Job description

Job responsibilities

Purpose:

- To provide specialist assessment, diagnosis, and therapeutic interventions for patients on the rehabilitation ward at Woking Hospital, in outpatient clinics, and patients in the community who have communication and/or swallowing difficulties, resulting from a variety of acquired or progressive neurological conditions or frailty.

- To provide advice, support and education for patients and their families/carers, and offer

training to students, and other Health Care Professionals.

- To be able to work independently and as part of a Team, and to participate in innovative

projects and service development to benefit patients and colleagues.

Patient Care Responsibilities

1. Be able to work autonomously, with a specialist, often complex caseload, to assess, diagnose, develop and implement programmes of care. Supported by clinical supervision and SLT Lead.

2. Assess, differentially diagnose, formulate treatment plans (in collaboration with patients and carers), write assessment reports, identify and choose appropriate therapeutic or clinical management techniques from a range of options, provide appropriate therapeutic intervention, and evaluate treatment outcomes.

3. Demonstrate clinical effectiveness by use of evidence-based practice and outcome measures.

4. Provide complex and sensitive information to patients in a manner that they can understand e.g. regarding cognitive changes

5. Refer on for specialist assessment for Assistive and Augmentative communication. Liaise with specialist centres to provide continuity of care and help source funding for equipment.

6. Liaise with a wide range of professional colleagues and other agencies to ensure comprehensive management of the patient e.g. attendance at ward meetings and case conferences and telephone liaison e.g. with GPs, dieticians and social services.

7. Plan for patient discharge, ensuring appropriate onward referral and liaison as required.

8. Adapt practice to meet individual patient circumstances, including due regard for cultural and linguistic differences.

9. Complete incident forms where appropriate and discuss pertinent issues regarding safeguarding/incidents with Speech & Language Therapy Lead and others involved.

10. Work with patients with a variety of diagnoses and their carers/families, across the teams geographical patch. Working flexibly to provide an equitable service to all patients, as the caseload determines and to cover periods of staff absence

11. Work with a designated caseload and be flexible to carry out work in other areas of the wider SLT Team to facilitate equity of service provision for all patients (according to level of experience and competence) as requested by Speech and Language Therapy Lead, and to further develop own professional practice.

Person Specification

Experience

Essential

• Understanding of the principles of clinical governance and audit
• Knowledge of standards of record keeping
• Evidence of applying evidence-based practice and research
• Knowledge and experience of working with adults with dysphagia &/or communication difficulties
• Minimum of 18 months working at a junior level with patients in specialist area e.g. Adults, Neurological patients with communication and/or swallowing difficulties
• Experience of assisting with training and supporting students
• Excellent experience of setting patient-centred goals & providing outcomes

Desirable

• Experience of working on wards or in outpatient clinics
• Ability to transcribe speech phonetically
• Evidence of contribution to publications and/or locally known within field of emerging expertise
• Evidence of presentations at conferences locally/nationally / or
• provision of training
• Experience of translating government and professional guidance into departmental policy and procedure
• Working knowledge and appreciation of NHS strategy, policies and research ethics
• Updated knowledge of National Policies and procedures relevant to SLT service.
• Evidence showing completion of previous Statutory & Mandatory training e.g. Safeguarding Adults, Mental Capacity Act, Information Governance etc
• Evidence of maintaining and on-going development of clinical skills and theoretical knowledge in area of clinical specialism
• Experience of supporting students

Behaviours and Values

Essential

• Effective communicator
• Empathetic
• Assertive
• Demonstrated initiative and self-direction
• Team player
• Professional attitude to working practice, colleagues, and public

Qualifications

Essential

• A recognised Speech and Language Therapy Degree or Qualification
• Health and Care Professions Council registration
• A member of the Royal College of Speech and Language Therapists
• Evidence of postgraduate courses or other CPD in relevant fields such as dysphagia trained
• Evidence of continuing professional development with identifiable outcomes.
• Full UK or equivalent driving licence and a car for work purposes

Desirable

• A member of Clinical Excellence Networks and demonstrable evidence of regular attendance at these events
• OR ability to demonstrate knowledge and skills in relevant clinical areas.

Skills

Essential

• Good presentation skills, both verbal & written
• Excellent interpersonal skills, including advanced observation, empathy and listening
• An excellent working knowledge of IT
• Able to work as part of a team but also using own initiative
• Good organisational and problem-solving skills
• Good analytical and reflection skills
• Committed to personal/professional development and skill acquisition
• Able to take theoretical knowledge and professional skills and apply them to the management of patients
• Able to work in busy environment, maintaining calm and a sense of humour
• Able to offer a flexible approach to work and caseloads

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

CSH Surrey

Address

Woking Community Hospital

Heathside Road

Woking

Surrey

GU227HS

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

Management

To provide visible operational leadership, guidance, support and direction to clinical staff within CSH.

To be clear about organisational direction and approach in all aspects of operational management and use knowledge of organisational priorities to inform decisions about the running of the clinical service lines.

To use effective communication, negotiation and influencing skills to enable effective change management with stakeholders at all levels (including senior management) who may hold differing and contentious views.

To facilitate and drive change across the clinical service lines in accordance with the transformation agenda and to do so in conjunction with clinical and managerial colleagues and wider enabling managers.

