Clinical Site Manager

In conjunction with other members of the Operational and Nursing teams, ensure the provision of effective site management, including direct responsibility for the management of the Patient Flow and Hospital at Night teams and the direction of bed usage throughout the Trust.

The post involves operational management of all site issues as well as facilitating patient flow throughout the clinical areas. This is with the objective of ensuring that the patient is admitted in a timely fashion, receives the right treatment in the right place and is signposted to alternative service providers in accordance with agreed pathways and protocols of care.

The post will also act as a support for both the Hospital at Night team and ward staff out of hours, to ensure the safe and effective use of resources to provide quality patient care. Working autonomously, but with support and liaison with operational managers and off site managers the post holder will ensure the timely action and communication of all site issues ensuring services are maintained.

The role will cover twenty-four hours a day, seven days a week typically working 12 hour shifts.

Main duties of the job

Strategic Direction

• To support the development of, and promote, the Trust's mission, values, aims and objectives.
• To contribute to the Division's strategy and operational plan leading on the development of improvement plans for specified services, as part of the annual planning cycle and on an ad-hoc basis as required.
• To play a major role in modernising the operational delivery of services in line with the strategic direction of the Trust and the divisional operating plan, working with clinical teams to embed quality improvement and development work.
• Identify and work closely with the integrated discharge team and ward coordinators to facilitate the discharge process and maximise the use of the discharge lounge when available.
• Work with ward staff to improve the speed, safety and effectiveness of discharges.
• Identify problems within hospital processes that lead to delays in discharge, and notify the discharge liaison team and/or appropriate nurse manager.

Clinical / Professional

• To ensure that all personal mandatory training requirements are kept up to date. To maintain current awareness of all relevant trust policies especially those relating to the transfer of patients, local and national targets and pathways of care. Ensure that acquiring competencies and skills for role/self-development are undertaken in a timely and appropriate manner.

About us

The post holder will uphold and maintain the trust values at all times.

Our Values

• Vision

We have a plan that will deliver excellent health and care for future generations, working with partners to ensure our services are sustainable.

We make decisions that are best for long term health and social care outcomes for our communities.

We communicate clearly to our patients, families and our staff with transparency and honesty.

We encourage feedback from everyone to help drive innovation and improvements.

• Integrity

We demonstrate fairness, respect and empathy in our interactions with people.

We take responsibility for our actions, speaking out and learning from our mistakes.

• Compassion

We take a person-centred approach in all our interactions with patients, families and our staff.

We provide compassionate care and demonstrate understanding to everyone.

We put quality and safety at the heart of all our services and processes.

We continuously improve our standards of healthcare with the patient in mind.

Job responsibilities

Leadership and Communication

• To be responsible and accountable for the operational management of the hospital sites out of hours, acting as a co-ordinator of services and working closely with clinical and managerial staff.
• Assist the clinical areas with ensuring that maximum use of beds is maintained by utilising agreed operational strategies.
• Act as operational management support to all staff on site out of hours on behalf of line managers.
• To maintain collaborative working relationships and effective communications between all members of the multidisciplinary team, resolving conflict and working with teams to ensure a high standard of coordinated patient care.
• Take timely appropriate actions in relation to complaints, accidents and untoward incidents involving patients, staff and visitors, liaising with individual Directorates, Clinical and Non-Clinical Managers on incidents within their areas and compiling statements accordingly.
• Ensure that there is effective use of available resources, reporting areas of difficulty/concern to Directorate Managers and/or Nurse Managers and/or relevant ward managers.
• To be a point of contact by ensuring that they are a visible, accessible and assertive figure to whom patients, relatives and staff can turn for assistance, advice and support.
• To establish and maintain positive links with external agencies in particular care coordination centre (CCC), police, coroner, media, social services, and community nursing and domiciliary therapy services.
• Act as Incident Control Officer during fire calls, leading and instructing staff through the Fire Policy.
• On behalf of the Trust comply with Mental Health Act and facilitate in the care of mental health patients by receiving section papers under the Mental Health Act and process them accordingly.
• Assist in leading the major incident procedure as set down in local policy.
• To ensure compliance with escalation policies and associated standard operating procedures.

