golden jubilee national hospital pack - ah 32 17... · web viewto liaise closely with the hospice...

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Our reference: AH/32/17 Enquiries to: Lorna Samson Address: 35 Racecourse Road, Ayr, KA7 2TG Telephone: 01292 269200 Fax: 01292 294401 Email: [email protected] Dear Applicant Post Title: Specialist Palliative Care Nurse Salary Range: £26,565 to £35,577 Hours: 37.5 hours per week Closing date: Monday 7 th August 2017 Informal Enquiries to: Margaret Cassidy Thank you for your recent enquiry regarding the above vacancy. I have pleasure enclosing an application pack containing; An Application Form. Please note we do not accept CVs. An Equal Opportunities Form. A Job Description (for reference only). A Person Specification (for reference only). An Information sheet containing details of the terms and conditions applying to the post (for reference only). Please note that only candidates who are shortlisted and invited for interview will receive further communication regarding the process of an application. I would therefore like to thank you for the interest you have shown in this vacancy with The Ayrshire Hospice and look forward to receiving your Application for this post. Yours sincerely

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Page 1: GOLDEN JUBILEE NATIONAL HOSPITAL Pack - AH 32 17... · Web viewTo liaise closely with the Hospice Multi-disciplinary Team, primary care team and Hospital Palliative Care Team, keeping

Our reference: AH/32/17Enquiries to: Lorna SamsonAddress: 35 Racecourse Road, Ayr, KA7 2TGTelephone: 01292 269200Fax: 01292 294401Email: [email protected]

Dear Applicant

Post Title: Specialist Palliative Care NurseSalary Range: £26,565 to £35,577Hours: 37.5 hours per weekClosing date: Monday 7th August 2017Informal Enquiries to: Margaret Cassidy

Thank you for your recent enquiry regarding the above vacancy. I have pleasure enclosing an application pack containing;

An Application Form. Please note we do not accept CVs. An Equal Opportunities Form. A Job Description (for reference only). A Person Specification (for reference only). An Information sheet containing details of the terms and conditions applying to the post (for

reference only).

Please note that only candidates who are shortlisted and invited for interview will receive further communication regarding the process of an application. I would therefore like to thank you for the interest you have shown in this vacancy with The Ayrshire Hospice and look forward to receiving your Application for this post.

Yours sincerely

LORNA SAMSONPeople Development Officer

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INFORMATIONFOR CANDIDATES

POST OF: SPCNBASE: 38 Racecourse Road, Ayr, KA7 2TGREF NO: AH/32/17

Thank you for applying for the above post with the Ayrshire Hospice. This information sheet summarises the terms and conditions related to the post. The Hospice has recently undertaken a Pay and Benefit Review and the following terms and conditions will be effective from 1 April 2016.

ABOUT THE POST:

Employing Organisation: Ayrshire Hospice

Job Description: A job description is attached.

Salary/Grade Scale: £26,565 to £35,577

Your salary will be paid into your bank account on the last Friday of each month.

Hours of Work: 37.5 hours per week

Annual Leave: Leave year is from April – March

30 days (225 hours) on commencing employment32 days (240 hours) after 5 years’ service

For part time staff, this will be applied on a pro-rata basis and also allocated in hours.

Public Holidays: Entitlement is 37.5 hours based on the 5 designated Public Holidays per annum, and on a 5 day week working 7.5 hours per day. The 37.5 hours entitlement is due to all whole time staff irrespective of work pattern.

For part time staff, this will be applied on a pro-rata basis and also allocated in hours.

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Pensions The Company will comply with the employer pension duties in accordance with Part 1 of the Pensions Act 2008 by automatically enrolling you where eligibility criteria is met, in the Group Personal Pension Plan.

The Hospice provides a generous employer contribution of 7.5% of your salary per month provided a minimum 2.5% employee contribution is made.

Asylum And The Asylum and Immigration Act 1996 and 2004 (Section 8)Immigration Act 1996 checks to ensure that all employees are legally employedAnd 2004 (Section 8) in the United Kingdom. Candidates will be asked to provide relevant

original documents prior to an offer of employment being made. Any offer of employment will only be made when the organisation is satisfied that the candidate is the rightful holder of the documents and is legally eligible for employment within the United Kingdom.

Medical Examination: Any offer of employment is conditional upon a satisfactory medical report from the Occupational Health Department. You may be offered employment conditional on confirmation that you are medically fit for employment. A commencement date for employment will only be agreed following this confirmation.

