Job summary
As anENT Practitioner you will work under the guidance and supervision of a Consultantproviding face to face consultations in one of our community based clinics. Theclinics provide pre-booked appointments for patientsreferred to the service.
Thepost holder 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.
Main duties of the job
A range of ENT conditions will be seen in the clinicsincludes, but are not limited to, Otitis Externa, Otalgia, BPPV, Nasalobstrucition, Tympanic Membrane Perforation, Epistaxis, Hearing loss. You will be responsible for your own caseloadof patients who you will assess, diagnose and treat in accordance with NICE,ENT UK and local guidelines. Thecaseload will include both new patients and those attending for review. Thepost holder must be competent in performing Nasal Endoscopy and Microsuction,or willing to develop skills under supervision in this area.
About us
Harrow Health Community Interest Company began in 2007 bya group of Harrow GPs, whose sole aim was to ensure patients receive a highquality clinical care service within the community. Over the years, HarrowHealth has expanded. We now provide a large number of clinical services, whichinclude GP Enhanced Access Centre, Community Services and our Enhanced FrailtyService.
We offer flexible working hours over 7 days per week.
Job description
Job responsibilities
Harrow Health Community Interest Company (Harrow Health) began in 2007 by a group of Harrow GPs, whose sole aim was to ensure patients receive a high quality clinical care service within the community. Over the years, Harrow Health has expanded. We now provide a large number of clinical services, which include GP Enhanced Access Centre, Community Services and our Enhanced Frailty Service.
Harrow Health Community Services directorate has been awarded a contract to provide general Ear, Nose and Throat (ENT) services on behalf local trusts and community services.
Our Vision:
To provide high quality patient care, enhancing patient experience by providing excellent clinical effectiveness in a safe environment. Working in partnership with other stakeholders Harrow Health will continue to provide gold standard services and develop a sustainable future for the local health community.
Job Summary:
As an ENT Practitioner you will work under the guidance and supervision of a Consultant providing face to face consultations in one of our community based clinics. The clinics provide pre-booked appointments for patients referred to the service.
The post holder will work both autonomously, and as part of a team, to deliver evidence based care to this patient group and be proactive and innovative in exploring new ways of delivering care.
A range of ENT conditions will be seen in the clinics includes, but are not limited to, Otitis Externa, Otalgia, BPPV, Nasal obstrucition, Tympanic Membrane Perforation, Epistaxis, Hearing loss. You will be responsible for your own caseload of patients who you will assess, diagnose and treat in accordance with NICE, ENT UK and local guidelines. The caseload will include both new patients and those attending for review. The post holder must be competent in performing Nasal Endoscopy and Microsuction, or willing to develop skills under supervision in this area.
Key Working Relationships
Internal: ENT Consultant
Harrow Health Clinical Lead
ENT Team
Head of Nursing
Clinical Governance Team
Main Responsibilities:
To use evidence-based practice to develop, deliver and maintain a 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 within defined parameters and scope of practice, referring to senior colleagus as needed
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
Policies & Guidelines:
14. Awareness of and compliance with all relevant company policies/guidelines, confidentiality, data protection, health and safety
15. To participate and contribute to operational policy making, attending appropriate meetings as required.
16. Work within policies relating to safeguarding, prevent and other Harrow Health Policies.
Corporate Responsibilities:
The Post holder must be able to work independently within defined responsibilities, but also as part of a larger team and be able to trouble shoot and find solution to problems
To adhere to Information Governance, patient confidentiality and Data protection legislations/standards.
To work to standards set out in Harrow Health policies, service contracts and in line with NHS England/ CQC regulations
To support the wider team to ensure that all Harrow Health policies, standards and requirements are understood and in place in the service to include excellent record keeping and delivery of high standard patient and customer services
17. To understand service specifications and contracts Represent the Harrow Health effectively and professionally to a wide range of patients, stakeholders, members and partners
Take an active role in the development and embedding of the organisations culture, values and reputation as a provider of high quality services, leading by example at all times
Responsible for policy implementation related to own Service area
Pro-actively look for growth opportunities
Person Specification
Qualifications
Essential
18. Registered Nurse
19. Nursing and Midwifery Council Registration
20. Degree level study / equivalent specialist study in ENT / appropriate qualification in ENT care delivery
Desirable
21. Masters degree
22. Non-Medical Prescribing Qualification
23. Management experience / qualification
Experience
Essential
24. Experience of working independently, with a minimum of 3 years experience post qualification
25. Relevant experience in ENT services
26. Regular attendance at update meetings
27. Competency in interpreting and acting on pathology, histology and radiology results
28. Understanding of Safeguarding
29. Infection Prevention and Control Procedures, including Asceptic Technique
30. Awareness of local referral pathways
31. Excellent written and oral communication skills
Desirable
32. Experience of delivering training to colleagues.
33. Experience in completing audits and assessments
34. Experience in Quality Improvement Projects.
35. Knowledge of use of IT / EMIS system
Personal Qualities
Essential
36. To be a reflective practitioner
37. Effective organisation and time management skills
38. Committed to self-directed development
39. Assertive, adaptable / flexible / energetic and enthusiastic
40. Good communication skills and able to be sensitive and empathetic in distressing situations
41. Ability to work under pressure
42. Team work and communication
43. Full indemnity with, for example, the RCN / MDU / Unison
Desirable
44. Able to challenge accepted practice as appropriate
45. Develop links with other primary care services as needed
46. Awareness of Harrow Health Clinical Governance agenda