Primary Integrated Community Services

Pain Practitioner

Information:

This job is now closed

Job summary

Due to the expansion of the PICS Community Pain/CFS pathway from Greater Nottingham and Mid Nottinghamshire into Bassetlaw, an exciting opportunity has arisen for an Advanced practitioner AHP / Nurse to support the multidisciplinary team. We deliver an evidenced based service tailored to the needs of Nottinghamshire ICB patients living with persistent pain.

Our service stretches from Nottingham to Bassetlaw, and we would take into consideration your home location when deciding your working location. You will be part of a wider team of pain specialists, including physiotherapists, occupational therapists, nurses, pharmacists, CBT therapists, psychologist, wellbeing practitioners and pain consultants. You will be supported by our clinical lead, Paula Banbury, who is on the PICS leadership team, and by Caroline Neal biopsychosocial lead

Main duties of the job

KEY RESPONSIBILITIES

  • We are looking for an individual with enhanced knowledge and skills or wishing to develop these working in the specialist field of long-term pain and fatigue management. The role involves triage, biopsychosocial assessment and treatment offered both individually in clinics and in groups, in community locations, of patients referred to the service.
  • Working outside your traditional scope of practice, as part of the interdisciplinary team, using shared knowledge and skills of physiotherapy, occupational therapy, nursing, and psychological interventions. You will provide advice and education regarding changes in lifestyle, exercise, pain mechanisms, medication, pacing, psychological impact of living with pain and fatigue, and support the return to valued activities.
  • Long term condition approaches such as Cognitive Behavioural Therapy, Acceptance and Commitment Therapy (ACT), and Mindfulness underpin our therapeutic offer to patients guiding them towards self-management, living well alongside pain and fatigue.
  • The role requires effective communication with patients, carers, the wider MDT and relevant NHS and community service providers to ensure appropriate, evidence based holistic care pathways for patients.

KEY REQUIREMENTS

  • Evidence of continued professional development.
  • Membership of a relevant Professional Body
  • Experience of working with people with persistent pain within a biopsychosocial framework adhering to National guidelines.

About us

PICS is the employer for this role. PICS is a local company wholly owned by GPs, specialising in community-based care, and run for the benefit of patients. Find out more about us: http://picsnhs.org.uk/

Benefits of working for PICS

We offer a comprehensive package which includes:

  • Part of a team of experienced practitioners and supported by Paula Banbury, Clinical Lead, and Caroline Neal biopsychosocial practitioner lead, who will help take forward your professional development, and offer support and supervision.
  • Part of the NHS Pension Scheme or an alternative government-based scheme (based on eligibility) with generous employer contributions
  • Competitive salaries with clear progression pathways referenced to NHS Agenda for Change
  • Fully integrated with NHS IT systems

Generous annual leave entitlement which references NHS Agenda for Change and recognises previous NHS service

o On appointment 27 days plus 8 days bank holiday entitlement

o After 5 years 29 days plus 8 days bank holiday entitlement

o After 10 years 33 days plus 8 days bank holiday entitlement

  • Competitive leave entitlement that includes sickness pay and maternity leave
  • Join a caring culture and a company of can-do experts

Details

Date posted

13 September 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£40,057 to £45,839 a year Pro rata

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0220-22-7849-PAPA

Job locations

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY


Job description

Job responsibilities

Main duties and responsibilities

Practice

  • To triage, assess and treat both individually and in groups, patients referred to the service. This will include the provision of advice and education regarding changes in lifestyle, exercise, pain mechanisms, medication, pacing and return to valued activities.
  • To be able to identify and refer on appropriately those patients who may have complex and/or serious pathology (red flags).
  • To work outside traditional scope of practice, using shared knowledge and skills of physiotherapy, occupational therapy, nursing, and psychological interventions.
  • To liaise with primary and secondary care professionals regarding referrals to and from the service and be a clinical resource for advice on the management of persistent pain, ME/CFS and Long Covid fatigue.
  • To recognise and make recommendations for treatment with different types of pain, e.g., nociceptive, and neuropathic pain.
  • To establish collaborative working relationships with patients providing information and advice at all stages of the patient pathway. Communicating complex condition related information within scope of professional practice accounting for potential barriers to communication.
  • To ensure effective systems are followed, integrating risk assessment and management and clinical governance to reduce clinical risk and promote patient safety.
  • To ensure your actions support equality, diversity, and rights by compliance with local policies and ensuring that the service is sensitive to individual needs, cultures, beliefs and values.
  • To maintain sensitive, accurate and comprehensive patient records in line with service standards and your professional bodys standards of practice.

Professional

  • To always adhere to professional code of conduct and practice.
  • To contribute to clinical education, training, and guidance to support ongoing clinical competence of the multidisciplinary team.
  • To maintain, develop and disseminate specialist knowledge of evidence-based practice.
  • To critically evaluate your work using evidence-based projects, audits, and outcome measures.
  • To ensure that the professional development of the team meets national standards and that the team will have the appropriate skills to meet the needs of patients in a specialist clinical area.
  • To lead on the promotion and development of best practice. Recommending and implementing changes to improve service delivery.
  • To continue to develop and implement evidence based approached for the management of persistent pain, ME/CFS, and long covid fatigue as part of an interdisciplinary team, with reference to your core profession.
  • To work autonomously as a nurse/ physiotherapist/ occupational therapist within National, professional and PICS guidelines, policies, and procedures.
  • To provide student placements with the service, in line with standards from the universities.
  • To supervise and mentor junior members of the team.

