Job summary
An exciting opportunity for a PulmonaryRehabilitation / Respiratory Clinician (Physiotherapist, Occupational Therapistor 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 postfor one year.
The key purpose of this role is to deliver an NHS commissionedpulmonary rehabilitation service. The successful applicant will work under thedirect supervision of the Team Lead / Clinical Specialist and alongside supportworker 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.
Main duties of the job
The successful applicantwill (with support) be responsible for the day-day provision of PulmonaryRehabilitation, including exercise and education of patients within a group orvirtual setting, pre- and post-assessment of patients and will provide encouragementand support for patient self-management.
In addition, the post holder, withsupport of the team lead will promote, develop, and evaluate the service usingevidence-based practice, audit, and outcome measures and will also be expectedto 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 improvementprojects.
About us
Areyou looking for an exciting new career opportunity? BOC is more than theleading medical gases company. Did you know we deliver specialist nursing, oxygenassessment, Cardiac, Heart Failure, Long Covid and pulmonary rehabilitationservices nationally for the NHS? We are always developing concepts andtherapies to improve our patients quality of life and are Hiring NOW in Norfolk. We are looking for a Clinician (Physiotherapist / Occupational Therapist / Nurse) or Clinical Exercise Physiologist to join our teamthat has been rated Outstanding by CQC in 2023.
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Job description
Job responsibilities
See Job description for full list
Principal Responsibilities
1. To undertake comprehensive subjective and objective assessment of patients with diverse or complex respiratory conditions and multiple pathologies. To prioritise patient problems and to formulate and deliver appropriate treatment programmes based on assessment findings, with evidence of discharge planning and in line with national standards. This process is fully autonomous, and treatments will vary according to assessment findings.
2. To evaluate patient progress, reassess and alter treatment programmes if required, based on knowledge of evidence-based practice and patient outcomes. Frequently readjust plans as situations change / arise due to unforeseen circumstances.
3. To deliver pulmonary rehabilitation classes incorporating a comprehensive programme of exercise and education. Including objectively measured assessment of exercise performance and exercise prescription and progression and assessment, interpretation, and feedback to the patient of initial and final outcome measures.
4. Todemonstrate effective communication and negotiation skills across a range ofsituations, both clinical and non-clinical
5. Toassess risk and manage it effectively within the clinical caseload andcommunity setting
6. To contribute to the overall planning, delivery, strategic development, and evaluation of the Pulmonary Rehabilitation Service in conjunction with other clinical staff and within relevant guidelines and evidence-base.
7. To work collaboratively with other staff in the team and across the Respiratory landscape to ensure co-ordinated and efficient patient centred and evidence-based care with effective use of all available resources.
8. Support BOCs Clinical Governance programme within the service by:
Seeking, proposing, and implementing continuousimprovements to the service
Safeguarding high standards of care by followingkey components of our robust clinical governance system, including:
Clinical effectiveness
Clinical Audit
Research & Development
Education and Training
Evidence based healthcare.
User/Patient involvement
Performance Appraisal and Continuous ProfessionalDevelopment
Incidents and complaints
9. To assist with the performance management of support staff and students within the service in conjunction with the Senior Team Lead.
10. To maintain, develop and continually update knowledge, skills, and clinical competency to practice through Continuous Professional Development (CPD) activities to incorporate developments into your work and ensure safe practice while undertaking duties.
11. To be responsible for the effective flow of patients through delegated pulmonary rehabilitation programmes to meet service key performance indicator (KPI) targets and assist the Senior Team Lead by monitoring caseloads, prioritising referrals, collecting, and collating team activity data in an agreed format to monitor the clinical effectiveness of the team.
12. To identify and propose service changes for own work area and participate in appropriate research processes and/or data collection, identified in departmental/rehabilitation objectives, with support from the Senior Leadership team
13. To be responsible for maintaining accurate, up to dateand comprehensive patient treatment records (electronic or hand-written) inline with the legal requirements and organisational guidelines showing evidence of clinical reasoning / evaluation and treatments thatare evidence-based and within broad professional standards and guidelines (HCPC,NMC, CSP, RCN). In addition, to ensure that students, support staff and any other staffmaintain patient records in line with guidance and standards.
Person Specification
Knowledge
Essential
14. Knowledge of respiratory conditions and the treatment and management of these
15. Knowledge of Pulmonary Rehabilitation
16. Clinical governance and clinical risk assessment
17. Thorough and up-to-date knowledge of the NHS and its processes
18. Safe working practices in all clinical settings, Loan working in the community
Desirable
19. Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards
20. Exercise assessment and prescription
21. Home oxygen supply systems
22. Knowledge of palliative and end of life care coordinating / treatments
23. Voluntary sector role in supporting patients with respiratory pathology.
24. Audit and evaluation methods to implement quality improvements.
Skills
Essential
25. Autonomous practitioner
26. Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
27. Ability to demonstrate empathy.
28. Good documentation skills
29. Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills.
30. Manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination.
31. Ability to safely perform client and object moving and handling.
32. Clinical reasoning skills / Problem solving skills.
33. Confident and competent IT skills and in use of electronic patient management software
34. Competent teaching and presentation skills
35. Good organisational, prioritisation and time management skills
36. Reliability and resilience
37. Ability to manage resources.
38. Delegation, feedback, and appraisal skills
39. Diplomacy and negotiation skills and ability to manage stressful situations.
40. Ability to work as a team member.
41. High patient orientation and commitment to patient-centred care
42. Enthusiastic, highly motivated, and highly motivating
43. Innovative with an openness and commitment to constantly improve self and the service.
44. Professional manner and approachable
45. Awareness of own limitations and scope of practice and when to seek help.
46. Commitment to life-long learning
47. Basic life support skills
48. Ability to drive around locality in timely manner
Desirable
49. Supervisory and basic leadership skills
Experience
Essential
50. Clinical experience of treating patients with Respiratory conditions.
51. Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement.
52. Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
53. Experience in the provision of smoking cessation advice
54. Experience in the education of patients in self-management of their condition and devising of individualised care plans.
55. Previous contribution to practice education / training/ support
56. Experience of working as part of a multidisciplinary team
57. Experience of liaising with other agencies, services, and professional colleagues
Desirable
58. Previous experience at Band 5
59. Previous experience in the delivery of Pulmonary Rehabilitation classes
60. Experience of home oxygen prescription
61. Experience of working in a community setting.
62. Previous involvement in quality improvement projects, audit, or research
63. Experience of people management or leadership
64. Experience of working with the voluntary sector
Qualifications
Essential
65. Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional)
66. Registration with HCPC, NMC or AHCS
67. Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation,
68. Full valid driving license and access to a vehicle with business insurance
Desirable
69. Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) for Nursing or Occupational Therapy only
70. Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
71. Member of CSP, RCOT or RCN
72. Member of ACPRC, ARNS, PCRS or relevant SIG
73. First Aid at Work / Mental Health First Aider or other 1st aid qualification
74. ALERT Course
75. Spirometry (accredited to ARTP standards)
76. Practice Educator and Assessor / Mentorship Course or equivalent.