Job summary
An exciting opportunity for a Pulmonary
Rehabilitation / Respiratory Clinician (Physiotherapist, Occupational Therapist
or Nurse) or Clinical Exercise Physiologist has arisen in the Norfolk and Waveney
(East Coast Great Yarmouth and Waveney) area. This is a full-time fixed post
for one year.
The key purpose of this role is to deliver an NHS commissioned
pulmonary rehabilitation service. The successful applicant will work under the
direct supervision of the Team Lead / Clinical Specialist and alongside support
worker colleagues in an innovative, exciting, and pro-active team. Applicants will ideally have experience of working within Pulmonary Rehabilitation (as a student or post-graduate) although training will be provided.
Main duties of the job
The successful applicant
will (with support) be responsible for the day-day provision of Pulmonary
Rehabilitation, including exercise and education of patients within a group or
virtual setting, pre- and post-assessment of patients and will provide encouragement
and support for patient self-management.
In addition, the post holder, with
support of the team lead will promote, develop, and evaluate the service using
evidence-based practice, audit, and outcome measures and will also be expected
to contribute to delivery of the other services provided by the team as required,
such as home oxygen assessment and review (HOSAR) and any other quality improvement
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 Norfolk. We are looking for a Clinician (Physiotherapist / Occupational Therapist / Nurse) or Clinical Exercise Physiologist 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 deliver pulmonary
rehabilitation classes incorporating 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.
- 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 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 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 deliver pulmonary
rehabilitation classes incorporating 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.
- 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 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 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
Knowledge
Essential
- Knowledge of respiratory conditions and the treatment and management of these
- 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
- Knowledge of palliative and end of life care coordinating / treatments
- Voluntary sector role in supporting patients with respiratory pathology.
- Audit and evaluation methods to implement quality improvements.
Skills
Essential
- Autonomous practitioner
- Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
- Ability to demonstrate empathy.
- Good documentation skills
- Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills.
- 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.
- 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 basic leadership skills
Experience
Essential
- Clinical experience of treating patients with Respiratory conditions.
- Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement.
- Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
- 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
- Experience of working as part of a multidisciplinary team
- Experience of liaising with other agencies, services, and professional colleagues
Desirable
- Previous experience at Band 5
- Previous experience in the delivery of Pulmonary Rehabilitation classes
- Experience of home oxygen prescription
- Experience of working in a community setting.
- Previous involvement in quality improvement projects, audit, or research
- Experience of people management or leadership
- Experience of working with the voluntary sector
Qualifications
Essential
- Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional)
- Registration with HCPC, NMC or AHCS
- 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 or Occupational Therapy only
- Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
- Member of CSP, RCOT or RCN
- Member of ACPRC, ARNS, PCRS or relevant SIG
- First Aid at Work / Mental Health First Aider or other 1st aid qualification
- ALERT Course
- Spirometry (accredited to ARTP standards)
- Practice Educator and Assessor / Mentorship Course or equivalent.
Person Specification
Knowledge
Essential
- Knowledge of respiratory conditions and the treatment and management of these
- 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
- Knowledge of palliative and end of life care coordinating / treatments
- Voluntary sector role in supporting patients with respiratory pathology.
- Audit and evaluation methods to implement quality improvements.
Skills
Essential
- Autonomous practitioner
- Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
- Ability to demonstrate empathy.
- Good documentation skills
- Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills.
- 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.
- 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 basic leadership skills
Experience
Essential
- Clinical experience of treating patients with Respiratory conditions.
- Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement.
- Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
- 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
- Experience of working as part of a multidisciplinary team
- Experience of liaising with other agencies, services, and professional colleagues
Desirable
- Previous experience at Band 5
- Previous experience in the delivery of Pulmonary Rehabilitation classes
- Experience of home oxygen prescription
- Experience of working in a community setting.
- Previous involvement in quality improvement projects, audit, or research
- Experience of people management or leadership
- Experience of working with the voluntary sector
Qualifications
Essential
- Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional)
- Registration with HCPC, NMC or AHCS
- 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 or Occupational Therapy only
- Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
- Member of CSP, RCOT or RCN
- Member of ACPRC, ARNS, PCRS or relevant SIG
- First Aid at Work / Mental Health First Aider or other 1st aid qualification
- ALERT Course
- Spirometry (accredited to ARTP standards)
- Practice Educator and Assessor / Mentorship Course or equivalent.
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).
