Assess, plan, implement and evaluate treatment safely and effectively, in partnership with medical team and nurses, service user and carers, using evidence-based practice. To ensure comprehensive risk assessment of patients and risk management plans are in place and clearly documented in accordance with the Trust's Policy. Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect self, colleagues, and patients. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.
Act as a specialist advisor/professional leader in healthcare issues related to the care of the patient with learning disability which can often be complex and urgent. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. As part of the team, provide regular updates, feedback, and reports to senior management on progress and share any identified barriers that may need to be addressed in order to meet plans and targets. Undertake risk assessments and escalate in line with Trust Policies and guidelines. Report any observed changes in a patient's condition or behaviour, or any other cause for concern, to an appropriate clinician as a key health and wellbeing responsibility.
Refer to colleagues or other agencies as appropriate, this will include any identified concerns around risks, health inequalities and safeguarding.
5.1 Responsibility for People Management
Provide line management and caseload supervision to other members of the team where appropriate. Maintain professional registration. Participate in regular supervision and performance management development and appraisal processes. Participate in regular clinical supervision sessions in order to receive professional support and time to reflect upon practice. Act as a mentor to students and colleagues, participating in induction programmes, guiding practice, and assessing competence to develop staff. Provide teaching sessions within the team and across the Devon ISC as appropriate on relevant topics relating to screening and learning disabilities.
Deliver specialist training for Primary health care and community staff in new skills related to health screening uptake in patients with a learning disability. Take responsibility for own development, learning and performance including participating in clinical supervision and training as necessary to update skills and knowledge and maintaining a record of own personal development.
Provide advice and highly specialist support to all healthcare professionals who are providing care to individuals with a learning disability, ensuring reasonable adjustments are made to facilitate access to both primary, secondary and community care. Work with local learning disability groups to understand language barriers and undertake collaborative works to identify and overcome any identified barriers that may be contributing to health inequalities and uptake of health screening.
Working collaboratively within a multi-disciplinary team, this will include proactive engagement with the 5 identified National screening programmes. You will be able to communicate effectively with both clinical and non-clinical colleagues to ensure the smooth running of the service. You will be able to communicate effectively with patients and carers and utilise alternative methods of communication whenever this is needed.
Consistently demonstrate sensitive communication styles to ensure service users have enough information, in the right format, at the right place and time, to make informed decisions. When required, you will need to be able to communicate difficult, unpleasant, or sensitive information in a way that is supportive and understanding. Act as an advocate when representing patients and colleagues, including engaging and networking with stakeholders. Hold good knowledge of the Mental Capacity Act and the concept and guidance around best interests.
Support the validation of learning disability registers held by practices across Devon and access the lists held by local authorities to authenticate the number of health checks completed for people with a learning disability across Devon. Ensure close working relationship with those managing annual health checks, the primary care commissioning and contracting team. Support the delivery of personalised health screening awareness.
Undertake community engagement to raise the profile of health screening and screening pathways. Organise and/or run initiatives, including contacting patients, to improve uptake of screening, vaccinations or other services and support the achievement of targets (e.g. under the Quality and Outcomes Framework). Advocacy for health screening across the learning disability population including high levels of preparedness to undertake visits in an individual's own home or residential setting.
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