Orkney NHS Board Headquarters: Garden House, New Scapa Road, Kirkwall, Orkney KW15 IBQ

Chair: Ian Kinniburgh Chief Executive: Cathie Cowan

Orkney NHS Board is the common name of Orkney Health Board

Our community, we care, you matter....

Human Resources

Garden House

New Scapa Road Kirkwall Orkney KW15 1BH www.show.scot.nhs.uk/ohb

Date: 09 June 2016 Tel: 01856 888186 Fax: Enquiries to: Danna Wilson Email: danna.wilson@nhs.net

Dear Applicant RE: Learning Disability Nurse REF: 0416/003 Thank you for the interest you have shown regarding the above post with Orkney NHS Board. Please find enclosed a Job Pack containing: Application Form and Equal Opportunities Monitoring Sheet

Declaration of Suitability Form Advert

Job Description Person Specification Your completed application form and Equal Opportunities Monitoring Sheet and Declaration of Suitability form can be returned electronically to ork-hb.recruitment@nhs.net , or if this method is not suitable forms can be sent to the Human Resources Department at the above address. Please note that correspondence regarding your application will be sent by email. If this method is not suitable for you, please contact me at the above address to let me know. Please note that CV’s will not be accepted and a completed application form is required in order to apply for a post at NHS Orkney. If you require any further information please do not hesitate to contact myself or any of the other contacts stated in the advert. Yours sincerely

Danna Wilson Recruitment Officer

Learning Disability Nurse Job Ref 0416/003

All Age Learning Disability Service, Orkney Islands Council, Kirkwall Band 6 £26,565 – £35,577 per annum plus Distant Islands Allowance Full Time: 37.5 hours per week Permanent An excellent opportunity has arisen for a Learning Disability Nurse to join the All Age Learning Disability Service. This is an exciting new post aimed at addressing the health inequality and health access needs of the Learning Disabled population of Orkney. The post holder will deliver a specialist Learning Disability Nursing Service to people with learning disabilities in Orkney and support their families/carers and involved agencies. A key part of this post necessitates a close liaison and co-ordination role with the learning disability specialist support services from Grampian. The post holder will be a confident and self motivated practitioner who is able to work within the national integration agenda, and is keen to reach out to a multiplicity of partner agencies and stakeholders in order to ensure that services for people with learning disabilities in Orkney are holistic and person centred. They will also be a registered Learning Disability nurse with current NMC registration and minimum experience of one year within the specialty. Sound knowledge of relevant legislation and policy within Learning Disabilities and related fields is essential. Robust clinical Learning Disability nurse supervision will be provided within Orkney. Further support and networking opportunities are available, and will be promoted, via the Learning Disability Obligate network arrangement that Orkney has with Grampian Learning Disability health services. Rise to the challenge and enjoy the opportunity – Orkney is a wonderful place to live and work and voted one of the happiest places to live in the UK. Orkney offers low pollution, low crime, excellent schools, good leisure facilities, unique wildlife and amazing scenery. To find out more about living and working in Orkney got to www.orkney.com or www.visitorkney.com For further information please contact Tom McGuire, All Age Learning Disabilities and Mental Health Service Manager, on 01856 873535, email: tom.mcguire@nhs.net For an electronic application pack please contact Danna Wilson, Human Resources Department, Balfour Hospital, New Scapa Road, Kirkwall, KW15 1BH. Telephone 01856 888186 or E-mail ork-hb.recruitment@nhs.net Closing date for applications: Thursday 23rd June

This post is subject to a PVG Scheme Record check

JOB DESCRIPTION

1. JOB DETAILS

Service

All Age Learning Disabilities

Job Title

Community Learning Disability Nurse

Grade

Band 6

Location

Orkney Council Offices

Reporting To Operational Manager , All Age Learning Disabilities Service

2. JOB PURPOSE

To deliver a specialist Learning Disability Nursing Service, to people with Learning Disabilities in Orkney and to support their families/ carers and .involved agencies.

To organise and facilitate the learning disability specialist support services from Grampian.

To support, advise and liaise with all other Health Professionals to ensure the health needs of people with a learning disability are addressed.

