Job summary
An exciting opportunity for a Specialist Respiratory Clinician
(Physiotherapist or Nurse) has arisen in the Norfolk and Waveney (East Coast - Great Yarmouth and Waveney) ICS area. The key purpose of this role is to deliver an NHS
commissioned community pulmonary rehabilitation and Home Oxygen Assessment and Review (HOSAR) Service. This is a chance to be part of a team that
values quality improvement and innovation and strives for clinical excellence.
This is a development post ideal for someone wishing to progress from a Band 6 equivalent senior role to a specialist role in community respiratory care. Development is expected to take 12-18 months depending on the prior experience of the successful candidate.
Main duties of the job
The specialist Respiratory Physiotherapist / Nurse supports the Senior Team Lead to plan, promote, co-ordinate, develop, implement, and evaluate a high quality, evidence based Pulmonary Rehabilitation Service. The post-holder will be responsible for the day-to-day management of the pulmonary rehabilitation programme to ensure that it delivers pre- and post-assessment, exercise, and education to patients within a group or virtual setting and provides encouragement and support for patient self-management. The post-holder will also be expected to contribute to
delivery of the other services provided by the team, such as heart failure rehab, home oxygen assessment and review (HOSAR) and any other service
development projects.
About us
Are
you looking for an exciting new career opportunity? BOC is more than the
leading medical gases company. Did you know we deliver specialist nursing, oxygen
assessment, Cardiac, Heart Failure, Long Covid and pulmonary rehabilitation
services nationally for the NHS? We are always developing concepts and
therapies to improve our patients quality of life and are Hiring NOW in Great Yarmouth and Waveney. We are looking for a Specialist Respiratory Physiotherapist / Nurse to join our team
that has been rated 'Outstanding' by CQC in 2023.
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Job description
Job responsibilities
See Job description for full list
Principal Responsibilities
- To undertake comprehensive subjective
and objective assessment of patients with diverse or complex respiratory
conditions and multiple pathologies. To prioritise patient problems and to
formulate and deliver appropriate treatment programmes based on assessment
findings, with evidence of discharge planning and in line with national
standards. This process is fully autonomous, and treatments will vary
according to assessment findings.
- To evaluate patient progress, reassess
and alter treatment programmes if required, based on knowledge of evidence-based
practice and patient outcomes.
Frequently readjust plans as situations change / arise due to
unforeseen circumstances.
- To lead pulmonary rehabilitation classes delivering a comprehensive programme of exercise and education. Including objectively measured assessment of exercise performance and exercise prescription and progression and assessment, interpretation, and feedback to the patient of initial and final outcome measures.
- Identify patients who meet the national criteria for home oxygen, provide specialist assessment and highly skilled
discussion of complex and highly emotive information to patients. Prescription of appropriate equipment
and flow rates will frequently require multifactorial decisions to be made
to individualise the prescription to optimise the patients concordance
and usage of the equipment.
- To
demonstrate effective communication and negotiation skills across a range of
situations, both clinical and non-clinical
- To
assess risk and manage it effectively within the clinical caseload and
community setting
- To contribute to the overall planning, delivery,
strategic development, and evaluation of the Pulmonary Rehabilitation and HOSAR Service
in conjunction with other clinical staff and within relevant guidelines
and evidence-base.
- To work collaboratively
with other staff in the team and across the Respiratory landscape to
ensure co-ordinated and efficient patient centred and evidence-based care
with effective use of all available resources.
Support BOCs Clinical Governance programme within the service by:
Seeking, proposing, and implementing continuous
improvements to the service
Safeguarding high standards of care by following
key components of our robust clinical governance system, including:
Clinical effectiveness
Clinical Audit
Research & Development
Education and Training
Evidence based healthcare
User/Patient involvement
Performance Appraisal and Continuous
Professional Development
Incidents and complaints
To assist with the
performance management of more junior / support staff and students within
the service in conjunction with the Senior Team Lead.
To maintain, develop and continually
update knowledge, skills, and clinical competency to practice through
Continuous Professional Development (CPD) activities to incorporate developments
into your work and ensure safe practice while undertaking duties.
To be
responsible for the effective flow of patients through delegated pulmonary
rehabilitation programmes to meet service key performance indicator (KPI)
targets and assist the Senior Team Lead by monitoring caseloads,
prioritising referrals, collecting, and collating team activity data in an
agreed format to monitor the clinical effectiveness of the team.
To
identify and propose service changes for own work area and participate in
appropriate research processes and/or data collection, identified in
departmental/rehabilitation objectives, with support from the Senior
Leadership team
To be responsible for maintaining accurate, up to date
and comprehensive patient treatment records (electronic or hand-written) in
line with the legal requirements and organisational guidelines showing evidence of clinical reasoning / evaluation and treatments that
are evidence-based and within broad professional standards and guidelines (HCPC,
NMC, CSP, RCN). In addition, to ensure that students, support staff and any other staff
maintain patient records in line with guidance and standards.
