Job summary
An exciting opportunity for a Pulmonary Rehabilitation / Respiratory Clinician (Physiotherapist, Occupational Therapist or Nurse) or Clinical Exercise Physiologist has arisen in the Norfolk and Waveney (East Coast Great Yarmouth and Waveney) area. This is a full-time fixed post for one year. The key purpose of this role is to deliver an NHS commissioned pulmonary rehabilitation service. The successful applicant will work under the direct supervision of the Team Lead / Clinical Specialist and alongside support worker colleagues in an innovative, exciting, and pro-active team.
Applicants will ideally have experience of working within Pulmonary Rehabilitation (as a student or post-graduate) although training will be provided. The successful applicant will (with support) be responsible for the day-day provision of Pulmonary Rehabilitation, including exercise and education of patients within a group or virtual setting, pre- and post-assessment of patients and will provide encouragement and support for patient self-management. In addition, the post holder, with support of the team lead will promote, develop, and evaluate the service using evidence-based practice, audit, and outcome measures and will also be expected to contribute to delivery of the other services provided by the team as required, such as home oxygen assessment and review (HOSAR) and any other quality improvement projects.
Main duties of the job
* Undertake and oversee all aspects of clinical duties as an autonomous practitioner without daily clinical supervision, access to advice and support is available from senior clinicians. Clinical work is not routinely evaluated.
* To be professionally and legally responsible and accountable for all aspects of professional activities, including management of patients in your care. Support peers and support staff to do similarly.
* To flexibly manage responsibilities for own caseload.
* To work both independently and within a team structure, to manage the patient pathway from referral to discharge of patients and to designate to own and support staff caseload.
* To provide a pulmonary rehabilitation service in several community locations within the locality.
* To provide a holistic, comprehensive clinical assessment of patients referred to the Pulmonary Rehabilitation Service with a respiratory diagnosis who have chronic and or acute presentations.
* Use clinical reasoning skills and manual assessment techniques to provide an accurate respiratory problem list and place this within the context of their respiratory pathology and its treatment.
* To use manual therapy, therapeutic handling, and other interventions in the treatment of patients.
* To deliver pulmonary rehabilitation classes incorporating a comprehensive programme of exercise and education.
* To participate in locality MDT discussions to ensure the delivery of a well-co-ordinated multidisciplinary service.
About us
ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.
We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.
At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.
We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.
Person Specification
Qualifications
Essential
* Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional)
* Registration with HCPC, NMC or AHCS
* Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation
Desirable
* Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) Nursing or Occupational Therapy only
* Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
* Member of CSP, RCOT or RCN
* Member of ACPRC, ARNS, PCRS or relevant SIG
* First Aid at Work / Mental Health First Aider or other 1st aid qualification
* ALERT Course
* Spirometry (accredited to ARTP standards)
* Practice Educator and Assessor / Mentorship Course or equivalent.
Experience
Essential
* Clinical experience of treating patients with Respiratory conditions.
* Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement.
* Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
* Experience in the provision of smoking cessation advice
* Experience in the education of patients in self-management of their condition and devising of individualised care plans
* Previous contribution to practice education / training/ support
* Experience of working as part of a multidisciplinary team
* Experience of liaising with other agencies, services, and professional colleagues
Desirable
* Previous experience at Band 5
* Previous experience in the delivery of Pulmonary Rehabilitation classes
* Experience of home oxygen prescription
* Experience of working in a community setting
* Previous involvement in quality improvement projects, audit, or research
* Experience of people management or leadership
* Experience of working with the voluntary sector
Skills and Knowledge
Essential
* Essential Skills:
* Autonomous practitioner
* Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
* Ability to demonstrate empathy
* Good documentation skills
* Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills
* Manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination
* Ability to safely perform client and object moving and handling
* Clinical reasoning skills / problem solving skills
* Confident and competent IT skills and in use of electronic patient management software
* Competent teaching and presentation skills
* Good organisational, prioritisation and time management skills
* Reliability and resilience
* Ability to manage resources
* Delegation, feedback, and appraisal skills
* Diplomacy and negotiation skills and ability to manage stressful situations
* Ability to work as a team member
* High patient orientation and commitment to patient-centred care
* Enthusiastic, highly motivated, and highly motivating
* Innovative with an openness and commitment to constantly improve self and the service
* Professional manner and approachable
* Awareness of own limitations and scope of practice and when to seek help
* Commitment to life-long learning
* Basic life support skills
* Ability to drive around locality in timely manner
* Essential Knowledge:
* Knowledge of respiratory conditions and the treatment and management of these
* Knowledge of Pulmonary Rehabilitation
* Clinical governance and clinical risk assessment
* Thorough and up-to-date knowledge of the NHS and its processes
* Safe working practices in all clinical settings e.g., Lone working in the community
Desirable
* Desirable Skills:
* Supervisory and basic leadership skills
* Desirable Knowledge:
* Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards
* Exercise assessment and prescription
* Home oxygen supply systems
* Knowledge of palliative and end of life care coordinating / treatments
* Audit and evaluation methods to implement quality improvements
* Voluntary sector role in supporting patients with respiratory pathology
Personal Attributes
Essential
* Ability to embrace our Culture, Values and Signature Behaviours:
* (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
* Willingness and ability to work across different sites and travel to alternative sites and across the community as required
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