To work closely with Primary care services in order to support them to understand and address the physical and mental ill health pre-dispositions of this population and the causes of health inequalities.

To work in an effective, multi-agency, multi professional way with services who support, manage and provide services for individuals who have a learning disability.

Within existing resources and work load capacity, to develop/ enhance current services within Orkney Health and Care and Orkney Islands Council, and to reflect the priorities of national documents/ Scottish Government agenda relating to the support, care and treatment of people with learning disabilities.

3. DIMENSIONS

The post holder offers a specific learning disability nursing service to both children and adults Orkney wide who have a recognised learning disability. There is a defined referral criteria which is operated under an open system. The post holder will offer support and advice in both the development and delivery of care plans.

4. ORGANISATION CHART

Operationally: reporting to Operational Manager, All Age Learning Disability Services

Professionally: reporting to Strategic Learning Disability Nurse (currently All Age Learning Disabiliies Service Manager)

5. ROLE OF THE DEPARTMENT

The Community Learning Disability Nurse is a member of the All Age Learning Disability Service, which also comprises of day service provision, support living accommodation, adult short break and child respite and family focus services, as well as a Social Work Team

The All Age Learning Disability Service supports people of all ages with a Learning Disability in Orkney. This is an integrated service which engages across organisations, agencies and sectors in Orkney in order to promote a holistic, person centred approach to care and support.

The service’s identified aspirations and objectives are articulated within a high level All Age Learning Disability Blue Print, local Service Delivery Plan, and are encompassed within the Integrated Joint Board Strategic Commissioning Plan. These documents reflect local and national drivers for Learning Disability services.

6. KEY RESULT AREAS

Responsible for the triage, assessment, planning, implementation and evaluation of all client referrals and required treatments..

To respond to requests for specialist consultancy regarding clinical presentations, specific learning disability information, or resources.

Provide data/ figures and contribute information for national or local databases, freedom of information requests.

Respond following direction/guidance of Strategic Learning Disability Nurse, regarding Scottish Government directives/ recommendations or local strategies/ policies and act as learning disability specialist representative on strategy/ policy groups (following consultation with Service Manager).

Plan, prepare and deliver specialist teaching regarding client specific treatment plans or tailored education sessions. Education programmes will be to a wide range of staff, organisations or client family members.

Responsibility for communicating effectively with a wide range of professionals, organisations, parents and carers, for the benefit of the client or service development.

Responsibility for the coordination and planning for visiting specialist services. This includes directing or facilitating referrals to their service, planning of clinic lists, appointments, case discussions/ conferences regarding clinical need.

Responsibility for identifying gaps/ updating clinical knowledge/ training need/ service need.

Responsibility for maintaining current professional knowledge and competencies.

Responsibility for ensuring that clinical supervision is maintained on at least a 6-8 weekly basis.

Where feasible, to link with other learning disability professionals as a professional networking resource

To meet with Strategic Learning Disability Nurse and Lead Nurse (OHAC), as necessary, to discuss professional nursing issues.

To be responsible for responding to legal requests e.g. when working with forensic need. This may involve giving evidence in court, writing reports, and making assessments.

Supporting carers and providers with the management of offending behaviour. Liaise with legal services and the police if required.

Involvement in Child/ Adult Support and Protection investigations/ protection plans/ involvement.

Involvement in Welfare Guardianship applications/ review process and assessments for Adults with Incapacity.

Following consultation and guidance from Strategic Learning Disability Nurse lead/ AALD Service Manager/Operational Manager, to conduct, local audits re Learning Disability Service health issues as well as implementing national and OHAC specific audits.

7. EQUIPMENT AND MACHINERY

The post holder is required to drive a car so they can access all areas of Orkney. Driving can be in difficult/ severe driving conditions such as high winds, rain, snow and ice.

Computer skills are essential, all client records are electronic and a number of different electronic databases are used daily. E-mailing, report writing, etc. are required to be conducted electronically.

The post holder is responsible for identifying and sourcing specific equipment/ resources required to carry out the job.

Video camera for clinical observations, laptop

Additional equipment/ machinery that belong to the client/ other services can be used to facilitate specific patient interventions e.g. wheelchairs, sensory equipment such as snoezelen, and specific augmentative communication aids.

