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Director Of Nursing Band, Home Community Support Team

Community Healthcare WestGalwayPart-timePermanent

Director of Nursing Band 2

Nursing Home Community Support Team, Community Healthcare West

Job Specification & Terms and Conditions

Job Title and Grade

Director of Nursing Band 2, Nursing Home Community Support Team,

Community Healthcare West

(Grade Code:2904)

Campaign Reference

CHW112-DON2NHST-2022

Closing Date

Monday 12th December 2022 at 12 noon

Proposed Interview Date (s)

As soon as possible following the closing date

Taking up Appointment

A start date will be indicated at job offer stage.

Location of Post

Community Healthcare West, Older Persons Services

There is currently one permanent, whole time vacancy available in Community Healthcare West.

A panel may be formed as a result of this campaign for the post of Director of Nursing Band 2, Community Healthcare West, from which permanent and specified purpose vacancies of full or part time duration for Director of Nursing Band 2, Community Healthcare West, may be filled.

Informal Enquiries

Shannon Glynn, Head of Service - Older Person Services

Phone no: 091 775 751

Email: older.personschw@hse.ie

Details of the service; background of the Post

Covid-19 Response Teams (CRTs) were set up following advice from the National Public Health Emergency Team (NPHET) in March 2020 for the purpose of assisting RCFs in, identifying, managing and preventing further Covid-19 outbreaks irrespective of whether facilities are operated by statutory, not-for-profit or for profit providers.

Following on from recommendations of the Nursing Home Expert Panel it has been agreed to further build on the work of CRTs and therefore establish new integrated Community Support Teams (CSTs) with clearly defined joint leadership across each CHO and Hospital Group Area. The purpose of these new structures is not only to build on the work of the CRTs but also to facilitate the integration of RCFs and ensure equity for all residents in relation to health care service delivery.

It is important to note that the development of CSTs does not diminish or alter the responsibility of individual providers, in accordance with the law to maintain the provision of safe care and services to their residents; the Person in Charge (PIC) of each facility has ultimate responsibility for clinical governance.

The main functions of the CST are to:

· Support RCFs and Home Support Services to build their capacity and self-manage in the event of further COVID 19 surges or other infectious disease outbreaks.

· To operate as a link between service providers (Statutory, Not-for-Profit and For-Profit organisations) and HSE Specialist Teams to deliver service integration for residents with the ultimate aim of improving their clinical outcomes and quality of life.

· Maintain an overview and contact with RCFs within the CHO catchment area including the general profile of residents within the care of each provider.

· Act as a resource for RCF providers regarding information on access to relevant clinical supports, including expert advice and identification of appropriate referral pathways.

· Build and maintain relationships with the RCF Person in Charge, General Practitioner (GP) Lead and Clinical Oversight Committee to support and offer advice on matters relating to overall clinical governance of the facility.

· Provide a single point of access for support and guidance to RCF and Home Support Service providers on outbreak prevention, preparedness planning and management, including Infection Prevention Control (IPC) and signposting to available training and development resources.

Reporting Relationship

The post holder will report to the CHO Chief Officer or other reporting line as delegated by the Chief Officer.

Key Working Relationships( including but not exclusive to)

· Residential Care Facilities (Statutory, Not-for-Profit and For-Profit), including Persons in Charge (PICs)

· Heads of Older Person Services and their teams

· Department(s) of Public Health

· Clinical Governance Committee(s) and GP Lead(s), as they are stood up/identified

· Acute Services

· Integrated Care Programme for Older People (ICPOP)

· Enhanced Community Care (ECC) teams

· Community Health Care Networks to enable the CST

· Community Intervention Team(s)

· Safeguarding Team(s)

· Infection Prevention Control (IPC) Team(s)

· Regulator(s), in line with agreed Protocols

Purpose of the Post

The Director of Nursing will have both strategic and operational responsibility for the development and embedding of the CST in the CHO and Hospital Group Area and will ensure that all functions are fulfilled in line with National Operational Guidance.

This post has a pivotal role in creating the vision and setting the culture of the team and therefore will have overarching responsibility for co-ordinating, and managing activity and resources that will lead to the implementation, monitoring and sustainability of this change initiative.

The DON will ensure that effective communication and integrated structures are in place to support team members who may align to other service teams for the purpose of providing a unified response to residents needs as set out in operational guidance document.