Job description
Job responsibilities
See Job description for full list
Principal Responsibilities
- To undertake comprehensive subjective
and objective assessment of patients with diverse or complex respiratory
conditions and multiple pathologies. To prioritise patient problems and to
formulate and deliver appropriate treatment programmes based on assessment
findings, with evidence of discharge planning and in line with national
standards. This process is fully autonomous, and treatments will vary
according to assessment findings.
- To evaluate patient progress, reassess
and alter treatment programmes if required, based on knowledge of evidence-based
practice and patient outcomes.
Frequently readjust plans as situations change / arise due to
unforeseen circumstances.
- To lead pulmonary rehabilitation classes delivering a comprehensive programme of exercise and education. Including objectively measured assessment of exercise performance and exercise prescription and progression and assessment, interpretation, and feedback to the patient of initial and final outcome measures.
- Identify patients who meet the national criteria for home oxygen, provide specialist assessment and highly skilled
discussion of complex and highly emotive information to patients. Prescription of appropriate equipment
and flow rates will frequently require multifactorial decisions to be made
to individualise the prescription to optimise the patients concordance
and usage of the equipment.
- To
demonstrate effective communication and negotiation skills across a range of
situations, both clinical and non-clinical
- To
assess risk and manage it effectively within the clinical caseload and
community setting
- To contribute to the overall planning, delivery,
strategic development, and evaluation of the Pulmonary Rehabilitation and HOSAR Service
in conjunction with other clinical staff and within relevant guidelines
and evidence-base.
- To work collaboratively
with other staff in the team and across the Respiratory landscape to
ensure co-ordinated and efficient patient centred and evidence-based care
with effective use of all available resources.
Support BOCs Clinical Governance programme within the service by:
Seeking, proposing, and implementing continuous
improvements to the service
Safeguarding high standards of care by following
key components of our robust clinical governance system, including:
Clinical effectiveness
Clinical Audit
Research & Development
Education and Training
Evidence based healthcare
User/Patient involvement
Performance Appraisal and Continuous
Professional Development
Incidents and complaints
To assist with the
performance management of more junior / support staff and students within
the service in conjunction with the Senior Team Lead.
To maintain, develop and continually
update knowledge, skills, and clinical competency to practice through
Continuous Professional Development (CPD) activities to incorporate developments
into your work and ensure safe practice while undertaking duties.
To be
responsible for the effective flow of patients through delegated pulmonary
rehabilitation programmes to meet service key performance indicator (KPI)
targets and assist the Senior Team Lead by monitoring caseloads,
prioritising referrals, collecting, and collating team activity data in an
agreed format to monitor the clinical effectiveness of the team.
To
identify and propose service changes for own work area and participate in
appropriate research processes and/or data collection, identified in
departmental/rehabilitation objectives, with support from the Senior
Leadership team
To be responsible for maintaining accurate, up to date
and comprehensive patient treatment records (electronic or hand-written) in
line with the legal requirements and organisational guidelines showing evidence of clinical reasoning / evaluation and treatments that
are evidence-based and within broad professional standards and guidelines (HCPC,
NMC, CSP, RCN). In addition, to ensure that students, support staff and any other staff
maintain patient records in line with guidance and standards.
Person Specification
Qualifications
Essential
- Diploma/Degree in Physiotherapy or Nursing
- Registration with HCPC or NMC
- Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation,
- Full valid driving license and access to a vehicle with business insurance
Desirable
- Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) (for Nursing only)
- Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
- Member of CSP or RCN
- Member of ACPRC, ARNS, PCRS or relevant SIG
- First Aid at Work or other 1st aid qualification
- ALERT Course
- Spirometry (accredited to ARTP standards)
- Practice Educator and Assessor / Mentorship Course or equivalent.
Experience
Essential
- Previous experience at Band 6 / Senior level
- Clinical Experience of treating patients with Respiratory conditions.
- Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level
- Wide range of acute experience including ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
- Experience in interpretation of blood gases and spirometry
- Experience in the provision of smoking cessation advice
- Experience in the education of patients in self-management of their condition and devising of individualised care plans
- Previous contribution to practice education / training/ support and supervision of less experienced staff / students
- Experience of working as part of a multidisciplinary team
- Experience of liaising with other agencies, services, and professional colleagues
Desirable
- Previous experience of leading or assisting in delivery of Pulmonary Rehabilitation classes
- Experience in blood gas sampling
- Experience of home oxygen prescription
- Experience of working in a community setting.