Ensure that staff within the group understand the relevant performance and access targets and lead, manage and motivate staff in the delivery of those targets to ensure seamless delivery of patient care ensuring high quality clinical outcomes.

To focus on continuous improvement of the performance and financial position of the clinical services and embed systems to manage performance against objectives and quality targets to ensure that the service position is continually strengthening.

Support the development and implementation of the clinical estates strategy for CSH and any environmental or estates work that is required ensuring it meets hygiene code, HBNs building and same sex accommodation guidance and ensure any other regulatory guidance is followed.

To have responsibility across clinical services for ensuring all staff have the necessary training in order to identify and protect vulnerable adults/children/young people/families at risk and that organisational policies are adhered to with regards to safeguarding vulnerable adults and children.

Develop planning and business processes that are effective and embedded throughout services to ensure resilient and efficient delivery of care.

Work collaboratively with WS Alliance partners to ensure effective financial, quality and workforce planning that meets the needs of both current and future service developments.

Attendance at relevant governance and operational meetings and system partner organisation meetings as required.

Act as senior operational leader within CSH, deputising for colleagues as required.

Operational

To provide timely, effective, proactive operational management support to Clinical Services across CSH.

To support the CSH Executive and management team and wider governance colleagues in ensuring that all performance and quality targets are achieved, where possible. Developing and implementing lasting solutions to challenges in conjunction with clinical and managerial colleagues. To function as a key member of the Operations Senior management team, taking full responsibility for actions and for keeping other team members fully informed at all times.

Full understanding of the performance of the services, with the ability to provide regular performance and operational reports for both internal and external distribution. The post holder will oversee and support the management of the Head of Service roles.

To work with teams to ensure appropriate, compliant rotas are in place to cover the services as required. To have an oversight of the staff scheduling platforms and ensure that applications are accepted in a timely manner.

Service Delivery and Improvement

Research and review national and local policies and assess local service delivery against these in collaboration with clinical leads - where necessary, develop and implement action plans to ensure service models meet recommendations and standards (e.g. National Service Frameworks, NICE guidance, Improving Outcomes Guidance etc.).

Implement patient pathways with clinical staff and colleagues, which deliver best practice and make progress towards achievement of access standards and any milestones required.

Operate as a champion for service modernisation and change for the clinical service lines, supporting staff development of improvement skills, sharing best practice, successes and learning across the organisation.

To facilitate the establishment and maintenance of strong relationships and communication throughout CSH operational services, promoting a culture where clinical and other staff are actively involved in decisions on how services are provided, and targets delivered.

Performance Management

Ensure, with Operational and Clinical Leadership, that duty rosters are effective, meeting skill mix clinical requirements and complying with headroom allocation to minimise the use of bank/ agency staff and overtime.

To be aware, and ensure appropriate internal cascade, of relevant national, local and internal policy and guidance such as NICE, Specialist Commissioning, procedures of limited clinical effectiveness.

Ensure that processes are followed for the revalidation of nursing and the appraisal/professional development of non-medical clinical staff. Ensure assurance reports are presented and actions are taken to ensure compliance.

Continuously promote professional practice upholding the Regulatory code of practice at all times, leading and assisting with investigations into poor practice or misconduct, including chairing of disciplinary meeting and hearings. Using advanced professional decision making to ensure the right decisions are made in line with the relevant council and organisational policies.

Risk Management and Governance

Work collaboratively with colleagues to ensure that effective governance arrangements and performance management systems are in place and ensure that the clinical service lines are managed within agreed NWSA Governance policies and procedures.

Work collaboratively with colleagues to ensure that all risks are identified and included as appropriate on the organisational risk register and are progressed appropriately to reduce the risk profile.

Ensure that root cause and trend analyses of all complaints and adverse incidents, SIs are undertaken, and that learning is shared across the business unit.

Work collaboratively with colleagues to address complaints and incidents in an appropriate and in line with organisational timeframes ensuring the learning from such events is embedded and that learning is achieved across the services.

Ensure that the cultural approach to risks and incidents is supportive, transparent and focussed on learning, applying the principles of candour and patient and relative involvement at all times.

Work collaboratively with clinical, operational and enabling colleagues, lead a culture which ensures that all medical, clinical and operational employees comply with Infection Control policies, the Code of Practice for HCAI and clinical guidelines.

To have oversight and engage with the patient safety agenda to reduce harms incurred by patients while under CSH care.

To monitor standards, programmes of audit and challenge under-performance against professional standards, best practice and targets. Agree remedial action, monitor and manage the delivery of that action and ensure corrective actions are completed where required.

Be accountable for ensuring that services comply with mandatory and regulatory standards and comply with local and commissioning requirements for information submission e.g. through National Databases.

Be a resource for Safeguarding Vulnerable Adults and Children. Assist with any safeguarding investigations.

Have a clear understanding of emergency and business continuity planning and activities, ensuring that all team members understand their role.

Workforce Management

Lead on the strategic development of the clinical workforce, ensuring the workforce plans reflect the ability to deliver new service models.

Annually review the nursing and AHP workforce plan with Services and Leadership, ensuring the staff establishments and profile is sufficient to meet the needs of the service and is safe and manageable within the financial resources available.

Analyse and use staff survey data to monitor and effect changes to support staff in their roles.

Ensure safer staffing is maintained in areas of responsibility, and that establishment reviews are carried out enabling the needs of the patients to be met safely.

