Job summary
PERT Service
Due to the expansion of our highly
regarded service, and the development of the Virtual Ward pathways and
services, we have an exciting opportunity for a Respiratory Nurse/Physiotherapist
Specialist to join the PERT Team.
We are looking to appoint highly
a motivated, knowledgeable Respiratory Nurse/Physiotherapist who has a passion for delivering
safe, high quality care to patients in the acute and community setting. The
successful candidate would gain a wealth of knowledge and experience
surrounding respiratory medicine. After a successful induction period you will
be required to advise colleagues and patients in regards to acute and long term
management of their condition. As part of the PERT team, you will be required
to be self-motivated as the post requires some lone working, but as part of a
supportive wider team.
We would consider a Band 5 Registered
Nurse/physiotherapist, who has a genuine interest in respiratory medicine, as
part of a development role. This post is suitable for a Band 5 who is willing and motivated to
undertake further training to progress to a Band 6. Experience in managing patients with
respiratory conditions would be an advantage but training will be provided for
the right candidate.
Main duties of the job
Aims of the PERT service/main duties of the role:
- Admission
avoidance service for patients who would usually require admission to hospital
with an exacerbation of COPD, or other respiratory diagnosis.
- Early
supported discharge service for all patients admitted to hospital with a chronic
respiratory illness, adhering to Virtual Ward Pathways.
- Home
Non Invasive Ventilation (NIV) service
- Acute
NIV service.
- In
patient Long Term Oxygen Therapy (LTOT) assessment.
- Inpatient
asthma reviews and specialist respiratory ward based patient reviews.
- CQUIN
data collection
- Supporting
specialist clinics
About us
We provide care and support to over a million people in
Wakefield and Kirklees in their homes, community settings and across our
three hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).
Always striving for excellence, we are at the forefront of
innovation and research, and we invest in teaching and the development of our
workforce.
We live by our values of caring, improving, being respectful
and maintaining high standards. We listen and learn because we aim to make Mid
Yorkshire the best place to work and receive care.
We value diversity and welcome talent and enthusiasm
irrespective of age, disability, neurodivergence, sex, gender identity and
gender expression, race or ethnicity, religion or belief, sexual orientation,
or other personal circumstances including providing unpaid carers support to
someone with a health and care need. As ethnic minority groups, members of the
LGBTQ+ community, and people with a disability/neurodivergence are currently
under-represented across the organisation, we encourage applications from
members of these groups. We have policies and procedures to ensure all
applicants are treated fairly and consistently.
We are proud of our staff networks - who offer valuable
guidance and feedback from those with lived experience.
We have a clear vision and you could be part of this! If
you share our values and you want to make a difference to the lives of our
patients and their families and carers, we would love to hear from you.
Job description
Job responsibilities
Key Responsibilities
PRINCIPAL DUTIES & AREAS OF
RESPONSIBILITY
Clinical
- Will undertake specialist respiratory assessment
of patients nursing needs, plan, implement and evaluate care delivery using
clinical knowledge and clinical skills.
- Identify suitable patients for early supported
discharge, plan and arrange discharge and provide individualised, holistic care
plans to suit the patients needs.
- Review patients in the home environment
following referral for admission avoidance. You will undertake advanced
clinical assessment obtaining a history, clinical examination and conclude
diagnosis implementing a treatment plan. You will also make the judgement if
the patient can safely be managed at home or if they require hospital
admission.
- Review patients in accident and emergency or
ambulatory care unit for admission avoidance following an initial assessment by
the medical team. If deemed suitable for home care you will plan and implement
the patients discharge and arrange follow up at home.
- You will undertake frequent home visits to
patients who are receiving an acute episode of PERT care ensuring their
clinical condition is stable, maintaining a safe alternative to in -patient
hospital care.
- You will ensure all documentation and
communication is maintained to a high standard.
- You will liaise with members of the
multi-disciplinary team and refer to other services and health care
professionals where appropriate ensuring holistic care.
- Manage a patient caseload of those requiring
long term non- invasive ventilation providing expert assessment, planning and
evaluation.
- You will provide specialist respiratory nurse/respiratory
education to patients on the wards undertaking in-patient asthma reviews, COPD
management, inhaler optimisation and oxygen prescribing advice.
- You will perform in-patient oxygen assessments
in accordance with best practice guidelines.
- You will routinely perform arterial blood gas
analysis and other investigations such as Tosca monitoring within the patients
own home.
