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Job overview
We are looking for a dynamic and inspirational practitioner to take on an exciting opportunity as Enhanced Therapeutic Observations and Care Facilitator. This post is funded for 22.5 hours per week until 31 March 2026. As such, it is essential that a successful applicant could be released quickly. Please do speak to line manager before applying. The post holder will develop and implement opportunities to improve the care offered to patients whose behaviours can result in additional challenges to ensure safe, high-quality care. Aligned to the NHSE Enhanced Therapeutic Observations and Care (ETOC) workstream, this will involve 4 key pillars: 1. Leadership and Oversight (Effective governance, data management and policy making) 2. Person Centred Care (Identifying needs, monitoring and stepdown process) 3. Education and Training (Ensuring staff are trained in ETO practices) 4. Workforce planning (Efficient deployment and resource management) Working in partnership with a Matron and Divisional Director of Nursing, this post holder will provide key support and leadership to develop the current provision of Enhanced Care, to re-focus on provision of high-quality outcomes for patients requiring additional resource to maintain safety. A particular focus of this post will be to work with the practice development team to support the re-design and delivery of Trust wide education and training.
Main duties of the job
This post holder will work with cross-divisional subject matter experts to consider the complexities of ETOC provision to varied patient cohorts represented across the Trust (. degenerative cognitive impairment, traumatic brain injury, mental health and personality disorders). Accountable to the NMSK Cluster 3 Matron (as NMSK lead for management of behaviours that make provision of care challenging) the post holder will support this Trust wide Quality Improvement Project (QIP). Key performance indicators refined within the strategy developed will include (but not limited to): - Staff experience and safety - Patient experience and safety - Development of quality indicators for provision of ETOC - Supporting temporary staffing reduction in line with Trust / NHSE targets Strategies will likely include a significant focus on embedding meaningful activity and toolkits for staff when providing ETOC to focus on engagement and management techniques to enhance patient care and utilise every opportunity to provide therapy. In turn, it is anticipated this will support de-escalation and management of physically aggressive behaviours to strengthen staff and patient safety.
Working for our organisation
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
Detailed job description and main responsibilities
Working closely with Practice Development Teams, Ward Sisters, Matrons, Mental Health Liaison team and Divisional Management Teams, the post holder will consider new ways of working and alternative models to providing care to this patient cohort whilst monitoring the impact of any changes to ensure safety is maintained.
Please see job description for me details.
Person specification
Education/Training/Qualifications
Essential criteria
1. Current professional registration
2. First Level degree or equivalent
3. Evidence of knowledge involving providing care for those patients where behaviours pose increased risk for maintenance of safety.
Desirable criteria
4. Educated to MSc Level
Work Experience
Essential criteria
5. Experience in delivering ward level training
Desirable criteria
6. Experience working at Band 6
7. Experience of developing engagement and meaningful intervention strategies
8. Recent Quality Improvement experience
9. Experience of managing change and implementing new developments
Knowledge/Skills/Abilities
Essential criteria
10. Knowledge of national Enhanced Therapeutic Observations and Care workstream / framework.
11. Excellent communication skills – (written verbal and IT)
Desirable criteria
12. Evidence of leadership and management development
13. Evidence of project management/service improvement skills
14. Knowledge of professional education requirements and frameworks
Personal Qualities/Special Circumstances
Essential criteria
15. Visionary and innovative. Able to influence others and manage change
16. Remains calm under pressure
17. Supportive to staff and their development needs
The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.
At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.