Job summary
Do you want to save more lives?
Would you like to be part of the biggest national drive in reducing health
inequalities? We are looking for a Nurse, Allied Health Professional or Public
Health Practitioner to join our team as the Lead Tobacco Dependency Advisor. Working as an expert in your role, you will
be launching and managing the Worcestershire inpatient service, helping
patients to quit smoking with ongoing support post discharge through our Community
Pharmacy Advanced Services.
Led by Worcestershire Acute
Hospitals NHS Trust, the tobacco dependency service will serve adult
inpatients, including those with serious mental illness, on behalf of
Herefordshire & Worcestershire Health & Care Trust. With two hubs
located at Worcester Royal and Alexandra Hospitals, and spoke service provision
for all other inpatient sites, it is expected that the Lead Tobacco Dependency
Advisor will spend part of their working week at each hub, with additional
travel as and when necessary to other spoke sites for 1-2 hours, 1-2 times a
week.
The successful post holder will be
responsible for supporting collation of the NHS England tobacco minimum data
set, ensuring compliance with the Trusts and ICS Key Performance Indicators,
and NICE recommendations. It is essential for this role that you will be fully supportive of the Trust's smoke free
policy, acting as a smoke free champion as part of your work. No prior
experience of working in smoking cessation or addiction is necessary.
Main duties of the job
The Lead Tobacco Dependency Advisor will work
in partnership with the inpatient teams, in the provision of 1:1, bedside,
specialist indepth behavioural therapy, advising on nicotine replacement treatments,
to support general patients and those with serious mental illness to quit smoking. The post holder will build a strong network
with the Community Pharmacy Advanced Services who will provide ongoing support
to patients post discharge: working together to reduce health inequalities and
improve quality of life for our local population.
Supported by the Clinical Lead and Lead
Respiratory Practitioner, key work will focus on establishment of the
countywide inpatient tobacco dependency service, implementation of the patient
pathway, and ensuring efficient data returns to NHS Digital, with a view to
reporting on success of the service to justify use of funds within future
business cases. Representing Worcestershire Acute Hospitals at ICS steering
group meetings and leading on Trust tobacco dependency meetings, the post
holder will work closely with the team to further develop the service with incorporation
of other patient pathways as future NHS funding offers arise.
About us
Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester.
Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Our objectives are simple:
- Best services for local people
- Best experience of care and best outcomes for our patients
- Best use of resources
- Best people
Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
Job description
Job responsibilities
SEE FULL JOB DESCRIPTION ATTACHED
Clinical &
Professional Responsibilities
- Develop and lead management of the tobacco dependency service for
Worcestershire Acute Hospitals and Herefordshire & Worcestershire Health
& Care NHS Trusts, within Worcestershire, in line with the Long Term
Plan.
- Be responsible for the day-to-day operational line management of
their direct reports.
- Provide day to day supervision for the Advisors at both the
Alexandra and Worcester Royal tobacco dependency team hubs.
- Responsible
for ensuring effective response by the Tobacco Dependency Team to referrals
made to the service, with patients receiving assessments ideally within the NHS
England recommended 24 hours where possible (noting that initially the service
will operate weekdays only but may expand to include weekends).
- Provide tobacco dependency interventions and advice to service
users.
- Take responsibility for a defined caseload of patients with the
Tobacco Dependency Advisors.
- Demonstrate excellent communication skills to facilitate
discussion of complex, sensitive and emotive issues for patients with tobacco
addiction.
- Demonstrate in the clinical settings a high level of holistic
decision making skills, encompassing patients physical, psychosocial and
spiritual needs.
- Support
and empower patients, their relatives and carers, to participate in decision
making concerning their tobacco treatment plan.
- Ensure robust discharge planning to meet the needs of the
patients ongoing stop smoking support: including arranging onward referral to
the Community Pharmacy Advanced Services; agreeing follow-up appointments;
providing contact information; co-ordinating uninterrupted supply of nicotine
replacement medication or prescriptions; and feeding back to health care
partners (for example, GPs, community nursing teams, allied health care
professionals), as appropriate.
- Clarify
and reinforce information given by other health care professionals and assess patients
further information needs.
- Signposting patients to other sources of support, including
Worcestershire Lifestyle Advisors, for advice on healthy eating, increasing
level of physical activity, reducing alcohol consumption, mental health and
wellbeing.
- At
all times treating patients, visitors and colleagues with dignity and respect,
exercising discretion and maintaining confidentiality.
- Responsible
for maintaining accurate patient and staff records in line with the Trusts
guidelines.