Rehabilitation of This post is not exempt from the provision of Offenders Act: Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions)

Order 1975.

References: Two satisfactory written references must be obtained prior to any offer of employment being made. These should include current and previous employers as requested in the job application form. This is in line with our Recruitment and Selection Policy.

Informal Enquiries: Informal enquiries are welcomed by Margaret Cassidy, who can be contacted on 01292 269200.

Closing Date: Your completed application form should be submitted to:-

Administration DepartmentAyrshire Hospice35 Racecourse RoadAYRKA7 2TG

Or emailed to [email protected]

By: Monday 7th August 2017

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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JOB DESCRIPTION

1. JOB IDENTIFICATIONJob Title:

Responsible to:

Department:

Directorate:

No of Job Holders:

Last Update:

Specialist Palliative Care Nurse

Community & Day Services Manager

Community & Day Services

Clinical Services

9

July 2017

2. JOB PURPOSE

To provide a specialist palliative care advisory and support service for people who have advanced cancer or other progressive/incurable disease, and their carers, by working in collaboration with appropriate members of the multi-disciplinary team within primary and secondary health care,care home settings, the voluntary sector and social services.

To promote Specialist Palliative Care in the community through education, audit and research in line with relevant local, regional and national strategies.

3. DIMENSIONSThe team is managed by the Community & Day Services Manager, who is responsible for leadership of nine SPCNs and two Staff Nurses, working in the community.

The SPCN is part of the multi-professional team within the Hospice.

On receipt of referral will have responsibility for assessing, planning implementing and evaluating the specialist palliative care needs of patients and their families.

The SPCN is key to the co-ordination and communication within the wider multi-professional team in order that structured, supported care is delivered effectively and efficiently within the community. (For the referred patient).

The SPCN participates in practice development and service improvement within the Hospice and Ayrshire & Arran community in line with national and regional priorities.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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4. ORGANISATIONAL POSITION

5. ROLE OF DEPARTMENTThe SPCN service provides a Specialist Palliative Care advisory and support service to the people of Ayrshire and Arran in accordance with the Hospice referral guidelines.

To act as a resource for specialist information and advice to members of the Primary and Secondary Care Teams, Social Services, Community Hospitals and care homes.

The SPCN liaises closely with the multi-disciplinary Team within the Hospice, referring patients to other members of the team, eg medical staff, In-Patient Unit, Day Hospice and Allied Health Professionals.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

Clinical Services Director

Community & Day Services Manager

CommunitySPCN x 9

SPCN/Team LeaderDay Services

Community staff nurses x 2

Day Services Staff Nurses

Day ServicesCare Assistants

Hairdressers

Respite & Response Manager

Family Care & AHP Manager Senior Clinical

Pharmacist

Head of Clinical Governance & Practice

Development

IPU Manager

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6. KEY RESULT AREASClinicalTo act as an independent health care professional without direct supervision.To manage a caseload of patients and their families with often complex physical and psychological palliative care needs through the provision of expert clinical advice.To establish therapeutic relationships with patients and their families, focusing on any difficulties they may have as a result of diagnosis, prognosis and treatment.Plan and organise home visits by prioritising according to the individual need of the patient and their family.This may include the complex assessment of individuals who are cognitively challenged.Monitor and evaluate the efficacy of specialist interventions.Support patients throughout treatment, eg radiotherapy and chemotherapy aiming to minimise/manage side effects.Coping with complex/fragmented family dynamics within the community setting, including collusion.Promote quality of life, enabling patients to maximise their potential within their limitations.Have the ability to recognise when patients are entering the terminal phase of their illness and helping to prepare them and their families to cope with this transition.To establish and support the patient and family’s wishes regarding place of care/death.To use skill and judgement to determine when to refer patients and/or the family on to other agencies, departments or professionals either within the Hospice or externally to statutory or voluntary agencies.To prepare and support family members including children before and after bereavement, carrying out a risk assessment and liaising with Hospice Bereavement Support Team or other voluntary agencies.To maintain patient confidentiality at all times and maintain patient records in line with Hospice policy and NMC guidelines.To act as an advocate on behalf of patient/family.To comply with the Hospice equal access policy and recognise that no patient is disadvantaged or suffers adverse discrimination in any aspect of their care as a consequence of their age, sex, diagnosis or social circumstances.To be responsible for own safety and will take due regard to his/her own welfare and that of others who may be affected by his/her actions during the performance of Hospice activities.

Advisory RoleAdvise medical and nursing colleagues on prescribing for the management of pain and many other distressing and complex symptoms.Provide specialist palliative care advice to other health care professionals.To liaise closely with the Hospice Multi-disciplinary Team, primary care team and Hospital Palliative Care Team, keeping key personnel informed of any developments, whether physical, psychological, social or spiritual, in a patient’s condition.To facilitate and initiate the planning and implementation of specialist palliative care in collaboration with the Primary Health Care Team in order to anticipate and identify the needs of patients in the community.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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EducationAct as a mentor, trainer and role model for staff to develop skills across a wide range of practice including enhancing their palliative care knowledge; communication skills and developing their clinical decision making skills in order to improve evidence-based practice.To assist in the clinical experience and development of nursing staff and other allied health professionals within the Hospice, community, care homes and community hospitals.Participate in staff inductions and development programmes within the Hospice.SPCN will be involved in developing protocols and policies within the specialist team and be involved in updating documentation ensuring it is fit for purpose.

Research and AuditMaintain expert professional practice through continuing education, professional updating, eg by attending relevant study days/conferences and participating in a regular journal club.Continually evaluate practice by actively taking part in ongoing audit and research in order to improve the service.Identify, disseminate and apply research findings in relation to specialist palliative care.

7a. EQUIPMENT AND MACHINERYExpected to have a knowledge and understanding of the McKinley T34 pump and its indication for use and the continuous subcutaneous infusion of medications.Expected to have a knowledge and understanding of nebulisers and their indication for use.Assess and identify the need for equipment for use by the patient in the community setting and refer to the appropriate agency as required, eg district nurse, physiotherapist, occupational therapist. Examples of equipment required may include:- pressure relieving aids, commodes, walking aids, riser/recliner chair etc.Requires to be capable of using a number of communication devices, including a computer, phone, mobile phone, dictaphone and fax machine.Needs to be computer literate.Requires to be capable of using audio-visual equipment to assist with teaching, eg flip chart, overhead projector, data projector.Requires to be a competent driver with a full clean driving licence and must adhere to policies and procedures regarding a leased/private vehicle.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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7b. SYSTEMSSPCN will maintain accurate and up to date multi disciplinary patient records, in accordance with NMC and hospice guidelines using an electronic documentation system (Crosscare)SPCNs will adhere to the hospice lone worker policy and will ensure regular contact with their designated buddies. Submit monthly expense claims for travel and on call payment.SPCN will complete patient held records when available.Compliance with the Data Protection Act, Caldicott Guidelines and local policies regarding confidentiality and access to medical records.

8. ASSIGNMENT AND REVIEW OF WORKAdvisory Role - SPCN may receive requests for advice from other professionals’ pre-referral or without the need for referral.

Assignment:- SPCN will receive direct referrals for clinical assessment and intervention from:- Hospital Consultant Hospital Palliative Care Team Hospital CNS General Practitioners District Nurses Other, eg Palliative Care Service outwith Ayrshire

SPCN team meet weekly with the Community & Day Services Manager to discuss and allocate workload, home visits are delegated to staff nurses as appropriate.

Review (Clinical)The SPCN manages his/her own caseload within a designated geographical area although a degree of flexibility is required depending on the overall workload of the service.Following an initial clinical assessment the SPCN will determine the level of intervention required.GP and all relevant health care professionals receive written information and advice following first visit and regular contact is made throughout service involvement.The SPCN works alone in the community and is required to make complex decisions regarding patient management without direct supervision.Access to advice is available and a scheduled time is planned to discuss patients’ management at the twice weekly Hospice MDT meetings.Work is planned and organised with individual patients and families in advance, however SPCN must be able to respond appropriately to unplanned requests to visit.The SPCN will discharge the patient from the caseload and/or refer to other services as appropriate.

SPCNs attend Gold Standard Framework meetings to discuss patients on the palliative care

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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register within that practice with GP and district nursing colleagues on a regular basis

Review (Non-Clinical)SPCN team meet monthly with the Community & Day Services Manager to discuss problems, review caseloads and share information.Weekly meetings with line manager, hospice consultant and the Respite & Response team. Meetings with the Community & Day Services Manager on a one to one basis to discuss any issues as they arise.

Bimonthly meetings for peer support.Formal performance appraisal, personal development plan and objective setting are reviewed annually by the Community & Day Services Manager.

9. DECISIONS AND JUDGEMENTSThe SPCN works as an independent practitioner and is required to make numerous daily, complex clinical decisions regarding patient management without direct supervision either via the telephone or face-to-face.The SPCN needs to be able to identify and respond to palliative care emergencies, eg

Spinal Cord Compression Superior Vena Cava Obstruction Hypercalcaemia Treatment Toxicities

The SPCN is often the first point of contact for the patient/carer to report changes in condition and makes use of professional judgement and experience to determine the relevant course of action.The SPCN has the ability to recognise his/her own limitations and the need to make appropriate referrals to other agencies.The SPCN may be asked to deputise in the Community & Day Services Manager’s absence and therefore respond to any problems which may arise involving the team both internally and externally.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOBAll aspects of the job are complex, therefore sensitivity, empathy and excellent communication skills are required at the highest level.Maintaining communication links within a complex, widespread multi-professional team where some health or social care professionals may have preconceived and occasionally unfavourable opinions of the service. The focus is to ensure appropriate support is provided for vulnerable patients and their families. Ability to effectively prioritise and manage all aspects of the job, ie clinical, education of others, professional development, service development, research and audit when the pressure of the clinical aspects of the job are demanding, including the unpredictable challenges within the caseload.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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11. COMMUNICATIONS AND RELATIONSHIPSSPCN receives and disseminates complex, highly sensitive information to patients and families, who may be putting up significant barriers to acceptance .i.e. denial, anger. It may involve breaking bad or distressing news or assisting them with difficult decision making which requires expert communication skills and the management of emotional distress and patient and family’s expectations.The SPCN is required to communicate both verbally and via written communication with a wide range of professionals in primary and secondary care, who may be hostile or opposed to the Specialist Palliative Care Service, to ensure that the complexities of the patients care are articulated effectively to achieve the best possible care for the patient and their carers.The SPCN meets regularly with the multi-disciplinary team within the Hospice to discuss new referrals and patient/family problems, plan and organise admissions, discuss patients who have died and plan bereavement care. The purpose of the meeting is to try to ensure the most appropriate interventions are implemented and essential information is shared.The SPCN is required to communicate and build relationships within secondary and primary care by contributing to GP practice meetings, eg (Gold Standards Framework), hospital CNS group meetings or other groups relevant to palliative care.The SPCN is also expected to participate in both informal and formal education programmes therefore require to demonstrate excellent presentation skills.Adhere to Hospice policy on confidentiality including the requirements of the Data Protection Act and Caldicott Guidelines.As part of the Hospice Lone Worker policy each SPCN is responsible for establishing contact with their nominated colleague at the end of each working day.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOBThe SPCN workload is planned but there needs to be a degree of flexibility in order to meet the unpredictable demands of the service or urgent requests for advice.

Physical Effort/Skills Occasionally moves/manoeuvres patients. Ability to demonstrate correct use of equipment. Occasionally administers prescribed medications, eg orally, subcutaneously or assists

with setting up a syringe pump in the community setting. Office administration and IT skills. Driving on a regular basis, occasionally for long periods and may be during variable

weather conditions.

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Mental Effort/Skills Daily concentration on organisation of workload, including patient assessment; schedule

of visits; evaluation of care; meeting the needs and expectations of patients, relatives and staff.

Time management skills to ensure all aspects of the job are given appropriate time. Provide symptom management including medication advice involving calculations and

possible drug changes; syringe pump preparation. Development of and participation in formal and informal education programmes,

including preparing presentations for all levels of staff. Maintaining accurate records to ensure effective communication of clinical information

across primary, secondary and tertiary care. Driving between visits including the challenging geographical demands of a caseload. Responding to telephone interruptions both in the office setting and the community.

Emotional Effort/Skills Frequently manages stressful situations within the home setting including dealing with

angry, anxious and/or vulnerable patients/families who may be extremely ill or dying. The SPCN may also be required to provide support to children and members of the

extended family; this may include relationships problems and family concerns.

Environmental Demands Potential exposure to hazards such as verbal and physical aggression within the home

setting. Occasional exposure to body fluids, occasional working in unpleasant conditions, eg

cold, dirty, malodorous smoky environments, occasional working alone in potentially unsafe environments.

Exposure to family pets.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOBEssentialRegistered Nurse with current NMC registration.Degree relevant to Palliative Care or Specialist Practitioner qualification.Post registration experience and significant experience in palliative care.Advanced communication/interpersonal skills.Excellent clinical decision making skills.Ability to work independently and within a multi-professional team.Effective time management skills with the ability to prioritise and manage a complex caseload.Interest in teaching both formally and informally.Evidence of continuous Professional Development and commitment to lifelong learning.Basic computer skills/IT skills required.

Knowledge and understanding of National, Regional and Local approach to provision of palliative Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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care.Current driving licence.

DesirableExperience and/or interest in research and audit.Experience working in a community setting.Post grad diploma in palliative care

14. JOB DESCRIPTION AGREEMENTA separate job description will need to be signed off by each jobholder to whom the job description applies.

Job Holder’s Signature:

Head of Department Signature:

Date:

Date:

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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FAIR TREATMENT STATEMENTNo Ayrshire Hospice employee or applicant will be unfairly discriminated against. We are particularly alert to eliminating discrimination on account of age, cultural/religious/political belief, disability, ethnicity, gender, race, relationship status, sexual orientation, and/or Trade Union membership or stewardship.

PERSONAL DETAILSTitle: Home Tel:Surname: Mobile Tel:Forename: E:mail Address:Address: Do you hold a full current driving licence?

Yes / No *Postcode:

DISABILITYThe Disability Discrimination Act 1995 and Amended Regulations 2005, defines disability as follows: “any physical or mental impairment which has a substantial adverse effect on a person’s ability to carry out normal day to day activities”. The Ayrshire Hospice is “Positive about Disabled People” and as such we provide job opportunities for disabled people. The Ayrshire Hospice operates a Job Interview Guarantee (JIG), which means that if you have a disability, and meet the minimum criteria outlined within the person specification, you will be guaranteed an interview. However, some disabled people prefer not to take this option, so please tick your preference if you are a disabled candidate.

Do you want to participate in the guarantee Scheme? Yes / No *Please specify any special requirements you require if attending for interview, e.g. Induction Loop, Wheelchair AccessEtc.

ADDITIONAL INFORMATIONDo you need a work permit to take up this post? Yes / No *

Are you eligible to work in the UK? Yes / No *

Driving Licence (see Job Description – only complete if a driving licence is essential) Yes / No *

Are you a current PVG member? Yes / No

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

IN CONFIDENCE

APPLICATION FOR EMPLOYMENT

IN CONFIDENCE

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PRESENT POST(If not employed at present, give details of most recent post, including dates)

Post Title:

Grade:Name of Employer:

Address:

Business Tel No.: Can we contact you at work? Yes / No *

Date Appointed: (DD/MM/YY)Date Left (If Applicable):(DD/MM/YY)Period of Notice:

Summary of Duties: Please describe the main duties and responsibilities of your post (continue on a separate sheet if necessary).

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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QUALIFICATIONS ACHIEVED

Subject Type of Qualificationeg. Standard Grade, GCSE, Higher, BSc Grade Achieved

QUALIFICATIONS CURRENTLYSTUDYING OR WORKING TOWARDS

Subject Type of Qualificationeg. Standard Grade, GCSE, Higher, BSc Grade Achieved

PROFESSIONAL QUALIFICATIONSProfessional Body Qualifications

PROFESSIONAL BODY REGISTRATION / MEMBER DETAILSRegistering Body:Registration/PIN Number:NMC Register Part:

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Date of Expiry:

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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EMPLOYMENT HISTORY(Please list all previous posts, beginning with the most recent. Continue on a separate sheet

if necessary)

Post Title Employers Name/AddressDate From

Date To Reason for Leaving

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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ADDITIONAL STATEMENT(Please state why you are applying for this post and provide any additional information in support of your application. Continue on a separate sheet if necessary)

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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REFERENCESYour referees will include your present (or most recent) employer. Please identify below the person in your organisation who is authorised to confirm your employment and the details given in your application. Please identify a second referee who may have closer knowledge of your skills, knowledge and abilities and who may offer opinion on your suitability for this post. You should not use family members or friends and these will not be accepted. Our pre-employment screening also includes, where appropriate, health and fitness for work, criminal records, qualifications and professional registration.

Name: Name: Address: Address:

Post Code: Post Code: Tel No: Tel No: E:mail Address: E:mail Address:Designation: Designation: Can this referee be contacted prior to interview?

Yes / No *

Can this referee be contacted prior to interview? Yes / No *

DECLARATIONPlease read and sign the following statement:-

- I have completed this application form and the details I have supplied are, to the best of my knowledge, true and complete;

-- I understand that if appointed to this post the information on this form will be kept as part of my personal file

record;- I authorise you to obtain references to support this application if I am selected for interview;- I understand that details of educational qualifications, membership of professional bodies and referee

reports may be verified through the establishments and individuals I have indicated;- I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the

Data Protection Act 1998;- I declare that I have no previous convictions, or have identified any I have above.

Signed……………………………………………….…

Date ……./……/……

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Equal Opportunities Monitoring Form

We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

Please complete this form and return it with your application. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process.

All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence.

Thank you for your assistance.

ABOUT THE VACANCY

Please state which job you have applied for and the closing date given for applications.

Job applied for: ...................................................

Reference Number: ...................................................

Where did you hear about this job (please tick)?

Newspaper (please specify)

Friend Recruitment company

.......................................       

Hospice website

Other (please specify)

......................

   

     

GENDER

What is your gender (please tick)?

MaleFemale

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Prefer not to say

(If you are undergoing gender reassignment, please use the gender identity you intend to acquire.)

GENDER IDENTITY

Do you identify as transgender/transsexual?

YesNoPrefer not to say

ETHNIC GROUP

How would you describe your nationality and/or ethnicity (please tick)?

AWhite:

  BMixed race:

  CAsian or Asian British: 

 

British - English, Scottish or Welsh 

White and Black Caribbean 

Indian

Irish White and Black African 

Pakistani

Other White background

White and Asian 

Bangladeshi

    Other Mixed background

Other Asian background

DBlack or Black British:

  EChinese and other groups: 

     

Caribbean 

Chinese Prefer not to say

African 

Other ethnic group

   

Other Black background

       

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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Marital Status

Single

Married

Prefer not to say

Other (please specify)

………………………………………………………………………

AGE

What is your age (please tick)?

16–17

18–21

22–30

31–40

41–50

51–60

61–65

66–70

71+ Prefer not to say

SEXUAL ORIENTATION

How would you describe your sexual orientation (please tick)?

Heterosexual / straight

Bisexual Prefer not to say

Gay man Gay woman / lesbian

   

RELIGION OR BELIEF

Please describe your religion or other strongly-held belief.

I would describe my religion or belief as: .................................................

I have no particular religion or belief

Prefer not to say

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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DISABILITY

The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months. Do you consider that you have a disability under the Equality Act (please tick)?

Yes No

Used to have a disability but have now recovered

Don't know

Prefer not to say 

Job Reference Number: (Office Use Only)

Applicant Ref No:(Office Use Only)

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The Ayrshire HospicePerson Specification & Interview Rating Form

Post Title Specialist Palliative Care Nurse Post Reference Number AH/32/17 A = ExcellentCandidates Name: B = Satisfactory

C = Unsatisfactory

Selection Factors(Person Specification)

Criteria Interview Panel Comments Rating

A B CQUALIFICATIONS & TRAINING

Essential First Level Registered NurseDegree relevant to Palliative Care or Specialist Practitioner Qualification.

Desirable Post grad diploma in palliative careEXPERIENCE Essential Previous significant experience in Palliative Care

Experience and interest in teaching

Desirable Previous experience working in a community setting.Experience and interest in audit and research.

KNOWLEDGE Essential Knowledge to assess health and wellbeing needs and develop, monitor and review care plans to meet specific needs.Knowledge to plan, deliver and evaluate care to address people’s complex health and wellbeing needs. Ability to demonstrate an understanding of symptom management in a palliative care setting

Desirable

COMPETENCIES & SKILLS

Essential Communication skills at a level to develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations.Excellent clinical decision making skills.Good time management skills

Desirable Ability to manage a dynamic caseload

PERSONAL Essential Current driving license.

Job Reference Number: AH/32/17 SPCN

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CHARACTERISTICS AND OTHER

Ability to work independently, within a multi-professional team.

Desirable Flexibility, resilience and the ability to adapt and cope with an unpredictable workload

Job Reference Number: AH/32/17 SPCN

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