- Contribute towards a multi-professional approach
in the management of patients within the specialist area, especially in
relation to ongoing care needs and discharge arrangements.
- Participate in specialist outpatient clinics
such as the home ventilation clinic and MDT MND clinic.
- Establish and maintain effective communication
with patients and carers / relatives.
- Support patients and their families and ensure
that they receive the required information to enable them to self-manage, lead
or participate in their care delivery.
- Recognise changes in patients condition that
require the intervention of others and refer on as appropriate.
- When appropriate you will be expected to
undertake a non-medical supplementary and independent prescribing qualification
in order to prescribe within area of speciality for your patients.
- Work with the CNS / Team Leader to promote the
development of nurses undertaking extended roles as considered
appropriate.
Leadership
- Act as a role model providing specialist,
clinical knowledge to clinical colleagues through MDT meetings for patients and
carers / relatives.
- Undertake clinical supervision of nursing
colleagues on an individual or group basis.
- Act as a resource for health care professionals
by being visible, available, and accessible for support and advice in relation
to the management of patients in the speciality.
- Participate in the development of services and
assist the CNS Team Leader to implement change, linked to directorate business
plans.
- Ensure the effective and efficient use of
physical and financial resources.
- Participate in the development of strategies for
delivering effective specialist care within a changing environment that
improves the quality of care and health outcomes in the specialist area.
- Monitor health, safety and security of self and
others and promote best practice in the clinical area.
- Participate in ensuring systems are in place for
risk assessment and minimisation including promoting no blame cultures in
order that near misses and incidents are reported.
- Participate in investigation of
incidents/complaints when required,
- Act as an innovative, enthusiastic role model
providing leadership, guidance and advice to staff on operational and
professional issues promoting an open and honest and transparent culture.
Advocate
- Ensure that high standards of care are given and
maintained and act when standards are not being met.
- Involve patients and carers in the planning and
delivery of care.
- Act as the patients advocate and ambassador respecting patient confidentiality
and privacy with respect for diverse cultural backgrounds and requirements.
- Support and enable patients to make informed
choices.
- Recognise, prevent and diffuse potential areas
of conflict and where required take a key role in the management of the
outcome.
- Be proactive in the development of practice /
services in the clinical area through the business planning process / service
development and in conjunction with Ward Sister, Team Leader, Matron, General
Manager, and Clinician.
Clinical Governance / Quality
- Ensure compliance with policies, procedures and
clinical guidelines for self and others and participate in the development of
the same.
- Continually monitor standards of care and
contribute in the improvement of care through benchmarking, Nursing Charter
Audits, Clinical Audit and Research.
- Support and facilitate research evidence-based
practice in the specialist area.
- Disseminate good practice by pursuing
opportunities to present work at national conferences or via publications.
- Promote patient and public involvement
activities in the specialist area leading to service improvement.
- Promote peoples equality, diversity and rights.
- Identify clinical issues and incidents within
the Trust that reduce the quality of care within the specialist service.
- Take part in activities to counter these to
ensure the delivery of safe and effective care.
Education / Training
- Takes responsibility for own continuing
professional development and performance, including identifying own development
needs and maintain own portfolio in accordance with re-registration
requirements.
- Participates in the supervision and the teaching
of pre-post registration students, new staff members and junior medical staff.
- Provides education and training related to the
speciality.
- Supports the Ward / Department Sister in
ensuring the clinical environment is conducive to effective learning.
Professional Responsibility
- Maintain active status on NMC/HPC register.
- Act always in accordance with NMC or HPC code of
conduct and guiding documents, Health Care Standards.
- Adhere to Trust Policy & Procedure.
- Adhere to NMC or HPC revalidation standards.
- Maintain a high level of awareness of relevant
research issues and trends within the specialist area of practice and in
nursing generally.
- Take an active part in the development of
nursing in the Trust via participation in professional nursing forum and shared
governance initiatives.
- Take responsibility for personal development and
education with regard to Personal Development Plan objectives.
- Participate in Clinical Supervision for self and
others and utilise reflective practice techniques.
- Provide support and development for nurses
through mentorship.
- The post holder is responsible for ensuring the
safety of patients at all times and promoting a safety culture through the
effective management of risk.