- Work independently and demonstrate a high degree of professional
autonomy, make critical judgements and give advice when precedence or protocols
do not apply or exist.
- Promote and develop the specialist advisory and supportive role of
the Lead Tobacco Dependency Advisor in treating tobacco addiction:
demonstrating advanced specialist skills, and knowledge base, validated by post
graduate education and qualification.
- To undertake extended roles as the service and service users
needs dictate, with full support and training from senior staff.
- Provide
behavioural support to patients, working with their relatives and carers, and
multidisciplinary teams, to assess dependence and develop individualised
patient tobacco dependency treatment (or abstinence) plans in accordance with
the Trusts standard operating procedures and related policies.
- Provide
telephone assessment, treatment planning and support for patients referred to
the service after discharge from hospital.
- Act as a smokefree champion promoting the Trusts Smokefree policy
interventions through their day-to-day work.
- Lead Trust wide culture change from tobacco dependency being viewed
as an individuals lifestyle choice, to that of a clinical condition which can
be treated.
- Working collaboratively with all inpatient staff to ensure a
multidisciplinary approach to the development of patients tobacco dependency
treatment plans.
- Support the internal pharmacy teams in the review of stock of the
nicotine replacement therapies on all the inpatient sites, and ensure
maintenance of all relevant materials required to deliver the service.
- Working with the Trusts pharmacy teams be responsible for
ensuring the effective selection of nicotine replacement therapies and use of
these resources alongside the development of national procurement initiatives.
- Ensure
good working relationships with various external staff groups to ensure transfer
of knowledge and best practice.
- Organise personal workload to ensure that it reflects the core
components of the Lead Tobacco Dependency Advisor role i.e. clinical,
management, research and education.
- Work unsupervised with support and advice from the Lead
Respiratory Practitioner as necessary.
- Participate in the ICS, and take a leading role in the Trust, tobacco
steering groups.
- Recognise the ethical and legal issues which have implications for
the practice of the tobacco dependency team and take appropriate action.
- Acknowledge and have an awareness of the clinical governance
issues which underpin the tobacco dependency teams practice. Participate in
the Trusts clinical governance initiatives as appropriate.
- Be responsible for staff security, particularly within
Herefordshire and Worcestershire Health & Care Trust secure units.
Service
Improvement, Research and Clinical Audit Responsibilities
- Contribute to the operational and strategic development of the
countywide inpatient tobacco dependency service, defining and maintaining
evidence-based standards of care, the quality of which fulfil clinical
governance requirements.
- Attend and participate in strategic health initiatives,and
communicate and disseminate innovations to the service practices locally.
- Support the design, implementation and maintenance of the tobacco
dependency service, systems and processes: ensuring that the service can be
accessed appropriately; that internal and external standards for recording and
monitoring activity, including outcome, are achieved and met, whilst ensuring
best use of resources.
- Lead the wider role of the team in the promotion, development,
monitoring and evaluation of the tobacco dependency service. With note that as
the service develops, the remit of the role may broaden.
- Responsible for the 6 monthly (or more frequent if required),
review and update of the tobacco dependency service policy.
- Develop mechanisms for monitoring uptake of behavioural support
and means of increasing throughput.
- Work towards achieving all relevant Department of Health and
Social Care, NHS England targets, Trust and ICS Key Performance Indicators,
ensuring care complies with National Institute of Clinical Excellence (NICE)
recommendations.
- Provide tri-annual reporting of the service activity against Key
Performance Indicators.
- Promote the service with the tobacco dependency advisors. This
will include ward, unit and department visits, presenting to small groups e.g.
team meetings and clinical forums, to raise the profile of the tobacco
dependency service and facilitate improvements.
- Persuade other staff groups to support smoking cessation with
their patients and within their departments: identifying and supporting tobacco
dependency champions across the Trust.
- Responsible for annual auditing and evaluation of the service, including
the completion of the monthly minimum data set report (NHS England mandatory
requirement). This will include following up patients post discharge to monitor
stop smoking outcomes.
- Collate and analyse results from the NHS England minimum data set,
service users surveys and questionnaires, to inform improvement work. Present
outcomes in a range of formats for the relevant Trusts and ICS committees and
groups.
- Develop and update written information leaflets for patients, liaising
with both Trusts clinical governance teams and the patient information
groups.
- Apply Worcestershire Acute Hospitals 4Ward improvement techniques
to service development.
