Pulmonary Rehabilitation Service Lead Specialist Nurse/Physiotherapist

Job description

Job responsibilities

1. Leadership & Management

• Maintain an active status on the Health and Care Professions Council register (HCPC) or Nursing and Midwifery Council (NMC), acting in accordance with Code of Professional Conduct, maintaining own competency to practice.
• Plan, co-ordinate, deliver and evaluate the provision of Pulmonary Rehabilitation (PR) for Fylde Coast patients.
• Be responsible for organising and planning workload to meet service and patient priorities.
• You will provide direct line management and leadership for the PR team, deciding priorities for own work and balancing with other patient related and professional demands.
• Be proactive in gathering appropriate data to demonstrate the outcomes of the service, whilst supporting it is effective reporting to commissioners.
• Ensure rostering for the team is effective to maintain service stability during staffing absence secondary to leave or sickness.
• Ensure that your own practice and that of the staff within the service meet required professional standards.
• Maintain continuous professional development and keep abreast of new evidence, integrating this into your practice and pursuing the continued development of the service.
• Provide mentorship to PR staff, which will include training, formal/informal supervision, and annual appraisals.
• Assist staff to identify and engage in appropriate learning opportunities.
• Using the trusts values, ensure that the team provides a high-quality service to its patients/clients by undertaking caseload and clinical supervision with the rest of the team.
• You must comply with the national, professional, trust and departmental policies and procedures and be involved with the review and update of these as appropriate.
• Ensure that the team works proactively to deliver a high quality and responsive service to patients with both planned and unplanned care needs.
• Develop partnerships and joint working with service users and stakeholders to improve patient/client care.
• Participate in HR processes in the management of sickness, absence & performance of staff.
• Participate in staff recruitment process and maintain an awareness of issues surrounding staff recruitment, retention and succession planning.
• You will represent the Trust and PR in a professional & positive manner externally where required.
• The post-holder will undertake clinical audit and contribute to service change and improved patient safety determined by clinical need.
• Be supportive of any research studies being undertaken within the department.
• You will undertake and support quality improvement projects to support service development, as directed by the Clinical Lead and/or Senior Business Operations Manager.
• You will promote, monitor, and maintain best practice in health, safety, and security.
• Attend relevant meetings as required and action identified needs as required, both within the Trust and across the local/regional services.
• Where requested and within competence, deputise for the Clinical Lead and/or Senior Business Operations Manager, or fellow Service Leads within the AIRS.
• Should have access to own car to undertake community based or home visits in relation to conducting the role, as required.

1. Clinical Duties

• You will work as an autonomous practitioner, to be professionally and legally responsible and accountable for all aspects of workload, including the management of patients under your care. You will exercise a freedom to act in the absence of & alongside the consultant teams, to direct and guide patient care and treatment.
• Manage a defined clinical caseload effectively and efficiently regarding clinical priorities and the use of time, if appropriate.
• Undertake advanced assessment of patients and effectively interpret and analyse clinical and non-clinical information in a range of complex, long-term diagnoses to develop comprehensive, patient-centred management plans. Provide advice, training, and instruction to patients/ clients, relatives, and carers to enable understanding of proposals/ treatment plans and make recommendations and agree a goal orientated programme of care.
• You will ensure that you gain and maintain appropriate competency for all equipment and medical devices used within the service.
• Ensure that clinical assessments, programmes of care and evaluations meet the relevant & most up to date quality standards and guidelines.
• You will be responsible for ensuring that timely reviews of all patients referred to the service and completion of holistic assessments are completed.
• You will be pro-active in developing your own professional practice, demonstrating evidence of safe practice, clinical judgment and decision-making skills and contribute to the development of others.
• To be an active member of the multi-disciplinary team, consulting with other healthcare professionals, regarding the patients care and optimising communication systems.
• You will make appropriate and timely referrals into other services where necessary, maintaining effective liaison with them to ensure patient needs are met.
• Ensure appropriate follow-up arrangements including onward referral to other services if required. Referring to other statutory and voluntary agencies as appropriate.
• Design and deliver programmes of care according to clinical need within agreed protocols.
• You will ensure that you actively engage in the process of untoward incident reporting and be prepared to contribute to the incident analysis process.
• You will ensure that all documentation (whether written or electronic) relating to patient care is clear, concise, and legible in accordance with Trust guidelines and legal and professional body standards e.g., NMC standards for Records and Record Keeping (2019)
• Prescribe (on successful completion of an accredited V300 Independent Non-Medical Prescriber course) for patients where appropriate, within own remit and accountability, remaining aware of the principles of prescribing practice and after undertaking a full patient assessment. Wherever possible, prescribing should be conducted after consultation/collaboration with parent team. You will also maintain prescribing CPD and attend NMP support meetings.
• Produce accurate and timely clinical correspondence to GPs, referrers, patients, and appropriate tertiary services.
• Promote and maintain ongoing relationships with GPs and relevant primary, secondary, and tertiary care services.
• Provide education to patients and families about their illness their quality of life and assist them in the self-management of their condition.
• To assess patients understanding of treatment proposals, gain valid informed consent and work within the legal framework for patients who lack capacity.
• To treat all patients, carers, and other members of staff with dignity and respect always.