When delivering training, lap tops, projectors, flip charts etc. have to be transported and assembled.

8. SYSTEMS

Systems that the post holder is responsible for utilising include electronic nursing records, electronic caseload database(s), visiting specialist clinic schedules. The post holder clinically decides which clients are to be seen, plans appointments, books venues, and sends out appointment letters.

The post holder will access Paris and other electronic client record systems as needed.

9. ASSIGNMENT AND REVIEW OF WORK

Client referrals can come from a wide range of sources e.g. education, health, social care, family or self-referral. The post holder is solely responsible for carrying out a specialist clinical assessment which will determine if the referral meets the referral criteria.

10. TRAINING AND EDUCATION

Content can be either client based or reflect a wider area of practice relevant to the field of Learning Disabilities such as behaviour management.

National documents/ policies – the post holder will, in consultation with the Service Manager and/or Operational Manager, reflect national priorities and apply these to the local context.

The post holder, in liaison with strategic LD Nurse Lead/Service Manager, is accountable for the delivery of the specialist Learning Disability Nursing Service. This includes caseload management, the assessment, planning, implementation and evaluation of complex/specialised programmes of nursing care and advice, and delivery of specialist advice in child/ adult support and protection scenarios.

11. DECISIONS AND JUDGEMENTS

The post holder is accountable for their own actions and will work under their own initiative. Where advice or support needs to be sought regarding operational matters the post holder will receive this via the Operational Manager for AALDS. Where support is required regarding professional issues the post holder fulfilling the strategic LD nurse role will provide this advice. The OHAC Lead Nurse will also be available to support the post holder regarding general, non-specialist nurse issues.

Deciding in consultation with others, when to call planning or case conferences with other areas/ agencies.

Being able to work autonomously when required, within remit of lone working policy.

The post holder needs to be alert and resilient enough to manage professional isolation and stress.

The post holder has the freedom to interpret policies and documents for the specialist learning disability nursing service i.e. developing own joint (with OIC) risk assessments, interpretation and implementation of Adults with Incapacity legislation Driver legislation and guidance such as ‘Keys to Life’ (2013)

The post holder needs to be competent in assessing and managing risk.

The post holder needs to function within the remit of their professional competencies and role.

12. MOST CHALLENGING/ DIFFICULT PARTS OF THE JOB

Being an autonomous practitioner, often working in isolated circumstances

Having to respond to varied demands to find solutions to potentially volatile situations that client's, carers and other professionals may highlight. This involves the use of problem solving skills, risk management, de-escalation techniques and interpersonal counselling skills in therapeutic relationships

13. COMMUNICATIONS AND RELATIONSHIPS

The post holder will be required to use communication skills to de-escalate conflict situations and to ensure the safety of clients, self and others by managing those situations appropriately. This can be demanding both emotionally and physically.

The post holder may be required to convey information of a particularly sensitive manner which does not align with client/carer/family expectations and desires.

The post holder is required to explain complex ideas and concepts to clients in relation to their health and treatment in clear and simple language in accord with the individual’s level of comprehension and via the most appropriate communication system(s).

Explain the role of the learning Disability nurse to a range of people and clarify appropriateness of interventions and continuation/discontinuation of treatment

The postholder will:

Practise and promote confidentiality at all times.

Communicate with all colleagues in a professional manner.

Demonstrate ability to listen effectively to other points of view.

Internal

The post holder is required to communicate with clients, carers, members of multi-disciplinary teams and services

External

The post holder is required to communicate with other hospitals and other services within other NHS boards, external organisations and bodies such as Higher Educational Institutions, professional bodies.

14. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF

THE JOB

Driving challenges: this involves continual risk assessment i.e. driving to visits/ meetings in adverse weather conditions, rural areas with poorly maintained tracks and the various hazards which arise when driving.

Dealing sensitively with clients who have high levels of anxiety and aggression which may result from causes such as pain, dementia, limited mobility, poor comprehension and communication skills, isolation and stigmatization

A portion of the job entails physical work and the post holder would require moving and handling skills which should be kept up to date as per NHS Orkney policy

At times the post holder will be required to assist clients with little/ limited mobility to move from one area to another.

