Parkinson Disease Specialist Nurse

Posting date:	12 June 2025
Salary:	£46,148.00 to £52,809.00 per year
Additional salary information:	£46148.00 - £52809.00 a year
Hours:	Full time
Closing date:	02 July 2025
Location:	Plymouth, PL1 4JZ
Company:	NHS Jobs
Job type:	Contract
Job reference:	B9832-2025-NM-9904

Summary

Responsibility for People Management Undertake the full range of people management tasks and responsibilities including communication, staff engagement, workforce planning, appraisal, training and development and performance management including disciplinary/grievance/sickness with support from the Operational Leads, service managers and/or Team peers. Provide and participate in educational training to both patients and staff either on an individual or group basis within scope of knowledge around managing Parkinsons conditions, supported by the 3rd party organisational delegation policy. Identify areas of practice/role development and enable and support staff to initiate change. Provide compassionate and credible role modelling and expertise to nurses, and other professionals, in relation to Parkinsons care. Implement, participate, and facilitate in Practice Supervision as per Organisational policy. Provides supervision for colleagues, students and develops team members. Undertake appraisals for staff who are line managed by this post holder and support colleagues to achieve ongoing learning needs identified through appraisal. Provides mentorship for students where needed. Act as a role model for other staff and students demonstrating high standards of practice and professional conduct. Act as specialist clinical advisor on health care issues within their area of expertise. Ensure that work which is often unpredictable is prioritised and suitably delegated to other members of the multi-disciplinary team. To assist with the investigation of complaints and incidents as relevant. Be aware of pressures facing your work colleagues and offer support and ensure they are aware of the organisation support services available to them. To maintain effective verbal and written communication with the clinical team and to keep staff informed of changes to prescribing intervention or treatment provided to service-users. To work in partnership with medical staff and service-users in the development and implementation of clinical management plans related to an individuals treatment and prescribing needs. To establish and maintain good liaison with key stakeholders in the individuals care eg GP practices and other services in the area, including sharing prescribing information and rationales. 5.2 Responsibility for financial and/or physical resources To ensure best use of available resources, identifying efficiency and supporting workforce planning as appropriate. To support operational managers with the service budget to monitor budget expenditure, provide internal cost control, deliver efficiency savings and accurate forecasting. You may be required to hold budgetary responsibility within your role. To comply with Livewell Southwest financial policies and procedures. Scope and support the development of business cases with operations as and when required to secure investments required to achieve sustainable change. Support operations to monitor skill mix within teams and advise managers to ensure the most effective service both clinically and financially in line with transformation and integration. Understand and support the application of agreed eligibility criteria for services and equipment. Assessments might include the provision of equipment ensuring it is used safely and within the manufacturers guidance and reviewed as per Livewell Southwest policy. To contribute to resource governance through knowledge and appropriate prescribing decisions. 5.3 Responsibility for administration Be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the non-clinical aspect of the role. Maintain accurate records, which are confidential, up to date, legible and that all care given has to be documented. These records may be paper or IT based system and must be maintained as specified in the Organisational Policies, Professional guidelines and Government directives. The Post Holder to be supplied with a mobile phone and lone working device for work purposes and be expected to adhere to the organisation policy. To report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression, and verbal abuse. To take the lead in the triage and management of referrals into the service utilising the service criteria. Actively working with other operational leads, strategic leads, professional leads, and practice leads to support the delivery of the service. 5.4 Responsibility for people who use our services Using appropriate referral criteria for your area and an agreed case finding tool. Manage a large community caseload of people with Parkinsons and Parkinsons Plus syndromes ( current caseload for Livewell community Parkinsons nurse team is around 700 patients covering Plymouth, West Devon and some of South Hams shared amongst the team). Deliver clinical care / therapeutic interventions in the context of change within a complex healthcare, utilising specialist pathways for safe and effective care for patients. Assess Parkinsons symptoms effectively, and then if appropriate, take responsibility for the safe prescribing of medications of a wide range of motor and non-motor Parkinsons symptoms. Advice for prescribing can be sought from the wider Parkinsons team. The nurse will be expected to see through that episode of prescribing intervention. Assess suitability of service-users for prescribing interventions and to initiate these as an independent prescriber. Comply with the Professional codes, relevant legislation, procedures and policies. To review and make changes to prescribed medication, in collaboration with the service-user wherever possible (and adhering with agreed Clinical Management Plan where applicable). To prescribe and change medications as clinically appropriate, within the scope of the independent practitioners clinical expertise and/ or CMP. Actively involve patients, and carers, in their treatment and encourages/empowers others enabling individuals to manage their own care and recovery. Explain to patients in a clear concise way the appropriate treatment options available at each stage of the disease. Provide this verbally and through written information so to empower a shared decision making. To make relevant referrals to wider MDT for such treatment interventions such as Apomorphine and Produodopa infusion therapy, and Deep brain stimulation. Utilise appropriate models of care delivery (such as the Home-based care pathway), innovations and rapidly evolving technologies (such as the PKG watch) using critical analysis and their underpinning knowledge to manage complex interventions. Liaise where appropriate with health and social care and other external agencies, this might involve case management discussions, continuing healthcare funding assessments, or referrals to other services. Document assessments, formulate an appropriate person-centred plan. Collaborate with the MDT to identify, review and support patients with complex disease management who are either at risk of admission, have repeated active hospital admissions to develop their knowledge and understanding about their health and well-being to enable self-management within individual abilities. Take a lead role by offering professional support within the MDT when dealing with complex/urgent situations which can be emotionally challenging e.g. end of life care or advising on advanced clinical therapy devices that have malfunctioned. Make independent referrals for diagnostic tests and/or opinions and care which requires open and informed discussion at all levels from consultants to GPs to specialist services. The person-centred holistic assessment will include clinical, social, functional, emotional and cognitive elements, this will require gathering and interpreting information from various IT systems and sources, performing tests and analysing results, recording collated information on System One and sharing with the appropriate Neurology teams which may be based at UHP, RD&E, Southmead Hospital, or Torbay Hospital. The role requires specialist understanding of Parkinsons, but also of other health conditions which may affect and impact on symptoms, such as Urinary Tract and Lower Respiratory tract infections, Constipation, Delirium and Dementia. This role will regularly manage people who have an acute deterioration of symptoms because of those other conditions. Actively seeking out patients who will benefit from clinical case management technique in order to avoid unplanned hospital admission and reduce the length of hospital stays. Commitment to provide clinical support to patients, their families/carers and professionals involved across the Parkinsons pathway. Use a high level of communication and interpersonal skills to communicate effectively with patients and carers, in particular the skills needed for cognitive assessment and mental health status. Provide ongoing support for carers via monthly online support groups co-facilitated by local care support organisations. The postholder will support the role by integrating the four key aspects of clinical practice, education, research and leadership whilst collaborating closely with other members of the multi-disciplinary team to develop and monitor standards of care. See full job description on the attached document