Job summary
Cardiac rehabilitation (CR) is a Program for all patients who have had a cardiovascular event and are eligible to participate in a program.
The evidence suggests that ongoing attendance at cardiac rehabilitation programmes, is cost effective and improves clinical outcomes and also a reduction in unplanned re-admissions. Starting cardiac rehabilitation as soon as possible after a Cardiovascular event can improve recovery.
Cardiac rehabilitation is led by a clinical lead with a full Multi-disciplinary approach, following the British Association of Cardiac Rehabilitation and Prevention (BACPR) there is a mixture of secondary and primary CR programmes across Cheshire and Merseyside network . Liverpool heart and chest covers a wider geographical footprint.
The Trust Cardiac Rehabilitation Service facilitates a seamless pathway into the cardiac rehabilitation programme.
The Cardiac Rehabilitation Assistant will support the Service Lead to deliver face to face comprehensive lifestyle advice and will be a visible ward presence supporting ward staff to generate a quality referral. The role includes monitoring of referrals, managing and prioritising phone calls and additional administrative tasks to support the smooth running of the service.
Main duties of the job
- Deliver high quality, compassionate care under the direction of a Registered Nurse with a focus on promoting health and independence.
- Have attitudes and behaviours compatible with NHS Values.
- Work as part of a clinical team delivering care that focuses on the direct needs of the individual. This will include working autonomously and collaboratively with members of the wider MDT.
- Carry out specifically delegated clinical care tasks and responsibilities to a high standard of competence, under the direction and supervision of a registered nurse.
- To support the delivery of high-quality phase 1 Cardiac rehabilitation for hospital inpatients and support ward staff to make timely, confidential, and efficient referrals to community stakeholders across a wide geographical footprint.
- The post holder will assist the CR team leader providing professional and clinical support to patient eligible for Cardiac Rehabilitation.
- The post holder will ensure that a high standard of patient care is provided in line with, Nice Guidelines and BACPR standards framework.
- Responsible for the day-to-day management of admin processes, such as filing referrals, answering patient/carer and stakeholder calls.
- Inputting and keeping up to date benchmarking data on Microsoft XL spreadsheets
- Sign post patients appropriately to wider services including smoking cessation, alcohol services, anxiety management and exercise referral schemes.
About us
As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.
We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.
We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.
Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.
Please visit our website - https://www.lhch.nhs.uk/
Please follow this link for a tour of our site - https://bit.ly/36ylsoq
Job description
Job responsibilities
PRINCIPAL ACCOUNTABILITIES.
This list of duties is not intended to be exhaustive but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation.
Work within the parameters of practice
Work within the organisational policy, standard operating procedures and guidelines
Be responsible and accountable for own practice, working within limits of competence and within professional boundaries
Raise any concerns to a registered care professional or appropriate person
Main duties and responsibilities.
- Work autonomously within own scope of practice
- To act as a source of expertise on the management of patients within the Cardiovascular rehabilitation service providing advice to primary health care practitioners, consultants, and senior health care colleagues. With frequent exposure to distressing and highly emotional circumstances
- To provide patients with informed choice regarding the management of their Cardiovascular condition ensuring that patients supported in self-management and long-term health gains.
- Responsible for the day-to-day management of admin processes
- To provide patients with informed choice regarding the management of their CVD condition ensuring that patients are supported in self -management and long-term health gains.
- Provide highly specialized advice concerning the care or treatment of identified groups of patients.
- To create a single point of access enabling effective triage and signposting to the most appropriate service(s) for the patient.
- To suggest ways to improve the infrastructure of the Rehabilitation Service, creating a network of professionals with consistent referral methods, protocols, clinical management and effective communication channels generating a confidence in all users of, and referrers to, the rehabilitation services.
- To ensure governance arrangements are in place, robust and consistent across the whole service.
- To develop mechanisms to improve the infrastructure of the Rehabilitation Service, creating a network of professionals with consistent referral methods, protocols, clinical management and effective communication channels generating a confidence in all users of high quality referrals.
- To set the benchmark standard for delivery of CVD Rehabilitation for all eligible LHCH patients.
- To be responsible for managing complex projects and systems change within Cardiovascular Rehabilitation
- Deliver clinical and therapeutic health messages in line with Making every contact count (MECC) within set protocols and the scope of Assistant Practitioner remit
- To identify and initiate processes and procedures to ensure the effective management of clerical/ administrative duties.
- To maintain clinical and non -clinical documentation in line with organisational and departmental requirements.
- Organise and prioritise time effectively
- Ensure care is documented accurately and in a timely manner as per Trust policy.
- Work as an effective member of the multi-disciplinary team.
