME employees. Appointments will be made on merit.

It is important you are made aware of the following as regards your application to East Lancashire Hospitals NHS Trust
• Please note that the salary advertised is for full time hours. If this post is less than 37.5 hours per week, the salary will be pro-rata. For posts on Agenda for Change pay-scales, new entrants to the NHS will normally commence on the first pay point of the relevant band.
• This vacancy may close before the closing date if the recruiting manager deems sufficient applications have been received. Therefore it is advised to complete your application as early as possible to avoid disappointment.
• Please ensure you check the email account from which you apply regularly as we will use this to contact you regarding your application.
• Please note that shortlisting is completed anonymously with candidates being assessed against the essential criteria for the post. Therefore only applicants, who can clearly demonstrate how they meet our person specification criteria in their application, will be short-listed.
Disclosure and Barring Scheme (DBS) If the role you are applying for is identified as either controlled or regulated activity as defined in in the Safeguarding vulnerable Groups Act (2006) any offer of employment is provisional upon a satisfactory DBS check being obtained. The healthcare sector is exempted from the Rehabilitation of Offenders Act 1974. In line with other NHS organisations in the North West Region, the Trust is now passing the charge for undertaking a DBS check on to candidates in the event they are successfully appointed into the post for which they have applied. Candidates can choose whether to pay this over 1-3 months as a deduction from the monthly salary. However, if you are applying for a post as a BANK worker, the payment must be made in full at the time of employment checks. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed. The cost of an Enhanced Disclosure will be £55.38 and for a Standard Disclosure will be £27.38.