Co-ordination and management of patient flow

• Be accountable and responsible for the overall co-ordination of patient flow within the hospital sites out of hours in accordance with the operational policy for the management of emergency and elective patient flow ensuring patients requiring hospital admission are placed in the most appropriate bed for their requirement.
• Act as liaison with other clinical hospital personnel to maximise bed use and facilitate the admission of emergency and elective patients.
• To ensure responsibility in ensuring staff maintain and update PAS/Electronic Patient Record/Bed Management systems to support patient care.
• To understand and be able to use the Vital Pac system and the EWS scoring system to prioritise the movement of patients according to clinical need, and maintain the clinical safety of patient flow.
• Collect and audit data related to bed availability and usage and update the appropriate personnel.
• To take ownership and accountability for emergency access targets and advise management of potential breaches to A&E targets in a timely manner.
• To ensure that the escalation policy is adhered to.
• Liaise closely with the clinical staff ensuring accurate information is available which ensures timely bed allocation.
• Lead the Site Management teams and provide the day-to-day senior operational support to enable effective decisions to be made about the daily capacity and flow as well as provide support to developing a robust plan in line with all the standards the Trust is required to achieve. The decision-making processes should be primarily to enable patient safety but also make the most effective and efficient use of allocated resources.
• Be accountable for the forward operational plan arising from the bed meeting regarding the management of the next period before review.
• Manage unforeseen staffing/skill mix deficits and fluctuations in dependency pragmatically ensuring the best use of resources across the hospital overnight.
• Identify and work closely with the integrated discharge team and ward coordinators to facilitate the discharge process and maximise the use of the discharge lounge when available.
• Work with ward staff to improve the speed, safety and effectiveness of discharges.
• Identify problems within hospital processes that lead to delays in discharge, and notify the discharge liaison team and/or appropriate nurse manager.
• Employ problem-solving skills and liaise with other agencies to expedite problematical discharges from hospital.
• Undertake allocated projects and audit, in conjunction with the Acute Adult Care Division.

Clinical / Professional

• To ensure that all personal mandatory training requirements are kept up to date. To maintain current awareness of all relevant trust policies especially those relating to the transfer of patients, local and national targets and pathways of care. Ensure that acquiring competencies and skills for role/self-development are undertaken in a timely and appropriate manner.
• Support the Hospital at Night team, assisting in coordinating and reviewing the service with management and appropriate personnel.
• To be a competent practitioner, with the required skills to be able to practice in the role. The post holder will act as a resource and advisor to staff working within the limitations of their professional capacity.
• To provide managerial support and professional advice to the nursing and junior medical staff. Acting as an advisor, role model for staff in the absence of the Ward Manager, Senior Sister/Charge Nurse. Offering assistance and support where possible.
• Support the meeting of pathways and targets treatment through understanding and ensuring requisition of tests within set clinical pathways.
• Provide clinical support and professional advice to the nursing staff and junior medical staff.
• Be familiar with the Mental Health Act and responsibilities relating to restraining orders appropriate within the general acute setting.
• To share awareness and highlight issues that pertain to the Protection Of Vulnerable Adults and Deprivation Of Liberty Safeguard regulations.
• To act as a member of the Trust's Resuscitation Team, Trauma Team in the absence of an appropriately qualified Nurse Practitioner in Hospital at Night or the Outreach service.

Human Resources

• To ensure that all local and national HR policies, procedures and guidelines are adhered to and report any failure to do so appropriately.

Professional Conduct

• To conduct oneself in a manner perceived by others as constructive. Ensure that any issues with other staff members or members of the public are addressed appropriately and documented accordingly.
• To adhere to all local, national and professional guidelines in relation to conduct. To take the lead in ensuring that local incidents, complaints and issues are dealt with in accordance with Trust policy.
• To adhere at all times to uniform policy.
• To ensure that sickness is reported and recorded according to Trust policy for both the CSM and Hospital at Night team and any direct line reports.
• To ensure that documentation of site reports, breaches and staffing issues are in accordance with agreed protocols and to a professional standard that does not use colloquial language and accurately reflects performance.
• Responsibility for reviewing and maintaining service provision in event of gaps in service provision due to sickness or other events.
• To act as line manager and undertake all pertinent tasks for the Hospital at Night administrative workers, ensuring clear direction and support in a proactive framework.
• To work as part of a team in service delivery and in reviewing standards, policies and guidelines required to meet service provision.

General

• A visible leader who is accessible to patients, visitors and staff, providing professional and clinical leadership within area.
• To observe the rules, policies, procedures and standards of Bolton Foundation Trust together with all relevant statutory and professional obligations.
• To adhere at all times to the NMC The Code.
• To observe and maintain strict confidentiality of personal information relating to patients and staff.
• To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.

Person Specification

• Evidenced based detailed knowledge and understanding of the operations of a major acute hospital.
• Demonstrable previous success in leading and delivering change and establishing clear work priorities, delegating effectively, ensuring a capability to deliver, monitoring performance and giving feedback.
• Experience in delivering improvements to facilitate change that has direct patient benefits.
• Understanding and previous experience of service improvement techniques.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.