Medical Secretary - Lancashire, United Kingdom - East Lancashire Hospitals NHS Trust

Description

Job overview

This is an exciting and new opportunity for two Clinical Specialist Occupational Therapists to lead the way in a collaboration between Pendle West Primary Care Network (PCN) and ELHT Community Rehab. You will help to shape and integrate these new roles within primary care. Pendle West PCN covers all practices in Nelson and Brierfield and you will work alongside practice staff and other members of the PCN team including Paramedic, Pharmacists, Social Prescribers, Health and Wellbeing Coaches, Mental Health Practitioners and the Complex Care Team.

You will be based at Yarnspinners and will carry a clinical caseload across the Pendle West practices. You will have community experience with a variety of community caseload including older adults with a wide range of conditions. As part of the MDT you will clinically support and advise the team.

Main duties of the job

Working within the multidisciplinary teams, act as the clinical lead for the designated service area providing a high level of clinical expertise with regard to highly specialist assessment skills and interactions within a defined patient group.

Provide clinical leadership and intervention to a designated service area/pathway in the delivery of a highly effective, safe and personal service, ensuring the needs of individual patients/carers as described by agreed goals/outcome measures and within defined clinical pathways.

An active member of the leadership structure, the postholder will contribute toward the strategic operational and clinical development of the service.

Provide teaching and highly specialist support in the management of complex conditions, educating other healthcare professionals and wider stakeholders.

There is a requirement to be flexible to work across core hours Monday – Friday and there may also be a requirement to work in enhanced access.

Working for our organisation

At East Lancashire Hospitals Trust, our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 7,000 staff, many of whom are internationally renowned and have won awards for their work.

Detailed job description and main responsibilities

Be responsible for providing clinical care to a defined caseload of patients that require highly specialised assessment, planning and intervention skills.

Undertake a comprehensive assessment at a highly specialist level with patients on a designated caseload. This may involve the selection and application of standardised and non-standardised assessment, treatment planning and intervention.

Undertake the comprehensive assessment of patients, including those with highly complex presentations, using investigative and analytical skills. Formulate individualised management and treatment plans, where appropriate, including effective discharge planning and onward referral.

Assess capacity of patients in order to gain valid informed consent for intervention and work within organisational policy with patients who lack capacity.

Formulate goals in partnership with the patient, clearly communicating your clinical reasoning, in order to justify your recommendations and utilising most appropriate treatment/intervention for the patients' needs.

Implement a variety of evidence based interventions to a highly specialist level according to the needs of the individual patient.

valuate and modify the treatment programme as appropriate.

Advise, support and educate patients, carers and other professionals in the self-management of patient's condition.

Initiate and organise case reviews involving multi-disciplinary and multi-agency staff. The post holder may be required to take the key worker/care co-ordinator role, where appropriate.

Develop, maintain and demonstrate highly specialist skills relating to clinical area which are underpinned by theory, research and practical experience.

Undertake risk assessment and manage and document risk. Advise senior and junior staff in appropriate therapeutic management of patients in relation to risk.

Work as an autonomous practitioner in a variety of settings (clinic, patient's own home, school, care home, hospital, etc.) where there is a requirement to make decisions spontaneously.

To manage individual patient care in area of highly specialist Occupational therapy

Responsible for the delivery of a comprehensive Safe, Personal & Effective Service for designated area, based on evidence based practice which drives high quality, effectiveness and efficiency.

Responsible for the effective case-load management of a complex case-load individually and within team and allocation of work to senior and junior staff, support staff and students. This will require an overview and re-allocation of work-load on a daily basis due to changing priorities, in order to support delivery of key quality and performance targets.

Lead on the development of a clinical network within designated clinical area/pathway supporting delivery of best practice and relevant clinical guidelines.

Support the development of a continuous improvement culture through actively adopting the Trust's Practice Improvement Methodology and working alongside the Directorate practice improvement coaches and Service Improvement Facilitator in the redesign of clinical care pathways.

Work across agencies and have a working knowledge and understanding of the systems within Health, Housing, Social Services and Education in order to facilitate the recommendation of clinical treatment approach, equipment, access, and adaptation issues.

Provide clinical guidance to members of the team and other staff with complex cases.

Provide comprehensive clinical reports clearly outlining clinical reasoning and recommendations, including highly complex case management.

Assist the service in involving service users, their carers and family in service improvements and delivery of high quality care.. Lead on specific improvement projects as appropriate.

Responsible for the clinical supervision of junior staff and assistant staff to ensure there is effective assessment, care planning and review of agreed goals/outcomes.

Take responsibility for student learning as required.

Involvement in research/audit activity as required.

Contribute to the development and delivery of the Directorate Business Development and Transformation Plan, leading on clinical improvement projects as appropriate.

Manage departmental issues for staff within the designated service area, including workload management, holidays, sickness and performance.

Responsible for staff supervision, including compliance for appraisals and associated personal development plans.

Responsible for the management of HR of delegated staff including sickness reviews, return to work and maternity leaves.

Responsible for ensuring the effective cascade of information between organisational and service management and the clinical team.

Understand and demonstrate a working knowledge of national guidelines and legislation relating to Health and Social Care relevant to designated service area.

