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37.5 hours per week. A new and exciting opportunity has arisen within the Livewell Southwest Community Cardiac Team. Based at the Cumberland Centre, you will work closely with the Cardiac Specialist Nurses and lead the exercise component of our Cardiac Rehabilitation service.
With at least 2-years' experience in the assessment and management of exercise prescription in relation to patients with coronary heart disease/heart failure, you must possess a good understanding of cardiovascular diseases, as well as knowledge and abilities in exercise assessment and prescription, exercise physiology, behaviour change, risk factor assessment and management, cardiovascular emergency procedures and adult education.
Main duties of the job
Be responsible for the development, operation and evaluation of individual patient exercise programmes in a community setting, be that in a formal exercise class or in an independent setting, in collaboration with the Cardiac Rehabilitation/ Heart Failure Team.
Lead the clinical team in the provision of locality-based exercise programmes.
To adopt a flexible approach to patient care and service planning/delivery. The type and level of intervention required for each individual patient will be determined by several factors. These will include patient preference, service demands/constraints, in addition to considering the nature of the patients disease/symptoms and thereby recognising the diverse range of coronary heart disease/heart failure patients that will be referred to the service.
Be actively involved in service development and support colleagues in the Cardiac Rehabilitation/Heart failure team wherever possible, within the scope of professional practice.
Develop communication and support networks with local physical activity providers to enable new Phase IV groups to be established and developed, and to support existing groups.
Before making a formal application, we would recommend that applicants who are interested to call the recruiting manager for an informal conversation about the role as this can give insight into the job they are applying for. Livewell Southwest prides itself in a values-based approach which attracts and recruits on the basis that an individual's values and behaviours align with the values of the organisation'.
Livewell Southwest values its staff and makes investment in their development a priority. Currently we offer:
Protected CPD time for registered staff
Various development pathways for unregistered and registered staff
Leadership and mentoring programmes
Ongoing regular training packages for all staff
Access and funding for training including Care Certificate, Assistant Practitioners Course and Scholarship Into Nurse Training
A bespoke induction programme
Relocation package may be considered for the right candidate for certain roles
Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.
Key Tasks & Responsibilities of the Post:
Ensure all patients receive appropriate individualized exercise prescriptionutilising up to date guidelines from nationally and internationally recognised exercise professional bodies e.g. British Association for Cardiovascular Prevention and Rehabilitation, ACPICR, BASES.
Utilise professional qualifications in demonstrating an excellent knowledgeof cardiovascular and musculoskeletal anatomy and physiology and associated co-morbidities.
Analyse complex medical information and results of investigations such asexercise tolerance tests, echocardiograms, angiograms, and apply results in order to guide to exercise prescription, liaising as necessary with the wider clinical team.
Ensure all equipment is set out safely and appropriately.
Contribute, where required, to overseeing, monitoring and authorising of equipment and ensuring maintenance and repair.
In order to ensure patients follow this prescription, excellent communication and negotiation skills will be required, as the understanding, agreement and co-operation of patients to follow their exercise programme is essential. The barriers to overcome with patients may include fear, lack on motivation, apathy, and/or denial of their condition.
Lead group-based exercise classes, providing clear instructions andphysical demonstration of exercises, where required.
Measure the effectiveness of the exercise and physical activity prescriptionusing observational methods and outcome measures, and change prescription accordingly.
Develop individualised home-based/ independent exercise prescription inconjunction or as an alternative to group-based activities.
Undertake Intermediate Life Support training, update annually andmanage medical emergencies in collaboration with Nursing staff.
Develop/utilise appropriate record keeping systems (both written andcomputerised) and review regularly in collaboration with Nursing staff.
Contribute to the auditing of patient records by audit or peer review in linewith Organisation policy.
Liaise with the multidisciplinary team and/or primary/secondary health carecolleagues to assist with the provision of optimum management of patients with on-going or complex cardiac disease.
Undertake all aspects of this role as an autonomous practitioner, seeking clinical support where required from colleagues.
Undertake/assist with clinical audit to assess the effectiveness of the service and make recommendations regarding changes to improve/develop the needs of the service.
Participate in formal/informal audit and research projects to further own and team clinical practice, as required.
Be professional and legally accountable for all aspects of own work, including the management of patients in your care.
Undertake health promotion whenever possible to all age groups and also contribute to planned health promotion activities.
Maintain accurate records, which are confidential, up to date, comprehensive and legible. These records may be paper or IT based systems and must be maintained as specified in the Organisation Policies, and government directives.
The post holder is required to comply with all infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager.
Formulate and deliver individual treatment and care programmes based on highly developed specialist knowledge of evidence-based practice using clinical assessment, reasoning skills and knowledge of subject area.
Manage clinical/non-clinical risks within own patient caseload and refer to appropriate multi-disciplinary team as appropriate.