Communication and relationship skills

  • To develop and maintain collaborative communication with patients and their relatives / carers on their health plan and support progress as appropriate.
  • To demonstrate a high level of autonomy meeting patients on an individual basis in clinic locations and in groups.
  • To liaise with colleagues in the wider health community as appropriate ensuring the delivery of timely, high quality patient care.
  • Demonstrate a variety of communication methods for patients and their relatives who may have additional needs.
  • Recognise and respond calmly and appropriately to aggressive behaviour if encountered as part of clinical work and demonstrate effective communication with people who are troubled or in distress.
  • Share information as appropriate with individuals, families, groups, or communities.
  • Acknowledge the need to recognise and work with patients from other cultures and respecting their diverse views.

Education and Training

  • Maintain a personal development plan and an annual programme of learning and development using a personal portfolio which ensures best practice.
  • Participate in individual performance review on an annual basis.
  • Keep up to date with policies, procedures, protocols, and mandatory training relating to the patient group / organisation and relevant practice.
  • To engage with personal development through the clinical supervision process.
  • Attend further training as identified with the line manager.

Clinical Governance

  • To identify risk issues that impact on the patients health or social care needs and take appropriate action when necessary.
  • Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
  • Demonstrate effective team working inclusive of all relevant professionals.
  • Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers, including near misses.
  • Contribute towards audit and data collection as required.
  • Once assessed as competent you will be accountable for your own practice within the sphere of responsibility when identified and agreed with the Manager and the organisation in which the post holder works.

For more information please see the supporting documents

Job description

Job responsibilities

Main duties and responsibilities

Practice

  • To triage, assess and treat both individually and in groups, patients referred to the service. This will include the provision of advice and education regarding changes in lifestyle, exercise, pain mechanisms, medication, pacing and return to valued activities.
  • To be able to identify and refer on appropriately those patients who may have complex and/or serious pathology (red flags).
  • To work outside traditional scope of practice, using shared knowledge and skills of physiotherapy, occupational therapy, nursing, and psychological interventions.
  • To liaise with primary and secondary care professionals regarding referrals to and from the service and be a clinical resource for advice on the management of persistent pain, ME/CFS and Long Covid fatigue.
  • To recognise and make recommendations for treatment with different types of pain, e.g., nociceptive, and neuropathic pain.
  • To establish collaborative working relationships with patients providing information and advice at all stages of the patient pathway. Communicating complex condition related information within scope of professional practice accounting for potential barriers to communication.
  • To ensure effective systems are followed, integrating risk assessment and management and clinical governance to reduce clinical risk and promote patient safety.
  • To ensure your actions support equality, diversity, and rights by compliance with local policies and ensuring that the service is sensitive to individual needs, cultures, beliefs and values.
  • To maintain sensitive, accurate and comprehensive patient records in line with service standards and your professional bodys standards of practice.

Professional

  • To always adhere to professional code of conduct and practice.
  • To contribute to clinical education, training, and guidance to support ongoing clinical competence of the multidisciplinary team.
  • To maintain, develop and disseminate specialist knowledge of evidence-based practice.
  • To critically evaluate your work using evidence-based projects, audits, and outcome measures.
  • To ensure that the professional development of the team meets national standards and that the team will have the appropriate skills to meet the needs of patients in a specialist clinical area.
  • To lead on the promotion and development of best practice. Recommending and implementing changes to improve service delivery.
  • To continue to develop and implement evidence based approached for the management of persistent pain, ME/CFS, and long covid fatigue as part of an interdisciplinary team, with reference to your core profession.
  • To work autonomously as a nurse/ physiotherapist/ occupational therapist within National, professional and PICS guidelines, policies, and procedures.
  • To provide student placements with the service, in line with standards from the universities.
  • To supervise and mentor junior members of the team.

Communication and relationship skills

  • To develop and maintain collaborative communication with patients and their relatives / carers on their health plan and support progress as appropriate.
  • To demonstrate a high level of autonomy meeting patients on an individual basis in clinic locations and in groups.
  • To liaise with colleagues in the wider health community as appropriate ensuring the delivery of timely, high quality patient care.
  • Demonstrate a variety of communication methods for patients and their relatives who may have additional needs.
  • Recognise and respond calmly and appropriately to aggressive behaviour if encountered as part of clinical work and demonstrate effective communication with people who are troubled or in distress.
  • Share information as appropriate with individuals, families, groups, or communities.
  • Acknowledge the need to recognise and work with patients from other cultures and respecting their diverse views.

Education and Training

  • Maintain a personal development plan and an annual programme of learning and development using a personal portfolio which ensures best practice.
  • Participate in individual performance review on an annual basis.
  • Keep up to date with policies, procedures, protocols, and mandatory training relating to the patient group / organisation and relevant practice.
  • To engage with personal development through the clinical supervision process.
  • Attend further training as identified with the line manager.

Clinical Governance

  • To identify risk issues that impact on the patients health or social care needs and take appropriate action when necessary.
  • Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
  • Demonstrate effective team working inclusive of all relevant professionals.
  • Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers, including near misses.
  • Contribute towards audit and data collection as required.
  • Once assessed as competent you will be accountable for your own practice within the sphere of responsibility when identified and agreed with the Manager and the organisation in which the post holder works.

For more information please see the supporting documents

Person Specification

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide the details of your professional registration (body/reg number or pin).

Knowledge and Skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Person Specification

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide the details of your professional registration (body/reg number or pin).

Knowledge and Skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

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).

Employer details

Employer name

Primary Integrated Community Services

Address

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer details

Employer name

Primary Integrated Community Services

Address

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Paula Banbury

paulabanbury@nhs.net

Details

Date posted

13 September 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£40,057 to £45,839 a year Pro rata

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0220-22-7849-PAPA

Job locations

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY


Supporting documents

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