Job summary
We are pleased to offer an exciting role to work in the Bexley COPD service within Oxleas. The team provide acute support and chronic disease management of COPD with a community setting. Within the team we provide a diagnostic spirometry service for COPD and manage and review patient on home oxygen therapy.
Main duties of the job
The role will include working as part of the team to providing holistic assessment and treatment tailored to the patients' individuals needs, and education about the condition. This will include making onward on referrals to other agencies as appropriate.
The post holder will be required to work in a multidisciplinary way and work jointly with the other team members to ensure that all care needs are met. The team work closely along side secondary care, meeting weekly with specialist nurses and a respiratory consultant for clinical support.
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
About us
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:
o We're Kind o We're Fair o We Listen o We Care
Job description
Job responsibilities
Management
- Responsible for a caseload of patients, using recognised criteria and guidelines.
- Responsible for direct referrals to other disciplines as appropriate.
- Co-ordinate and facilitate the care of patients, preventing fragmentation duplication and delays in care.
- To anticipate present and future care needs of patients and develop plans to meet these needs, with particular focus on avoiding unnecessary hospital admissions.
- To adhere to all Trust policies procedures and standards of practice.
- To maintain NMC registration as required and work within NMC guidelines, appertaining to current nursing practice e.g. code of professional conduct, standards for administration of medicines, scope of professional practice and guidelines for records and record keeping.
- To attend and participate in clinical supervision.
- To manage changing clinical situations e.g. prioritising unscheduled call at short notice, or at a sudden exacerbation of the patients condition.
- To assist in the development and quality improvement tools to review professional practice and identify improvements.
- To work with the Respiratory team to refer appropriately to Pulmonary Rehabilitation Service.
- To assist the Band 7 in managing a central database of patients with Home Oxygen in the Bexley Borough.
- To ensure efficient and effective use of resources within own practice.
- To participate in the Personal Development Review (PDR) process to identify training needs.
- To maintain NMC registration.
Leadership
- To act as an advocate for raising the profile of people who suffer from respiratory disease to a wider audience e.g. the public and other health and social care professionals across organisational and professional boundaries.
- To support the vision of clinical case management for patients with COPD, working collaboratively with all professionals, relatives and carers to ensure an understanding of patients physical, social and environmental factors.
- Identify gaps within the service influencing and developing new ways of working.
- To act as a mentor to other staff where appropriate, providing education, training and support to colleagues and peers.
- To embrace and implement change to facilitate high quality health outcomes.
- To provide advice on respiratory conditions and assist Band 7 to improve and develop services across organisational and professional boundaries.
Clinical
- To use clinical practice skills and knowledge, using nationally recognised assessment tools. Undertaking an in depth assessment, to identify patient medial, social, psychological and spiritual needs.
- To negotiate and develop a personal care plan with the patient, health care professional, carers and their relatives.
- To diagnose and instigate therapeutic treatments based on best available evidence to manage and improve health outcomes.
- To use knowledge and skills to order diagnostics, e.g. blood tests and X rays and prescribe within the nursing and/or the extended/supplementary formulary, and provide advice to patients and their carers on medicines management.
- To work in partnership with GPs, nurse practitioners and hospital consultants to determine a diagnosis when required and formulate a plan of care and follow-up.
- To support GPs, community and primary care nurses in the case finding and management of patients, ensuring that Trust protocols and pathways are followed.
- To work with the Trusts lead GP and others to support practise in setting up and maintaining respiratory registers, stratifying patient by risk and developing specialist respiratory clinics.
- To be a resource to community and primary care nurses and acute sector staff in assisting with transfer of care of patients with additional respiratory needs.
- To be able to use specialist equipment relevant to the area of work (e.g. spirometry. Pulse oximeter, or Capillary Blood Gas machine) and provide education and training to other practitioners in these areas.
Education
- To raise the profile and understanding of COPD within Primary and community care.
- To assist in planning educational programmes for patients with respiratory disease and design information such as information leaflets and questionnaires.
Research and Audit
- To keep up to date, implement and monitor current research based practice.
- To provide leadership in any audit or quality assurance projects.
- Promote current research and evidenced based care within the team and locality.
Communication
- To use advanced skills to communicate effectively with patients and carers to include sensitive and complex information in a language they understand.
- To utilise communication skills to prepare patients and their families for changes in conditions and support choices about end of life care and related issues e.g. living wills and discussing care options.
- To be able to keep accurate contemporaneous documentation and care plans and provide written reports as required.
- To maintain contact with the patient if they are admitted to hospital and give the unit treating the patient the information they need to ensure integrated and consistent care.
- To use communication skills to foster multi-disciplinary team working.
Health and Safety
- To develop a working environment and culture that promotes health safety and security.
- To be conversant with and adhere to trust policies, procedures and guidelines.
- To ensure the correct use of equipment and supplies and report and deficiencies.
- To have responsibility for the health, safety and welfare of self and any colleagues and to comply with health and safety regulations at all times.
- To minimise the risk of cross infection and be conversant with the trusts infections control policy.
- To be competent in assessing and implementing risk assessments with regard to the health and safety of both patients, staff and carers.
- To ensure mandatory training is kept up to date in line with trust policies.