Record patient contact statistics and other relevant data as required for the monitoring of patient care and clinical service outcomes.

Actively involved in the day to day coordination of the service and allocation of resources.

Maintain treatment areas and equipment used to an appropriate standard in accordance with health and safety, infection control and other relevant guidance.

Provide management and supervision to senior and junior members of the team including assistant staff.

Responsible for organising the induction and training of new staff members and maintain human resource records on all team members.

Responsible for departmental staffing issues i.e. annual leave, sickness, training, staffing levels, etc.

Participate in and support the Operational and Clinical Service Leads in implementing disciplinary and grievance procedures in accordance with organisational policies.

Maintenance of departmental records, statistics and data collection/monitoring processes.

Lead on the recruitment and selection of staff

Use of a range of techniques to overcome barriers to communication.

Adapt your own communication style and utilise advanced communication skills appropriate to the patient in order to foster an effective therapeutic relationship.

Deal with challenging situations including verbal aggression/distress from patients, carers and relatives.

Manage difficult conversations with staff in relation to HR.

Advise, instruct and educate patients, carers and other professionals regarding the occupational therapy process.

Provide clear information (verbal and written) regarding intervention in a variety of settings.

Ensure that up to date written and electronic records and activity data are maintained in accordance with professional standards and organisational guidance.

Have effective IT skills including use of the Internet, E-mail and any special programmes used in the service.

Ensure that resources are available to meet the differing communication needs of the population.

Initiate, plan, organise and chair meetings which have clear purpose and outcomes such as staff meetings, clinical meetings, case conferences and multi-disciplinary meetings.

Represent the designated service in a professional manner.

Communicate complex/sensitive information from the operational service lead/clinical and operational service leads to staff in designated team.

Provide assurance around mandatory training for the designated team by monitoring and authorising study leave in line with Trust policy.

Responsible for training of other health care professionals and students as appropriate.

Complete required mandatory training.

Responsible for your own continuing professional development including maintaining your own development portfolio and assisting others in the development of theirs.

Participate in your own annual development review and supervision, undertaking post registration training related to area of work as required.

Participate in and undertake as necessary annual/preceptorship development reviews and appraisals of senior and junior staff members in accordance with organisational guidance.

Undertake the management and supervision of clinical staff and support staff as required, as outlined in guidance, acting in the initial stage in the disciplinary process if required.

Provide training to colleagues, multi-disciplinary team and other agencies as required.

Keep up to date with relevant legislation and current issues in your area of work in areas such as Health, Housing, Social Services, and Education.

Comply with the professional and clinical policies and procedures of ELHT and partner organisations.

Deliver a service with a sound evidence base in line with clinical and professional guidance, the designated model of service delivery for the designated area.

Person specification

Qualifications

Essential criteria

• BSc/Diploma or MSc in relevant profession
• Health & Care Professions Council registration – HCPC
• Membership of the relevant professional body
• Evidence of CPD maintained in a portfolio, including attendance at recent postgraduate courses relevant to the clinical service area
• Portfolio evidence of information learning
• Evidence of management and/or leadership development
• Quality Improvement/Practice Improvement training or equivalent experience

Desirable criteria

• Involvement in Special Clinical Interest Group
• Evidence of working at MSc Level

Experience

Essential criteria

• Significant post graduate experience, including experience in a relevant specialist role
• Demonstrate expertise in the management of highly complex patients within specialist clinical area
• Experience of working as part of a multidisciplinary team
• Experience of leading service and quality improvement projects
• Student or assistant supervision
• Contribution to clinical education of junior staff, students and assistants
• Clinical supervision, including formal appraisal and objective setting
• Experience of management change
• Experience of highly specialist practice including: Palliative Care

Desirable criteria

• Experience of guidance, practice and protocol development and implementation

Skills/Knowledge/Aptitude

Essential criteria

• Remain updated with professional practice and new research
• Understand the legal responsibilities of the profession
• Able to present information, written and orally, in a clear and logical manner
• Ability to organise, prioritise and delegate
• Understanding of clinical governance and its implications for services, including experience of quality issues, risks and audit
• Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of the patients
• Ability to keep accurate and legible patient notes and record data compliant with Trust and Directorate policies and protocols
• Able to carry out moderate to intense physical effort throughout the working day and carry out concurrent activities
• Ability to cope working in a stressful environment and with emotional or aggressive patients and carers
• Use initiative and manage work -load
• Advanced knowledge of assessment and clinical interventions relevant to service area
• Highly developed inter -personal skills
• Highly developed negotiation and problem solving skills
• Excellent analytical and problem solving skills
• In depth knowledge of national policy, clinical practice standards and guidelines relevant to service area
• Awareness of local and national NHS/Social Care agenda and its relevance to service area
• Knowledge of confidentiality and information governance

Desirable criteria

• Competent IT skills, ability to effectively manage data and performance systems
• Presentation skills
• Evidence of participation in research/audit
• Supervision and training of other staff eg. Assistants, Technical Instructors
• Committee membership eg. Safety Committee

Personal Qualities

Essential criteria

• Able to work as a member of the multidisciplinary team and wider system partners
• Flexible, adaptive and creative
• Innovative and positive approach to continuous improvement
• Compassionate leadership
• Ability to respond to unpredictable work patterns and frequent interruptions