Principal Duties and Responsibilities

Leadership and Accountability

The post holder will be responsible for:

· Providing leadership and direction to team members and instil a culture of professionalism and accountability for clinical actions.

· Providing strategic and clinical leadership and direction for nursing and related services

· Supporting the delivery of effective, efficient, quality assured and resident centred care.

  • Ensuring that team structures are aligned to the agreed National requirement.
  • Completing a mapping exercise to catalogue the RCFs in their area of responsibility and profile service requirements based on the needs of residents

· Collaborating with the Community Healthcare Network Manager and Enhanced Community Care Programme i.e. ICPOP/Chronic Disease to meet identified need.

  • Responsibility for oversight of activity within the CST and for developing and implementing referral pathways for RCFs in collaboration with other Specialist Teams in the Acute and Community settings.
  • Supporting a model of timely referral management by RCFs in conjunction with PICs, GP’s, Community Healthcare Networks and Acute Services
  • Working with the Residential Person in Charge (PIC) Consultant/GP Leads to deliver on the agreed criteria for referral and on-going support ensuring a seamless continuum of care for residents.

Operational Management

The post holder is responsible for:

  • The operational management of the CST including line management responsibility for all members of the team. Clinical supervision will remain with the relevant Head of Discipline as appropriate.
  • Ensuring the CST functions are fulfilled in accordance with its Operational Policy within the allocated budget
  • Enabling the RCFs (Statutory, Not-for-Profit, For-Profit) to meet their obligation in Infection outbreak preparedness, management and prevention.
  • Collaboration with the relevant clinical disciplines to manage referrals into the CST from GPs/PICs/ RCF Clinical Governance Group etc.
  • Developing effective structures with the dedicated resourced staff and team members in conjunction with the community and acute care processes to ensure the team fulfils its principal functions with its targeted client group.
  • Ensuring that the services provided by the team are well organised, responsive, needs led, user focused and of the best quality.
  • Supporting the use of case management technology currently being developed and ensuring that staff are supported in the use of existing and emerging technology including e-referrals, CST Database etc.
  • Reporting on the activity/agreed KPIs of the Community Support Team at CHO and National level.
  • Contributing to the development of HSE services, and relevant clinical Programmes as required.
  • Organising and facilitating regular team meetings to support clinical decision making and availing of the forum to promote learning opportunities.
  • Ensuring processes are in place /immediately stood up to support the identification and management of infectious disease outbreaks including the provision of enhanced support where required and within available resources through the mechanism of the Outbreak Control Team (OCT).
  • Ensuring the proper monitoring and recording of team activity associated with outbreaks including measures and interventions used.
  • Ensuring that direction and co-ordination of the CST is consistent with overall strategy and meets national criteria.
  • Fostering multidisciplinary / interdisciplinary working relationships and strengthening the interface between different locations of care e.g. RCFs, Hospitals, Primary Care Teams etc.

· Interacting with key stakeholders from multiple clinical and administrative services in developing overall mission, strategic plans, budgets, policies and structures.

  • Perform such additional duties as may be assigned from time to time by the service manager (or other authorised officer).

Professional/Clinical Practice

· Developing a philosophy for and clinical care which reflects the HSE’s commitment to the provision of a high standard of care delivery.

· Professional guidance and development for nursing staff in Community Support Team, Integrated Care Programme for Older People and Home Support.

· Maintaining good collaborative working relationships and communications with appropriate statutory, professional and advocacy organisations responsible for and or participating in health care.

· Collaborating and working closely with RCFs supporting the resident, his/her family, the multidisciplinary team, external agencies and services to facilitate care planning, continuity of care and specific care requirements.

· Developing local policies in line with national policy to ensure integrated person centred service delivery.

Quality and Risk

· Establish a risk register for the team and escalate risk as appropriate.

· Developing and implementing risk management and health and safety strategies in consultation with appropriate personnel including residents and families.

· Appraising line management of any significant risk within his/her area of responsibility.

· Effective management of audits, risks, incidents and training records.

· Implementation of Quality Improvement Plans.

Health & Safety

· Promoting and maintaining a safe environment for staff and others.

  • The candidate must have a working knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc.and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.

Education, Training & Development

· Creating a culture of continuous learning within the team.

· Monitoring recent relevant research and new developments.

· Initiate, facilitate and take part in relevant clinical research and promote awareness of ongoing and current research into issues affecting client / resident care.

