Cardiovascular Rehabilitation Team Leader

Job responsibilities

1. JOB SUMMARY

To act as the Lead facilitator in the delivery of high-quality Cardiovascular Rehabilitation in the Knowsley Commissioned Community Services. To be responsible for the co-ordination, expansion, evaluation, and delivery of a menu driven approach to high quality cardiovascular rehabilitation. The post holder will ensure that a high standard of patient care is provided, and that the principles of evidence based practice and best value are integral to practice and the core business objectives, in improving services for users in line with the patients vision. This will include the on-going development, audit, implementation and review of clinical standards, clinical pathways and policies relevant to patient care.

MAIN RESPONSIBILITIES

To act as a source of expertise on the management of patients within the Cardiovascular rehabilitation service providing advice to primary health care practitioners, consultants and senior health care colleagues.

To provide patients with informed choice regarding the management of their Cardiovascular condition ensuring that patients supported in self-management and long term health gains.

To create a single point of access enabling effective triage and signposting to the most appropriate service(s) for the patient.

To work in collaboration with the Community Services Matron and Senior Nurse in developing a performance framework to ensure that the commissioned Community Service are achieving Key Performance Indicators (KPIs).

To manage submission of national audit data to the National audit of cardiac rehabilitation (NACR)

To suggest ways to improve the infrastructure of the Rehabilitation Service, creating a network of professionals with consistent referral methods, protocols, clinical management and effective communication channels generating a confidence in all users of, and referrers to, the rehabilitation services.

To ensure governance arrangements are in place, robust and consistent across the whole service.

To set the benchmark standard for delivery of Rehabilitation for Knowsley patients.

To operationally manage the Cardiovascular Rehabilitation Team, ensuring training and competency of all team members delivering CVD and respiratory care are up to date and valid.

To enhance skills of established staff to enable a high standard of service in assessment, treatment, education and advice for Knowsley patients.

To act as research and audit lead for the Community Services ensuring that the modernisation agenda is fulfilled and thoroughly evaluated.

To be responsible for managing complex projects and systems change within Cardiovascular Rehabilitation

2. CLINICAL RESPONSIBILITIES

If applicable Registered practitioners who are non medical prescribers are accountable for their prescribing activities by ensuring they are aware of their Professional accountability and any restrictions or special considerations in their prescribing practice

To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care. To ensure that a high standard of clinical care is maintained within the clinical environment/ areas for which you are responsible.

To interpret and analyse clinical and non-clinical facts to form an accurate clinical diagnosis and prognosis for patients with complex problems, which may include the appropriate recommendation of intervention from Primary, Secondary or Intermediate Care and/or other agencies.

To make autonomous decisions on patient care based on current evidence and best practice, ensuring the rapid assessment and acceptance of patients requiring Cardiovascular condition management.

LEARNING AND DEVELOPMENT

To train, supervise and performance manage staff within the multi disciplinary team where appropriate and ensure the clinical competence of staff is maintained.

To identify opportunities to extend the scope of practice of health care professionals.

To organise and lead training programmes as required,

To contribute to the dissemination of good practice across professional and organisational boundaries, including the delivery of external training/ lectures

To contribute to the training of other professionals to ensure provision of good patient care, including health care assistants working within the clinic environment, medical students, General Practitioners (including GPs with special interest) and other primary care colleagues as appropriate.

To attend high level courses as directed by an individual personal development plan and the needs of the service, and to disseminate this information to colleagues to support best practice.

To maintain own clinical professional development (CPD) and levels of competence, enabling demonstration of evidence of this and the influence of CPD on patient care.

3. MANAGEMENT RESPONSIBILITY

To demonstrate leadership by means of:

Effecting change within own sphere of practice when and where indicated

Making recommendations to improve services

Influencing, motivating, supporting and enabling others to contribute towards the effectiveness and success of Liverpool Heart and Chest Hospital.

To work collaboratively and communicate effectively with team members to ensure delivery of a seamless and co-ordinated service for patients. This will include attendance at and participation in team meetings, MDT meeting and steering group/ focus groups and working parties.

To provide professional leadership and operational management to the Cardiovascular Rehabilitation Team.

To represent the Trust externally (locally, regionally and nationally and internationally) services provided to patients within speciality.

To ensure that the Service will in reach to ensure that key performance indicators are met and patients are contacted with defined timescales.

To ensure the team delivers effective, appropriate and timely clinical interventions/rehabilitation for patients.

To attend or ensure representative attendance at relevant multi-disciplinary teams.

To report monthly on the performance of the team.

