Respiratory Specialist Clinician

\*\*\*Important Sponsorship Information for this post: We are currently unable to offer a certificate of sponsorship for this post\*\*\*

We are pleased to offer an exciting role to work in the Bexley COPD service within Oxleas NHS Trust. The team provide acute support and chronic disease management of COPD within a community setting. Within the team we also provide a quality assured diagnostic spirometry service for COPD and manage/ongoing review of patients on home oxygen therapy. This post is ideal for a suitably skilled \& trained respiratory clinician.

This a community post requiring travel across the Borough, the post holder should hold a full driving licence \& suitable vehicle for work purposes.

The role will include working as part of the team and participating in the leadership of the home oxygen service. This will include the management of a caseload and regular review of patients with reference to local key performance indicators.

You will need to be a versatile, adaptable team player who has good organisational skills. You will be required to use multiple computer systems therefore a good knowledge of IT is essential.

We offer regular in\-service training and clinical supervision as well as the opportunity to be involved in student education, training and supervision of our newly qualified staff. There is also support and development through regular appraisals, a personal development plan and regular formal supervision.

For an informal discussion or further information about this exciting opportunity please contact: Harriet Webster on 020 8320 3345 or email: harriet.webster@nhs.net

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

We’re Kind

We’re Fair

We Listen

We Care

The post holder will proactively manage a caseload of patients requiring complex assessment including home oxygen (long term and ambulatory) therapy and case management in order to prevent unnecessary hospital admissions and improve patient health outcomes.

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload. The post holder will be expected to possess skills in advanced clinical assessment, diagnostic reasoning and if applicable non\-medical prescribing, using these skills will assist in the recognition of early symptoms of disease exacerbation.

The post holder will be expected to be a competent leader and case manager and critical thinker navigating the patient through the appropriate care pathway which spans across the primary, secondary care interface. Pivotal to the care pathway is the prevention of unnecessary admissions and facilitation of early supported discharge to reduce lengths of stay.

To work closely with the rest of the team to reduce patients’ waiting times throughout their journey by reducing unnecessary consultant outpatient attendances.

The service provides assessment to patients diagnosed with chronic lung disease registered with a Bexley GP across various community settings and in their own homes.

Key Task and Responsibilities

The Respiratory Specialist Clinician will be expected to achieve the competencies set nationally by Skills for Health 2005 (www.skillsforhealth.org.uk). These can be summarised as follows;

• Utilisation of advanced clinical skills and expert knowledge to plan, implement, monitor and review individualised patient\-directed programmes of care to patients with chronic lung disease, home oxygen therapy management and health promotion interventions.


• To undertake goal centred interventions that are evidence\-based, evaluating the effectiveness of these at regular intervals with a view to improving care continuously.


• Develop risk management plans that will enable individuals to remain safely within their homes


• Use expert knowledge and skills as a nonmedical prescriber to manage patient medication within own areas of competency, developing clinical management plans in partnership with GP colleagues where necessary.


• Anticipate individual care needs and develop appropriate care plans, involving carers and relatives


• To provide individuals and their carers with the necessary education that will enable them to plan for unavoidable disease progression and self manage as far as possible.


• To work collaboratively with members of the multi professional team to ensure that the patient’s needs are met, making appropriate referrals are made where necessary.


• Develop practices which promote patient choice and well\-being Ensure that the needs of individuals who are vulnerable are highlighted and addressed in a timely manner


• To be a competent clinical leader demonstrating a willingness to work as an integral part of a multi professional team


• Be a highly skilled communicator, written and verbal, with a capability for communicating within a variety of professional groups, challenging attitudes where necessary


• To manage a caseload of patients with chronic lung disease


• To practice at an advanced level demonstrating an in\-depth knowledge of all aspects of the management of chronic lung disease that is evidence\-based


• To undertake advanced physical and social assessments and examinations, and initiate appropriate diagnostic activity and treatment


• To work with other health care professionals to ensure a consistency of approach to patient care and to support clinical supervision arrangements within the Trust


• To work collaboratively with other specialist and multidisciplinary teams, such as GPs, District Nurses, Consultants


• To support the and Expert Patient Programme and other self\-management programmes


• To contribute towards reducing frequent admissions and bed days of patients with chronic lung disease


• To help improve the diagnostic rate of chronic lung disease in primary care with the delivery of an ARTP accredited quality assured spirometry clinic.


• To work alongside the clinical lead in the new/confirmed diagnosis of chronic lung disease in producing treatment plans including self\-management and education at consultant lead MDT sessions.


• To be confident in the delivery of educational topics including pathophysiology of chronic lung disease, chronic lung disease medications, managing exacerbations, breathlessness, productive cough, anxiety and low mood and the importance of exercise and a balanced diet


• To participate in disease specific audit and data collection


• To act in accordance with the clinical governance framework within the Trust


• To share knowledge and skills with patients and families as a key therapeutic intervention and to enable self care and autonomy


• To identify the educational requirements of primary and social care colleagues in relation to the management of chronic lung disease and lead on meeting these needs


• To participate in clinical supervision, appraisal and personal development programme


• Ensure own professional development and clinical skills through attending courses, workshops and conferences and applying the knowledge gained in clinical practice


• To interface with primary and secondary care teams to enable the implementation of managed care pathways in line with local and national guidance


• To advise on and develop new initiatives and ways of working informed by local and national policy


• To be involved in the development of guidelines, policies and protocols within the Trust


• To promote effective collaborative working relationships with health and social care colleagues and those within support networks and the voluntary sector


• To act as a change agent and innovator, planning, instigating and evaluating changes


• To proactively demonstrate the positive impact of case management on the reduction of avoidable admissions and lengths of hospital stay


• Contribute to the service development within the Trust in line with national strategies for chronic lung disease


• To maintain accurate and legible and timely records


• To act as leader, mentor and preceptor to staff within the Trust.

• The post holder will maintain registration with the NMC/HPC and apply the NMC or relevant professional clinical Code of Professional Practice at all times


• The post holder will keep knowledge and practice updated by study and attendance at appropriate conferences


• The post holder will work within their competencies at all times

• All duties must be carried out in accordance with Bexley ACS policies and procedures


• The post holder will observe confidentialit

This listing is from Indeed. View original listing ↗