KCVD Community Cardiac Rehabilitation Nurse

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging, both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Heart and lung disease continue to be amongst the biggest killers in the UK and the communities we serve are marked by increased prevalence of cardiovascular disease, higher levels of heart failure, hypertension, coronary artery disease and an ageing population.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and facilitated by technology. New and upgraded clinical areas are designed with patients and families fully involved to deliver their needs.

As part of our long term plan, we aim to form strong clinical and organisational relationships where possible. There is clear evidence that partnerships improve patient care and enhance quality and we aim to collaborate with a range of other providers and professionals with the aim to extending access and improve quality.

Our vision is underpinned by five strategic goals:

• Quality: to deliver the highest quality, safest and best experience for patients and their families by providing reliable care
• Service and Innovation: to develop our service portfolio for patients by developing innovative models of care
• Value: to maintain financial viability, enhance service delivery and develop new models of care to improve the health of our patients and safely reduce costs
• Workforce: to be the best NHS Employer by 2019 by attracting and retaining the best staff to deliver excellent patient care
• Stakeholders: to develop productive relationships with key stakeholders in order to enhance our profile and reputation.

Our Mission

“Excellent, Compassionate and Safe care for every patient, every day”

Job overview

To work as an integral part of the Knowsley Community CVD Service in the development, coordination and delivery of a comprehensive programme of Cardiovascular Rehabilitation. The programme will be delivered to the Residents of the Borough of Knowsley in a variety of Community settings, with specific emphasis on the delivery of a comprehensive menu based programme of cardiovascular rehabilitation.

The post holder will contribute to the management, planning and education of cardiovascular patient’s complex health and well-being needs in line with the Patients Vision.

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Maintain and utilise advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. Contribute to the management, planning and evaluation of the CVD patients with complex clinical and social needs.

Registered practitioners who are non medical prescribers are accountable for their prescribing activities by ensuring they are aware of their Professional accountability and any restrictions or special considerations in their prescribing practice. To note they act as a Prescriber within the whole clinical team involved. To be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act 1971.

Plan towards the delivery of high quality CVD rehabilitation programme working with the Community CVD MDT and multi-disciplinary agencies.

According to patients needs, review patients on home visits or in clinic to provide appropriate levels of follow up care post discharge.

Address psychosocial-economic needs of both patients and carers and refer onto other agencies as appropriate.

Working for our organisation

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

Please visit our website - https://www.lhch.nhs.uk/

Please follow this link for a tour of our site - https://bit.ly/36ylsoq

Detailed job description and main responsibilities

Cardiovascular Rehabilitation Programme:

1. 1. To undertake patients reviews in the home or clinic area and offer ongoing support in health promotion and healthy lifestyle choices.
   2. to be involved, and take an active role in all aspects of service delivery – including the operational aspects of organising the programme.

a) clinical evaluation, exercise, and education/relaxation sessions

b) Have a good understanding of monitoring and prescribing a menu based approach based upon sound evidence and best practice guidelines and supporting the patient to reach their goals.

c) Ensure that all patients progress through the relevant stages of the programme at the correct time and that appropriate information and advice is given at each stage

d) Ensure that all patients accessing the menu based approach for cardiac rehabilitation are offered appropriate care via an exit strategy for promotion of continued lifestyle change within their local community

e) To be responsible for contacting patients to arrange bookings, correspondence and dealing with cancellations/rebooking

f) Assess individuals physical, psychological and emotional needs prior to commencing the rehabilitation programme.

3. MANAGEMENT RESPONSIBILITY

To demonstrate leadership by means of:

• Effecting change within own sphere of practice when and where indicated
• Making recommendations to improve services Influencing, motivating, supporting and enabling others to contribute towards the effectiveness and success of NHS Knowsley

Ensuring that all patients progress through the relevant stages of the programme at the correct time, and that appropriate information and advice is provided at each stage To actively participate in Local and National Cardiovascular networks. To act as patient advocate and ensuring effective partnership work within the multi-disciplinary team. To contribute to the commissioned service to deliver to high quality Service in line with the QIPP agenda To ensure Key performance indicators of the service are met via service delivery and data recording

4. EDUCATION AND TRAINING

To assist in the development of care pathways in relation to H/R.

Contributing to the implementation and supervision of planned student placements.

Assisting in the delivery of in-service training programmes for CVD rehabilitation.

Maintaining sound knowledge and understanding of issues relating to the prevention, treatment and rehabilitation of CVD.

Demonstrate critical thinking and reflective skills to ensure own professional development in line with PREP.

Participate fully in the clinical supervision sessions arranged by the team leader and clinical supervisor.

