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.

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.

Certificate of Sponsorship

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 .

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 .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website .

Employer details

Employer name

BOC Limited

Address

Mill Lane Community Centre

Mill Lane

Bradwell

Great Yarmouth

Norfolk

NR31 8HS