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Job overview
The post holder will have responsibility for the senior clinical leadership, governance, and ongoing development of the East of England Ambulance Service Trust (EEAST) Stroke Video Triage system (SVT) and Stroke Projects
As part of the Clinical Directorate the post holder will work in partnership with senior leaders across all areas of the Trust. The role will provide clinical leadership to ensure that the highest level of prehospital care is provided by our people to patients with stroke and neurological conditions. This role supports the achievement of national performance standards, optimal clinical outcomes and ensures compliance against national and local clinical practice standards. The post holder will have pan Trust regional responsibility for these specific areas of work and will be the Trust first point of call in that area.
Main duties of the job
The role requires working across Trust directories and boundaries to ensure that regional workstreams interlink with locality-based initiatives and variants, ensuring that relevant clinical standards including ACQI’s are met and where required, provide leadership to improving output. The role provides consultancy level support throughout the organisation on all associated clinical matters through working with the senior sector team to influence strategy and tactical delivery. The clinical lead SVT and stroke projects will ensure that a clinical focus is maintained across the Trust, highlighting the speciality whilst weaving the subject matter into the delivery of holistic care at all levels of clinical practice. The role will provide expert consultancy and guidance to all directorates when needed. The subject specialities within the portfolio should promote and maintain a holistic focus on patient care standards along with providing mentorship and clinical support to many teams across the Trust.
Working for our organisation
EEAST employs over 5,000 staff with a further 1,000+ volunteers who between them cover 7,500 square miles and care for a population of more than 6 million.
Our three control rooms in Bedfordshire, Norfolk and Essex handle more than 1 million 999 calls every year, over 2,500 calls a day.
We manage a fleet of over 1,000 vehicles including double staffed ambulances, rapid response cars, operational commander response vehicles, patient transport and support service vehicles.
The East of England works alongside 17 Acute Trusts with Accident & Emergency services and a Major Trauma Centre in Cambridge. Access is available to neighbouring MTCs such as those in London.
Our core values:
1. Care - We value warmth, empathy and compassion in all our relationships
2. Teamwork - Together as one, we work with pride and commitment to achieve our vision
3. Quality - We strive to consistently achieve high standards through continuous improvement
4. Respect - We value individuals, including our patients, our staff and our partners in every interaction
5. Honesty - We value a culture that has trust, integrity and transparency at the centre of everything we do.
Our 4 goals are:
6. Be an exceptional place to work, volunteer and learn
7. Provide outstanding quality of care and performance
8. Be excellent collaborators and innovators as system partners
9. Be an environmentally and financially sustainable organisation.
Detailed job description and main responsibilities
10. Work as part of the clinical directorate and collaborate with all internal management teams to effectively clinically lead Stroke Video Triage and designated integrated stroke delivery network stroke projects across the organisation.
11. Lead on, and prepare for, clinical case reviews with the multi-disciplinary team. The post holder will ensure all cases are reviewed, and patient outcomes obtained. The post holder will offer expert advice on the ambulance pathway aspect of the project.
12. The post holder will seek feedback from video triage clinicians, ambulance clinicians and patients, which will inform future service developments.
13. The post holder will be expected to continually evaluate the performance and governance of the project, in collaboration with the ISDN and present findings at a range of different forums to a variety of stakeholders.
14. The post holder will work collaboratively with the ISDN to optimise the project as a whole, and to continually look for opportunities to expand the project across the East of England region.
15. The post holder will be expected to collect data, from a variety of sources and produce a range of reports to suit the needs of the various reporting requirements, and produce a comprehensive evaluation of the project to the national team.
16. The post holder will provide local leadership and engagement with ambulance clinicians across the participating sites within the East of England region. The post holder will be available to provide immediate troubleshooting support to stroke teams when technical issues arises with equipment such as iPads.
17. The post holder will work closely with the integrated stroke delivery network, communicating on a daily basis updates within the project. Whilst the post holder will directly report into the sector clinical lead with the portfolio for stroke, the post holder will have a strong link to the ISDN and will be delegated work from both their EEAST line manager and the ISDN Senior Programme Manager.
18. The post holder will be responsible for communicating project updates to a variety of internal and external stakeholders, using a variety of formats such as newsletters and presentations.
19. Advise and contribute on the clinical aspects of the development of new models of service delivery which increase efficiency and lead to better outcomes for patients presenting stroke related health needs, in line with current Department of Health recommendations, and national guidelines
20. In collaboration with Consultant Paramedics and other Clinical Directorate colleagues, lead the development of SVT and stroke care to ensure the delivery of high-quality clinical practice, aligned to Health Education England definitions and guidance.
21. Translate strategic clinical and educational goals into effective and achievable safety and quality plans and monitor progress and outcomes from these and disseminate learning trust wide.
22. Demonstrate, promote and develop visible clinical leadership throughout Trust. Maintain high levels of clinical credibility and evidence of continued professional development.
23. Advise and contribute on the clinical aspects in developing new models of service delivery centred around stroke, thereby increasing efficiency and leading to better healthcare outcomes for patients in the most appropriate settings.
24. Provide expert clinical consultancy and support to clinical operations management teams on clinical care issues and problems to ensure the clinical quality agenda around stroke video triage care is delivered parallel to operational priorities.
25. Participate in the interpretation and dissemination of clinical advice and guidance from bodies such as JRCALC and NICE and ensure Trust-wide implementation as appropriate
26. Champion and create an environment of openness, honesty, and support amongst clinicians to reduce avoidable harm for patients therefore improving patient safety across the Trust.
27. Coordinate and/or attending relevant Trust, regional and national special interest groups and committees, focussed on the subject speciality where required.
