Job responsibilities
2. Job Purpose
The post holder will provide specialist physiotherapy
skills within the community respiratory rehab programme. He/she will be
responsible for the management and co-ordination of the community respiratory
rehab programme for patients following referral by primary or secondary care.
Working closely with GPs, secondary care and community
services, the community respiratory rehabilitation programme will provide
patients with a service underpinned by BTS standards.
The post holder will also work closely with
Cardio-Respiratory team lead to support patients at home and at risk of
hospital admission
3. Dimensions
To
liaise and provide expert opinion to patients care to patients and their
carers, medical and nursing staff, both internally and externally to GPs,
district nurses and community teams.
To
liaise with community services to plan and deliver additional support for
patients attending the cardiac rehabilitation programme.
To work closely with staff in primary care to manage
patients medications and risk factors.
4. Key Result Areas
1. To deliver the respiratory
rehabilitation service in Kingston for patients with or at risk of developing
respiratory disease and their carers/relatives in a safe environment and in
liaison with stakeholders (CCG, GPs, Kingston Hospital).
2. To be accountable for the respiratory
rehabilitation programme ensuring the highest standards are maintained.
3. To ensure that the respiratory service is of the
highest standard and meet all national recommendations e.g. British Thoracic
Society (BTS) standards NICE guidelines.
4. To be responsible for interpreting and
implementing National Policies on respiratory rehabilitation ensuring that
clinical practice changes in accordance with latest recommendations.
5. To have highly developed and extensive specialist
knowledge and experience in respiratory rehabilitation, acting as an expert resource
to GPs, the clinical team, allied health professionals, PCT and participating
leisure centres.
6. To exercise a high degree of personal autonomy
when assessing, managing and planning care for a case load of specific
patients in different settings including patients homes.
7. To respond to assessment of patients needs in
preventing admission to hospital and to liaise with relevant team members in
admission prevention
8. Identify the need for
training and organise and provide education and training to other health care
professionals and outside agencies; PCT, community nurses.
KEY
DUTIES AND RESPONSIBILITIES:
1. To deliver the community respiratory
rehab programme ensuring the delivery of evidence-based care.
2. Implement appropriate
referral pathways with primary and secondary care colleagues.
3. To work in conjunction
with team members to undertake a comprehensive assessment and complex
analysis of patients attending the programme, including all aspects of
clinical, psychological, physiological and life-style factors, to formulate
an individualised treatment plan using a problem-solving approach.
4. To provide specialist
education and support to patients and their relatives, involving patients and
their relatives/carers with all aspects of the care plan.
5. To manage own caseload,
admitting and discharging patients to and from the service
as appropriate.
6. To work with the respiratory nurse to teach the
exercise component of the rehabilitation programme to groups of respiratory patients,
bearing in mind some may have considerable co-morbidity adjusting and
adapting the programmes to suit individual needs of the patient.
7. To promote a healthy lifestyle to the patient
using and understanding recognised models of health promotion.
8. To liaise with Kingston
GPs and other partners to identify and recruit patients with lung disease.
9. To develop strong links with local services post
pulmonary rehabilitation.
10. To identify patients with lung disease and work
with the multidisciplinary team on their treatment in the community.
11.
In
partnership with other members of the Cardiac and Respiratory Integrated Service
(CRIS) team, deliver health education and lifestyle advice, to empower
patients and relatives to make informed choices about their health and
well-being and increase concordance with suggested therapies and lifestyle
changes.
12. To use developed motivational and negotiation
skills to facilitate acceptance and ongoing compliance with treatment
programmes where there are complex barriers to acceptance and difficulties in
understanding due to cultural background. (This may also require the use of
interpreters and/or non-verbal communication aids.)
13. To inform patients of the benefits and risks of
suggested treatment options
14.
To
provide support for patients and relatives where the diagnosis of lung
disease has serious repercussions/limitations on quality of life e.g loss of
job, using highly developed reassurance, and empathetic communication skills.
15. To encourage patients to
set realistic targets in their lifestyle modification.
16. To respond to
deterioration in a patients condition to influence the management plan.
17. To develop pathways /
referral links into community programmes following the completion of the pulmonary
rehabilitation.
18. To explain and interpret relevant
investigations and explain the results and significance to the patient.
19. To provide qualitative and
quantitative data to support the auditing of the programmes effectiveness
and to participate in the PRSAS data collection.
20. To communicate with GPs
and other health care professionals the outcome of the patients rehab in a
timely fashion using written, personal, telephone or electronic contact to
ensure continuity of care.
21.
Develop
and maintain professional and educational links with cardiac and respiratory
specialists, cardiac rehabilitation and respiratory rehabilitation HCPs and
district nurses in the local network, building professional partnerships with
colleagues.
22. Use clinical judgement in
situations where no guidelines / policies exist.
23. To act as a resource
within the community, developing best practice alongside colleagues working
in general practice and work with others to assess the impact of the pulmonary
rehabilitation on health and wellbeing.
24. To provide a patient
centred service which encourages self management/motivation and is sensitive
to the diverse cultural needs of ethnic minorities.
25.
Utilise basic and advanced life-support skills
and qualifications where appropriate.
MANAGERIAL
RESPONSIBILITIES
1.
To
ensure appropriate staff capacity and utilisation.
2. To oversee the induction of members of the CRIS
Service.
3. To identify gaps in the existing services and
service improvements to benefit patients attending the programme and to
prepare and submit business plans.
4. To oversee the implementation of the
recommendations of the BTS standards
5.
To ensure the implementation of clinical
governance frameworks and quality procedures within the team; to ensure risk
management strategies are in place and apply to all aspects of the work
situation and ensure others do likewise.
6. To be responsible for
selecting suppliers for the procurement of equipment for the pulmonary rehabilitation
programme and to give advice on appropriate equipment for use with respiratory
patients.
7.
To facilitate good communication between the
multidisciplinary team members via regular team meetings, verbal and written
reporting.
8.
To participate in the regular
meetings which oversee the delivery and development of the service and to
represent the community pulmonary rehabilitation service and other health
professionals, as required, within relevant meetings
ADMINISTRATIVE
1. Be responsible for maintaining accurate, timely
and complete records, both manually and electronically, ensuring the safety
and confidentiality of information at all times.
2. Develop and use existing audit tools (PRSAS database)
to process and evaluate the pulmonary rehabilitation service. Use audit to
improve/modernise and develop the service.
GOVERNANCE
1. To take a lead role in promoting evidence-based
practice in line with national guidance.
2. To undertake regular CPD to ensure knowledge base
and skills are maintained to meet the needs of the service.
3.
Oversee
the safety of patients attending the pulmonary rehabilitation programme in a
community setting ensuring robust risk stratification and risk assessment.
4. Regularly ensure that all equipment is tested for
reliability and safety in line with clinical risk management.
5. Comply with Your Healthcares policies and
procedures, following at all times with the requirements of the health and
safety regulations, including responsibility for self and others.
TECHNICAL
1. Be knowledgeable and competent in the use of all
equipment within clinical realm (Spirometry, Oxygen Saturation monitor, Blood
gas Analysis etc).
