Job summary
Would you like to join our Ear, Nose and Throat service delivered in the community?
We offer flexible working in a purpose built environment and are open 7 days per week, 8am-8pm.
The post is offered on a Professional Services Agreement and sessions and hours are negotiable.
Main duties of the job
Thepost holder will work under the guidance and supervision of the Consultantproviding face to face consultations, in one of our community based clinics provide pre-booked appointments for patientsreferred to the service.
You will work both autonomously, and as part of a team, to deliverevidence based care to this patient group and be proactive and innovative inexploring new ways of delivering care.
A range of ENT conditions will be seen in the clinicsincludes, but are not limited to, Otitis Externa, Otalgia, BPPV, Nasalobstruction, Tympanic Membrane Perforation, Epistaxis. The post holder must becompetent in performing Nasal Endoscopy.
About us
This is a Consultant-led service and the team comprises of Consultants, GP's with Enhanced Roles, Senior Registrars, Nurse Practitioners, Audiologists and Health Care Assistants.
The team is supported by our community coordinators and reception staff in a relaxed environment
Job description
Job responsibilities
Main Responsibilities:
To use evidence-based practice to develop, deliver and maintain high quality, clinically effective and cost effective primary care service
To provide a comprehensive service to the patients attending the clinic including clinical examination, investigations as needed, diagnosis and management, and referral as appropriate
1. To ensure patients have consented to, and are fully involved in the implementation of their procedure / treatment plans
2. Interpretation of results where requested for individuals
3. If a prescription is needed, this must be in line with the NHS England and local Trust prescribing guidelines
4. Will work to agreed prescribing budgets and referral pathways
5. To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
6. Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
7. Liaise with other team members as appropriate
8. To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure
9. To be personally accountable for professional and ethical actions and practices within a framework that adheres to the GMCs requirements and Harrow Health policies and procedures
Service delivery responsibilities:
10. To ensure that patient records and documentation are maintained in line with Harrow Health policies and use of the electronic patient records system. This includes:
o Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.
o Encouraging colleagues to maintain good and complete records.
Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate
Work within local policies, protocols and guidelines Harrow Health CIC and local trust guidelines
Ensure Safeguarding Adults and Children is considered, and policies and procedures are followed when concerns are raised
To participate in audits if requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.
To collect data, and provide service information to the Team Leader as required.
To ensure that the Clinical Manager / Team Leader / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.
To work with the Team Leader in delivering and promoting the needs of the service
To work with the Clinical Lead, Team Leader, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.
To remain updated in the use of all equipment used in the service and to report any technical problems or issues with that equipment.
To participate in team meetings to discuss day to day operational issues as required.
Personal & professional development:
11. To be a skilled practitioner in areas needed for effective care delivery
o Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained
12. To collaborate in the continuing development of their role / expertise to include:-
o Level of autonomy in practice.
o Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health
13. Ensure statutory and mandatory training is up to date
Person Specification
Qualifications
Essential
14. Full registration with the General Medical Council
15. Appropriate qualification in ENT care delivery
Desirable
16. Specialist qualification or MRCGP qualification
Experience
Essential
17. Experience of working independently, with a minimum of 3 years experience post qualification .
18. Regular attendance at update meetings
19. Relevant experience in ENT services
20. Up to date annual appraisal
21. Competency in interpreting and acting on pathology, histology and radiology results
22. Infection Prevention and Control Procedures, including Asceptic Technique
23. Awareness of local referral pathways
24. Excellent written and oral communication skills
25. Up to date with Statutory and Mandatory training as per Harrow Health guidelines
Desirable
26. Experience of delivering training to colleagues.
27. Experience in completing audits and assessments
28. Experience in Quality Improvement Projects.
29. Knowledge of use of IT / EMIS system
Personal Qualities
Essential
30. To be a reflective practitioner
31. Committed to self-directed development
32. Assertive, adaptable / flexible / energetic and enthusiastic
33. Good communication skills and able to be sensitive and empathetic in distressing situations
34. Ability to work under pressure
35. Team work and communication
36. Full registration with the MPS/MDU
Desirable
37. Able to challenge accepted practice as appropriate
38. Develop links with other primary care services as needed
39. Awareness of Harrow Health Clinical Governance agenda