To ensure appropriate methods are used to determine the staffing requirements at all times and to ensure managers are equipped with the knowledge, insight and support to manage their staffing resource in the most effective manner.

Work with clinical leads and HR to ensure recruitment and retention initiatives contribute to the development and delivery of the clinical workforce that is reflective of the CSH values and is patient focused, affordable and meets the needs of the organisation.

To support the development of leadership skills of the staff accountable to them and ensure that training and development needs are identified through regular training needs analyses and that those needs are carefully budgeted and executed in line with what the available resource.

Lead on the identification of training relevant to the service portfolio to ensure staff have the appropriate skills as well as ensuring compliance with mandatory training requirements, appraisal requirements and appropriate performance management arrangements.

Ensure all matters relating to capability, poor performance, grievance, disciplinary and sickness absence are managed proactively and effectively and in accordance with the relevant organisation policies.

Person Specification

Qualifications

Essential

• -Degree and/or equivalent highly developed specialist experience.
• -Advanced Clinical management experience
• -Postgraduate diploma in management or equivalent experience
• -Evidence of continuous professional development
• -Must be a registered professional e.g. NMC, GPhC, HCPC

Experience

Essential

• -Experience of managing a range of staff in a major service
• -Experience of working in the NHS or public sector experience.
• -Operational / service management experience
• -Project management experience
• -Experience of working in multidisciplinary teams
• -NHS Constitution

Desirable

• -Budgetary control
• -Experience of change management
• -Experience of working within an Emergency Department, Urgent Care
• or primary/secondary care setting
• -EMIS, Cerner or other primary care IT systems

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 (Opens in a new tab).

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 (Opens in a new tab).

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

CSH Surrey

Address

4th Floor, Dukes Court

Dukes Street

Woking

Surrey

GU21 5BH

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

The post holder is a member of the locality team and will be responsible for the assessment, planning, implementation and evaluation of individualised nursing care to patients living in a defined geographical location within the community. They are responsible for the delivery of care and for managing service provision in accordance with national and local priorities, organisation policies, procedures and guidelines and in accordance with the Nursing and Midwifery Council.

Principal duties to include:

The post holder is responsible in conjunction with the senior district nurse, for the day to day management of a team of skilled health care workers.

The post holder is responsible for the provision of health education for patients and carers so that optimum enablement and care can be delivered.

The post holder is responsible in conjunction with the senior district nurse for the education, support and development of staff including implementation of the appraisal and supervision processes.

The post holder will participate in conjunction with the senior management team in the strategic planning and development of services provided in the defined neighbourhood.

The post holder will participate in the training and mentorship of students during placements.

The post holder will be responsible for the effective utilisation of staff and non-pay resources including the use of scheduling and ordering systems.

The post holder will be required to travel throughout the locality according to the needs of the service.

Is the named nurse in conjunction with the senior district nurse for designated GP practices and attends GSF and MDT meetings

Undertakes full nursing assessments of patients, including those with multiple pathology and complex health and social needs

Responsible for agreeing the patients care plan, liaising with others and adapting the care and treatment delivered according to need and patient choice

Responsible for the monitoring of medication regimes, assessing effects and advising patients on the safe storage and disposal of drugs

Responsible for the correct use of aids and equipment supplied for patients and carers and for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained including equipment loaned to patients

Recognises own limitations in the provision of clinical care and urgency of patient's needs, referring to other health care professionals accordingly and is accountable for his/her own actions often without direct supervision

Maintains accurate and legible patient records in line with professional and organisational requirements this includes contemporary paper records and electronic patient record system

Accountable for making autonomous clinical decisions in planning and prioritising patient care for District Nurse caseload including referrals to other agencies and the admission / discharge from the service

Responsible for recognising the needs of the service, identifying risk and making rapid autonomous decisions, escalating to the senior district nurse and operational lead as required.

Triaging within the locality hub and promoting and embedding technology within the workplace

Operational line manager for district nursing team (Band 5 RNs / Band 4 APs / Band 3HCAs)

Effectively communicates with others involved in patient care at all times including weekends / out of hours, through the use of mobile phone, emails to enable a timely response to patients needs.

Maintains strong working relationships and communicates effectively with GPs, practice nurses, social services, acute / community hospital colleagues, borough council staff and the local voluntary sector

Responsible for completing all own mandatory training and for ensuring this is completed for all team members

Participates in own annual appraisal and undertakes continuing professional development, clinical supervision and peer review for self to maintain and develop knowledge and skills.

Supervising and appraising team members through annual appraisals, mid-year reviews and peer reviews within team

Responsible for receiving and facilitating clinical supervision and undertaking peer reviews within the team

Responsible for teaching, supervising and mentoring other members of the team and pre-registration students

Undertakes formal student assessments and participates in the maintenance of an effective learning environment

Participates in clinical audit and the implementation of changes to ways of working / clinical practice as a result of findings, recommendations and action plans

Actively participates in and contributes to meetings and working groups that inform the organisation and the nursing service / profession

Acts as a link nurse for defined area e.g. tissue viability, end of life, diabetes

Responsible for the ordering and stock management of dressings and other equipment

This job description is not exhaustive, and the post holder maybe required to undertake such other duties from time to time as are consistent with the responsibility of the grade.