· Ensuring that appropriate in-service education programmes and on-going learning needs are met for all assigned staff. Liaise and co-operate with appropriate third-level education institutes.

· Implementation of an on-going training needs analysis supported with appropriate training and development programmes

· Fostering a high level of morale among staff by effective motivation and communication.

Administration (including Personnel, Finance etc.)

· Set key objectives in line with the service plan on an annual basis.

· Prepare an annual report or more often as required on services and expenditure.

· Participate, as required, in the recruitment, selection and appointment of staff to the team.

· Prepare annual financial estimates of required resources.

· Ensure expenditure is controlled within budget and identify potential for efficiency saving through improved practices and innovation.

· Budgetary control and implement monthly expenditure audit systems.

· Ensure the implementation of HSE’s policies and procedures for CST team members.

· Maximise the use of IT as it applies to the role.

· To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service.

The above Job Specification is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

Eligibility Criteria

Qualifications and/ or experience

Candidates must have at the latest date of application: -

1.Professional Qualifications, Experience, etc. (See Note 1*).

(a) Eligible applicants will be those who on the closing date for the competition:

(i) Are registered, or are eligible for registration, in the General Nurse Division of the Register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland [NMBI] (Bord Altranais agus Cnáimhseachais na hÉireann).

AND

(ii) Have 10 years post registration nursing experience consisting of 5 years nursing management experience at a minimum of Clinical Nurse Manager 2 (CNM 2) level of which 3 years must have been in an area related to Older Persons Services.

AND

(iii) Have successfully completed a post registration programme of study, as certified by the education provider, which verifies that the applicant has achieved a National Framework of Qualifications (NFQ) major academic Level 8 or higher award maintained by Quality & Qualifications of Ireland (QQI) or can provide written evidence from the Higher Education Institute that they have achieved the number of ECTS credits equivalent to a Level 8 or higher in a health care or management related area

AND

(b) Applicants must possess the requisite clinical, leadership, managerial and administrative knowledge and ability for the proper discharge of the duties of the office.

2.Annual registration

(i)

Practitioners must maintain live annual registration on the General Nurse Division of the Register of Nurses & Midwives maintained by Nursing and Midwifery Board of Ireland [NMBI] (Bord Altranais agus Cnáimhseachais na hÉireann).

And

(ii)

Practitioners must confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).

3.Health

Candidates for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

4.Character

Candidates for and any person holding the office must be of good character.

Post Specific Requirements

Demonstrate depth and breadth of experience in Older Persons services, as relevant to the role including, experience of policy development and the ability to translate policy into action and experience of quality audit/assurance systems.

Other requirements specific to the post

Access to appropriate transport to fulfil the requirements of the role.

Cross sectoral experience and experience in management of outbreaks is desirable but not essential.

Skills, competencies and/or knowledge

Professional knowledge and Experience

Demonstrates

  • Knowledge of the relevant policies / procedures / legislation and knowledge of current best thinking in relation long term care provision/ clinical practice including regulation of the sector.
  • Demonstrate a high degree of commitment, professionalism and dedication to the philosophy of the post holder’s profession and the delivery of quality health care.
  • Experience and knowledge of change management, service improvement approaches/methods that place people’s needs at the centre of decision making with a focus on residential care.
  • Understanding of research methods and measurement with capacity to initiate and support activities relevant to the role and function of the service.

Leadership and Teamwork

Demonstrates

· Leadership skills focussed on collaborative working relationships and the development of learning forums as key to sustainable change and improvement within the healthcare setting.

· The capacity to lead, organise and motivate staff to effectively function at a time of significant organisational change.

· Ability to establish and maintain strong working relationships and the credibility to work with diverse and multi-sectoral/multidisciplinary teams/services to energise critical mass of leaders across the system.

· Ability to influence, reframe and negotiate, working with teams/services to openly address conflict, find common interests, explore solutions and seek resolutions.

· Is committed to and promotes team and personal development.

· Promotes a continuous improvement culture / creates a positive climate for learning.

· A strong focus on developing the contribution of staff at all levels.

Critical analysis, problem solving and decision-making skills

Demonstrates

· The ability to collate information from multiple sources and apply intelligence to support decision making.

· The ability to rapidly assimilate and analyse complex information; considering the impact of decisions before taking action and anticipating challenges.

· Designs and implements structured policies and systems for the management of their service delivery in consultation with key stakeholders and ensures clear role accountability for service levels, quality and decision making discretion.