CLINICAL
- Maintain clear, concise and legible documentation adhering to prescribed standards and protocols
- Use IT systems for relevant tasks e.g. accessing patient records & results, requesting investigations, data collection etc
- Obtain verbal consent in accordance with local policy prior to undertaking any procedures
- Adhere to the safe handling policy at all times
MANAGERIAL/LEADERSHIP
- Maintain health, safety and security and report any concerns to Team Leader/Senior staff
- Maintain patient confidentiality at all times
- Contribute to effective communication with patients, relatives and members of the Multi-disciplinary team
- Participate in Multi-disciplinary meetings as required
- Acknowledge own limitations, working with the confines of the remit of the Assistant Practitioner role and the knowledge and skills framework
- Contribute to the development of services
- Manage own workload of delegated responsibilities in relation to own case load of patients
- Organise and prioritise workload effectively
- Collect data for audits and reports as requested
PROFESSIONAL
- Develop own skills and knowledge with assistance from others and review work against the KSF outline for the post, identifying learning required to undertake the role or what is required to do the job better
QUALITY
- Comply with policies, procedures and clinical guidelines for self and others
- Adapt own practice in line with changes and developments of the service
- Report any concerns regarding patient care
- Report any concerns relating to self or others health, safety and/or security
- Act in ways that support peoples equality, diversity and rights
- Ensure due regard is given to customs, values and spiritual beliefs of patients and carers.
KEY DAY-TO-DAY RESPONSIBILITES
- Prepare patient information and documentation for clinicians
- Liaise with stakeholders, patients, Cardiac rehabilitation nurse/team and document clearly in the electronic patients records
- Inform IT to update patient demographics, on hospital electronic patient administration systems
- Record telephone contacts and complete administrative templates in the electronic patient record systems.
- Communicate and liaise with ward staff to notify them of missed/incomplete referrals, escalate any concerns to Lead cardiac rehabilitation nurse or Inphase if needed
- Answer any phone queries from staff/patients/stakeholders and act upon them promptly referring any issues to Cardiac rehab nurse
- Act upon any Email correspondence from external stakeholders and file Electronically
- Complete incident reporting (Inphase) on advice from CR nurse and file Electronically
- Access patients records within EPR to resolve any stakeholder queries, document information clearly in the records
- Act promptly on Automated Email for out of area referrals and electronically file and forward via email to appropriate cardiac rehabilitation provider.
- Liaise with the CVD Matron/Lead Nurse for help and advice in the absence of CR Nurse
- Complete any other administration requirements for the service as identified by cardiac rehab Nurse
- To maintain confidentiality in respect of all patient and staff information in line with Data Protection Act.
- To help implement appropriate elements of cardiovascular rehabilitation to patients with cardiovascular disease.
- To promote and help increase patient uptake of the cardiac rehabilitation.
- To keep up to date, accurate and pertinent patient records.
- To be able to recognise signs and symptoms of the deteriorating patient and be able to refer onto the appropriate member of the team.
- To be able to work autonomously and collaboratively with members of the wider MDT.
- To be able to communicate with patients, family and carers who may have barriers to understanding e.g. mental health problems or deafness, to maximise their rehabilitation potential.
- To have good verbal and nonverbal communication skills of motivation and encouragement to help motivate patients to undertake and complete rehabilitation programmes.
- To maintain job related competencies and mandatory training through continued learning, attendance at relevant courses, and to incorporate evidence-based practice.
- To participate in the staff appraisal scheme, and to be an active participant in regular supervision.
- To be an active member in the delivery and attendance of the in-service training programme.
- To participate in relevant research and audit.
- Undertake clerical duties to maintain the smooth running of the service and team
- Promote equality, diversity and rights and contributes to the protection of individuals from abuse
- Work as a member of a team, developing and promoting effective communication and relationships with all contacts during work activities
- To present an appearance which gives a positive image of the Trust and in a manner, which is appropriate and inspires confidence
- To adhere to, and act in accordance with, the values & beliefs of the Trust
ORGANISATIONAL
- To be responsible for the management of own workload.
- To promote the role of cardiovascular rehabilitation to students and other health care professionals.
- Contribute to discussions on service delivery and development.
- To maintain equipment competencies used within the team, and adhere to departmental usage.
- To maintain accurate, comprehensive and timely clinical and non-clinical documentation, in line with legal and departmental requirements.
- To be actively involved in the collection of statistical data used by the department.
- To comply with departmental policies and procedures.
- To undertake any other duties that might be considered appropriate by the team leader after adequate training.
- Ensure all accidents, incidents and hazards are reported and dealt with according to Trust requirements.
- To comply with the Data Protection Act and Caldicott recommendations.
- To maintain accurate documentation in line with local policies and procedures.
- Demonstrate effective infection control at all times.
Job description
Job responsibilities
PRINCIPAL ACCOUNTABILITIES.
This list of duties is not intended to be exhaustive but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation.