To assist achieving the service objectives and promoting an open style of management.

To co-ordinate the Team, ensuring the efficient running of the service by the effective dissemination of information.

To develop, review and comply with departmental, service and corporate procedures and guidelines in relation to the Community Services Cardiovascular Rehabilitation.

4. EDUCATION AND TRAINING

To improve and maintain high standards of equitable access to care, to reduce acute admissions, to increase awareness of smoking cessation and to provide improved quality of life resulting in increased satisfaction for service users.

To co-ordinate the collection of appropriate data and statistics for the use in the review of service delivery

To monitor and record outcome data on a monthly basis

To ensure that the minimum data set for Performance Indicators are provided at agreed times

To demonstrate a sound understanding of Clinical Governance and Risk management and the application to clinical practice.

To assist and actively participate in audit and research within the specialist area and to be responsible for the dissemination and implementation of good practice, ensuring that treatment offered to patients is based on the best clinical evidence.

To undertake evaluation and performance management of your work and current practices through the use of evidence based practice projects, audit, research and the use of outcome measures and benchmarking.

To develop, implement and review clinical pathways with the Lead Consultant in ensuring that this is based on current evidence and research.

To ensure that any equipment, furniture or building that is in need of repair is reported to the appropriate authority through the correct channel.

To co-ordinate and produce written reports, data and statistical information as required.

To assist and contribute to the development of evidence based guidelines and the implementation of national guidelines (NICE,NSFs, BACPR and professional body recommendations) into the specialist area.

To evaluate, make recommendations for change and provide evidence of service improvements via project work, audit and research.

5. PROFESSIONAL RESPONSIBILITIES

Qualified Nurses are required to evidence maintenance of their registration with the Nursing and Midwifery Council (NMC) and work to the NMC Code of Professional Conduct. Allied health professionals are required to be registered with the Health and Care professions council (HCPC) and to follow their codes of professional conduct.

Qualifications

Essential

• Relevant professional qualification.
• Postgrad qualification or equivalent to Masters
• Leadership programme/equivalent management training.
• Evidence of highly specialist postgraduate training and appropriate implementation of new learning.

Desirable

• A member of a specialist interest group or equivalent
• Evidence of mentoring and supporting students

Skills & Abilities

Essential

• Proficient IT skills.
• Evidence of self-initiated learning and its application within the work place.
• Has a track record of continuing professional and personal development.
• Evidence of having played a key role in development or improvement of services.
• Has a track record of tactful, diplomatic and sensitive communication with colleagues, all members of the MDT, patients and carers etc.
• Shows genuine empathy and understanding for patients, their families and carers (balanced with objectivity).
• Has good presentation skills, clear speaking voice and appropriate use of language.
• Able to consistently work well as part of a team, showing empathy and support for colleagues.
• Able to lead a team.
• Ability to work under pressure and manage a diverse workload.
• Has mature, professional manner at all times.
• Takes responsibility for own actions.
• Is self-aware, able to initiate and manage self-change when necessary.
• Has proven stability, remains calm under pressure.
• Has evidence of an ability to maintain a positive outlook and encourage this in others.
• Is creative, using lateral thinking and initiative.
• Is car owner/driver and willing to use vehicle in course of duties and insure appropriate
• Able to cope in emergencies.

Desirable

• Proficiency in motivational interviewing skills
• Advanced communication skills
• Clinical examination or equivalent

Values & Behaviours

Essential

• Have excellent interpersonal skills.
• Shows complete reliability in all matters.
• Is honest and trustworthy.
• Is flexible and adaptable

Experience

Essential

• Minimum 5 years post registration or equivalent.
• Management experience.
• To have evidence of continuously updated knowledge through reflective practice and comprehensive CPD file.
• Able to apply an expert level of knowledge and skills
• Evidence of an advanced standard of performance in a range of areas.
• Evidence in Audit participation
• Record of experience in training/teaching and supervising others.
• Awareness of current national and local Agenda in relation to Cardiopulmonary rehabilitation.
• Experience of successful multi-agency working
• Ability to carry out detailed patient assessment.
• Evidence of influencing, motivating and negotiating with others to achieve change in relation to care.
• Has evidence of ability to take responsibility at a high level and make appropriate decisions, using a problem solving approach.
• Able to initiate and manage change.

Desirable

• Non-medical prescriber
• Experience in issuing Patient Group Directives
• Experience of working with and management of long term conditions
• Evidence of participation in research projects
• Experience of working within the BACPR & BTS guidelines
• Experience in exercise testing and exercise prescription
• Evidence of service development and innovation

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).