· The ability to interpret national policy/professional reports (e.g., HIQA, etc.) and ability to develop and implement operational plans to meet policy requirements.

· Ability to analyse problems, guide and support managers and teams to address issues and find workable solutions.

Operational Excellence – Managing and Delivering Results

Demonstrates

· Adopts a proactive forward-planning approach to service delivery in consultation with relevant stakeholders particularly related to the residential care sector.

  • A proven ability to prioritise, organise and schedule a wide variety of tasks and to manage competing demands and tight deadlines while consistently maintaining high standards and positive working relationships.
  • Strong evidence of excellent planning and implementation of programmes of work.
  • Capability of coping with competing demands without a diminution in performance
  • A capacity to negotiate and ensure delivery on objectives.
  • Strong focus on achieving high standards of excellence and measurement of performance.

· A proven commitment to delivering a safe and quality service.

· Ability to monitor and evaluate KPIs to ensure compliance.

Communication and interpersonal skills

Demonstrates

· Strong communication and interpersonal skills.

  • A track record of building and maintaining key internal and external relationships.

· Presents compelling arguments by understanding and anticipating the agendas of others.

· Uses information and facts to build an effective case; will involve and consult with key stakeholders tactfully and listen to their views. Balances diplomacy with assertiveness.

Campaign Specific Selection Process

Ranking/Shortlisting / Interview

A ranking and or shortlisting exercise may be carried out on the basis of information supplied in your application form. The criteria for ranking and or shortlisting are based on the requirements of the post as outlined in the eligibility criteria and skills, competencies and/or knowledge section of this job specification. Therefore it is very important that you think about your experience in light of those requirements.

Failure to include information regarding these requirements may result in you not being called forward to the next stage of the selection process.

Those successful at the ranking stage of this process (where applied) will be placed on an order of merit and will be called to interview in ‘bands’ depending on the service needs of the organisation.

Code of Practice

The Health Service Executive will run this campaign in compliance with the Code of Practice prepared by the Commission for Public Service Appointments (CPSA). The Code of Practice sets out how the core principles of probity, merit, equity and fairness might be applied on a principle basis. The Code also specifies the responsibilities placed on candidates, facilities for feedback to applicants on matters relating to their application when requested, and outlines procedures in relation to requests for a review of the recruitment and selection process and review in relation to allegations of a breach of the Code of Practice. Additional information on the HSE’s review process is available in the document posted with each vacancy entitled “Code of Practice, Information for Candidates”.

Codes of practice are published by the CPSA and are available on www.hse.ie/eng/staff/jobs in the document posted with each vacancy entitled “Code of Practice, Information for Candidates” or on www.cpsa.ie.

The reform programme outlined for the Health Services may impact on this role and as structures change the job specification may be reviewed.

This job specification is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned.

Director of Nursing 2, Nursing Home Community Support Team,

Community Healthcare West

Terms and Conditions of Employment

Tenure

The current vacancy available is permanent and whole-time.

The post is pensionable. A panel may be formed as a result of this campaign for the post of Director of Nursing Band 2, Community Healthcare West, from which permanent and specified purpose vacancies of full or part time duration for Director of Nursing Band 2, Community Healthcare West, may be filled.

Appointment as an employee of the Health Service Executive is governed by the Health Act 2004 and the Public Service Management (Recruitment and Appointments) Act 2004 and Public Service Management (Recruitment and Appointments) Amendment Act 2013.

Remuneration

The Salary scale (01/10/2022) for the post is:

€79,317 €81,550 €83,788 €86,019 €88,262 €90,497 €92,735

New appointees to any grade start at the minimum point of the scale. Incremental credit will be applied for recognised relevant service in Ireland and abroad (Department of Health Circular 2/2011). Incremental credit is normally granted on appointment, in respect of previous experience in the Civil Service, Local Authorities, Health Service and other Public Service Bodies and Statutory Agencies.

Working Week

The standard working week applying to the post is to be confirmed at Job Offer stage.

Annual Leave

The annual leave associated with the post will be confirmed at Contracting stage.

Superannuation

This is a pensionable position with the HSE. The successful candidate will upon appointment become a member of the appropriate pension scheme. Pension scheme membership will be notified within the contract of employment. Members of pre-existing pension schemes who transferred to the HSE on the 01st January 2005 pursuant to Section 60 of the Health Act 2004 are entitled to superannuation benefit terms under the HSE Scheme which are no less favourable to those which they were entitled to at 31st December 2004.