- Previous involvement in audit or research
- Experience of people management or leadership
- Experience of working with the voluntary sector
Knowledge
Essential
- Good knowledge of respiratory conditions and the treatment and management of these
- Good knowledge of Pulmonary Rehabilitation
- Clinical governance and clinical risk assessment
- Thorough and up-to-date knowledge of the NHS and its processes
- Safe working practices in all clinical settings e.g., Loan working in the community
Desirable
- Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards
- Exercise assessment and prescription
- Home oxygen supply systems
- Understanding of treatments of heart failure and cluster headaches
- Knowledge of palliative and end of life care co-ordinating/ treatments
- Voluntary sector role in supporting patients with respiratory pathology
- Audit and evaluation methods to implement quality improvements
Skills
Essential
- Autonomous practitioner
- Excellent interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
- Ability to demonstrate empathy
- Excellent documentation skills
- Advanced respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills
- Highly developed manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination.
- Ability to safely perform client and object moving and handling
- Advanced clinical reasoning skills/ Problem solving skills
- Confident and competent IT skills and in use of electronic patient management software
- Competent teaching and presentation skills
- Good organisational, prioritisation and time management skills
- Reliability and resilience
- Ability to manage resources
- Delegation, feedback, and appraisal skills
- Diplomacy and negotiation skills and ability to manage stressful situations
- Ability to work as a team member
- High patient orientation and commitment to patient-centred care
- Enthusiastic, highly motivated, and highly motivating
- Innovative with an openness and commitment to constantly improve self and the service
- Professional manner and approachable
- Awareness of own limitations and scope of practice and when to seek help
- Commitment to life-long learning
- Basic life support skills
- Ability to drive around locality in timely manner
Desirable
- Supervisory and leadership skills
Person Specification
Qualifications
Essential
- Diploma/Degree in Physiotherapy or Nursing
- Registration with HCPC or NMC
- Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation,
- Full valid driving license and access to a vehicle with business insurance
Desirable
- Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) (for Nursing only)
- Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
- Member of CSP or RCN
- Member of ACPRC, ARNS, PCRS or relevant SIG
- First Aid at Work or other 1st aid qualification
- ALERT Course
- Spirometry (accredited to ARTP standards)
- Practice Educator and Assessor / Mentorship Course or equivalent.
Experience
Essential
- Previous experience at Band 6 / Senior level
- Clinical Experience of treating patients with Respiratory conditions.
- Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level
- Wide range of acute experience including ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
- Experience in interpretation of blood gases and spirometry
- Experience in the provision of smoking cessation advice
- Experience in the education of patients in self-management of their condition and devising of individualised care plans
- Previous contribution to practice education / training/ support and supervision of less experienced staff / students
- Experience of working as part of a multidisciplinary team
- Experience of liaising with other agencies, services, and professional colleagues
Desirable
- Previous experience of leading or assisting in delivery of Pulmonary Rehabilitation classes
- Experience in blood gas sampling
- Experience of home oxygen prescription
- Experience of working in a community setting.
- Previous involvement in audit or research
- Experience of people management or leadership
- Experience of working with the voluntary sector
Knowledge
Essential
- Good knowledge of respiratory conditions and the treatment and management of these
- Good knowledge of Pulmonary Rehabilitation
- Clinical governance and clinical risk assessment
- Thorough and up-to-date knowledge of the NHS and its processes
- Safe working practices in all clinical settings e.g., Loan working in the community
Desirable
- Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards
- Exercise assessment and prescription
- Home oxygen supply systems
- Understanding of treatments of heart failure and cluster headaches
- Knowledge of palliative and end of life care co-ordinating/ treatments
- Voluntary sector role in supporting patients with respiratory pathology
- Audit and evaluation methods to implement quality improvements
Skills
Essential
- Autonomous practitioner
- Excellent interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
- Ability to demonstrate empathy
- Excellent documentation skills
- Advanced respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills
- Highly developed manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination.
- Ability to safely perform client and object moving and handling
- Advanced clinical reasoning skills/ Problem solving skills
- Confident and competent IT skills and in use of electronic patient management software
- Competent teaching and presentation skills
- Good organisational, prioritisation and time management skills
- Reliability and resilience
- Ability to manage resources
- Delegation, feedback, and appraisal skills
- Diplomacy and negotiation skills and ability to manage stressful situations
- Ability to work as a team member
- High patient orientation and commitment to patient-centred care
- Enthusiastic, highly motivated, and highly motivating
- Innovative with an openness and commitment to constantly improve self and the service
- Professional manner and approachable
- Awareness of own limitations and scope of practice and when to seek help
- Commitment to life-long learning
- Basic life support skills
- Ability to drive around locality in timely manner
Desirable
- Supervisory and leadership skills
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