28. Provide positive, inspirational, and highly visible leadership supporting and promoting the Trusts vision and values by being a role model who demonstrates effective and appropriate behaviours in both day-to-day operations and in high risk, difficult and distressing situations, being flexible by demonstrating appropriate leadership styles and adapting communication to match the situation and audience.
29. Provide clinical engagement in relation to stroke video triage with internal and external partners to develop joint integrated models of care aligned with the trust clinical strategy and nationally outlined clinical priorities.
30. Participate in and lead where relevant, clinical education which ensures the Trust can deliver a workforce with the right skills to meet its current and future needs in respect of stroke care.
31. Design and implement robust clinical governance and assessment processes throughout the SVT and stroke care programme.
32. Lead in the design, implementation and delivery of clinical practice and continuing professional development for SVT and stroke care.
33. Promote and conduct clinical research and audit activity, disseminating findings as appropriate through peer reviewed journals and relevant conferences.
34. Be aware of the financial implications of decisions to change clinical practice.
35. Maintain a high degree of clinical credibility while dealing with external agencies, discussing clinical matters with a high degree of confidence with other senior healthcare professionals from a range of backgrounds.
36. Able to work at a strategic level, formulating plans and strategies for implementation.
Contribute to Trust-wide planning and delivery of clinical education in relation to the stroke video triage project.
37. Lead clinical project design, implementation, and delivery in line with the Trust strategic direction. This may involve providing consultancy and guidance or taking a lead role as either project lead or senior responsible officer.
38. Provide specialist advice and contribute to clinical aspects of the development of new models of service delivery which relate primarily but not exclusively to SVT and stroke care.
39. Support and where required oversee the management of concerns arising from investigations and reports related to patient safety. Provide senior clinical opinion, advice and guidance to all regarding the investigative process, and ensure fair and balanced conclusions are reached and that learning is shared.
40. Support the development of a just culture with positive learning outcomes in response to concerns and incidents.
41. Form actions and clinical opinions from analysing and interpreting complex and complicated information and data from a variety of sources.
42. Assess and consider innovative methods of developing a culture of continuous quality improvement by using patient and staff experience.
43. Maintain links with the Trust’s Organisational Development (OD) team and Education and Training Department providing expert advice and guidance on clinical portfolio areas and other issues as required. Ensuring that training is evidence based and quality assured.
44. Communicate effectively with Trust clinicians, managing and supporting the staff group in relation to stroke video triage.
45. Work closely where required with the Trust legal team both internally and externally to support all aspects of Trust business such as Inquests, litigation, and Freedom of Information requests centred around the elements of the
46. Act at major incidents either in a clinical leadership role or a formal advanced practice clinical role as appropriate.
47. Translate strategic clinical and educational goals into effective and achievable safety and quality plans, monitoring progress and outcomes and disseminating learning Trust-wide in relation to the stroke video triage project.
48. Support the clinical development, mentorship and management of managers, trainers, and mentors relevant to subject speciality.
49. Provide face-to-face and remote clinical support, mentorship and supervision clinicians as required.
50. Act as the first point of contact for clinical queries relating to clinical practice, ensuring responses are balanced, appropriate, and in keeping with Trust policy and procedure.
51. Participate in the Trusts management of the risk agenda by identifying and managing clinical risks. Support the maintenance of a Clinical Quality Directorate risk register.
52. Lead and participate in clinical audit, reviewing the results and agreeing actions to develop and improve clinical practice across the Trust in line with the evidence base.
53. Support clinical practice with person specific research projects and programmes of study.
54. Interpret and evaluate information from a diverse range of sources and make informed judgements on reliability, validity and usefulness prior to disseminating to others.
55. Represent the Medical Directorate at Trust clinical governance systems, processes, and key groups. For example, Clinical Best Practice Group, Medicines Management Group, Compliance and Risk group.
56. Develop and maintain appropriate internal and external relationships, partnerships, and networks across the spectrum of stroke care to influence and improve the quality of clinical care outcomes and delivery systems within which care can be provided.
Person specification
Qualifications
Essential criteria
57. Registered HCP
Experience
Essential criteria
58. Demonstrable achievement in advancing and developing clinical services.
59. Evidence of managing change through redesign
60. Experience of developing clinical pathways, guidelines and services.
Desirable criteria
61. Line management or team leadership experience
Skills and Knowledge
Essential criteria
62. Ability to interpret complex data to monitor and improve clinical performance
63. Knowledge of clinical audit and research methodology
Personal Qualities and Attributes
Essential criteria
64. Ability to lead on clinical development and capable of monitoring progress and outcomes
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Candidates who require a Skilled Worker visa to work in the United Kingdom can determine the likelihood of obtaining a Certificate of Sponsorship for this position by assessing their circumstances against the criteria specified on the Check if you need a UK visa - website. We encourage all applicants to review these criteria carefully to understand their eligibility for sponsorship.
References and Employment History: All references from current and previous employers, will be sought via their Human Resources Department and must cover a minimum of 3 years employment. Therefore, when completing the reference section of your application form, please give the address, telephone number and email address of the Human Resources Department and indicate your current/previous line manager and their departmental details.
All appointments will be subject to currently having a clean disciplinary record.
Please be advised that a No Smoking Policy is in operation throughout the Trust.
Guaranteed Interview Scheme - Under the Trust's commitment 'Positive about Disabled People', if you consider yourself as having a disability and you meet the minimum selection criteria for any post, you will get an automatic interview. By minimum selection criteria we mean that you must provide us with evidence in your application form which demonstrates the essential requirements as set out in the person specification and advertisement for a post.
We aim to represent and value the diversity of our local communities through our workforce and service provision. We therefore positively encourage applications, regardless of age, race, religion & belief, sex, gender reassignment, sexual orientation, marriage & civil partnership, pregnancy & maternity or disability.