Job description
Job responsibilities
Key Responsibilities
PRINCIPAL DUTIES & AREAS OF
RESPONSIBILITY
Clinical
- Will undertake specialist respiratory assessment
of patients nursing needs, plan, implement and evaluate care delivery using
clinical knowledge and clinical skills.
- Identify suitable patients for early supported
discharge, plan and arrange discharge and provide individualised, holistic care
plans to suit the patients needs.
- Review patients in the home environment
following referral for admission avoidance. You will undertake advanced
clinical assessment obtaining a history, clinical examination and conclude
diagnosis implementing a treatment plan. You will also make the judgement if
the patient can safely be managed at home or if they require hospital
admission.
- Review patients in accident and emergency or
ambulatory care unit for admission avoidance following an initial assessment by
the medical team. If deemed suitable for home care you will plan and implement
the patients discharge and arrange follow up at home.
- You will undertake frequent home visits to
patients who are receiving an acute episode of PERT care ensuring their
clinical condition is stable, maintaining a safe alternative to in -patient
hospital care.
- You will ensure all documentation and
communication is maintained to a high standard.
- You will liaise with members of the
multi-disciplinary team and refer to other services and health care
professionals where appropriate ensuring holistic care.
- Manage a patient caseload of those requiring
long term non- invasive ventilation providing expert assessment, planning and
evaluation.
- You will provide specialist respiratory nurse/respiratory
education to patients on the wards undertaking in-patient asthma reviews, COPD
management, inhaler optimisation and oxygen prescribing advice.
- You will perform in-patient oxygen assessments
in accordance with best practice guidelines.
- You will routinely perform arterial blood gas
analysis and other investigations such as Tosca monitoring within the patients
own home.
- Contribute towards a multi-professional approach
in the management of patients within the specialist area, especially in
relation to ongoing care needs and discharge arrangements.
- Participate in specialist outpatient clinics
such as the home ventilation clinic and MDT MND clinic.
- Establish and maintain effective communication
with patients and carers / relatives.
- Support patients and their families and ensure
that they receive the required information to enable them to self-manage, lead
or participate in their care delivery.
- Recognise changes in patients condition that
require the intervention of others and refer on as appropriate.
- When appropriate you will be expected to
undertake a non-medical supplementary and independent prescribing qualification
in order to prescribe within area of speciality for your patients.
- Work with the CNS / Team Leader to promote the
development of nurses undertaking extended roles as considered
appropriate.
Leadership
- Act as a role model providing specialist,
clinical knowledge to clinical colleagues through MDT meetings for patients and
carers / relatives.
- Undertake clinical supervision of nursing
colleagues on an individual or group basis.
- Act as a resource for health care professionals
by being visible, available, and accessible for support and advice in relation
to the management of patients in the speciality.
- Participate in the development of services and
assist the CNS Team Leader to implement change, linked to directorate business
plans.
- Ensure the effective and efficient use of
physical and financial resources.
- Participate in the development of strategies for
delivering effective specialist care within a changing environment that
improves the quality of care and health outcomes in the specialist area.
- Monitor health, safety and security of self and
others and promote best practice in the clinical area.
- Participate in ensuring systems are in place for
risk assessment and minimisation including promoting no blame cultures in
order that near misses and incidents are reported.
- Participate in investigation of
incidents/complaints when required,
- Act as an innovative, enthusiastic role model
providing leadership, guidance and advice to staff on operational and
professional issues promoting an open and honest and transparent culture.
Advocate
- Ensure that high standards of care are given and
maintained and act when standards are not being met.
- Involve patients and carers in the planning and
delivery of care.
- Act as the patients advocate and ambassador respecting patient confidentiality
and privacy with respect for diverse cultural backgrounds and requirements.
- Support and enable patients to make informed
choices.
- Recognise, prevent and diffuse potential areas
of conflict and where required take a key role in the management of the
outcome.
- Be proactive in the development of practice /
services in the clinical area through the business planning process / service
development and in conjunction with Ward Sister, Team Leader, Matron, General
Manager, and Clinician.
Clinical Governance / Quality
- Ensure compliance with policies, procedures and
clinical guidelines for self and others and participate in the development of
the same.
- Continually monitor standards of care and
contribute in the improvement of care through benchmarking, Nursing Charter
Audits, Clinical Audit and Research.
- Support and facilitate research evidence-based
practice in the specialist area.
- Disseminate good practice by pursuing
opportunities to present work at national conferences or via publications.
- Promote patient and public involvement
activities in the specialist area leading to service improvement.
