Job Introduction

Clinical Nurse Specialist

Birmingham Permanent £42,000 (depending on experience) plus £3,000 car allowance

We are seeking a passionate and driven Complex Nurse Specialist (CNS) to join our team. The primary purpose of the CNS is to clinically manage the delivery of complex home care services in their region, to people with medium to long-term complex care needs living in their own homes. This is a field-based role involving regular travel across the West Midlands region as well as working from home. You will also be required to travel to the offices in Nottingham and Southampton for regular team meetings.

This service is delivered through teams of support workers who report to the Complex Care Manager (CCM).  Accordingly, the CNS has direct responsibility for ensuring the capability and standards of service delivered by these teams.

Critical within this role and underpinning the delivery, is the need to operate both flexibly and reliably, whilst fiercely ensuring Bespoke’s values around client-centred care are never compromised and that all regulatory compliance standards are diligently adhered to.  

The role of the CNS is broken down into two main areas as follows:

• To support the Mobilisation Nurse with the set-up of services for new clients, as assigned by the Deputy Nurse Manager and Clinical Nurse Manager
• The ongoing maintenance of services for existing clients, ensuring ongoing high standards of care and safety are constantly achieved.

Reporting directly to the Clinical Nurse Manager and working collaboratively with Complex Care Manager’s (CCM’s), ICB’s, other professional bodies and key team members in the organisation, this is an important role contributing to the successful performance of the business.  

New client set up:

• Work collaboratively with the (Mobilisation team) and operational team to coordinate the set-up of a new client package, including undertaking the clinical assessment to define the clinical care requirements of the package.
• Provide the clinical training to the support workers, as required and work collaboratively with the CCM to schedule relevant shadow shifts to facilitate an efficient sign off process.  
• Escalate any concerns around worker capability in a timely manner. 
• Document worker competency sign offs in line with the agreed process and update on People Planner.
• Develop the care plan and produce all clinical documents required for the set up of the package on our electronic system PASS.
• Regularly liaise with the client and support workers to ascertain the running of the client’s package and make necessary alterations for continuation of care.
• Set up the competency requirements for the client on People Planner.

Maintaining existing client packages:

• Liaise with the CCM’s regularly to review care packages are being delivered in accordance with the defined clinical standards and implement timely remediations if required. 
• Monitor and audit the completion of clinical paperwork (e.g. MAR charts) ensuring any errors are followed up, logged, investigated and resolved appropriately on our electronic system PASS.
• Carry out a joint clinical and operational visit quarterly and document this in a visit report. Follow up appropriately on any concerns identified.
• Complete regular monthly contact with the client as agreed, either face to face, phone calls, email or via text message as agreed with the client. 
• To review care plans as per clinical need for the client, but as a minimum annually as per CQC guidelines.  
• Monitor and action the timely reassessment of worker clinical competencies, ensuring these are kept up to date on People Planner so as not to disrupt the smooth scheduling of staff. 

Other managerial and leadership tasks:

• To review and develop policies
• To identify a complex need specialism within the clinical team and to be the link nurse
• Attend meetings as required (for example – as required by the OM, Multidisciplinary meetings and safeguarding meetings).
• Leading by example, creating a positive, hardworking, results oriented, can-do culture. 

Working relationships:

• Build and maintain effective working relationships with key members across the business, including the OM, CCM’s, other CNS’s in Bespoke and support workers. 
• To develop and maintain monthly reviews with the relevant ICB’s.
• Cross work with other areas of the wider business including Team Brain Injury and Team Learning Disabilities and Autism.

CPD:

• Proactively identify areas / opportunities for your own continuing professional development and discuss these with your line manager. 

 Skills, Knowledge and Expertise

 Proactively identify areas/opportunities for your own continuing professional development and discuss these with your line manager:

• Demonstrated initiative in identifying and pursuing further training, certifications, or educational opportunities to enhance clinical skills and knowledge.
• Regularly engage in professional development discussions with your line manager to align personal growth goals with organisational needs and career advancement.

Experience across diverse environments:

• Proven ability to adapt and thrive in various clinical settings, including hospitals, community care, and home-based care environments.
• Experience in managing complex cases in different healthcare environments, showcasing versatility and comprehensive clinical expertise.

Must have worked with ICU/Spinal or Complex:

• Extensive experience working in Intensive Care Units (ICU), spinal care units, or with complex care patients, demonstrating a high level of expertise in handling severe and multifaceted medical conditions.
• Ability to provide specialised care and manage complex cases, including advanced procedures and multi-disciplinary interventions.

Ability to manage own diary: