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St. Columba’s Hospice

Vacancy Information Pack

Position: Charge Nurse Please apply using a Hospice Application Form (included in this pack)

GRADE/SALARY: Band 6, £28,464 to £38,121 per annum

HOURS: Full -time 37.5 hours per week

CLOSING DATE: 5pm on Sunday 25th August 2019

INTERVIEWS: TBC

This post requires the post holder to have a PVG Scheme membership record. If the post holder is not a current PVG member for the required regulatory group (i.e. adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post. A joint application will be made which the Hospice will pay for.

We want to ensure that as much of our resources as possible go towards supporting people with a terminal illness and therefore we do not normally contact unsuccessful applicants individually. If you

have not heard from us within four weeks of the closing date, please assume that your application has been unsuccessful on this occasion. However, we would encourage you to apply for other suitable

roles. Thank you for your interest in this vacancy and in working for St. Columba’s Hospice

Charge Nurse Job Pack August 2019 of 30


Dear Job Applicant

Appointment of Charge Nurse

Thank you for your enquiry about the above post. I enclose:

further particulars about the post and the Hospice, which may be of help to you;

details of the principal terms and conditions of service; an application form; and an equal opportunities monitoring form.

If you wish to apply would you please complete both the application form and the monitoring form and return them by the closing date indicated in the information enclosed.

The Hospice treats personal data collected during the recruitment process in accordance with its data protection policy. Information about how your data is used and the basis for processing your data is provided in the Hospice's Job Applicant Privacy Notice, a copy of which can be viewed on the Hospice website www.stcolumbashospice.org.uk.

Yours sincerely

Nick DeyHR Manager



VACANCY

Scotland’s first modern hospice, St Columba’s Hospice first opened its doors in 1977. Over the years it has grown and evolved into an exemplary provider of specialist palliative care for thousands of people with life-limiting illnesses in Edinburgh

and the Lothians annually, while also providing support to their relatives and loved ones. We currently have the following opportunity to join the Hospice team:

Charge Nurse Band 6 £28,464-£38,121 per annum + PensionFull-time (37.50 hours per week)

This is a really exciting opportunity to join our Inpatients Unit as Charge Nurse. Ideally 4 years post registration experience at band 5, including two years working in a palliative care setting.

You will provide inspirational and motivational clinical leadership to a team of registered nurses and nursing auxiliaries within the Inpatient unit.

Your responsibilities will be to lead, supervise and manage the daily performance of staff, students, bank and agency staff and volunteers who are providing care to patients and act as a resource for clinical and professional learning.

For an informal discussion, or to arrange a visit please do not hesitate contact Richard Mackay on 0131 551 1381.

For an application form and job description, visit our website at www.stcolumbashospice.org.uk alternatively call 0131 551 7722 or email [email protected]

CLOSING DATE: 5pm on Sunday 25th August 2019

INTERVIEWS: TBC

Scottish Charity No SC003634



JOB DESCRIPTION

1. JOB IDENTIFICATION:

Job Title: Charge Nurse

Band: 6

Responsible to Inpatient Unit Manager

Directorate: St. Columba’s Hospice

Department(s): Nursing

Job Reference: STC/NUR/002

No of Job Holders: 4

Last Update (insert date): 5th September 2018

2. JOB PURPOSE

The post holder will:

Role model excellence in specialist palliative care nursing practice.

Be a significant presence on the unit, guiding, supporting and developing the team in the assessment, planning, delivery and evaluation of specialist palliative care nursing.

Provide inspirational and motivational clinical leadership to a team of registered nurses and nursing auxiliaries within the Inpatient unit.

Support the Inpatient Unit manager in the active promotion of a positive working environment and a professional culture which is responsive to changing and emergent patient needs and organisational strategy.

Maintain and develop service quality by creating a culture of engagement, enquiry and improvement.

Support the Inpatient Unit manager in managing risk and maintaining the safety of the work environment and practices within the IPU.

Support the development of junior staff to ensure that care is patient-focused and reflects the current and emergent needs of the specialist palliative care population.

Practice at all times within Nursing and Midwifery Council: The Code: Professional standards of practice and behaviour for nurses and midwives, 2015 and St Columba’s Hospice policies and procedures.



3. DIMENSIONS

The inpatient unit consists of 2 wards of 15 patients each with an establishment of 16.03 WTE registered nurses and 13.83 WTE auxiliary nurses.

In the absence of the Inpatient Unit Manager the post holder will frequently take responsibility for the management of the In-patient Unit including the supervision and deployment of staff and students.


Inpatient Unit Manager B7

Charge Nurse B6

Charge Nurse B6

Charge Nurse B6

Staff Nurse 5

WARD TEAMS

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Staff Nurse 5

Nursing Auxiliary 2

Nursing Auxiliary 2

Nursing Auxiliary 2

Nursing Auxiliary 2

Nursing Auxiliary 2

Clinical Services Director

Charge Nurse B6


4. ORGANISATIONAL POSITION

5. ROLE OF DEPARTMENT

To provide a high standard of specialist palliative care to patients with advanced progressive life limiting illness. Through a patient centred, multidisciplinary approach the focus of care is based on providing the best quality of life through meeting the physical, psychological, spiritual and social needs of the patient, and those important to them.



6. KEY RESULT AREAS

Professional :

Practice at all times within Nursing and Midwifery Council: The Code: Professional standards of practice and behaviour for nurses and midwives, 2015.

Proactively identify own development needs and seek out learning opportunities Have an awareness of the remit of external governing bodies e.g. HIS. Demonstrate specialist palliative care expertise and acts as a professional role model,

professionally and behaviourally.

Managerial:

On a regular basis deputise in the absence of the IPU manager. Provide leadership and direction and promote a motivated and enthusiastic attitude amongst the

nursing teams. Participate in research based projects and assist in the development and monitoring of evidence

based clinical and non-clinical guidelines and standards. Implementing change as required. Work in partnership with the clinical governance team

In conjunction with the IPU Manager, plans and maintains appropriate staffing levels and skill mix to meet the care needs of the patient population and responsible for managing budgets and resources appropriately. This includes allocation of annual leave, study leave and compassionate leave & maintenance of relevant records.

Participate in the recruitment and selection process for new staff members and volunteers, designing and co-ordinating their orientation and induction programmes.

Assist in the management of complaints at a clinical level in accordance with the Hospice complaints procedure.

Assist in ensuring staff are trained and supervised where required in the correct use of equipment. Being aware of the equipment maintenance procedures and ensuring any necessary repairs are undertaken.

Maintain a safe working environment, being conversant with the Hospice Risk management strategy and policies relating to Fire Safety, Health & Safety, COSHH, Security and Infection Control.

Support the IPU Manager in ensuring that all of the nursing team and ward volunteers undertake mandatory training within the required time frames

Maintains a flexible approach to working hours in order to meet the needs of the service and of the team. This includes night duty and regular weekend working.

In conjunction with the IPU manager, ensures that the Hospice’s policies, procedures and guidelines are available within the clinical area and are used to guide practice

Leads on actioning MDA alerts and adopts processes to address health and safety issues arising. Manages staff performance / attendance issues in conjunction with the IPU Manager Ensure satisfactory channels of communication are maintained promoting an open and honest

culture. To facilitate staff meetings and attend other ward management / senior nursing meetings as

required. To participate in the investigation of complaints and incidents. Recognise the value and raise the profile of excellent palliative care nursing within and beyond

the hospice.



Clinical

Role model excellence in specialist palliative care nursing practice. Be a significant presence on the unit, guiding, supporting and developing the team in the assessment, planning, delivery and evaluation of specialist palliative care nursing. Provide services to ensure the needs of patients and families with highly complex emotional distress are being met.

Continually promote and monitor the quality and effectiveness of clinical care through direct observation of care and undertaking quality checks on care and outcomes, ensuring a high quality service is provided within the defined policies, procedures, standards and protocols of the Hospice.

Contributes, proposes changes to and implements Hospice policies procedures and protocols in own area and other areas for example revising referral guidelines

Participate in building and maintaining effective working relationships with all members of the Hospice team. Ensuring clear communication systems are in place to promote continuity of care.

Ensure staff complete patient documentation in accordance with the NMC Guidelines for Record Keeping.

Organise own workload to ensure the interests/need of the patients, families and team members are met.

Ensures that high standards of ward tidiness, safety and cleanliness are maintained and that a high level of compliance with all aspects of prevention and control of Healthcare Associated Infection are achieved within the IPU.

To lead, supervise and manage the daily performance of staff, students, bank and agency staff and volunteers who are providing care to patients and act as a resource for clinical and professional learning

Through participation identifies opportunities and priorities in developing and improving services for individual patients/families, using audit, research and quality improvement methodology to evidence best practice.

To promote a person-centred culture within the unit, working with and listening to patients and carers in the spirit of participation.

Builds team communication and support mechanisms, to ensure team resilience in dealing with the demands of palliative care work.

Actively participates in the development of initiatives to identify best practice and facilitates the involvement of fellow team members within the hospice.

Assists with the bed management, admission and discharge of patients Assists the MDT to achieve effective and appropriate length of stay and occupancy outcomes by

encouraging robust discharge procedures and thorough assessment of referrals. To become a ‘super user’ of Crosscare to maximise the potential of such systems for the Hospice

on the wards

Education

Promotes a culture of lifelong learning, reflective practice and development across the team. Through clinical practice, role modelling, teaching, mentorship and management, provide staff

support and training, ensuring that all are competent to meet the requirements of their job description and role, as well as to enhance their professional development.

Managing staff performance in conjunction with the IPU Manager through leadership, monitoring and giving feedback

Responsibility for undertaking appraisal processes for all nurses within the team, and supports



the registered nurses to undertake reviews of more junior staff. Identifies learning needs of the team and develops plans to meet those needs, in partnership with

the Education and Research department and the multi-disciplinary team. Actively supports the process of student nurse learning and mentorship. Supports the delivery of educational programmes for pre and post registered and non-registered

staff. Participates in the induction of a wide range of staff including other multidisciplinary team

members. Ensures that all new nurses in the team have allocated mentors to support their development and have a planned orientation period within this programme.

Participates in teaching programmes for nursing, medical, allied health professionals, volunteers and patients relatives/carers.

Participate in and promote clinical supervision for nursing staff. Co-ordinates visitors within clinical area, who wish to increase their knowledge of specialist

palliative care. Arranges the duty rota to accommodate training needs of the in-patient unit staff. Ensures staffcare database is updated with training records for the in-patient unit staff.

Clinical Governance and Clinical Effectiveness

Ensure the equality, diversity and rights of patients are promoted and maintained in all areas of clinical care.

Ensure clinical risk is managed to as low a level as reasonable practicable, and reports of clinical incidents and subsequent actions required are disseminated throughout the team and acted upon appropriately.

To ensure safe and secure management of information within the department and to manage compliance of other staff with information as appropriate.

To participate in clinical effectiveness initiatives and development of policy documents/protocols/pathways etc and ensure implementation as appropriate.

Supports the hospice clinical governance programme and promotes this as an integral component of clinical care in the in-patient unit.

Contributes in the development of nursing activities and audit procedures whilst working within the clinical governance framework

Audit and Research

Monitors and evaluates practice through clinical audit and formal evaluation processes. Actively participates in research to improve palliative care practice. Is aware of research within the palliative care setting and disseminates research based evidence.

To present findings of research and audit to a variety of professional groups as appropriate to maintain the profile of the service.

Other

This job description does not contain an exhaustive list of duties, and the post holder may be required to undertake other duties that are within the post holder's skills and abilities whenever reasonably instructed. The job description will be reviewed from time to time in order to adapt and develop the role according to service needs and Hospice policies.



7a. EQUIPMENT AND MACHINERY

Responsibility to have a knowledge and ability to use all equipment used in nursing area including:

a. Television, fridge, ice machine, nurse call system, fire equipment.b. The post-holder demonstrates expertise in the safe use, storage and maintenance of equipment

required for clinical care including: c. Moving and handling equipment e.g. Hoists, tracking hoists, patient slides, baths, walking aids,

glide sheetsd. Pressure relieving mattresses, profile beds, wheelchairs,e. Respiratory equipment e.g. nebulisers, suction, oxygen and humidification delivery /monitoring

systems, BiPAP, f. Infusion devices g. Patient monitoring equipment e.g. Dynamap, Tympanic thermometers, Blood Glucose

monitoring, h. Feeding equipment for use with enteral support eg PEG feeding.

7b. SYSTEMS

IT systems - Internet and email, Microsoft Office applications (Word, Outlook). Electronic Patient Record System (Crosscare) Telephone system Nurse call systems Laboratory and radiology results systems. Security System Fire Alarm System Staff Payroll and off duty – Staffcare Bank / agency ordering processes Incident reporting policy Complaints reporting policy Upkeep of syringe driver records. Upkeep of quality control blood glucose meters.

8. ASSIGNMENT AND REVIEW OF WORK

Responsible to IPU manager and clinical services director within the Hospice who will provide clinical and management guidance, work review and formal appraisal of professional development plans.

The work load delegated by the IPU Manager is determined by the needs of the unit.

9. DECISIONS AND JUDGEMENTS

The post holder will be clinically and professionally expected to make clinical and managerial decisions on a daily basis including provision of advice to junior staff in clinical decision making



within clinical/professional guidelines and as part of the multi-disciplinary team. Using own initiative to ensure the smooth, safe and efficient delivery of services using

comprehensive knowledge, skills and experience in the specialty and taking into account guidance from the Nursing and Midwifery Council, Hospice policies and procedures and specialist guidelines. Access to advice from the Inpatient Unit Manager or clinical services director will always be available.

Analysis and assessment of patients condition to establish a continuing plan of care, demonstrating and applying in depth specialist knowledge of the options for achieving control of symptoms

Recognition of own professional limitations and situations which require assistance and support from IPU Manager, Clinical services director or other services.

Deployment of staff to ensure correct skill mix, safe staffing levels and effective use of resources.

Recognise staff conflict issues and guiding as to when to offer appropriate intervention. Identifies staff training requirements and ensures compliance Responds to suggestions from staff and colleagues and helps to initiate, drive and implement

changes, which will lead to improved patient care and staff satisfaction. Taking remedial action to diffuse complaints and potential complaints from patients, relatives,

carers reporting to a more senior member of staff as appropriate Demonstrating competency to carry out nursing tasks, e.g. catheterisation, nurse verification of

expected death. Ensures a safe working environment.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Influencing and motivating nursing staff in the unit, managing a variety of personalities, and dealing with potential and actual conflict situations.

Achieving a balance between the needs and demands of direct patient care within existing resources in a dynamic Specialist Palliative Care Unit.

Provision of correct skill mix to provide cover to ensure the effective operation of the unit. Maintaining up-to date clinical skills and knowledge. Assisting in the admission of patients into the unit ensuring bed management is being utilised to

its full potential. Ensuring the safe delivery of all aspects of patient care Address the equality and diversity needs of patients and staff. In the absence of the line manager take charge of the clinical area to ensure effective running of

the ward. Being aware of the constant needs of patients and families during the terminal stage of the

illness. Dealing effectively with highly complex emotions experienced by patients and families at the

end of life. Supporting patients and relatives at the end of life Support of staff caring for patients at the end of life. Support staff with personal crisis allowing them to continue working in an often emotional

environment. Managing the different elements of the role whilst still maintaining a key clinical role in direct

patient care.



Imparting unwelcome news to patients/staff.

11. COMMUNICATIONS AND RELATIONSHIPS

The post holder will be expected to:

Communicate daily in a sensitive manner with patients and relatives about complex issues surrounding death and dying e.g. disease process, symptom control issues and the dying process

Communicate within the multidisciplinary team regarding clinical issues and patient preferences Communicate with other health care professionals both within and outside of the hospice

environment, offering specialist help and advice as required. Communicate to junior nursing staff issues relating to patient care, workload allocation, feedback

on performance Communicate regularly with IPU Manager regarding ward/staff management issues, patients

conditions, workload issues and personal development. Be aware of how to access other departments within the hospice setting e.g. Facilities, Human

Resources, Infection Control. Ensure seamless interfaces with IPU and all other hospice teams/departments to the benefit of

patients and families. Maintain patient and staff confidentiality at all times. Optimise the emotional resilience of staff during particularly stressful incidents. Be aware of the diversity of culture and religion and maintain required communication Practice transparently in reporting complaints, clinical and non-clinical incidents and

identification / management of risks. Actively engage with patient and public opinions on all aspects care delivery Demonstrate negotiation and diplomacy skills and partnership working with members of the

multidisciplinary team internally and externally. Communicating when there are barriers e.g. special learning needs, physical deafness or

language / cultural difficulties

Communicating in a hostile environment e.g. angry relatives or relatives in an highly anxious and emotional state.

Establishes and maintains professional relationships with nursing colleagues, other members of the multi-professional team and volunteers to provide a planned, co-ordinated seamless service for patients.

Providing written communication with other agencies, including letters, referrals and sharing care plans

Working with the IPU Manager to ensure effective communication channels and relationships within the nursing team and the MDT, including chairing team meetings.

Maintains accurate patient records ensuring all relevant information and outcomes are clear

Identifies potential and existing challenges in care options for patients, carers and staff and uses negotiation and advanced communication skills to resolve problems.



Ensures effective communication across all members of the team across the 24 hour shift pattern.

Holds regular nursing team meetings to develop the team, manage conflicting views, disseminate information, consult and listen to staff.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical Skills Dexterity and accuracy required for frequent intramuscular injections, syringe drivers and

infusions. Insertion of male and female catheters, removal of sutures /clips, insertion of naso-gastric

tubes, blood glucose monitoring, blood administration, basic life support, Moving and handling of patients and equipment, use of hoists, push trolleys / wheelchairs,

stand /walking for most of the shift, assisting patients with activities of daily living. Caring for the deceased within the mortuary environment, the insertion and removal of

bodies from the fridges and handing over of the deceased to the care of the funeral directors. The post holder is required to have a good level of fitness and stamina.

Mental Demands Balancing clinical and managerial roles: Prioritising and meeting competing demands from

patients, relatives and members of the multi-disciplinary team. Communication in difficult situations, for example: continuing or withdrawing active clinical

interventions, managing the relatives and staff expectations in such situations. Time management, concentration required when observing the behaviour of patients /

families which may be unpredictable, have communication difficulties ( deaf, blind, multicultural), supporting all team members, developing leaderships skills, developing responsibility skills, staff management.

Retention and communication of knowledge and information with many interruptions throughout each day.

Concentration required when checking documents/patient notes and calculating drug dosages, creating work rosters, taking minutes meetings. Due to the nature of the role, you will be subject to frequent interruptions from patient/relatives/team members.

Remaining up to date with clinical practice Emotional Demands

Communicating daily with dying distressed / anxious / worried patients and their families and discussing prognosis of palliative care patients

Caring for agitated confused patients Caring for the families of those who have died Witnessing multiple deaths Providing physical care after death Balancing advocacy for the staff team with a management requirement to respond rapidly to

local priorities. Supporting and managing staff members during professional and personal crises including



responding to the demands of emotional care Managing conflict, staff performance issues.

Working Conditions Daily exposure and dealing with body fluids several times per shift. ( Urine, faeces, urine

bags, blood, bedpans, vomit, serous fluid) Working shifts – early, late and night duty Air quality of the environment / temperature – working within a warm dry environment. Ergonomics

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

Degree/diploma level education or equivalent experience Registered Nurse 4 years or more experience at Band 5 Staff Nurse level, including 2 in palliative care Effective listening and interpersonal skills Time management skills with general management experience e.g. managing staff rotas and

general staffing issues Evidence of team working skills with ability to use own initiative Evidence of further education. continuing Professional Development (BSc Nursing Palliative

Care / SPQ)

14. JOB EVALUATION OUTCOME

Band: 6

Approved On: 15 July 2015 (ND)



PERSON SPECIFICATION

POST: Charge Nurse BAND: 6

CRITERIA ESSENTIAL DESIRABLEEducation and Qualifications

1st Level Registered Nurse Degree/diploma level

education or equivalent

Post registration qualification relevant to palliative care

Nursing / Management degree / modules

A demonstrable commitment to ongoing education and training, including up to date CPD portfolio

Knowledge and Experience

4 years post registration experience (at Band 5), including at least 2 years in a palliative care setting

Current knowledge of nursing practice in palliative care

Understanding of Sister / Charge nurse role

Knowledge of prioritising clinical issues

Knowledge of managing clinical risk

Teaching/supervisory /mentorship experience

Research experience Standard setting Teaching and assessing

Skills and abilities Advanced nursing skills Numerate and literate Effective listening &

interpersonal skills Leadership, negotiation and

facilitation skills Knowledge of audit process Effective time management

skills Team working skills with ability

to use own initiative Patient focused approach to care

and services Problem solving skills

Ability to: Manage multiple issues

IT Literacy Teaching and presentation

skills



simultaneously Deal with a rapidly changing

environment and workload Manage/delegate/ prioritise and

lead a team effectively Deal with sensitive issues

demonstrating empathy and reassurance

Manage difficult and challenging behaviours

Work without direct supervision Instruct and clarify when

necessary Form good working

relationships with other team members

Suggest and make changes in nursing practice

Personal Qualities Flexible/adaptable approach Stress tolerant Dynamic, enthusiastic and well

motivated Innovative and open to lead

change and new ideas

Other requirements Ability to work 24 hour shift pattern and unsocial hours

To work an average of 1 weekend in 4

CONDITIONS OF SERVICECharge Nurse Job Pack August 2019 of 30


TITLE: Charge Nurse

REPORTING TO: IPU Manager

LOCATION: 15 Boswall Road, Edinburgh, EH5 3RW

JOB STATUS: Permanent

BAND/SALARY: Band 6 £28,464-38,121 per annum + Pension

HOURS: Full-time (37.50 hours per week)

PENSION: We offer a generous Hospice Pension. The amount that Hospice will pay will depend on your age, as shown in the table below.

Hospice Pension SchemeAge Your contribution Hospice contribution Total contribution 16-29 3% 6% 9%30-39 4% 8% 12%40-49 5% 11% 16%50-59 6% 14% 20%60-69 7% 17% 24%70-74 8% 20% 28%

Alternatively, current members of NHS Superannuation Scheme may request to continue membership during Hospice employment – contribution rates may vary as set by NHS.

NOTICE PERIOD: 8 weeks

PAYMENT OF SALARY: The successful candidate’s salary will be paid monthly direct into his/her bank/building society account and he/she will be required to open an account if such facility is not currently in operation

PAID ANNUAL LEAVE: 27 days per annum on commencement29 days per annum after 5 years’ service33 days per annum after 10 years’ service

PUBLIC HOLIDAYS: 8 days per annum

Part-time staff will receive a pro-rata entitlement for annual leave and public holidays combined. Reckonable Hospice and NHS service may be credited for annual leave purposes.

SMOKING POLICY: There is a ban on staff smoking in Hospice premises

PRE-EMPLOYMENT CHECKS: Employment is subject to satisfactory pre-employment checks including; criminal records check, satisfactory Occupational Health assessment, Identity check,



employment history check, verification of qualifications & professional registration check, right to work check and receipt of satisfactory references covering the past 3 years as a minimum

St. Columba’s Hospice – a Charity registered in Scotland

The Hospice is an independent Charity and not a part of the National Health Service (NHS). NHS terms and conditions of employment do not apply to Hospice staff. The Hospice provides staff with a competitive range of benefits in addition to pay, including a contributory pension, a generous paid annual leave allowance, continued training and development via our own education & research unit, subsidised meals, childcare vouchers, cycle to work scheme, and many other flexible working benefits. Please ask if you would like more details.

The summary of conditions above is for information purposes only and may be subject to variation. They do not form the basis of a legal employment contract.




HOW TO MAKE YOUR APPLICATION

Thank you for expressing an interest in the post of Charge Nurse. Please find enclosed information relating to this post and application details.

Please include the following documentation with your application:

Your completed, signed original Hospice Application Form

You may also enclose an up to date Curriculum Vitae if you wish. Once completed your application and any documentation should be submitted either:

By email to: [email protected] or by post to:

Admin OfficeSt. Columba’s Hospice15 Boswall RoadEDINBURGHEH5 3RW

If applying by post, please quote the job title of the post you are applying for on the outside of the envelope, as well as at the top of your application form e.g:

“Charge Nurse”

Please ensure that the correct postage is applied to the application envelope (eg ‘Large letter’ stamps if appropriate), failure to do this may result in your application being returned to you undelivered by Royal Mail.

The closing date for receipt of your application is: 5pm on Sunday 25 th August 2019

Interviews are still to be confirmed

We want to ensure that as much of our resources as possible go towards supporting people with a terminal illness and therefore we do not normally contact unsuccessful applicants individually. If you have not heard from us within four weeks of the closing date, please assume that your application has been unsuccessful on this occasion. However, we would encourage you to apply for other suitable roles.

Thank you for your interest in this post and we look forward to receiving your application.



Application Form for Employment



CONFIDENTIAL APPLICATION FORM FOR EMPLOYMENT

Please type in black text (or hand write in black ink)

1. PERSONALSURNAME FIRST NAME(S)TITLE (Dr/Mr/Ms etc.)

PERMANENT ADDRESS

POSTCODE

WORK TELEPHONE EMAILHOME TELEPHONE BLEEP/PAGERMOBILE TEL.

UK NATIONAL INSURANCE NO.

DO YOU HAVE A VALID/ FULL UK DRIVING LICENCE? YES NO

Are there any restrictions on your right to work in the UK? YES NO

If yes, please state restrictions and the expiry date of any permissions:

2. EDUCATION & PROFESSIONAL QUALIFICATIONS

PLACE OF STUDY SUBJECT / QUALIFICATION RESULT / GRADE DATE OBTAINED(mm/yyyy)


Position applied for:

Charge Nurse


NB: It is the Hospice's policy to verify the qualifications of all successful job applicants.3. TRAINING COURSES ATTENDED (any relevant training, or work related skills (for example specialist or technical, I.T., languages, shorthand, etc.)

TRAINING PROVIDER COURSE TITLE/ SUBJECT DURATION DATE COMPLETED(mm/yyyy)

4. REGISTRATION OR MEMBERSHIP OF GOVERNING / REGULATORY BODIES

BODY (e.g. GMC, NMC, HCPC etc.)

REGISTRATION TYPE/ STATUS

REGISTRATION/PIN NUMBER

EXPIRY/RENEWAL DATE

Are you currently subject to any investigations or fitness to practise proceedings by a licensing or regulatory body in the UK or any other country? YES NO

If YES, please provide details with your application

Have you been removed from the register or have conditions been made on yourregistration by a fitness to practise committee or the licensing or regulatory bodyin the UK or in any other country? YES NO


5. OTHER MEMBERSHIP OF MEDICAL DEFENCE UNION/ PROFESSIONAL BODY OR ASSOCIATION

MEDICAL DEFENCE UNION

MEMBERSHIP GRADE MEMBERSHIP NUMBER/ STATUS

DATE OF ENTRY

OTHER PROFEESIONAL BODY/ASSOCIATION

MEMBERSHIP GRADE MEMBERSHIP NUMBER/ STATUS

DATE OF ENTRY

6. PRESENT OR MOST RECENT EMPLOYMENT

EMPLOYER NAME & ADDRESS

JOB TITLE START DATE (mm/yyyy)

END DATE(if applicable)

WEEKLY HOURS

SALARY/GRADE

NOTICE PERIOD

BRIEF DESCRIPTION OF YOUR DUTIES AND RESPONSIBILITIES REASON FOR LEAVING/ SEEKING CHANGE



7. PREVIOUS/OTHER EMPLOYMENT HISTORY (Please start with most recent. Continue on separate sheet if necessary)

COMPANY/ ORGANISATION

POST HELD AND RESPONSIBILITIES/ DUTIES

DATE FROM

DATE TO

REASON FOR LEAVING



8. SUPPORTING STATEMENTPlease provide your reasons for applying for this position and additional information that shows how you match the person specification. For example, details of your achievements, relevant skills, knowledge, experience, voluntary activities, positions of responsibility, as well as research, publications, clinical care, clinical audit (if applicable), awards and language skills. Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is unique to you - what sets you apart from your peers). If you believe you have the necessary experience and skills – make sure you tell us!

please continue on a separate sheet if necessary



9. REFERENCESPlease give the details of three referees who have consented to be approached and are qualified to comment on your ability and experience and, as a minimum, cover a period of three years employment and/or training history, where this is possible (one should be your current or most recent employer, or if this is an application for your first job, your school teacher or higher or further education lecturer). Please note that we will only contact your referees if we decide to make you an offer of employment and we will inform you at that time that we are doing so. 1st Referee 2nd Referee 3rd RefereeNamePositionOrganisationAddress

PostcodeTelephoneEmail

10. REHABILITATION OF OFFENDERS ACT 1974 (EXCEPTIONS ORDER 1975)In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. Some offences must always be disclosed, some offences do not need to be disclosed and some offences must be disclosed in specified circumstances. The rules are complicated, so it is important you read the guidance below as part of making your application.

St. Columba’s Hospice is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in ‘regulated work’ – Protection of Vulnerable Groups (PVG) Scheme membership For all other posts - a Police Act check criminal conviction record check at Basic or Standard level

For more information on which category this post falls under please refer to the job pack, job description or person specification. For more information on the rules visit: https://www.mygov.scot/convictions-higher-disclosures/?via=http://www.disclosurescotland.co.uk/SummaryoftheChanges.htm For more information on offences which must always be disclosed: https://www.mygov.scot/disclosure-types/?via=http://www.disclosurescotland.co.uk/documents/HigherLevelDisclsoure--revisedAlwaysDiscloseList--8February2016.pdf For more information on offences which are to be disclosed subject to rules: https://www.mygov.scot/disclosure-types/?via=http://www.disclosurescotland.co.uk/documents/HigherLevelDisclosure--revisedRulesList--8February2016.pdf

Candidates are therefore required to disclose any unspent cautions or convictions and any spent convictions for offences included in Schedule A1, ‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ of the Rehabilitation of Offenders Act (Exclusions and Exceptions) (Scotland) Amendment Order 2015 No.2. Candidates are not required to disclose spent convictions for offences included in Schedule B1, ‘OFFENCES WHICH ARE TO BE DISCLOSED SUBJECT TO RULES’ until such time as they are included in a higher level disclosure issued by Disclosure Scotland. In the event of employment, any failure to disclose any unspent convictions or spent convictions on the ‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ list could result in dismissal or disciplinary action by the Hospice. Any information given will be completely confidential and will be considered only in relation to an application for a position to which the Order applies.

Do you have any current UNSPENT convictions, police cautions, reprimands or final warnings in the UK or in any other country? YES NO


Do you have any current SPENT convictions, police cautions, reprimands or final warnings in the UK or in any other country for offences included in Schedule A1 YES NO

‘OFFENCES WHICH MUST ALWAYS BE DISCLOSED’ of the Rehabilitation of Offenders Act (Exclusions and Exceptions) (Scotland) Amendment Order No.2?If YES, please provide details with your application

Protecting Vulnerable Groups (PVG) SchemeAre you an existing member of the PVG Scheme? YES NO



If YES, please state your full PVG Scheme membership number:

11. DATA PROTECTIONInformation from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them.The Hospice will process the personal data that you have supplied on this application form in accordance with the terms of the Privacy Notice for Job Applicants which has been made available for you to download from the Hospice website at www.stcolumbashospice.org.uk The Hospice will only process your personal data where it has a lawful basis for such processing. 12. DECLARATION *Please read carefully before signing this declaration. I declare that the information I have given on this application form is, to the best of my knowledge, true and complete. I understand that if it is subsequently discovered any statement is false or misleading, or that I have withheld relevant information, my application may be disqualified or, if I have already been appointed, I may be dismissed.I hereby consent to the educational establishments, academic bodies, awarding bodies, professional bodies and/or organisations, employers and referees whose names and relevant contact details I have set out above, releasing to the Hospice such documents or information as may be necessary to enable the Hospice to carry out verification checks on all and any of my experience, qualifications and/ or memberships as set out on my application form for employment in order to ensure they are valid and correct as part of the Hospice’s pre-employment verification process, and for the purpose of assessing my suitability for employment. I acknowledge that I have been notified that the Hospice will process all information relating to my application for employment in accordance with the terms of the Privacy Notice for Job Applicants that has been made available to me.

SIGNED DATE

Please return your completed application form with any other attachments by the closing date:By post: Administration Office, By email: [email protected] St. Columba’s Hospice, TEL: 0131 551 1381 15 Boswall Road, FAX: 0131 551 2771 EDINBURGH, EH5 3RW



CONFIDENTIAL Equal Opportunities Monitoring FormIn accordance with its policy on equal opportunities in employment, the Hospice will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of race, sex, sexual orientation, transgender status, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity.

In order to assess how successful this policy is we have set up a system of monitoring all job applications. We would therefore be grateful if you would complete the questions on this form. We have asked for your name to enable us to monitor applications at shortlisting and appointment as well as application stage.

All information will be treated in confidence and will not be seen by staff directly involved in the appointment. The questionnaire will be detached from your application form, stored separately and used only to provide statistics for monitoring purposes. There is no obligation on you to provide information. All applicants will be treated the same regardless of whether or not they provide this information. Thank you for your assistance.

1. YOUR FULL NAME:

________________________________________________________

POST APPLIED FOR:

________________________________________________________

2. GENDER IDENTITY

Gender at birth?FemaleMalePrefer not to say

Which of the following describes how you think of yourself?FemaleMalePrefer not to say

Gender reassignment: do you intend to, are you in the process of, or have you ever undergone the process of gender reassignment?

YesNoPrefer not to say

3. AGE

Please specify age (in years)

4. MARITAL STATUS

Married (opposite sex)Married (same sex)Civil partnerSingleOther



5. ETHNIC ORIGIN

(Relates to a sense of identity/belonging on the basis of race/culture, not place of birth or citizenship.)I would describe myself as (choose ONE section from A to F, and then tick the appropriate box to indicate your

cultural background):

A. WhiteScottish

EnglishWelsh

Northern IrishIrish

BritishAny other White background- Please specify

B. Mixed Any mixed background

C. Asian, Asian Scottish or Asian BritishIndianPakistaniBangladeshiChineseOther Asian background - Please specify

D. Black, Black Scottish or Black BritishCaribbeanAfricanOther Black background - Please specify

E. Other ethnic backgroundAny other ethnic background - Please specify

I prefer not to answer this question

6. SEXUAL ORIENTATION

What is your sexual orientation?

Heterosexual/StraightGay ManGay woman/LesbianBisexualOther

I prefer not to say

7. Do you have any disabilities?

YesNo

This information is used only for monitoring purposes. If you believe you may be disabled and may need any reasonable adjustments to be made in the recruitment and selection process or as part of your employment, please discuss this with the recruiting manager.



8. RELIGION AND BELIEF

No religion or beliefChurch of Scotland Roman Catholic Other Christian - Please specify BuddhistHindu JewishMuslim SikhOther religion - Please specify

I prefer not to answer this question

9. ADVERTISING

Where did you first hear about this vacancy?e.g. “on s1jobs.com website”

10. DATA PROTECTIONThe Hospice treats personal data collected for reviewing equality of opportunity in recruitment, selection and, if relevant, employment within the Hospice in accordance with its Data Protection Policy. Information about how your data is used and the basis for processing is provided in the Hospice’s Job Applicant Privacy Notice. Copies of both documents can be found on the Hospice website www.stcolumbashospice.org.uk

11. DECLARATIONI hereby give my consent to the Hospice processing the data supplied in this form for the purpose of equal opportunities monitoring in recruitment and selection, and if relevant, employment within the Hospice. I acknowledge that my application will be treated the same regardless of whether or not I complete this form. I understand that I may withdraw my consent to the processing of this data at any time by notifying the HR Manager.

Applicant’s signature: Date: _________________________________ _____________________________


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