Age

The Public Service Superannuation (Age of Retirement) Act, 2018* set 70 years as the compulsory retirement age for public servants.

* Public Servants not affected by this legislation:

Public servants joining the public service, or re-joining the public service with a 26 week break in service, between 1 April 2004 and 31 December 2012 (new entrants) have no compulsory retirement age.

Public servants, joining the public service or re-joining the public service after a 26 week break, after 1 January 2013 are members of the Single Pension Scheme and have a compulsory retirement age of 70.

Probation

Every appointment of a person who is not already a permanent officer of the Health Service Executive or of a Local Authority shall be subject to a probationary period of 12 months as stipulated in the Department of Health Circular No.10/71.

Protection for Persons Reporting Child Abuse Act 1998

As this post is one of those designated under the Protection for Persons Reporting Child Abuse Act 1998, appointment to this post appoints one as a designated officer in accordance with Section 2 of the Act. You will remain a designated officer for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. You will receive full information on your responsibilities under the Act on appointment.

Mandated Person Children First Act 2015

As a mandated person under the Children First Act 2015 you will have a legal obligation:

· To report child protection concerns at or above a defined threshold to TUSLA.

· To assist Tusla, if requested, in assessing a concern which has been the subject of a mandated report.

You will remain a mandated person for the duration of your appointment to your current post or for the duration of your appointment to such other post as is included in the categories specified in the Ministerial Direction. You will receive full information on your responsibilities under the Act on appointment.

Infection Control

Have a working knowledge of Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc. and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.

Health & Safety

It is the responsibility of line managers to ensure that the management of safety, health and welfare is successfully integrated into all activities undertaken within their area of responsibility, so far as is reasonably practicable. Line managers are named and roles and responsibilities detailed in the relevant Site Specific Safety Statement (SSSS).

Key responsibilities include:

· Developing a SSSS for the department/service[1], as applicable, based on the identification of hazards and the assessment of risks, and reviewing/updating same on a regular basis (at least annually) and in the event of any significant change in the work activity or place of work.

· Ensuring that Occupational Safety and Health (OSH) is integrated into day-to-day business, providing Systems Of Work (SOW) that are planned, organised, performed, maintained and revised as appropriate, and ensuring that all safety related records are maintained and available for inspection.

· Consulting and communicating with staff and safety representatives on OSH matters.

· Ensuring a training needs assessment (TNA) is undertaken for employees, facilitating their attendance at statutory OSH training, and ensuring records are maintained for each employee.

· Ensuring that all incidents occurring within the relevant department/service are appropriately managed and investigated in accordance with HSE procedures[2].

· Seeking advice from health and safety professionals through the National Health and Safety Function Helpdesk as appropriate.

· Reviewing the health and safety performance of the ward/department/service and staff through, respectively, local audit and performance achievement meetings for example.

Note: Detailed roles and responsibilities of Line Managers are outlined in local SSSS.

Ethics in Public Office 1995 and 2001

Positions remunerated at or above the minimum point of the Grade VIII salary scale (€69,676 as at 01.10.2020) are designated positions under Section 18 of the Ethics in Public Office Act 1995. Any person appointed to a designated position must comply with the requirements of the Ethics in Public Office Acts 1995 and 2001 as outlined below:

A) In accordance with Section 18 of the Ethics in Public Office Act 1995, a person holding such a post is required to prepare and furnish an annual statement of any interests which could materially influence the performance of the official functions of the post. This annual statement of interest should be submitted to the Chief Executive Officer not later than 31st January in the following year.

B) In addition to the annual statement, a person holding such a post is required, whenever they are performing a function as an employee of the HSE and have actual knowledge, or a connected person, has a material interest in a matter to which the function relates, provide at the time a statement of the facts of that interest. A person holding such a post should provide such statement to the Chief Executive Officer. The function in question cannot be performed unless there are compelling reasons to do so and, if this is the case, those compelling reasons must be stated in writing and must be provided to the Chief Executive Officer.

C) A person holding such a post is required under the Ethics in Public Office Acts 1995 and 2001 to act in accordance with any guidelines or advice published or

[1] A template SSSS and guidelines are available on the National Health and Safety Function/H&S web-pages

[2]See link on health and safety web-pages to latest Incident Management Policy

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