Work within the parameters of practice
Work within the organisational policy, standard operating procedures and guidelines
Be responsible and accountable for own practice, working within limits of competence and within professional boundaries
Raise any concerns to a registered care professional or appropriate person
Main duties and responsibilities.
- Work autonomously within own scope of practice
- To act as a source of expertise on the management of patients within the Cardiovascular rehabilitation service providing advice to primary health care practitioners, consultants, and senior health care colleagues. With frequent exposure to distressing and highly emotional circumstances
- To provide patients with informed choice regarding the management of their Cardiovascular condition ensuring that patients supported in self-management and long-term health gains.
- Responsible for the day-to-day management of admin processes
- To provide patients with informed choice regarding the management of their CVD condition ensuring that patients are supported in self -management and long-term health gains.
- Provide highly specialized advice concerning the care or treatment of identified groups of patients.
- To create a single point of access enabling effective triage and signposting to the most appropriate service(s) for the patient.
- To suggest ways to improve the infrastructure of the Rehabilitation Service, creating a network of professionals with consistent referral methods, protocols, clinical management and effective communication channels generating a confidence in all users of, and referrers to, the rehabilitation services.
- To ensure governance arrangements are in place, robust and consistent across the whole service.
- To develop mechanisms to improve the infrastructure of the Rehabilitation Service, creating a network of professionals with consistent referral methods, protocols, clinical management and effective communication channels generating a confidence in all users of high quality referrals.
- To set the benchmark standard for delivery of CVD Rehabilitation for all eligible LHCH patients.
- To be responsible for managing complex projects and systems change within Cardiovascular Rehabilitation
- Deliver clinical and therapeutic health messages in line with Making every contact count (MECC) within set protocols and the scope of Assistant Practitioner remit
- To identify and initiate processes and procedures to ensure the effective management of clerical/ administrative duties.
- To maintain clinical and non -clinical documentation in line with organisational and departmental requirements.
- Organise and prioritise time effectively
- Ensure care is documented accurately and in a timely manner as per Trust policy.
- Work as an effective member of the multi-disciplinary team.
CLINICAL
- Maintain clear, concise and legible documentation adhering to prescribed standards and protocols
- Use IT systems for relevant tasks e.g. accessing patient records & results, requesting investigations, data collection etc
- Obtain verbal consent in accordance with local policy prior to undertaking any procedures
- Adhere to the safe handling policy at all times
MANAGERIAL/LEADERSHIP
- Maintain health, safety and security and report any concerns to Team Leader/Senior staff
- Maintain patient confidentiality at all times
- Contribute to effective communication with patients, relatives and members of the Multi-disciplinary team
- Participate in Multi-disciplinary meetings as required
- Acknowledge own limitations, working with the confines of the remit of the Assistant Practitioner role and the knowledge and skills framework
- Contribute to the development of services
- Manage own workload of delegated responsibilities in relation to own case load of patients
- Organise and prioritise workload effectively
- Collect data for audits and reports as requested
PROFESSIONAL
- Develop own skills and knowledge with assistance from others and review work against the KSF outline for the post, identifying learning required to undertake the role or what is required to do the job better
QUALITY
- Comply with policies, procedures and clinical guidelines for self and others
- Adapt own practice in line with changes and developments of the service
- Report any concerns regarding patient care
- Report any concerns relating to self or others health, safety and/or security
- Act in ways that support peoples equality, diversity and rights
- Ensure due regard is given to customs, values and spiritual beliefs of patients and carers.
KEY DAY-TO-DAY RESPONSIBILITES
- Prepare patient information and documentation for clinicians
- Liaise with stakeholders, patients, Cardiac rehabilitation nurse/team and document clearly in the electronic patients records
- Inform IT to update patient demographics, on hospital electronic patient administration systems
- Record telephone contacts and complete administrative templates in the electronic patient record systems.
- Communicate and liaise with ward staff to notify them of missed/incomplete referrals, escalate any concerns to Lead cardiac rehabilitation nurse or Inphase if needed
- Answer any phone queries from staff/patients/stakeholders and act upon them promptly referring any issues to Cardiac rehab nurse
- Act upon any Email correspondence from external stakeholders and file Electronically
- Complete incident reporting (Inphase) on advice from CR nurse and file Electronically
- Access patients records within EPR to resolve any stakeholder queries, document information clearly in the records
- Act promptly on Automated Email for out of area referrals and electronically file and forward via email to appropriate cardiac rehabilitation provider.
- Liaise with the CVD Matron/Lead Nurse for help and advice in the absence of CR Nurse
- Complete any other administration requirements for the service as identified by cardiac rehab Nurse
- To maintain confidentiality in respect of all patient and staff information in line with Data Protection Act.
- To help implement appropriate elements of cardiovascular rehabilitation to patients with cardiovascular disease.