1. Clinical Governance

• Be responsible for safeguarding the confidentiality of all information to which there is access, working within the policy and guidelines of the Trust.
• To demonstrate a sound understanding of clinical governance and risk management and integrate into your practice accordingly.
• Maintain awareness of current developments and evidence updates in the field of PR and continually review and develop service policies, procedures, and guidelines in response to this.
• Liaise with the Business Support Team to ensure adequate stock and equipment, while promoting cost effective use of resources.
• Promote health and safety of staff and patients in accordance with the Health and Safety policy, and participate in risk assessments, ensuring staff use lone user devices
• Uphold all aspects of the Trust clinical governance strategy.
• Promote optimum service usage.

1. Training & Development

• You will be responsible for the co-ordination and effective delivery of training for staff within the team, Trust colleagues peers and other health-care professionals.
• To provide spontaneous and planned advice, teaching and instruction to patients, relatives, carers, and other professionals to promote a consistent approach to patient care.
• To provide specialist advice for healthcare professionals working in other clinical areas.
• Actively encourage other healthcare professionals to attend PR classes and participate in training programmes.
• Maintain an awareness of current developments in the management of patients with a variety of respiratory diseases.
• Facilitate and participate in training programmes relevant to the specialist service.
• Demonstrate a continued commitment to own professional development, including mandatory training updates and attendance at relevant training courses as identified at yearly appraisals and through personal development plans.
• Promote evidence-based practice and undertake service evaluation, audit, and engage with research projects as appropriate.

1. Risk Management

• Undertake risk assessments of the clinical area and clinical practice and support the implementation of any actions required locally to minimise risk.
• Provide a first line response in the investigation of complaints, untoward incidents and implement lessons learned following trust policy.

Person Specification

Experience & Knowledge

Essential

• Substantial post registration experience
• Experience in management of complex respiratory patients including assessment, planning and implementation of treatment and care
• Experience in a leadership and management role
• Evidence of CPD relevant to respiratory
• Ability to demonstrate application of evidence-based practice
• Experience of managing and caring for patient with respiratory conditions
• Previous experience working within a Pulmonary Rehabilitation Service, or ability to demonstrate evidence of equivalent experience

Desirable

• Experience of teaching in a variety of settings both formal and informal
• Ability to demonstrate an understanding and application of audit and research principles
• Experience working in a community setting

Educations & Qualifications

Essential

• Registered Nurse (1st Level) or Physiotherapy registered
• Post registration qualification at Level 6 or 7 in respiratory disease area or be able to demonstrate equivalent knowledge, learning or experience
• Mentoring and assessment qualification or teaching qualification

Desirable

• Independent non-medical prescribing (V300) or ability to undertake the programme

Skills

Essential

• Ability to set and establish priorities
• Ability to work autonomously
• High standard of oral and written communication skills with confidence to discuss patients and drive decision making
• Competent and confident to accurately assess and manage complex patient presentations to a high professional standard
• Ability to critique own practice
• Confident and assertive decision maker
• Ability to delegate effectively
• Ability to manage time and personal workload effectively and to work in a high-pressure environment
• Possess excellent liaison and negotiation skills
• Able to influence and communicate effectively and professionally with both senior and junior members of the multi-disciplinary team
• Evidence of good team working
• Team leadership qualities
• IT literate
• Have a valid driving licence and use of care for work related purposes
• Ability to travel to various venues across the Fylde Coast where Pulmonary Rehabilitation services are delivered away from the designated base location

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Blackpool Teaching Hospitals NHS Foundation Trust

Address

St Annes Primary Care Centre

Durham Ave

St Annes

FY8 2EP

Employer's website

https://www.bfwh.nhs.uk/ (Opens in a new tab)