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Respiratory Practitioner-Altered Airways

4 months ago


London, United Kingdom University College London Hospitals NHS Foundation Trust Full time

Job summary

Community Respiratory Practitioner - NCL Altered Airways & Complex Respiratory Service

An exciting opportunity has arisen for a passionate and experienced respiratory professional to join a new service supporting altered airway and complex respiratory patients across North-Central London (NCL). The service was started in 2023 and has funding to expand and continue for 12-months.

The aim of the role is to provide respiratory expertise; to facilitate hospital discharge of altered airway and complex respiratory patients, support management in the community and provide education and training for other community teams. The role will be hosted by UCLH and will have close working links with other acute hospitals and services across NCL.

We are looking for an individual with advanced skills in the management of altered airway and complex respiratory patients, in the acute or community setting. Experience working in the community, project management skills or previous experience developing a service are desirable.

The successful candidate will be a dynamic and motivated person who can provide decisive and effective therapy input and demonstrate high level communication skills and a flexible approach when working under pressure. This would be an ideal secondment for someone looking to further their experience.

Main duties of the job

To input to the design and delivery of this service; while supporting complex respiratory management of patients across NCL. To provide support to facilitate discharge from and avoid admission to hospital for these individuals. To provide expert clinical advice through training, guidance and information to the community teams and people who support the patients at home To be an experienced practitioner in all aspects of respiratory practice, developing an advanced level of professional autonomy and accountability in the provision of such care.

To be an expert practitioner in delivering high quality respiratory care in domiciliary and community settings.

To work within multi-disciplinary teams and liaise appropriately with all members of the multidisciplinary team and service users both within local hospitals and in area's anticipatory care system. Jointly with the other team members you will lead, co-ordinate and evaluate acute respiratory care within NCL, working in partnership with all other disciplines to facilitate further service development ensuring that the clinical governance agenda and national recommendations are realised. To promote NCL as a national leader in developing community respiratory expertise for altered airways and complex acute respiratory.

About us

University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.

We provide first-class acute and specialist services across eight sites:

University College Hospital (incorporating the Elizabeth Garrett Anderson Wing)

National Hospital for Neurology and Neurosurgery

Royal National ENT and Eastman Dental Hospitals

University College Hospital Grafton Way Building

Royal London Hospital for Integrated Medicine

University College Hospital Macmillan Cancer Centre

The Hospital for Tropical Diseases

University College Hospital at Westmoreland Street

We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.

We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.

Job description

Job responsibilities

In line with the Trusts commitment to Clinical Governance, develop, lead and implement standards for clinical audit to evaluate clinical effectiveness and promote excellence within the service.

The Acute Therapy Service at UCLH is a dynamic, innovative and forward-thinking department where everyone is enthusiastic and passionate aboutproviding high quality care to patients. Our staff are committed to servicedevelopment - continuously improving patient experience through qualityimprovement projects, research and patient engagement. We are proud of whatwe achieve and celebrate this through staff recognition events and awards.

Clinically the department is made up of Occupational Therapists, Physiotherapistsand Support Staff, who are divided into small specialty therapy teams who joinwith similar specialties for education, training and service development. There areextensive opportunities for training through internal and external courses and staffare supported to showcase work at conferences.

Creating an inclusive and welcoming environment is key for us. The departmentaspires to be a warm, friendly and supportive place to work, enabling all staff tomaximise their potential. We encourage staff to contribute through staff groupschampioning equality, diversity and inclusion, sustainability, staff wellbeing andpatient and staff experience.

Staff feedback consistently highlights the approachability of the leadership in thedepartment. People feel they are always treated as individuals, given time,listened to and supported.

The Acute Therapy Service aims to live the UCLH trust values and we welcomeapplications from people who embody these in their working life.

For the full Person Specification and more informationregarding the main responsibilities of this role, please refer to the attached Job Description.

Come and be a part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England for the second year running : University College London Hospitals NHS Foundation Trust

*In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the second year in a row.

UCLH top trust to work at in England for the second year running : University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

Person Specification

Knowledge and Qualifications

Essential

Degree/Diploma in Nursing/Physiotherapy/Speech and Language Therapy NMC/HCPC Registration Working at 'M' level as demonstrated by ongoing CPD Commitment to advanced clinical and professional development

Desirable

Recognised post graduate qualification MSc Membership of Special Interest Group Member of relevant appropriate multi professional interest group

Experience

Essential

Post registration experience in respiratory management within the NHS Significant experience at a Band 6 level within acute care ideally within Head and neck, Respiratory Medicine and/or Critical Care Highly specialist knowledge & experience of a wide range of approaches to the management of patients with complex respiratory needs, demonstrated by advanced clinical reasoning. Expert level of knowledge in the application of all respiratory modalities including suctioning, non-invasive respiratory support, cough assist, vests and LVR bags etc Expert level of knowledge in Altered Airway Management (Tracheostomy and laryngectomy management) Previous experience of formal presentations to multi professional groups Evidence of continued professional development - reviewing current practice and research developments within respiratory care and application to clinical practice Demonstrated understanding of the role of respiratory practitioner within the current evolving health environment Robust understanding of all aspects of Clinical Governance including previous experience of quality issues, audit and risk management. Experience of working within a multidisciplinary team. Clear understanding of other disciplines' roles and expectations

Desirable

Experience of delivering services in the community Previous experience of working with people with Neurological or Learning Disabilities Experience of Quality Improvement projects Evidence of presentation of own service improvement projects Previous experience of student and staff supervision, clinical education and management.

Skills and Abilities

Essential

Advanced clinical practitioner Able to work independently or as part of a team Excellent time management, leadership and organisational skills Ability to comprehend and work within the local policies including data protection, equal opportunities and Health and Safety to meet the differing needs of the patient Experience in service development Able to recognise work related stress and pressures in yourself and others. Confidence in teaching multi-disciplinary staff groups Conduct professional affairs in a confident and assertive manner.

Desirable

Excellent presentation skills Competent IT skills Evidence of practically applied appropriate extended scope practitioner skills

Communication Personal and People Development

Essential

Able to present information, written and orally in a clear and logical fashion. Able to effectively articulate expert perspective with medical colleagues and members of the multidisciplinary team, when conflicting management options are available. Able to use a range of expert verbal and non-verbal communication skills to communicate effectively with patients, carers and other professionals. Able motivate and persuade others (including staff and patients) through advanced communication skills, using written and electronic information where needed. Ability to keep legible and accurate records in English in accordance with documentation Policies Able to deliver highly sensitive and complex information requiring highly developed educational or counselling role. Able to o diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed negotiation and interpersonal skills. Able to identify, develop and agree own personal development plan with feedback from MDT. Able to generates and use appropriate learning opportunities Able to actively promote the workplace as a learning environment.

Desirable

Able to represent the team to Provider and external agencies, and on a local, national and international level. Basic knowledge of Makaton Able to support and develop others to make realistic self-assessments of their application of knowledge and skills. Able to develop others in a manner that is consistent with legislation, policies and procedures

Specific Requirements

Essential

Ability to exert moderate to intense physical effort for frequent period of up to 60 minutes at a time throughout the working day. Able to carry out concurrent activities (multi-tasking) and work in an unpredictable working pattern (will be required to carry a mobile phone). Ability to frequently cope with working in a stressful environment and with intense concentration for periods of up to 60 minutes at a time throughout the day Ability to cope with daily exposure to highly unpleasant working conditions ( sputum, body fluids, fleas, incontinence, verbal abuse, lone working etc) To be prepared to participate in 7-day services as required.