- To promote and help increase patient uptake of the cardiac rehabilitation.
- To keep up to date, accurate and pertinent patient records.
- To be able to recognise signs and symptoms of the deteriorating patient and be able to refer onto the appropriate member of the team.
- To be able to work autonomously and collaboratively with members of the wider MDT.
- To be able to communicate with patients, family and carers who may have barriers to understanding e.g. mental health problems or deafness, to maximise their rehabilitation potential.
- To have good verbal and nonverbal communication skills of motivation and encouragement to help motivate patients to undertake and complete rehabilitation programmes.
- To maintain job related competencies and mandatory training through continued learning, attendance at relevant courses, and to incorporate evidence-based practice.
- To participate in the staff appraisal scheme, and to be an active participant in regular supervision.
- To be an active member in the delivery and attendance of the in-service training programme.
- To participate in relevant research and audit.
- Undertake clerical duties to maintain the smooth running of the service and team
- Promote equality, diversity and rights and contributes to the protection of individuals from abuse
- Work as a member of a team, developing and promoting effective communication and relationships with all contacts during work activities
- To present an appearance which gives a positive image of the Trust and in a manner, which is appropriate and inspires confidence
- To adhere to, and act in accordance with, the values & beliefs of the Trust
ORGANISATIONAL
- To be responsible for the management of own workload.
- To promote the role of cardiovascular rehabilitation to students and other health care professionals.
- Contribute to discussions on service delivery and development.
- To maintain equipment competencies used within the team, and adhere to departmental usage.
- To maintain accurate, comprehensive and timely clinical and non-clinical documentation, in line with legal and departmental requirements.
- To be actively involved in the collection of statistical data used by the department.
- To comply with departmental policies and procedures.
- To undertake any other duties that might be considered appropriate by the team leader after adequate training.
- Ensure all accidents, incidents and hazards are reported and dealt with according to Trust requirements.
- To comply with the Data Protection Act and Caldicott recommendations.
- To maintain accurate documentation in line with local policies and procedures.
- Demonstrate effective infection control at all times.
Person Specification
Qualifications & Education
Essential
- IT training / skills, database input and experience of using online systems
- Evidence of formal education, with core numeracy and literacy skills.
- Commitment to continued development and learning.
Desirable
- NVQ 3 (or above) in relevant subject (health / sports / leisure)
- Previous experience of working within a clinical setting
- Experience of providing lifestyle or behaviour change interventions.
- Knowledge of BACPR
Knowledge & Experience
Essential
- Be highly organised and implement systems to assist with the smooth transition and referral into Cardiac rehabilitation.
- Liaising with other agencies and professions. Worked as part of an MDT
- Understanding of cardiac rehabilitation phases
- Experience of clinical setting.
- Previous experience as a HCA, rehabilitation/therapy assistant
Desirable
- Evidence of independently managing own caseload.
Skills & Abilities
Essential
- Prioritisation skills to manage own workload independently.
- The ability to understand and respect patients and carers differing points of views.
- Ability to liaise with external Cardiac rehabilitation providers.
Desirable
- Be able to assist and implement MECC.
Values & Behaviours
Essential
- Be a team player and be instrumental in achieving team goals.
- An ability to empathise and reassure
- Excellent verbal and non-verbal communication with the ability to motivate people.
- Must be motivated and enthusiastic.
Technical Skills
Essential
- Knowledge of administration systems EPR, email, spreadsheets.
- IT skills.
Person Specification
Qualifications & Education
Essential
- IT training / skills, database input and experience of using online systems
- Evidence of formal education, with core numeracy and literacy skills.
- Commitment to continued development and learning.
Desirable
- NVQ 3 (or above) in relevant subject (health / sports / leisure)
- Previous experience of working within a clinical setting
- Experience of providing lifestyle or behaviour change interventions.
- Knowledge of BACPR
Knowledge & Experience
Essential
- Be highly organised and implement systems to assist with the smooth transition and referral into Cardiac rehabilitation.
- Liaising with other agencies and professions. Worked as part of an MDT
- Understanding of cardiac rehabilitation phases
- Experience of clinical setting.
- Previous experience as a HCA, rehabilitation/therapy assistant
Desirable
- Evidence of independently managing own caseload.
Skills & Abilities
Essential
- Prioritisation skills to manage own workload independently.
- The ability to understand and respect patients and carers differing points of views.
- Ability to liaise with external Cardiac rehabilitation providers.
Desirable
- Be able to assist and implement MECC.
Values & Behaviours
Essential
- Be a team player and be instrumental in achieving team goals.
- An ability to empathise and reassure
- Excellent verbal and non-verbal communication with the ability to motivate people.
- Must be motivated and enthusiastic.
Technical Skills
Essential
- Knowledge of administration systems EPR, email, spreadsheets.
- IT skills.
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.