This job description is subject to review and development from time to time in liaison with the post holder. As an employee of Central Surrey Health Ltd you will be required to adhere to all the organisations policies and procedures.

Person Specification

Qualifications

Essential

• Current 1st level registration (Registered Nurse)
• Degree in relevant health care (or working towards)
• Evidence of Continued Professional Development post registration
• Relevant specialist courses
• Clinical Assessor and Supervisor
• Clinical Supervisor

Desirable

• Educated to Degree / Master level
• Physical Assessment Module
• Nurse prescriber (DN V100)

Others

Essential

• Current driving licence and access to a car during the working day
• Flexible, Reliable, forward thinking and innovative
• Ability to work under pressure
• Committed to and passionate about District Nursing

Communication

Essential

• Excellent communication and interpersonal skills
• Effective written and verbal communication skills
• Good presentation skills e.g., teaching, cascading information
• Facilitating teams e.g., through daily handover and clinical supervision groups

Experience and Knowledge

Essential

• Broad range of clinical skills relevant to District Nursing
• Ability to Undertake full assessments of patients, including those with multiple pathology and complex health and social needs
• Mentoring / teaching / assessing experience
• Evidence of professional development
• Demonstrable evidence of service improvement / implementing local change
• Good knowledge of health and safety / risk management
• Clinical audit and why this is important
• Understanding of health care policy and how these impacts on District
• Nursing
• Computer literate and able to use Word, emails etc

Desirable

• Experience of staff management and appraisal
• Willingness to develop an area of specialist nursing
• Specialist knowledge of the role

Skills

Essential

• Planning / Organisational Skills: Leadership skills. Interpersonal skills both verbal and written. IT skills and timely data entry. Autonomous and team worker. Ability to prioritise. Presentation skills. Ability to assess, deliver, evaluate and benchmark quality care. Ability to work across a seven-day week. Ability to delegate nursing care and to prioritise visits in accordance with patient need and to organise workload without direct supervision.
• Physical Skills: Ability to travel effectively and efficiently within the locality and at times, across Surrey. Dexterity to enable clinical skills to be performed i.e., removal of sutures venepuncture IV Therapy. Ability to deal with conflict in a professional manner

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

CSH Surrey

Address

Goldsworth Park Health Centre

The Goldsworth Park Centre

Woking

Surrey

GU213LQ

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

Please refer to Job description for more information about the actual job description eg; duties and responsibilities,

Person Specification

Qualifications

Essential

• BSc/Diploma/Post graduate Diploma in Occupational Therapy
• Registered with Health Professions Council
• Varied post grad specialist training/courses
• Continuing Professional Development diary including evidence of reflective practice, training and clinical experience
• Practice Placement Educators training
• Member of Relevant Specialist Section
• Specialist knowledge of the full range of OT client groups

Experience

Essential

• Post qualification experience in a variety of rotations or settings including NHS in-patient work
• Clinical experience with a wide range of client groups including any of the following: rehabilitation, hospital, community, elderly, neurology, orthopaedics, medicine
• Experience of working with Therapy Assistants/Technical Instructors
• Experience of lone working and decision making
• Ability to balance management and clinical work
• Knowledge of audit and its use to improve interventions
• Use of clinical outcome measures and awareness of relevant ones for speciality

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

CSH Surrey

Address

Woking Community Hospital

Heathside Road

Woking

Surrey

GU22 7HS

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

Principal duties:

• Ensure that all incidents are dealt with in an efficient, polite, and confidential manner and/or passed onto the relevant colleague(s) for action.
• Prioritise and take responsibility for own workload and recognise and support colleagues who need training, guidance and assistance.
• Securely maintain the personnel records of the Quality & Clinical Governance team in accordance with the confidentiality policy and data protection act.
• Participate in the investigation of any internal or external incidents relating to CSH Surrey in line with the organisations PSIRF policy and plan.
• Provide, investigate and analyse complex statistical and audit information as requested by Quality & Clinical Governance team members.
• Undertake complex/confidential tasks to be delivered including liaising with multiple professionals in the planning and co-ordination of quality improvements projects; carrying out regular audits & analysis of the information and development of complex reports, documents, graphs, data collection/spreadsheets.
• Lead the development and implementation of a standardised process for filing reports and data maintenance ensuring data is stored appropriately and electronically where possible, to comply with the information governance policy.
• Lead the maintenance and development of the patient safety/PSIRF policy and plan pages of the website and on Blink.
• Maintain and monitor a log of incidents passed on to operational teams for investigations.
• Maintain a knowledge base of all services and their activities relating to quality improvement.
• Provide cover for administration tasks for Patient Experience Team and the Senior Administrator.
• Have a detailed knowledge of a specific range of services across CSH Surrey.
• Deputise for the Improvement and Safety Manager in their absence.
• Provide proactive administrative and coordination support to two Operational Leads, including diary and meeting coordination; preparation and circulation of papers; correspondence; action tracking; follow-up of agreed actions and maintenance of key records and work plans.

Person Specification

Qualifications

Essential

• Higher diploma with a good basic education to include Maths and English, plus evidence of administrative knowledge and skills equivalent to level of qualification

Desirable

• Willingness to train/ develop further skills.

Experience

Essential

• Knowledge of a range of policies and management procedures.
• This will require further on the job training and experience.