- Connect with internal and external partners to obtain feedback
regarding the tobacco dependency service. Provide advice and support to ensure
that the service meets the needs of our patients. Take responsibility for
action based on feedback to support continuous service improvement.
- Develop and implement patient satisfaction surveys: Monitor and
evaluate patient feedback, offering recommendations to relevant Trust
committees and groups to improve the service.
- Use initiative to communicate and propose new and innovative ways
of working to improve the delivery of the service for patients.
- Contribute to the Trusts measures to reduce harm from tobacco,
supporting maintenance of the smokefree sites.
- Be
conversant with current trends nationally in the treatment of tobacco addiction
and research.
- Promote
best practice, using local and regional benchmarking groups for the generation
of standards and guidelines for treatment of tobacco dependency.
- Promote and implement best practice which is evidence based, and
evaluates the effectiveness of the tobacco dependency service interventions.
Job description
Job responsibilities
SEE FULL JOB DESCRIPTION ATTACHED
Clinical &
Professional Responsibilities
- Develop and lead management of the tobacco dependency service for
Worcestershire Acute Hospitals and Herefordshire & Worcestershire Health
& Care NHS Trusts, within Worcestershire, in line with the Long Term
Plan.
- Be responsible for the day-to-day operational line management of
their direct reports.
- Provide day to day supervision for the Advisors at both the
Alexandra and Worcester Royal tobacco dependency team hubs.
- Responsible
for ensuring effective response by the Tobacco Dependency Team to referrals
made to the service, with patients receiving assessments ideally within the NHS
England recommended 24 hours where possible (noting that initially the service
will operate weekdays only but may expand to include weekends).
- Provide tobacco dependency interventions and advice to service
users.
- Take responsibility for a defined caseload of patients with the
Tobacco Dependency Advisors.
- Demonstrate excellent communication skills to facilitate
discussion of complex, sensitive and emotive issues for patients with tobacco
addiction.
- Demonstrate in the clinical settings a high level of holistic
decision making skills, encompassing patients physical, psychosocial and
spiritual needs.
- Support
and empower patients, their relatives and carers, to participate in decision
making concerning their tobacco treatment plan.
- Ensure robust discharge planning to meet the needs of the
patients ongoing stop smoking support: including arranging onward referral to
the Community Pharmacy Advanced Services; agreeing follow-up appointments;
providing contact information; co-ordinating uninterrupted supply of nicotine
replacement medication or prescriptions; and feeding back to health care
partners (for example, GPs, community nursing teams, allied health care
professionals), as appropriate.
- Clarify
and reinforce information given by other health care professionals and assess patients
further information needs.
- Signposting patients to other sources of support, including
Worcestershire Lifestyle Advisors, for advice on healthy eating, increasing
level of physical activity, reducing alcohol consumption, mental health and
wellbeing.
- At
all times treating patients, visitors and colleagues with dignity and respect,
exercising discretion and maintaining confidentiality.
- Responsible
for maintaining accurate patient and staff records in line with the Trusts
guidelines.
- Work independently and demonstrate a high degree of professional
autonomy, make critical judgements and give advice when precedence or protocols
do not apply or exist.
- Promote and develop the specialist advisory and supportive role of
the Lead Tobacco Dependency Advisor in treating tobacco addiction:
demonstrating advanced specialist skills, and knowledge base, validated by post
graduate education and qualification.
- To undertake extended roles as the service and service users
needs dictate, with full support and training from senior staff.
- Provide
behavioural support to patients, working with their relatives and carers, and
multidisciplinary teams, to assess dependence and develop individualised
patient tobacco dependency treatment (or abstinence) plans in accordance with
the Trusts standard operating procedures and related policies.
- Provide
telephone assessment, treatment planning and support for patients referred to
the service after discharge from hospital.
- Act as a smokefree champion promoting the Trusts Smokefree policy
interventions through their day-to-day work.
- Lead Trust wide culture change from tobacco dependency being viewed
as an individuals lifestyle choice, to that of a clinical condition which can
be treated.
- Working collaboratively with all inpatient staff to ensure a
multidisciplinary approach to the development of patients tobacco dependency
treatment plans.
- Support the internal pharmacy teams in the review of stock of the
nicotine replacement therapies on all the inpatient sites, and ensure
maintenance of all relevant materials required to deliver the service.
- Working with the Trusts pharmacy teams be responsible for
ensuring the effective selection of nicotine replacement therapies and use of
these resources alongside the development of national procurement initiatives.
- Ensure
good working relationships with various external staff groups to ensure transfer
of knowledge and best practice.
