Job summary
The Community TB Team LSL (CTT LSL) works across Lambeth, Southwark, and Lewisham to provide a multidisciplinary service for clients who are marginalized and have difficulty accessing primary care services and providing care to clients with known or potential Tuberculosis e.g. refugees and asylum seekers, homeless clients, and clients with addictions.
We provide centred individualised case management for our patients throughout their entire treatment following them up periodically in our Nurse led clinic, monitoring their specific blood test, CXR's, medications, side effects to the treatment, social issues that may affect their treatment, mental and emotional status that can also affect their adherence to their Anti TB or latent TB treatment.
Main duties of the job
You will act as support worker to specific individuals with TB, ensuring treatment completion.
Apply risk assessment tool ensuring individualised care to complex patients with TB
Assess the patient holistically in order to identify their needs including social and financial needs.
Develop a care plan for complex patients with TB, discuss it with the nurse and follow the good practice to maintain safety.
Establish effective partnerships with complex patients and their families by assessing and developing strategies to overcome barriers of adherence.
You will work alongside the TB nurse and to provide support to patient in order to adhere and complete TB medication. This will involve visiting the client at home and providing directly observed therapy (DOT) in a variety of settings including homeless hostels.
You will be responsible in planning and organising health promotion activities and diary for both patient and team.
You will link with the mobile x-ray screening unit to improve access to all primary healthcare services.
You will be flexible in approach to the clinical area and have ability for technical numeracy, literacy skills, IT as well as significant level of inter-personal skills.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health
Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities
Job description
Job responsibilities
Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
Acts as a support worker on a one to one basis to specific clients by co-ordinating care.
To undertake full risk assessment of patients and Plan management in terms of Housing, benefit, immigration issues, and drug/ alcohol dependency.
Following training and assessment provide community and clinic base directly observed therapy (DOT) and undertake random urine sample checks and pill counts in order to help assess patients compliance.
Ability to recognise any drug side effects and to report to the named nurse.
To visits non-attendees at home to encourage further appointments and clinic sessions.
To weigh patients on every home visit or as need arise.
To develop and organise effective systems in connection with patients chest x-ray, sputum collections and results.
Works alongside TB Nurse Specialist to provide support and follow-up care to TB patients & their families
Ability to think from a clients perspective and ensure feedback is incorporated into new procedures and standards
Recognises, investigate and plans in consultation with the case manager the necessary action to resolve problems in relation to failing treatment
Interactions with patients should be non-judgemental and culturally sensitive regardless of the gender, age, sexual orientation, race and ethnicity.
Ensuring the maintenance of patients privacy and dignity at all times, promoting supporting patients rights and choice with regards to their care
Establishes effective partnerships with patients/families and hard to reach groups
Maintaining accurate health records.
Ensuring patient referrals and investigations are undertaken.
Ability to work and provide services in a flexible way to meet the needs of the client group
Ability to work with refugees/asylum seekers, individuals affected by HIV and the homeless
Please see attached job description for full details.
Job description
Job responsibilities
Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
Acts as a support worker on a one to one basis to specific clients by co-ordinating care.
To undertake full risk assessment of patients and Plan management in terms of Housing, benefit, immigration issues, and drug/ alcohol dependency.
Following training and assessment provide community and clinic base directly observed therapy (DOT) and undertake random urine sample checks and pill counts in order to help assess patients compliance.
Ability to recognise any drug side effects and to report to the named nurse.
To visits non-attendees at home to encourage further appointments and clinic sessions.
To weigh patients on every home visit or as need arise.
To develop and organise effective systems in connection with patients chest x-ray, sputum collections and results.
Works alongside TB Nurse Specialist to provide support and follow-up care to TB patients & their families
Ability to think from a clients perspective and ensure feedback is incorporated into new procedures and standards
Recognises, investigate and plans in consultation with the case manager the necessary action to resolve problems in relation to failing treatment
Interactions with patients should be non-judgemental and culturally sensitive regardless of the gender, age, sexual orientation, race and ethnicity.
Ensuring the maintenance of patients privacy and dignity at all times, promoting supporting patients rights and choice with regards to their care
Establishes effective partnerships with patients/families and hard to reach groups
Maintaining accurate health records.
Ensuring patient referrals and investigations are undertaken.
Ability to work and provide services in a flexible way to meet the needs of the client group
Ability to work with refugees/asylum seekers, individuals affected by HIV and the homeless
Please see attached job description for full details.
Person Specification
Qualifications
Essential
- Intermediate level of Education NVQ
- Evidence of literacy and numeracy to GCSE level
Desirable
- Fluency in a language other than English, relevant to patient group
Knowledge
Essential
- Substantial knowledge of issues affecting health service delivery to socially excluded populations, such as: Asylum seekers, Refugees, Homeless people, People with substance misuse issues and Individuals living with HIV
- Substantial knowledge of the NHS, statutory legislation, and relevant policies affecting these groups
- Good knowledge of TB, including: Adherence issues, TB medications, Co-infection (HIV & TB) and Drug resistance
- Equality, diversity, and inclusion: Good understanding of the Trust's Equal Opportunities and Diversity policy
Desirable
- Substantial knowledge of managing public/charity money and understanding financial responsibility
Experience
Essential
- Substantial experience managing health and social care needs of clients with complex needs
- Substantial experience delivering and evaluating training or health promotion programmes
- Substantial experience of one-to-one casework with complex clients
- Experience liaising with local agencies in a casework capacity
- Substantial knowledge of the issues involved in supporting people with TB and accessing TB and related services
Desirable
- Experience administering drugs and interacting with patients
- Substantial experience managing petty cash
- Experience applying for charity funds for individual patients
Skills and Ability
Essential
- Excellent written and verbal communication skills
- Open-minded approach to difficult health and social issues
- Excellent organisational skills (e.g. allocating priorities, working under pressure)
- Ability to work as part of a team and contribute to service improvement
- Ability to use IT systems (e.g. Word, Excel, clinical systems)
Desirable
- Ability to carry out tasks in a busy, ever-changing environment
Person Specification
Qualifications
Essential
- Intermediate level of Education NVQ
- Evidence of literacy and numeracy to GCSE level
Desirable
- Fluency in a language other than English, relevant to patient group
Knowledge
Essential
- Substantial knowledge of issues affecting health service delivery to socially excluded populations, such as: Asylum seekers, Refugees, Homeless people, People with substance misuse issues and Individuals living with HIV
- Substantial knowledge of the NHS, statutory legislation, and relevant policies affecting these groups
- Good knowledge of TB, including: Adherence issues, TB medications, Co-infection (HIV & TB) and Drug resistance
- Equality, diversity, and inclusion: Good understanding of the Trust's Equal Opportunities and Diversity policy
Desirable
- Substantial knowledge of managing public/charity money and understanding financial responsibility
Experience
Essential
- Substantial experience managing health and social care needs of clients with complex needs
- Substantial experience delivering and evaluating training or health promotion programmes
- Substantial experience of one-to-one casework with complex clients
- Experience liaising with local agencies in a casework capacity
- Substantial knowledge of the issues involved in supporting people with TB and accessing TB and related services
Desirable
- Experience administering drugs and interacting with patients
- Substantial experience managing petty cash
- Experience applying for charity funds for individual patients
Skills and Ability
Essential
- Excellent written and verbal communication skills
- Open-minded approach to difficult health and social issues
- Excellent organisational skills (e.g. allocating priorities, working under pressure)
- Ability to work as part of a team and contribute to service improvement
- Ability to use IT systems (e.g. Word, Excel, clinical systems)
Desirable
- Ability to carry out tasks in a busy, ever-changing environment
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