Experience

Essential

• Knowledge of a range of policies and management procedures.
• This will require further on the job training and experience.
• Proven experience of delivering a wide range of administration tasks to a high standard in a patient / service focused environment.
• Experience of using complex software packages/databases.
• Experience of data analysis- ability to interpret and summarise data effectively, producing reports, creating tables and graphs
• Knowledge of data protection legislation and information governance requirements
• Setting up and using IT data collection formats and databases to produce reports for management information.

Desirable

• Experience in using the Datix system.
• Experience in using the Central Alerting System
• Knowledge of business management procedures
• Involvement in audit and in setting up and monitoring projects/new developments and an understanding of quality issues
• Experience in understanding of service level agreements and key performance indicators and their correlation to business aims and objectives.

Qualifications

Essential

• Higher diploma with a good basic education to include Maths and English, plus evidence of administrative knowledge and skills equivalent to level of qualification

Desirable

• Willingness to train/ develop further skills.

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.

Employer details

Employer name

CSH Surrey

Address

4th Floor, Dukes Court

Dukes Street

Woking

Surrey

GU21 5BH

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

• To work as an autonomous practitioner, providing completed episodes of care to individuals.
• Work within agreed guidelines and protocols where they exist and having autonomous decision-making capacity in the absence of guidelines.
• Where applicable, prescribe within knowledge and skills, and in accordance with national and local guidelines.
• Work within scope of practice using specialist knowledge in relation to minor injuries and health problems, and drawing on relevant experience, to deliver quality patient care.
• Work in partnership with other health and social care providers.
• Provide service users with the opportunity to contribute to the ongoing development of the service.
• To undertake prioritisation of service users according to medical need.
• Interventions are timely and may include emergency and surgical invasive procedures, administration of emergency therapies, and urgent medications.
• To contribute to the ongoing development of clinical guidelines, reflecting best evidence-based practice.
• Referrals to both primary and secondary services are made in line with agreed guidelines and with clear, contemporaneous notes, which accurately reflect the consultation and reasons for referral.
• Supply and administer medications in accordance with legislation and organisational policies.
• To have a working knowledge of child protection, elder abuse, and domestic violence, and refer to services as necessary.
• Support Lead Nurse in undertaking regular appraisals, exploring opportunities to develop walk-in centre staff to maximise their performance.
• Managing performance of other team members reporting to Lead Nurse where appropriate.
• Ensure appropriate skill mix is allocated to each shift in order that the service needs are met efficiently and effectively, anticipating and addressing shortfalls which may need to be covered.
• Ensuring effective communication with patients offering informed choice. Recognising and addressing patients anxieties and behaviours when managing acute health problems.
• Maintaining effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the service.
• Caldicott Guardianship is effective. Consent and confidentiality are maintained in line with data protection and consent policies.
• Quality controls are performed by all staff. Risk assessments are performed and forwarded for action where appropriate.
• All team members are aware of health and safety for self and others and attend mandatory training. Due consideration is given to exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism.
• Medicines are managed safely within the unit in accordance with policy.
• Demonstrate awareness of own professional development and training needs in accordance with service needs.
• Promote and support the development and provision of work base learning to paramedic/ nursing students, health care assistants, apprentices, and other care providers.
• Maintain learning environment to support training for this group.
• Act as a supervisor for post registration nurses whose clinical placements are within the Walk in Centre.
• Continued professional development through reflective practice is integral to practice; clinical supervision is regularly undertaken.
• Comply with organisation medicines policy and non-medical prescribing guidance, as well as other relevant organisational policies and procedures, to ensure the safe, legal, and appropriate use of medicines.
• Ensure service is efficient by monitoring and exploring opportunities for savings.
• Undertake clinical audit to review practice and service, reporting results of audits.
• Explore opportunities in line with National Health plans to support effective health care for service users.

Person Specification

Experience

Essential

• Minimum 4 years post-registration experience in ED or UTC/walk-in centre.
• Proven track record in relation to research-based practice.
• Experience with audit.
• Experience of managing within a healthcare setting.
• Experience of staff management.
• Evidence of professional development.

Desirable

• Experience of multi-disciplinary working.

Qualifications

Essential

• Registered Nurse Level 1 or HCPC registered paramedic.
• Post-registration diploma or equivalent in advanced assessment skills for non-medical practitioners.
• Post-registration diploma or equivalent in managing minor injury for advanced practice.
• Post-registration diploma or equivalent in managing minor illness/health problems for advanced practice.
• ILS or willingness to undertake.
• Evidence of continuing professional development.

Desirable

• Non-medical prescriber.

Skills

Essential

• Organisational skills.
• Excellent communication and interpersonal skills.
• Broad range of excellent clinical skills.
• Ability to lead and manage a team.
• Ability to organise the workload, able to delegate and prioritise.
• Good knowledge of health and safety and risk management.
• Computer literate.
• Effective written and verbal skills.

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 (Opens in a new tab).

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 (Opens in a new tab).