The post holder may occasionally work within confined spaces, working with clients who are potentially a risk to themselves or others

At times violent/aggressive incidents may occur, and sustained effort or sudden intense effort in the management of these incidents may be required.

The post holder will be required to be able to initiate and maintain appropriate first aid emergency care.

There is a need for accuracy in the use and appropriate maintenance of all clinical equipment such as needles and syringes.

The post holder will meet the requirements of the European Work Time Directive.

15. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Being an autonomous practitioner, often working in isolated conditions, and in so doing, having to respond to varied demands/ find solutions to potentially volatile situations. This involves the deployment of problem solving skills, competence in risk assessment and risk management skills, familiarity with de-escalation techniques, and adept use of interpersonal counselling/therapeutic skills.

Being a sole practitioner within the field, (other than the Strategic Learning Disability Nurse), this requires the practitioner to be aware of, and practice within, the remit of professional boundaries and competence. It also requires the practitioner to adopt a reflective practice approach, and to be a clear and assertive communicator.

16. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

The post holder is required to be a registered nurse with current Nursing and The Midwifery Council registration under the Learning Disability part of the register.

Previous experience as a trained nurse for a minimum of 1 year within the speciality is essential.

The following are essential aspects of knowledge and experience:

Sound knowledge base with regards to speciality Knowledge of relevant legislation and policywithin Learning Disabilities and related

fields Knowledge of mentorship within clinical practice Ability to participate in the delivery of presentations and teaching sessions.

Ability to work using own initiative and awareness of own limitations. Well-developed written and verbal communication skills Commitment to lifelong learning and personal development plan

The following mandatory training will be required whilst the practitioner is in post: Basic Life Support (refresher as per NHS Orkney required schedule) Prevention and management of violence and aggression (and adherence to identified

refresher schedule)

Fire seminar (yearly)

Other relevant training:

Knowledge and experience of speciality and relevant care approaches Bereavement and Loss with particular emphasis within field of Learning Disabilities Knowledge and experience of mental health conditions and care approaches specific

to the client group.

Counselling Skills. Partners in communication.

March 2016

NHS Orkney

__________________________

PERSON SPECIFICATION

Job Title:- Community Learning Disability Nurse

Department:- All Age Learning Disabilities Service

Key Criteria

Essential

Desirable

Qualifications and Training

Current NMC registration as registered nurse for people with Learning Disabilities

Work/Voluntary Experience

I year post-registration experience within a Community Learning Disability Team setting

Post-registration experience facilitating health facilitation/ health checks for people with Learning Disabilities

Membership of professional bodies/ associations/ registrations

NMC

Key Personal Attributes / Characteristics

Good communication and interpersonal skills.

Awareness of need for professionalism at all times, in behaviour, maintaining confidentiality, punctuality, reliability and appearance

Ability to communicate empathically and sensitively when required, particularly in emotive situations.

Awareness of need to recognise own competency limitations and of the need to seek advice at an early stage.

Awareness of need for respect for others in a work/learning situation

Special Skills / Competence

Assessment, planning, implementation and evaluation of care skills

Knowledge of national agendas and policies relating to people with Learning Disabilities.

Experience and skills in working with people who may challenge services.

Awareness of health inequalities and ill health pre-dispositions affecting the Learning Disabled population

Experience of working in multi-agency settings

Time management skills.

Caseload management skills.

Professional reflection skills

IT literacy and keyboard skills (e.g. web search and office packages).

Experience in running groups and good presentation skills.

National accredited qualification in Positive Behavioural Support or behaviour analysis and management

Other

Works to professional guidelines as defined by NMC and the NHSO.

Prepared to work flexible hours.

Driving licence.

Date: 16.12.2015

Guidance for completing the NHSScotland application form

If you need this, or any of the attached forms in large print or other

formats please call our recruitment office on 01856 888186

An electronic version is available by contacting

ork-hb.recruitment@nhs.net General guidance

If you have any questions or need some help with completing the form, please call 01856

888186. Please have the job reference number handy if possible.

If you are using the ‘hard copy’ version of our application form, please use black ink and write

clearly in BLOCK CAPITALS. This makes the form much easier to read and clearer when we

scan it.