- Promote peoples equality, diversity and rights.
- Identify clinical issues and incidents within
the Trust that reduce the quality of care within the specialist service.
- Take part in activities to counter these to
ensure the delivery of safe and effective care.
Education / Training
- Takes responsibility for own continuing
professional development and performance, including identifying own development
needs and maintain own portfolio in accordance with re-registration
requirements.
- Participates in the supervision and the teaching
of pre-post registration students, new staff members and junior medical staff.
- Provides education and training related to the
speciality.
- Supports the Ward / Department Sister in
ensuring the clinical environment is conducive to effective learning.
Professional Responsibility
- Maintain active status on NMC/HPC register.
- Act always in accordance with NMC or HPC code of
conduct and guiding documents, Health Care Standards.
- Adhere to Trust Policy & Procedure.
- Adhere to NMC or HPC revalidation standards.
- Maintain a high level of awareness of relevant
research issues and trends within the specialist area of practice and in
nursing generally.
- Take an active part in the development of
nursing in the Trust via participation in professional nursing forum and shared
governance initiatives.
- Take responsibility for personal development and
education with regard to Personal Development Plan objectives.
- Participate in Clinical Supervision for self and
others and utilise reflective practice techniques.
- Provide support and development for nurses
through mentorship.
- The post holder is responsible for ensuring the
safety of patients at all times and promoting a safety culture through the
effective management of risk.
Person Specification
Other
Essential
- Adaptable and flexible according to the demands of the service in terms of job responsibilities, hours and work patterns and working trust wide.
- Be able to use own car for work purposes e.g. home visits.
- Understanding of need to maintain confidentiality.
Qualifications
Essential
- Registered Nurse/Physiotherapist/1st degree (health related) or equivalent qualification/training and experience
- Your professional knowledge acquired at degree level will be supplemented by specialist training, experience
- Recognised teaching qualification
Desirable
- COPD degree/diploma.
- Asthma degree/diploma.
Experience
Essential
- Broad range of clinical experience and the ability to translate learning into practice.
- Extensive post registration experience within respiratory speciality.
Desirable
- Experience of managing patients with respiratory disease in any setting.
Knowledge and Skills
Essential
- In depth specialist knowledge.
- Participate in service development and implementation of change.
- Ability to communicate within a variety of settings with patients of varying levels of understanding.
- Able to present written information in a logical manner.
- Basic IT skills in word processing and spreadsheets.
- Able to manage own caseload and work with minimal supervision.
- Knowledge of professional and NHS issues.
- Ability to develop effective interpersonal relationships with colleagues in the health care setting.
- Team player.
- Change agent, influences, Innovator.
Desirable
- Knowledge of respiratory disease and management.
- Application of principles of change management.
- Root Cause Analysis.
- Ability to interpret spirometry/ arterial blood gas analysis.
- Be able to perform phlebotomy and arterial blood gas sampling.
Person Specification
Other
Essential
- Adaptable and flexible according to the demands of the service in terms of job responsibilities, hours and work patterns and working trust wide.
- Be able to use own car for work purposes e.g. home visits.
- Understanding of need to maintain confidentiality.
Qualifications
Essential
- Registered Nurse/Physiotherapist/1st degree (health related) or equivalent qualification/training and experience
- Your professional knowledge acquired at degree level will be supplemented by specialist training, experience
- Recognised teaching qualification
Desirable
- COPD degree/diploma.
- Asthma degree/diploma.
Experience
Essential
- Broad range of clinical experience and the ability to translate learning into practice.
- Extensive post registration experience within respiratory speciality.
Desirable
- Experience of managing patients with respiratory disease in any setting.
Knowledge and Skills
Essential
- In depth specialist knowledge.
- Participate in service development and implementation of change.
- Ability to communicate within a variety of settings with patients of varying levels of understanding.
- Able to present written information in a logical manner.
- Basic IT skills in word processing and spreadsheets.
- Able to manage own caseload and work with minimal supervision.
- Knowledge of professional and NHS issues.
- Ability to develop effective interpersonal relationships with colleagues in the health care setting.
- Team player.
- Change agent, influences, Innovator.
Desirable
- Knowledge of respiratory disease and management.
- Application of principles of change management.
- Root Cause Analysis.
- Ability to interpret spirometry/ arterial blood gas analysis.
- Be able to perform phlebotomy and arterial blood gas sampling.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).