Job Description

Are you interested in being part of a responsive, innovative and dynamic Community Respiratory Team?



We deliver a leading edge Pulmonary Rehabilitation Service across North Derbyshire area.



You will be based at Walton Hospital and will be part of the wider Community Respiratory Team and work across different Community Hospitals and community settings, including patient homes within the North Derbyshire area, including High Peak.



Working in a healthcare support team role, it will be your responsibility to ensure that your behaviour and values reflect those set out in the DCHS Way.



You will need to be passionate and enthusiastic about patient care, putting patients at the heart of everything you do.



You will be working in a multi-professional team with a culture of continuous improvement, where patient welfare and patient centred care is at the heart of all you do.

Please note :

For Internal applicants this would be considered as a secondment position.



To support the delivery of pulmonary rehabilitation exercise and education programmes in North Derbyshire.



Programmes are organised by the Specialist Respiratory Physiotherapist to encourage patients to gain their optimum level of function and independence.



To facilitate the efficient utilisation of resources and to contribute to specific contractual requirements, in accordance with service specifications and NHS National Standards.



To support the delivery of pulmonary rehabilitation you will perform and assist in the provision of holistic, high quality, evidenced-based health care to a defined local population. This will be working within an appropriate supervisory and monitoring framework, to an agreed, multi- disciplinary treatment plan by providing and managing ongoing treatment, teaching and instruction to their own referred caseload of patients. The post holder will be expected to implement, modify and evaluate these programmes of treatment without direct supervision.



The post holder will organise and prioritise their own day-to-day work tasks and activities, and delegate tasks to Band 3 colleagues to follow up planned actions.



Contribute to delivering Pulmonary Rehabilitation

Undertake home visits independently to assess the patients' Home Pulmonary Rehabilitation (PR) exercises (previously prescribed by the Physiotherapist)

Provide modification of Home PR exercises where required.

Order equipment and refer to other services as required.



Our purpose is to provide community health services to a patient population of over one million people in Derbyshire and Derby, as part of Joined Up Care Derbyshire.



We employ around 4,200 substantive staff, caring for patients in 11 community hospitals and more than 30 health centres, as well as in clinics, GP practices, schools, care homes and, increasingly, in people's own homes and via virtual consultations.



During the pandemic response we have led the implementation of public vaccination centres in collaboration with partners across health and social care.



To communicate information to patients and carers regarding their health needs and

associated treatment plans.

To report and take appropriate action regarding any change in patient condition or circumstance and to communicate verbal and written information to all relevant health care professionals To maintain and record accurate health records in line with DCHS policies and procedures and Calldicott requirements. To observe personal duty of care when using or supplying equipment, to ensure compliance with health and safety regulation and to monitor and report to appropriate registered clinician on the effectiveness and safety of the exercise programme or equipment and aids in patients home to maximise use of resources. To ensure "Every Contact Counts" and contribute to public health and health promotion initiatives. Under appropriate supervision, assist in routine screening for chronic disease management and record results for monitoring purposes to ensure compliance with NICE, NHS Long Term Plan etc. To contribute to and support the maintaining of service standards and performance through national audit and benchmarking, as per internal audit priorities (AMaT), CQC Standards for Compliance etc. and to encourage colleagues and team members to do also. To participate, as an individual and as team member, in continuous learning and reflective practice in order to maintain own knowledge and skills, share good practice with and provide instruction to colleagues to continually improve services. To actively contribute to protecting people at risk by assessing and monitoring the care environment and individuals and by following and acting on and within Safeguarding policies and procedures.

Patient care clinical



To autonomously participate in the provision of rehabilitation activities for people referred to the service to promote independence and well-being. To provide ongoing treatment, teaching and instruction to their own referred caseload of patients. To assess individual health needs and identify desired goals and outcomes of interventions. To implement, modify and evaluate programmes of treatment. To motivate and educate patients in groups and individually to enable patients to fulfil their desired goals. To use highly developed verbal and non-verbal communication skills to gain a rapport with clients. These clients may have complex communication difficulties. To use highly developed observational skills to assess and report accurately and verbally and in writing such observations to the Community Respiratory Service To undertake delegated tasks to contribute to the safe and smooth running of the service. To manage a delegated caseload. To assess risk and manage effectively within clinical settings including the patients home environment. To support the discharge arrangements for patients on the Pulmonary rehabilitation programme.

This may involve post walk test, onward referrals and know safety parameters so any identified issue can be escalated to the registered staff



Documentation



To ensure that up to date written and electronic records and activity data are maintained in accordance with Professional and Trust standards

Professional and Ethical

To acquire a range of skills appropriate to the post. To adhere to all Trust policies, procedures and local standards of practice

Leadership, supervision, appraisal and professional development

In line with Trust guidelines, review and reflect on your own practice and performance through regular participation in management supervision and appraisal To undertake relevant activities to meet training objectives identified with your supervisor To keep a record of your training and development activities and reflective practice with CPD portfolio To demonstrate own activities to new/less experienced employees

Training staff and students

To participate in the induction, training and education of students and other staff in the health care setting

Service development and delivery

To ensure that areas are well maintained and comply with health and safety guidelines, ensuring the safe use of equipment and storage of materials To participate in the delivery of the development plan for the DCHS.

Clinical Governance

To participate in clinical governance and quality improvement projects as allocated by professional members of the DCHS.

Line management, staff, budgets

To exercise good personal time management, punctuality and consistent reliable attendance To be responsible for maintaining stock, advising on resources to carry out the job

Patient interaction

Communicate effectively and sensitively and use language appropriate to patient and carer/relatives condition and understanding. Effectively use all forms/methods of communication and be aware of and manage barriers to communication. Effectively recognise and manage challenging behaviours in patients, carers and or relatives.

Health and Wellbeing enablement

Provide information to team and patient, carer and or relatives Respect the dignity of individuals, obtaining consent and involving them, their cares and or relatives and families in shared decision making.

Strategy and Service Development

As part of a team, incorporate up-to-date techniques and ideas of positive practice into your programme To participate in team audit and evaluation activities as agreed with your supervisor

Financial Resources/Management

The post holder will have no specific budget management responsibility, but will, through awareness and prudent behaviour, contribute to service level financial performance, for example if ordering stock supplies/equipment



Information Resources/Information Systems

To keep accurate and up to date records of patient treatment and other interventions which are compliant with legal requirements and keep statistics and input data as required



Autonomy/Scope within Role

The post holder will be required to manage a delegated caseload within clearly defined occupational policies, protocols, procedures, relevant codes of conduct and identified treatment plans.



They will implement, evaluate and modify programmes of care without direct supervision, but will be expected to liaise closely with relevant professionally registered staff.