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

CSH Surrey

Address

Ashford Urgent Treatment Centre

Ashford Hospital

London Road

ASHFORD

Middlesex

TW15 3FE

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

• To work as an autonomous practitioner, providing completed episodes of care to individuals.
• Work within agreed guidelines and protocols where they exist and having autonomous decision-making capacity in the absence of guidelines.
• Where applicable, prescribe within knowledge and skills, and in accordance with national and local guidelines.
• Work within scope of practice using specialist knowledge in relation to minor injuries and health problems, and drawing on relevant experience, to deliver quality patient care.
• Work in partnership with other health and social care providers.
• Provide service users with the opportunity to contribute to the ongoing development of the service.
• To undertake prioritisation of service users according to medical need.
• Interventions are timely and may include emergency and surgical invasive procedures, administration of emergency therapies, and urgent medications.
• To contribute to the ongoing development of clinical guidelines, reflecting best evidence-based practice.
• Referrals to both primary and secondary services are made in line with agreed guidelines and with clear, contemporaneous notes, which accurately reflect the consultation and reasons for referral.
• Supply and administer medications in accordance with legislation and organisational policies.
• To have a working knowledge of child protection, elder abuse, and domestic violence, and refer to services as necessary.
• Support Lead Nurse in undertaking regular appraisals, exploring opportunities to develop walk-in centre staff to maximise their performance.
• Managing performance of other team members reporting to Lead Nurse where appropriate.
• Ensure appropriate skill mix is allocated to each shift in order that the service needs are met efficiently and effectively, anticipating and addressing shortfalls which may need to be covered.
• Ensuring effective communication with patients offering informed choice. Recognising and addressing patients anxieties and behaviours when managing acute health problems.
• Maintaining effective communication with other team members ensuring all team members are kept involved and informed in the delivery and continued development of the service.
• Caldicott Guardianship is effective. Consent and confidentiality are maintained in line with data protection and consent policies.
• Quality controls are performed by all staff. Risk assessments are performed and forwarded for action where appropriate.
• All team members are aware of health and safety for self and others and attend mandatory training. Due consideration is given to exposure to bodily fluids. All health and safety incidents are managed accordingly through the appropriate reporting mechanism.
• Medicines are managed safely within the unit in accordance with policy.
• Demonstrate awareness of own professional development and training needs in accordance with service needs.
• Promote and support the development and provision of work base learning to paramedic/ nursing students, health care assistants, apprentices, and other care providers.
• Maintain learning environment to support training for this group.
• Act as a supervisor for post registration nurses whose clinical placements are within the Walk in Centre.
• Continued professional development through reflective practice is integral to practice; clinical supervision is regularly undertaken.
• Comply with organisation medicines policy and non-medical prescribing guidance, as well as other relevant organisational policies and procedures, to ensure the safe, legal, and appropriate use of medicines.
• Ensure service is efficient by monitoring and exploring opportunities for savings.
• Undertake clinical audit to review practice and service, reporting results of audits.
• Explore opportunities in line with National Health plans to support effective health care for service users.

Please see the attached job description and specification for the full details.

Person Specification

Qualifications

Essential

• Registered Nurse Level 1 or HCPC registered paramedic.
• Post-registration diploma or equivalent in advanced assessment skills for non-medical practitioners.
• Post-registration diploma or equivalent in managing minor injury for advanced practice.
• Post-registration diploma or equivalent in managing minor illness/health problems for advanced practice.
• ILS or willingness to undertake.
• Evidence of continuing professional development.

Desirable

• Non-medical prescriber.

Experience

Essential

• Minimum 4 years post-registration experience in ED or UTC/walk-in centre.
• Proven track record in relation to research-based practice.
• Experience with audit.
• Experience of managing within a healthcare setting.
• Experience of staff management.
• Evidence of professional development.

Desirable

• Experience of multi-disciplinary working.

Skills

Essential

• Organisational skills.
• Excellent communication and interpersonal skills.
• Broad range of excellent clinical skills.
• Ability to lead and manage a team.
• Ability to organise the workload, able to delegate and prioritise.
• Good knowledge of health and safety and risk management.
• Computer literate.
• Effective written and verbal skills.

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 (Opens in a new tab).

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 (Opens in a new tab).

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

CSH Surrey

Address

Ashford Urgent Treatment Centre

Ashford Hospital

London Road

ASHFORD

Middlesex

TW15 3FE

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

Purpose:

1. To undertake comprehensive physiotherapeutic assessments and to plan and execute treatment of patients with chronic respiratory problems in outpatient, clinic and community settings. These patients may have complex needs, both physical and emotional, including co-morbidities and may be at any stage of the disease process, including end stage.

2.The Band 6 Respiratory Physiotherapist supports the Pulmonary Rehabilitation Lead within the locality area to plan, co-ordinate, deliver and evaluate a high quality, evidence based Pulmonary Rehabilitation and respiratory physiotherapy service for respiratory patients in North West Surrey.

3. To have responsibility for providing pulmonary rehabilitation sessions, both face to face and virtually for patients with respiratory conditions across NW Surrey.

4. To contribute to the overall planning, strategic development, and evaluation of the Pulmonary Rehabilitation Service in conjunction with other clinical staff.

5. To take an active role in the supervision and teaching of physiotherapists, nurses and other members of the multidisciplinary team regarding respiratory problems across the organisation.

6. To be responsible as an autonomous practitioner to undertake a significant specialist clinical workload.

7. To be an active member of the respiratory care team, including participation in supporting unplanned admission avoidance where appropriate, providing post discharge support, community clinics, home visits and Ambulatory Oxygen clinics.