Job description
Job responsibilities
Management
- Responsible for a caseload of patients, using recognised criteria and guidelines.
- Responsible for direct referrals to other disciplines as appropriate.
- Co-ordinate and facilitate the care of patients, preventing fragmentation duplication and delays in care.
- To anticipate present and future care needs of patients and develop plans to meet these needs, with particular focus on avoiding unnecessary hospital admissions.
- To adhere to all Trust policies procedures and standards of practice.
- To maintain NMC registration as required and work within NMC guidelines, appertaining to current nursing practice e.g. code of professional conduct, standards for administration of medicines, scope of professional practice and guidelines for records and record keeping.
- To attend and participate in clinical supervision.
- To manage changing clinical situations e.g. prioritising unscheduled call at short notice, or at a sudden exacerbation of the patients condition.
- To assist in the development and quality improvement tools to review professional practice and identify improvements.
- To work with the Respiratory team to refer appropriately to Pulmonary Rehabilitation Service.
- To assist the Band 7 in managing a central database of patients with Home Oxygen in the Bexley Borough.
- To ensure efficient and effective use of resources within own practice.
- To participate in the Personal Development Review (PDR) process to identify training needs.
- To maintain NMC registration.
Leadership
- To act as an advocate for raising the profile of people who suffer from respiratory disease to a wider audience e.g. the public and other health and social care professionals across organisational and professional boundaries.
- To support the vision of clinical case management for patients with COPD, working collaboratively with all professionals, relatives and carers to ensure an understanding of patients physical, social and environmental factors.
- Identify gaps within the service influencing and developing new ways of working.
- To act as a mentor to other staff where appropriate, providing education, training and support to colleagues and peers.
- To embrace and implement change to facilitate high quality health outcomes.
- To provide advice on respiratory conditions and assist Band 7 to improve and develop services across organisational and professional boundaries.
Clinical
- To use clinical practice skills and knowledge, using nationally recognised assessment tools. Undertaking an in depth assessment, to identify patient medial, social, psychological and spiritual needs.
- To negotiate and develop a personal care plan with the patient, health care professional, carers and their relatives.
- To diagnose and instigate therapeutic treatments based on best available evidence to manage and improve health outcomes.
- To use knowledge and skills to order diagnostics, e.g. blood tests and X rays and prescribe within the nursing and/or the extended/supplementary formulary, and provide advice to patients and their carers on medicines management.
- To work in partnership with GPs, nurse practitioners and hospital consultants to determine a diagnosis when required and formulate a plan of care and follow-up.
- To support GPs, community and primary care nurses in the case finding and management of patients, ensuring that Trust protocols and pathways are followed.
- To work with the Trusts lead GP and others to support practise in setting up and maintaining respiratory registers, stratifying patient by risk and developing specialist respiratory clinics.
- To be a resource to community and primary care nurses and acute sector staff in assisting with transfer of care of patients with additional respiratory needs.
- To be able to use specialist equipment relevant to the area of work (e.g. spirometry. Pulse oximeter, or Capillary Blood Gas machine) and provide education and training to other practitioners in these areas.
Education
- To raise the profile and understanding of COPD within Primary and community care.
- To assist in planning educational programmes for patients with respiratory disease and design information such as information leaflets and questionnaires.
Research and Audit
- To keep up to date, implement and monitor current research based practice.
- To provide leadership in any audit or quality assurance projects.
- Promote current research and evidenced based care within the team and locality.
Communication
- To use advanced skills to communicate effectively with patients and carers to include sensitive and complex information in a language they understand.
- To utilise communication skills to prepare patients and their families for changes in conditions and support choices about end of life care and related issues e.g. living wills and discussing care options.
- To be able to keep accurate contemporaneous documentation and care plans and provide written reports as required.
- To maintain contact with the patient if they are admitted to hospital and give the unit treating the patient the information they need to ensure integrated and consistent care.
- To use communication skills to foster multi-disciplinary team working.
Health and Safety
- To develop a working environment and culture that promotes health safety and security.
- To be conversant with and adhere to trust policies, procedures and guidelines.
- To ensure the correct use of equipment and supplies and report and deficiencies.
- To have responsibility for the health, safety and welfare of self and any colleagues and to comply with health and safety regulations at all times.
- To minimise the risk of cross infection and be conversant with the trusts infections control policy.
- To be competent in assessing and implementing risk assessments with regard to the health and safety of both patients, staff and carers.
- To ensure mandatory training is kept up to date in line with trust policies.
Person Specification
Skills
Essential
- Registered General Nurse with NMC Registration
- Nurse Degree level education
- Respiratory experience
Desirable
Experience
Essential
- Extensive clinical experience including respiratory management
- Extensive experience of assessing and providing care to people with complex and long-term condition
Desirable
- Specialist respiratory team experience
Knowledge
Essential
- Knowledge and understanding of respiratory conditions and chronic disease management.
Person Specification
Skills
Essential
- Registered General Nurse with NMC Registration
- Nurse Degree level education
- Respiratory experience
Desirable
Experience
Essential
- Extensive clinical experience including respiratory management
- Extensive experience of assessing and providing care to people with complex and long-term condition
Desirable
- Specialist respiratory team experience
Knowledge
Essential
- Knowledge and understanding of respiratory conditions and chronic disease management.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