- Organise personal workload to ensure that it reflects the core
components of the Lead Tobacco Dependency Advisor role i.e. clinical,
management, research and education.
- Work unsupervised with support and advice from the Lead
Respiratory Practitioner as necessary.
- Participate in the ICS, and take a leading role in the Trust, tobacco
steering groups.
- Recognise the ethical and legal issues which have implications for
the practice of the tobacco dependency team and take appropriate action.
- Acknowledge and have an awareness of the clinical governance
issues which underpin the tobacco dependency teams practice. Participate in
the Trusts clinical governance initiatives as appropriate.
- Be responsible for staff security, particularly within
Herefordshire and Worcestershire Health & Care Trust secure units.
Service
Improvement, Research and Clinical Audit Responsibilities
- Contribute to the operational and strategic development of the
countywide inpatient tobacco dependency service, defining and maintaining
evidence-based standards of care, the quality of which fulfil clinical
governance requirements.
- Attend and participate in strategic health initiatives,and
communicate and disseminate innovations to the service practices locally.
- Support the design, implementation and maintenance of the tobacco
dependency service, systems and processes: ensuring that the service can be
accessed appropriately; that internal and external standards for recording and
monitoring activity, including outcome, are achieved and met, whilst ensuring
best use of resources.
- Lead the wider role of the team in the promotion, development,
monitoring and evaluation of the tobacco dependency service. With note that as
the service develops, the remit of the role may broaden.
- Responsible for the 6 monthly (or more frequent if required),
review and update of the tobacco dependency service policy.
- Develop mechanisms for monitoring uptake of behavioural support
and means of increasing throughput.
- Work towards achieving all relevant Department of Health and
Social Care, NHS England targets, Trust and ICS Key Performance Indicators,
ensuring care complies with National Institute of Clinical Excellence (NICE)
recommendations.
- Provide tri-annual reporting of the service activity against Key
Performance Indicators.
- Promote the service with the tobacco dependency advisors. This
will include ward, unit and department visits, presenting to small groups e.g.
team meetings and clinical forums, to raise the profile of the tobacco
dependency service and facilitate improvements.
- Persuade other staff groups to support smoking cessation with
their patients and within their departments: identifying and supporting tobacco
dependency champions across the Trust.
- Responsible for annual auditing and evaluation of the service, including
the completion of the monthly minimum data set report (NHS England mandatory
requirement). This will include following up patients post discharge to monitor
stop smoking outcomes.
- Collate and analyse results from the NHS England minimum data set,
service users surveys and questionnaires, to inform improvement work. Present
outcomes in a range of formats for the relevant Trusts and ICS committees and
groups.
- Develop and update written information leaflets for patients, liaising
with both Trusts clinical governance teams and the patient information
groups.
- Apply Worcestershire Acute Hospitals 4Ward improvement techniques
to service development.
- Connect with internal and external partners to obtain feedback
regarding the tobacco dependency service. Provide advice and support to ensure
that the service meets the needs of our patients. Take responsibility for
action based on feedback to support continuous service improvement.
- Develop and implement patient satisfaction surveys: Monitor and
evaluate patient feedback, offering recommendations to relevant Trust
committees and groups to improve the service.
- Use initiative to communicate and propose new and innovative ways
of working to improve the delivery of the service for patients.
- Contribute to the Trusts measures to reduce harm from tobacco,
supporting maintenance of the smokefree sites.
- Be
conversant with current trends nationally in the treatment of tobacco addiction
and research.
- Promote
best practice, using local and regional benchmarking groups for the generation
of standards and guidelines for treatment of tobacco dependency.
- Promote and implement best practice which is evidence based, and
evaluates the effectiveness of the tobacco dependency service interventions.
Person Specification
Qualifications
Essential
- Registered Nurse, Allied Health Professional, or Public Health Practitioner.
-
- Educated to degree level or equivalent professional experience at senior level.
- Able to demonstrate ongoing personal development.
Desirable
- Managerial and/or leadership qualifications.
-
- NCSCT Practitioner Training.
Experience
Essential
- Previous experience of working in the NHS.
- Evidence of management and leadership skills.
-
- Evidence of delivery in a service improvement role in health, social care or private sector.
-
- Experience in organisational development and change management.
- Evidence of supporting people to quit smoking.
- An understanding of the harms caused by smoking.
Desirable
- Teaching experience.
- Audit experience.
- Evidence of multi-agency working including external partners.
- Successful development and delivery of an organisation wide project from inception to completion.
- Experience of planning, monitoring and risk management of organisational resources to support implementation.