5. PROFESSIONAL RESPONSIBILITIES

Qualified Nurses are required to evidence maintenance of their registration with the Nursing and Midwifery Council (NMC) and work to the NMC Code of Professional Conduct.

To participate in research and clinical audit for the nurse led heart failure and cardiac rehabilitation service.

To liaise with all members of the multi disciplinary team relating to patient care and treatment plans.

Responding to requests for advice and information from the public and other health professionals.

This job description is not exhaustive, additional duties may be requested in line with the post holders knowledge, skills and competencies and the requirements of a developing service.

To establish, maintain and develop professional working relationships with colleagues

Follow all agreed Quality Assurance Mechanisms in operation and contribute generally to the establishment and development of a quality service.

Adhering to Liverpool Heart & Chest Hospital NHS Foundation Trust policies and procedures including standing financial instructions and orders.

Participate in the Trust’s Development Review Appraisal process and, with line management, objectives and development plans. All staff are entitled to participate in the Review Process and, with their manager, are jointly responsible for the completion of agreed actions.

The Trust is keen to ensure the health and safety of patients, staff and visitors. All staff are responsible for complying with the Health and Safety at Work Act 1974 and ensuring no-one is affected by individual acts or omissions.

The Trust aims to be a place in which people can work and study free from discrimination. All staff, patients and visitors are required to comply with the Trust’s Equal Opportunities Policy.

To be aware of, and responsible to, the changing nature of the Trust and adopt a flexible and pro-active approach to work

To personally contribute to the Liverpool Heart & Chests Hospital’s health promotion strategies both internally and externally.

All Liverpool Heart & Chest Staff are required to be familiar with the arrangements for safeguarding children, young people and vulnerable adults and support the organisation in promoting the welfare of children, young people and vulnerable adults.

Staff who come into contact with children, vulnerable adults, parents and carers in the course of their work and/or have access to records will have responsibilities to safeguard and promote the welfare of children, young people and vulnerable adults.

Staff who come into contact in the course of their duties, with parents, carers or other significant adults or children, young people and vulnerable adults should always be mindful of safeguarding and promotion of the welfare of these individuals and have a responsibility to ensure safeguarding and promoting their welfare forms an integral part of their duties.

Staff will be trained to a level appropriate to their responsibilities in this respect in line with the current KSF post outline and the ongoing PDR process.

All employees have a personal contribution to reducing healthcare-associated infections(HCAIs). Staff must be compliant with all measures known to be effective in reducing HCAIs and be familiar with the Trust’s Infection Control Policies. All staff are required to attend a mandatory training session on infection prevention and control and be updated according to their area of employment.

Infection Prevention and Control is everyone’s responsibility. All staff, both clinical and non clinical, are required to adhere to the Trusts’ Infection Prevention and Control Policies and make every effort to maintain high standards of infection prevention and control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA and Clostridium Difficile in accordance with the Hygiene Code - Code of Practice for the Prevention and Control of Healthcare Associated Infections (DH 2008).

We reserve the right to close this vacancy early. Therefore, interested applicants are advised to apply as early as possible.

Please review the job description and person specification carefully before applying to ensure that you meet the essential requirements for the post.

All applicants will be contacted and informed by email whether they were successfully shortlisted for interview.

As part of you pre-employment checks we will be required to obtain satisfactory references. We require at least one written reference from your current or most recent employer. We are only able to accept references from a professional work email address.

Employers are expected to implement the Care Certificate for all applicable new starters from April 2015. The Care Certificate aims to equip health and social care support workers with the knowledge and skills which they need to provide safe, compassionate care. We expect all new starters in clinical, patient facing posts (bands 1-4) to complete all 15 standards of the Care Certificate, within their first 6 months with the Trust.

Flexible Working applications will be considered in line the Trusts flexible working policies.

The Trust is a no-smoking site.

We reserve the right to close adverts earlier than the closing date should we receive sufficient applications and so urge you to submit your application as soon as possible.

Please note UKVI guidelines prohibits sponsorship for all Band 2 and 3 posts. Guidelines state that many other posts are also not eligible for sponsorship. Please use UKVI guidance on Skilled Worker Visas to determine whether you would be eligible for sponsorship if you were to gain a conditional offer for this role.

https://www.gov.uk/skilled-worker-visa/your-job 

If you are a Skilled Worker/ Health and Care visa applicant and you are coming to work in an occupation defined by the relevant Standard Occupational Classification (SOC) code, you will be required to provide a criminal record certificate from any country you have lived in for 12 months or more in the last 10 years, this is also applicable for your adult dependants.