8.To contribute, once able, to the provision of an effective high quality Home Non-invasive Ventilation service

9.To participate actively in evaluating the quality and effectiveness of care delivered and make recommendations for changes.

10.To undertake evidence based projects, including recommendations for change in practice and to lead where appropriate in departmental evaluation/research.

Primary duties and areas of responsibility:

• To deliver autonomous evidence-based patient care, achievable through direct patient contact
• To communicate effectively with all disciplines involved in a patients care both those within the organisation and those outside to ensure effective multidisciplinary working
• To be able to communicate complex and sensitive information to patients, carers and other staff including imparting unwelcome news relating to their rehabilitation potential
• To use persuasive and influencing skills to encourage patients to self-manage their conditions
• To be able to carry out spirometry and interpret spirometry results
• To work in conjunction with the multidisciplinary team across both primary and secondary care
• To be responsible for assessing patients respiratory needs referring them to other health care professionals as appropriate
• Provide autonomous advice and treatment recommendations with regards to patients specific respiratory and education needs in order to improve health outcomes.
• Promote health through empowering patients, offering appropriate health education, information and advice.

To keep accurate, electronic and written documentation, care plans and reports

• To support the management of COPD exacerbations and other chronic respiratory conditions and support the discharge process from secondary care.
• To involve, support and educate patients and, as appropriate, their family and/or carers
• To treat all patients as individuals, respecting their privacy and dignity at all times
• To promote health and wellbeing to the patient and their family/carers
• To have an awareness of current national standards and guidelines relevant to Respiratory Disease and improve practice and health outcomes where appropriate.

Clinical Leadership:

• To maintain, develop and monitor standards of evidence based care
• To maintain own professional standards and clinical integrity in line with Professional Body guidelines
• Promote effective communication and relationships within the team
• Partakes in clinical supervision for own development and maintains a record of own personal development
• Actively participates in clinical team meetings
• Undergo all mandatory training in line with role requirements

Research and development:

• Contribute to team audit as required
• Works with colleagues in the team on the development of current and new services

Other:

• To develop and maintain effective communication and liaison systems across the whole local health economy
• To maintain data entry requirements and other records
• To maintain clear and comprehensive patient records as per policies
• To be aware of and act upon when necessary, procedures that are in place to protect vulnerable individuals
• To be aware of and work within all local policies and guidelines
• To undertake any other such duties which may be required from time to time as are consistent with the post
• Co-owners are employed to work within CSH localities and may be reasonably requested to move base temporarily or on a more permanent basis to meet service needs

Person Specification

Skills and Knowledge

Essential

• Ability to assess, deliver and evaluate high quality care
• Effective communicator
• Teaching skills
• Leadership skills
• IT and data entry skills
• Ability to work both autonomously and as part of a team
• Ability to prioritise and organize own work effectively
• Ability to develop new skills that are appropriate to the role
• Ability to work under pressure

Desirable

• Presentation skills
• Experience of clinical supervision and appraisal

Qualifications

Essential

• Diploma/degree leading to inclusion on the Health Professional Council Physiotherapy Register
• Evidence of continued professional development, with courses relevant to respiratory care

Experience

Essential

• Minimum of 2 years relevant post-registration experience
• Experience of working in respiratory ward or team
• Understanding of the issues currently affecting the NHS
• Understanding of risk management
• Knowledge of the clinical governance agenda
• Research and clinical audit experience
• Teaching experience
• Experience and evidence of ability to work within a multidisciplinary team

Desirable

• Specialist respiratory knowledge
• Experience of working in the community

Other

Essential

• Flexible
• Reliable
• Adapt positively to change
• Car driver with a valid license to drive in the UK with access to transport to be used for business purposes

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

CSH Surrey

Address

Walton Community Hospital

Rodney Road

Walton on Thames

KT12 3LD

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

An experienced and motivated Podiatrist providing high-quality assessment, diagnosis, treatment and management of a wide range of foot and lower limb conditions within community and multidisciplinary settings, including domiciliary working. Responsible for managing a complex caseload, including patients with high-risk foot complications, diabetes, musculoskeletal conditions, vascular disease and nail surgery.

Key responsibilities include:

• Delivering evidence-based podiatry assessment, treatment and rehabilitation plans.
• Managing patients with complex clinical needs and identifying those requiring urgent intervention or referral.
• Undertaking routine and specialist podiatry procedures, including nail surgery where appropriate.
• Working autonomously while contributing effectively within multidisciplinary teams.
• Providing education and self-management advice to patients, carers and healthcare professionals.
• Maintaining accurate clinical records and ensuring compliance with professional, clinical governance and safeguarding standards.
• Participating in service development, audit, quality improvement and evidence-based practice initiatives.
• Supporting student placements, junior staff development and clinical supervision (particularly at Band 7 level).
• Contributing to risk management, infection prevention and health and safety requirements.

Band 6 focus: Independent management of a varied caseload, development of specialist clinical skills, participation in multidisciplinary working, and support of students and assistants.

Band 7 focus: Advanced clinical decision-making, management of highly complex patients, leadership within the podiatry service, supervision of staff, service development, audit, training, and contribution to strategic objectives.

The successful candidate will be HCPC-registered, demonstrate excellent communication and organisational skills, and be committed to delivering patient-centred care that improves outcomes and promotes independence.

See both descriptions for Band 6 and Band 7 roles attached.