Skills & Knowledge
Essential
- Detailed knowledge of national ambitions for hospital tobacco dependency services (e.g. NHS Long Term Plan, Health Inequalities agenda).
-
- Awareness of smoking cessation as part of the public health agenda.
-
- Understanding of the wider NHS agenda and drivers for change.
-
- Able to apply evidence base into practice.
-
- Understanding of appraisal processes.
- Ability to keep detailed records as necessary.
-
- Excellent and effective communication and interpersonal skills (verbal and written).
- Good customer care skills.
- Good organisation, managerial and change management skills.
-
- Able to look for better ways of working to achieve improvements.
- Ability to prioritise and respond flexibly to frequent changing demands.
-
- Excellent computer literacy (Word, Excel, PowerPoint).
Desirable
- Knowledge of tobacco control issues, including relevant research.
- Awareness of local authority and other sources of smoking cessation services.
-
- Budgetary awareness.
- Understanding of clinical audit methodology.
-
- Data analysis skills.
Personal Qualities
Essential
- Committed to, and has drive and enthusiasm for high standards of patient care and service delivery.
-
- Desire to improve our local populations health.
-
- Team player and able to work collaboratively with a range of health professionals.
-
- Open and honest.
- Accepts accountability and responsibility for own work and can define the responsibilities of others.
-
- Able to recognise the limits of own authority within the role.
-
- Able to seek and use professional support appropriately.
- Able to maintain a high standards of diplomacy and understands the principle of confidentiality.
- Flexible and adaptable.
Desirable
- Able to provide clear examples of ability to adhere to Trust(s) signature behaviours.
Other Job Requirements
Essential
- Ability to travel to different hospital bases and community sites within the Worcestershire county footprint.
- Clean driving licence, own vehicle (uptodate MOT as appropriate), insurance cover with business use.
Person Specification
Qualifications
Essential
- Registered Nurse, Allied Health Professional, or Public Health Practitioner.
-
- Educated to degree level or equivalent professional experience at senior level.
- Able to demonstrate ongoing personal development.
Desirable
- Managerial and/or leadership qualifications.
-
- NCSCT Practitioner Training.
Experience
Essential
- Previous experience of working in the NHS.
- Evidence of management and leadership skills.
-
- Evidence of delivery in a service improvement role in health, social care or private sector.
-
- Experience in organisational development and change management.
- Evidence of supporting people to quit smoking.
- An understanding of the harms caused by smoking.
Desirable
- Teaching experience.
- Audit experience.
- Evidence of multi-agency working including external partners.
- Successful development and delivery of an organisation wide project from inception to completion.
- Experience of planning, monitoring and risk management of organisational resources to support implementation.
Skills & Knowledge
Essential
- Detailed knowledge of national ambitions for hospital tobacco dependency services (e.g. NHS Long Term Plan, Health Inequalities agenda).
-
- Awareness of smoking cessation as part of the public health agenda.
-
- Understanding of the wider NHS agenda and drivers for change.
-
- Able to apply evidence base into practice.
-
- Understanding of appraisal processes.
- Ability to keep detailed records as necessary.
-
- Excellent and effective communication and interpersonal skills (verbal and written).
- Good customer care skills.
- Good organisation, managerial and change management skills.
-
- Able to look for better ways of working to achieve improvements.
- Ability to prioritise and respond flexibly to frequent changing demands.
-
- Excellent computer literacy (Word, Excel, PowerPoint).
Desirable
- Knowledge of tobacco control issues, including relevant research.
- Awareness of local authority and other sources of smoking cessation services.
-
- Budgetary awareness.
- Understanding of clinical audit methodology.
-
- Data analysis skills.
Personal Qualities
Essential
- Committed to, and has drive and enthusiasm for high standards of patient care and service delivery.
-
- Desire to improve our local populations health.
-
- Team player and able to work collaboratively with a range of health professionals.
-
- Open and honest.
- Accepts accountability and responsibility for own work and can define the responsibilities of others.
-
- Able to recognise the limits of own authority within the role.
-
- Able to seek and use professional support appropriately.
- Able to maintain a high standards of diplomacy and understands the principle of confidentiality.
- Flexible and adaptable.
Desirable
- Able to provide clear examples of ability to adhere to Trust(s) signature behaviours.
Other Job Requirements
Essential
- Ability to travel to different hospital bases and community sites within the Worcestershire county footprint.
- Clean driving licence, own vehicle (uptodate MOT as appropriate), insurance cover with business use.
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.
