Community COPD Nurse/Physiotherapist, Band 6 Permanent - Full Time - 37.5 hours per week

7 day working

We are pleased to offer an exciting role to work within a large multi-disciplinary team in the Greenwich COPD Service. The team provide acute support and chronic disease management of patients diagnosed with COPD with a community setting. Within the team we provide a 7 day hospital admission avoidance service, a diagnostic spirometry service for COPD, manage and review patient on home oxygen therapy and deliver Pulmonary Rehabilitation.

The role will include working as part of the team to providing holistic assessment and treatment tailored to the patients' individuals needs, and education about the condition. This will include making onward on referrals to other agencies as appropriate

You will need to be a versatile, adaptable team player who has good organisational skills. You will be required to use multiple computer systems therefore a good knowledge of IT is essential.

We offer regular in-service training and clinical supervision as well as the opportunity to be involved in student education, training and supervision of our newly qualified staff. There is also support and development through regular appraisals, a personal development plan and regular formal supervision.

For an informal discussion or further information please contact: Helen Jefford on 020 8320 3340 or email: h.jefford@nhs.net

Main duties of the job

The post holder will be part of a Primary Care led and patient-focused COPD service, delivering evidence based patient care, case finding and promoting health through a proactive approach to care management.

The role will include working as part of the team to providing holistic assessment and treatment tailored to the patients' individuals needs, and education about the condition. This will include making onward on referrals to other agencies as appropriate

The post holder will be required to work in a multidisciplinary way and work jointly with the other team members to ensure that all care needs are met. The team work closely alongside secondary care, meeting weekly with specialist nurses and a respiratory consultant for clinical support.

The post holder is an autonomous practitioner and will assess, plan, implement and evaluate patient care and also participate in the training of patients, relatives, carers, students and other health care professionals

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley, Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We're Kind
• We're Fair
• We Listen
• We Care

Job description Job responsibilities

Management

• Responsible for a caseload of patients, using recognised criteria and guidelines.
• Responsible for direct referrals to other disciplines as appropriate.
• Co-ordinate and facilitate the care of patients, preventing fragmentation duplication and delays in care.
• To anticipate present and future care needs of patients and develop plans to meet these needs, with particular focus on avoiding unnecessary hospital admissions.
• To adhere to all Trust policies procedures and standards of practice.
• To maintain NMC/HCPC registration as required and work within NMC/HCPC guidelines, appertaining to current practice e.g. code of professional conduct, standards for administration of medicines, scope of professional practice and guidelines for records and record keeping.
• To attend and participate in clinical supervision.
• To manage changing clinical situations e.g. prioritising unscheduled call at short notice, or at a sudden exacerbation of the patients condition.
• To assist in the development and quality improvement tools to review professional practice and identify improvements.
• To refer appropriately to the Pulmonary Rehabilitation Service.
• To assist the Band 7 in managing a central database of patients with Home Oxygen in the Greenwich Borough.
• To ensure efficient and effective use of resources within own practice.
• To participate in the Personal Development Review (PDR) process to identify training needs.
• To maintain NMC/HCPC registration

Leadership

• To act as an advocate for raising the profile of people who suffer from respiratory disease to a wider audience e.g. the public and other health and social care professionals across organisational and professional boundaries.
• To support the vision of clinical case management for patients with COPD, working collaboratively with all professionals, relatives and carers to ensure an understanding of patients physical, social and environmental factors.
• Identify gaps within the service influencing and developing new ways of working.
• To act as a mentor to other staff where appropriate, providing education, training and support to colleagues and peers.
• To embrace and implement change to facilitate high quality health outcomes.
• To provide advice on respiratory conditions and assist Band 7's to improve and develop services across organisational and professional boundaries

Clinical

• To use clinical practice skills and knowledge, using nationally recognised assessment tools. Undertaking an in depth assessment, to identify patient medial, social, psychological and spiritual needs.
• To negotiate and develop a personal care plan with the patient, health care professional, carers and their relatives.
• To diagnose and instigate therapeutic treatments based on best available evidence to manage and improve health outcomes.
• To use knowledge and skills to order diagnostics, e.g. blood tests and x- rays and request prescriptions within the context of supplementary formulary, and provide advice to patients and their carers on medicines management.
• To work in partnership with GPs, nurse practitioners and hospital consultants to determine a diagnosis when required and formulate a plan of care and follow-up.
• To support GPs, community and primary care nurses in the case finding and management of patients, ensuring that Trust protocols and pathways are followed.
• To work with the Trusts lead GP and others to support practise in setting up and maintaining respiratory registers, stratifying patient by risk and developing specialist respiratory clinics.
• To be a resource to community and primary care nurses and acute sector staff in assisting with transfer of care of patients with additional respiratory needs.
• To be able to use specialist equipment relevant to the area of work and provide education and training to other practitioners in these areas.

Person Specification Qualifications Essential

• AHP/NMC qualification

Desirable

• minimum 18 months qualification

Experience Essential

• UK Driving Licence and access to a vehicle for work use.
• Respiratory experience- acute or community

Desirable

• Experience in non-pharmacological breathlessness management

Any attachments will be accessible after you click to apply.

277-5121332-CPH