Person Specification

Qualifications

Essential

• HCPC Registered Podiatrist
• BSc/MSc (pre reg) or equivalent
• Local Anaesthetic Certificate
• Car Driver (Full Licence)
• Post graduate education / CPD

Desirable

• Member of Royal College of Podiatry
• Evidence of relevant post graduate training/qualifications
• IRMER Certificate
• Specialist Clinical Experience
• Involvement in training and teaching

Experience

Essential

• Broad Spectrum of Clinical experience
• In-depth clinical knowledge and practical skills
• Evidence of consolidation of core podiatry competencies
• Experience in provision of high risk assessments, treatment planning and delivery minor surgery.
• Excellent communication skills
• Experience supporting/supervising junior staff/students
• Awareness of current NHS plan and policies
• Awareness of health and safety
• Appreciation of good record keeping

Desirable

• Experience of working in an MDT
• Experience of leading nail surgery sessions
• Experience in MSK clinics
• Experience managing domiciliary caseload
• Experience of audit/involvement in quality improvement project
• Experience of Research
• Experience of deputising for senior clinicians

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

CSH Surrey

Address

Podiatry CSH Surrey - Across NW Surrey

Woking Community Hospital

Heathside Rd

Woking

Surrey

GU22 7HS

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)

Job description

Job responsibilities

Purpose

Responsible for the delivery of care and for managing service provision in accordance with national and local priorities, organisation policies, procedures and guidelines and in accordance with the Nursing and Midwifery Council.

Principal duties to include:

This list is intended to summarise the key responsibilities and is not intended to cover every task that may be required of the role: -

• To assist in providing nursing care as delegated by the District Nurse within patients homes.
• To maintain knowledge, skills and attitudes necessary to deliver a quality service that is responsive to the changing needs of patients.
• To provide clerical and administrative support to the team as delegated by the District Nurse / Team Leader
• To deliver care in accordance with Organisation Policies, procedures and guidelines, according to competencies, as delegated by the District Nurse.
• To report any changes in condition of the patient to the District Nurse / Team Leader or in their absence the designated nurse in charge of the caseload.
• To respect confidential information obtained in the course of work and refrain from disclosing such information to anyone other than professional staff directly concerned with the patients care or other authorised person.
• To document accurate and concise information on all care given to patients in the community health records.
• To be aware of the Data Protection Act and follow local codes of practice to ensure appropriate action is taken to safeguard confidential information.
• To assist with continence re-assessments, following agreed training in competencies, reporting to the nurse in charge any changes in care packages required.
• To carry out phlebotomy in clinical settings and patients own homes following training in accordance with Organisation Policy.
• Assist the RN in the technical aspects of nursing care e.g Dressings, glucose monitoring etc. following a period of training and when deemed competent to do so.
• To implement evidence-based nursing care, within the patients home.
• To participate in nurse led clinics, when delegated.
• To carry out administrative and clerical duties as delegated by the District Nurse / Team Leader.
• To have the ability to work unsupervised, planning and organising tasks and home visits as delegated by the nurse in charge.
• To record activity data accurately, ensuring that the deadline for entry on to the computer system is met.
• To take part in surveys and audits as required.
• To attend and actively participate in staff and multi-disciplinary locality meetings.
• To participate in the orientation and induction of new members of staff and students.
• To participate in appraisal and personal development plans to identify and agree training needs.
• To participate in training as appropriate to personal and team skills development.
• To participate in clinical supervision.
• To promote the safety and wellbeing of patients, staff and other persons at all times, and assist in ensuring a safe working environment.
• To be responsible for the ordering of stock, checking of equipment and any other reasonable duties as delegated by the District Nurse / Team Leader.
• To be aware of budgetary issues and the needs for effective use of resources
• To ensure that all complaints, untoward incidents, accidents and areas of clinical risk are identified and reported in accordance with Organisation policies and procedures.
• The post holder must meet the daily workload requirements of the community nursing service within the Organisation.
• To maintain knowledge and comply with the Organisations corporate and local policies and procedures and in particular the Organisational policies on equal opportunities, the consumption of alcohol and non-smoking.
• To undertake such other duties as may be required from time to time and are consistent with the responsibilities of the role.

Person Specification

Experience

Essential

• Interest in working in community nursing
• Able to cope with occasional exposure to distressing or emotional circumstances; frequent care of the terminally ill/ chronically sick or disabled patients

Desirable

• Previous community experience
• Knowledge of community practice to include venepuncture, monitoring blood glucose, care of catheters, stoma and simple wounds

Communication

Essential

• Effective written and verbal communication and interpersonal skills

Qualifications

Essential

• Desire to work within healthcare in a community setting

Desirable

• Experience in a healthcare setting
• NVQ level 2 (care)

Skills

Essential

• Standard keyboarding skills
• Ability to work as an effective team member
• Ability to work on own initiative
• Willingness to undertake training as appropriate to the post

Other

Essential

• Ability to travel across bases and patients homes
• Flexible and adaptable
• Current driving licence and access to a car during the working day.

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.

Employer details

Employer name

CSH Surrey

Address

CSH

Goldsworth Park Health Centre

Denton Way

Woking

GU213LQ

United Kingdom

Employer's website

https://www.cshsurrey.co.uk/about-us/about-csh-surrey (Opens in a new tab)