Provide and receive complex or sensitive information, where skills are required to communicate effectively with patients, carers, GP's and Consultant's regarding patient progress and treatment. This will include patients who may have difficulty understanding or communicating, e.g. patients may be dysphasic, depressed, deaf, and blind or may have difficulty accepting their diagnosis.
Demonstrate the ability to use own initiative and act independently.
Managerial / Leadership:
Day to day management responsibility of specialist exercise programmes for patients with complex cardiovascular conditions e.g. Myocardial infarction, coronary artery bypass grafts, valve replacement, angioplasty/stent insertion, heart failure, arrhythmias, heart transplant, LVAD and associated co-morbidities.
Planning and organising all exercise-based rehabilitation programmes within the Community Cardiac Team.
Develop, implement and review policies/standards/protocols for exercisebased rehabilitation e.g. use of clinical assessment tools/outcome measures and co-ordinate change in practice as necessary.
Deal with patients property/valuables in a responsible manner.
Co-ordinate the availability of local leisure centre Phase IV staff that will beassisting at all Phase III exercise sessions.
Oversee the work of the Leisure Centre Phase IV staff during the exerciseclasses and liaise with the Leisure Centre management regarding any professional issues.
Advise on necessary maintenance and purchase of exercise-relatedequipment.
Take responsibility for collecting data and producing reports for Senior managers and all relevant parties regarding service delivery, exercise attendance and outcome data, as required.
Ensure that patients and Nursing staff are aware how to operate exerciseequipment safely and allocate staff to patients as appropriate at the beginning of a session. During the sessions, monitor the level of supervision required by individual patients and re-allocate as necessary.
Ensure that periods of planned absence are covered by colleagues in orderto facilitate the smooth running of the programme, so that classes are only cancelled in exceptional circumstances.
Ensure that all-relevant equipment and documentation is taken toappropriate leisure centres so that emergencies can be dealt with effectively and patient records can be readily accessed.
Provide support and advice to team members and act as a resource to other health professionals and community agencies.
Contribute to an environment conducive to team building, working and development.
Contribute to and support team through change processes, being proactive with problem solving.
Undertake an annual IPR as required, according to trust policy.
Act as a role model for patients/other team members demonstrating and maintaining high standards of practice and professional conduct.
Work closely with the Community Cardiac team to provide comprehensive community-based Cardiac Rehabilitation/Heart Failure support. Other key working relationships include patients, families, GPs, Practice Nurses, Secondary Care Medical and Nursing staff, Phase IV Exercise Instructors, leisure centre staff and voluntary bodies.
Liaise with the Phase IV service providers to ensure a seamless patientjourney.
Establish and develop ongoing links with other physical activity providers to facilitate a menu of exercise options for cardiac patients.
Communicate effectively with patients and their families on a range of issuesincluding complex or sensitive medical information regarding their condition, overcoming barriers such as sensory loss or impairment and learning difficulties.
Be able to effectively communicate at all levels of the Organisation to a variety of health professionals, users and carers, in order to provide the best outcomes for service users.
Maintain accurate and up-to-date patient records and inform other professionals about relevant conditions /symptoms.
Adopt a flexible approach to the working day in order to meet the needs of the patients and service.
Be aware of pressures facing your work colleagues and offer support where possible.
Abide by the Organisational policy with regard to the use of a mobile phone for work purposes.
Move between different sites and adapt to different working environments e.g. office base/ leisure centres, managing time and resources appropriately.
Maintain patient records in line with Organisational policy
Ensure evidence-based practice at all times utilising relevant policies,standards and guidelines.
Act as a professional representative of the Community Cardiac team at local and national level.
Be responsible for identifying personal and professional development pathsthat are consistent with your identified needs and scope of practice.
Keep abreast of Cardiac Rehabilitation/Heart Failure and Exercise Physiology literature.
Uphold and maintain Trust policies and statutory regulations related tohealth and safety.
Education & Training:
Assist Nursing staff in the development of their knowledge regarding safe
and effective exercise rehabilitation for patients with complex cardiac conditions.
Facilitate the mentorship and support of British Association forCardiovascular Prevention and Rehabilitation Phase IV trainees.
Use expertise in communicating to patients/family members complexmedical information which may affect their ability to safely exercise, in a manner that can be understood by those with varying levels of understanding and capability e.g. those with communication difficulties such as sensory loss.
Accommodate students on relevant Degree programmes on observationalplacement.
Assume responsibility for own professional development and personal knowledge.
Maintain professional expertise by attending meetings, study days and in service training, wherever possible.
Undertake mandatory training, in line with trust policy.
Additional information for all posts:
The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on Healthnet or via your manager. The areas listed below are those Livewell Southwest currently places particular emphasis on. Failure to follow correct policies and procedures may result in disciplinary action.
Knowledge & Skills
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).