The job reference number can be copied from the job advert.

The job location will be on the job advert.

The candidate ID number will be written in by us once you have returned the form to our

office.

The people who look through your completed form (short listing or short leeting team) to see if

you have the skills and abilities needed for the job, will only see ‘Part C’ of the form. They will

only see your candidate ID number and all personal details will be anonymous.

Please do not send in a CV instead of, or as well as, the application form. We do not

consider CVs during the selection process.

Please fill in all sections of the application form. If some parts are not relevant, write ‘not

applicable’ or ‘N/A’ in that space.

If you need more space to complete any section, please use extra sheets of paper. Do not

put your name or any identifying information on it as it needs to remain anonymous.

Secure it to the relevant section, and we will add a candidate ID number to it when we receive

it.

When you have completed all of the forms, please email them to ork-

hb.recruitment@nhs.net Or if this method is not suitable you can send them to the following address:

Human Resources Department NHS Orkney Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH

Personal Details section

This gives us your contact details such as name and address. Under ‘title’ you would put either Mr, Mrs, Ms, Dr or just leave blank if you prefer.

We may need to contact you at some time throughout the recruitment process. Please let us know the most suitable method of contacting you, for example a text message, email or phone call and the most convenient time.

Sickness

Please list in this section the number of occasions you were off work in the past year because of illness. If you would like to discuss this for further clarification please call our recruitment office.

Declarations

Only if it is asked for in the job description, person specification or application pack

about the job, you must tell us about all convictions and cautions regardless of how long ago

the offence may have occurred. Convictions from other countries must also be notified. If in

doubt please call our office at the help line number on page one of this guidance.

Please note that having a conviction will not automatically disqualify you from getting a job

with us. Careful consideration will be given to the relevance of the offence to the particular

post in question. However, if you are appointed, and it is found that you did not reveal a

previous conviction your employment may be terminated

Remember to read, consider and sign the declaration at the bottom of page 2

Qualifications section

Please tell us of any qualifications you have. This can include school standard grades, GCSEs highers, or work based qualifications such as SVQs or NVQs

Remember to write down any ‘non formal’ qualifications or certificates that you think are relevant to the job you are applying for.

Present (or most recent) post section

If you are currently out of work, please write this in the ‘job title’ space

Please write your start date in month/year format MM/YYYY

Please tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main tasks, and any responsibility for supervising others. There is not a lot of space here so continue on a separate sheet if you need to.

Employment History section

This is where you write down all the jobs you have done previously.

Remember that if a job you have done in the past supports or is similar to the job you are applying for, please tell us more about it in your ‘support of application’ statement on page 6 of the application form – use a separate sheet if you need more space.

References section

Referees are people who know you at work. Please give the full names and addresses of 2 referees, one of whom must be your present or most recent employer and can confirm your job details.

You should check that the people you have put on your form are happy to be referees.

Your referees will not be contacted unless you are a ‘preferred candidate’ after interview. A

preferred candidate is someone who is the preferred choice for the job, subject to satisfactory

checks where appropriate. Driving Licence

You only need to complete this if the job requires you to drive. Please check the job

description or person specification. For example, some jobs with the Ambulance Service

require you to be able to drive class C1 and D1 vehicles. Statement in support of your application

This is one of the most important parts of the form. In here you say why it is you want this

job, and can list all your skills and abilities that you think help to match up you against the

‘person specification’. In here you could describe how something you have done in a non

work setting (for example, planning and leading a group outing) shows planning skill and

some leadership qualities. Where did you see the advert section

Please try to remember where you heard about this job, and tick the relevant box. The

information you give will help us find out how good our advertising is.

Equal opportunities monitoring

Please note that all details on this section (Part D) will remain totally anonymous. It will be

detached from the rest of the form as soon as we get it and remain anonymous.

We want to ensure that there are no barriers to joining our workforce. As an employer,

NHSScotland is as fully inclusive as possible. One way we can ensure this is to analyse all

the data provided in this section and ensure that job opportunities are being accessed by as

wide a community as possible.

Please email your completed form to ork-hb.recruitment@nhs.net

However if you are un-able to submit your application electronically, you can send it to: Human Resources Department NHS Orkney Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH