Job responsibilities
Clinical responsibilities
Deliver high quality specialist tobacco dependence assessment and treatment to patients across Denmark Hill and PRUH sites.
To conduct assessments and formulate tobacco dependence care plans for patients, carers and clinical teams, evaluating outcomes and ensuring correct pharmacotherapies are administered.
Review smokers level of withdrawal symptoms and ability to manage nicotine withdrawal, providing appropriate support.
To provide specialist advice, consultation and support to clinical staff, health care providers and management teams within the organisation.
To undertake training needs assessments and delivery programmes within and across all clinical services so that all clinical staff can provide first-line support to tobacco dependent patients (admission care bundle).
Support implementation of relevant initiatives e.g. Stop-before the Op with elective surgical specialties and Cessation of Smoking Treatment in the Emergency Department (CoSTED).
Manage and support the implementation of the NCSCT admission care bundle and BTS rapid inpatient NRT prescribing protocol across inpatient wards.
Assist in-patients who are ambivalent to long-term abstinence from tobacco to manage withdrawal symptoms and urges to smoke, supporting temporary abstinence and a smokefree hospital admission.
Provide effective support to patients who are committed to a goal of long-term abstinence during their admission and following discharge from hospital.
Liaise with and provide professional support to designated ward smokefree champions.
Maintain support and continuity of care when patients are transferred to another ward/speciality.
Deliver regular telephone support to patients after discharge from hospital.
Provide specialist support and encouragement to non-smoking patients who have low confidence in remaining smokefree.
Provide tobacco dependence consultation and if applicable treatment to staff
To manage a caseload of patients independently and prioritise their needs.
To contribute to the ongoing development, delivery, monitoring and evaluation of the tobacco dependence treatment team.
Participate in national campaigns at Kings such as Stoptober, Lung Cancer Awareness and No Smoking Day.
People Management and Performance
Line manage and develop Tobacco Dependence Advisors (band 5) across KCH sites.
Liaise with both hospital care teams and external service providers to ensure that Tobacco Dependence Treatment is fully integrated into routine patient care pathways.
Support the design and delivery of appropriate training to all levels of staff within the organisation to support the routine treatment of tobacco dependence.
Competent in delivering training to support and develop Tobacco Dependence Advisors in the team and associated clinical staff.
Develop and support innovative projects and initiatives to increase awareness of tobacco dependence treatment and the support available to patients and staff, particularly smokers with long term conditions.
To liaise with voluntary and community organisations to develop and improve post discharge care for tobacco dependent patients and ensure that outcome data is fed back to the team.
Research and Service Development
To utilise theory and evidence-based literature to support work with tobacco dependent patients.
To keep up to date with evidence-based practice relating to the treatment of tobacco dependence, implementing good practice where required.
Undertake appropriate research and disseminate findings to team and departmental colleagues where appropriate.
To undertake clinical audits and service evaluations within the Tobacco Dependence Team to improve service provision.
To work closely with the Trust and community communications departments to ensure that smoking cessation support services are widely publicised.
To engage with different staff groups and departmental specialties to embed routine treatment for tobacco dependent patients as part of the clinical care pathway.
To identify barriers that staff encounter making tobacco dependence referrals and supporting patients who smoke, making appropriate recommendations and implementing best practice.
Devise health education resources or support materials for patients and staff where appropriate.
To develop and deliver tobacco dependence training sessions to wards and specialist teams.
Personal and Professional
Plan and organise own workload to ensure service demands are met.
Act as an ambassador for the Tobacco Dependence Team.
Review and share best practice with other health care professionals to maintain high standards of service delivery.
Develop knowledge, skills and expertise to support tobacco dependent patients with a range of health conditions.
Participate in training and in-house supervision sessions.
Use a reflective practice approach to aid learning and development.
To work independently with patients, recognising when there is a need to defer to a more senior member of staff for advice and support.
Liaise with GPs, pharmacies and local NHS stop smoking services to facilitate ongoing support and pharmacotherapy for patients in line with local protocols and procedures.
Thrive in a team orientated environment, communicating effectively, actively contributing to group efforts, open to feedback and willing to share ideas.
Work flexibly to ensure service continuity and demands are met.
Education and Training
Promote and deliver Very Brief Advice (VBA) and bespoke tobacco dependence training to a range of staff within the hospital, either using the NCSCT online training module or by delivering face to face training.
Deliver training and support to ward-based staff to implement the Admission Care Bundle (NCSCT).
Ensure that all training meets the standards set by the National Centre for Smoking Cessation and Training.
Provide teaching and support to students on clinical placements to develop their tobacco dependence knowledge and skills.
Keep informed of developments and innovation in practice and ensure all training, information and advice is up to date and evidence based.
Act as a specialist resource and share best practice with health care professionals.
Information Systems and Data Management
Maintain appropriate confidential records and data systems.
Ensure patient records and service data is accurate and up to date.
Maintain supervision records for quality and audit purposes.
Use data to analyse and evaluate the effectiveness of interventions.
To use monitoring and evaluation mechanisms, making recommendations to inform project development.
General
The post holder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
To observe the rules, policies, procedures and standards of King's College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations.
We want to be an organisation where everyone shares a commitment to delivering the very best care and feels like their contribution is valuable and valued.
At Kings we are a kind, respectful team:
Kind. We show compassion and understanding and bring a positive attitude to our work
Respectful. We promote equality, are inclusive and honest, speaking up when needed
Team. We support each other, communicate openly, and are reassuringly professional.
To observe and maintain strict confidentiality of personal information relating to patients and staff.
To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
All employees must hold an 'nhs.net' email account which will be the Trust's formal route for email communication.
Everyone is responsible for promoting inclusion no matter their role or team. At Kings, we want to create an environment where everyone feels valued, respected and welcomed.
