Healthy Living Practitioner
8 days ago
London
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.We have one of the most ambitious capital investment programmes anywhere in the NHS.--------------------------------------------------------------------------------Job overviewWe have an exciting opportunity for a motivated clinician to join the Healthy Living Team at Guy's and St Thomas' trust, to provide a high quality service at outpatient and community specialist clinics/groups for those living with obesity.As a band 5 healthy living practitioner, you will autonomously use evidence-based principles/current best practice of exercise, nutrition and behaviour change techniques to assess, plan and implement healthy lifestyle management, within the Physiotherapy and Nutrition and Dietetics Departments .This post is a static role within the healthy living physiotherapy team across both sites of Guy’s and St Thomas’ NHS Trust as well as some community sites in South East London boroughs.Main duties of the jobPlease refer to the job description for more details - To be professionally and legally responsible for all aspects of the post holders own work- To carry out assessment of patients as an autonomous practitioner, and to use clinical reasoning skills and knowledge of evidence based practice to formulate appropriate care plan utilising a range of treatment skills and options- To use specialist knowledge of obesity as a disease and other known associative health conditions to tailor exercise programmes individually following professional and department guidelines- To use specialist nutrition knowledge, assessment and analysis to provide individualised nutritional advice in line with professional guidelines and best evidence base- To use specialist knowledge of behaviour change techniques to assist with service users with long term behaviour change. Demonstrate a knowledge base of behaviour change theories.- To recommend best course of intervention based on accurate physical and nutritional assessments, developing comprehensive onwards follow up plans following discharge from the service- To work with and seek appropriate guidance from Registered Dietitians and Physiotherapists in clinical decision making when requiredWorking for our organisationDepartment InformationThe Physiotherapy and the Nutrition & Dietetics Departments are within the Therapies & Rehabilitation and the Medical Specialties Clinical Directorates, respectively. The combined departments have over 400 staff and provide services across the Trust. The Healthy Living service is managed within both departments and this post specifically within the Physiotherapy Rehabilitation Service and its Clinical Lead Physiotherapist. The service provides nutritional and physiotherapy support to outpatients living with overweight and obesity and to staff throughout the department who manage overweight and obese patients.Organisational Values:Our values help us to define and develop our culture, what we do and how we do it. It is important that you understand and reflect these values throughout your employment with the Trust. The post holder will be:- Caring – we put patients first- Ambitious – we innovate and strive for excellence- Inclusive – we respect each other and work collaborativelyOur values and behaviours framework| describes what it means for every one of us in the Trust to put our values into action. Detailed job description and main responsibilitiesService Development- To implement policy changes that impact on all service users, and advise team leader of any service development changes made, to ensure quality standards and effectiveness of patient care.- With guidance, to identify situations where service improvement is required due to reduced effectiveness, efficiency and/or quality.- With guidance, to take appropriate action to challenge the area of development via applying a range of standard research methods/tools and evaluating the outcome.Physical resources- To be responsible for competent use and maintenance reporting of all equipment used on each community and outpatient site including any free weights or gym equipmentHuman resources- To participate in the supervision, teaching and appraisal of assistants and technical instructors as required- To contribute to supporting dietitian and physiotherapy students on placementInformation resources- To maintain an accurate and evaluative record keeping system (POMR) for own clinical caseload- To supervise assistant record keeping system according to departmental standardsPlanning and Organisation- To flexibly plan and organise own time, patient caseload, meetings and training and to adjust plans as required according to staffing levels.- To support junior members of the team and delegate tasks as appropriate, for example exercise class allocation.- To ensure smooth organisation of patient group work including gym classesCommunication- To be able to motivate and persuade others through effective communication skills, with the benefit of verbal and non-verbal skills, using written and electronic information where needed- To demonstrate the ability to communicate complex and sensitive information to patient, carers and other staff, where there may be barriers to communication i.e. non-English speaking patients; use of interpreters; excess noise or lack of privacy.- To maintain close links, communication and liaison between all staff and people involved in patient care, student education, research or policy development as appropriateEducation- To contribute to the education of multidisciplinary groups, patients, families and carers as appropriate.- To be pro-active with regard to learning from other dietetic and physiotherapy staff within the department, and other MDT staff in the Trust.- To be responsible for and actively record own personal professional development and maintain a CPD portfolio which reflects same- To assist in organising and actively participate in the in-service education programme within the specialist clinical area and other outside courses/ lectures as appropriate- To keep abreast in understanding and knowledge of all new developments which are applicable to specific physiotherapy treatments and nutrition advice.- To undertake an evidence based project with professional presentation of the project periodically, and in line with agreed service developments, to the physiotherapy/dietetics departmentResearch, Quality and Audit- To participate in the department’s ongoing audit and appropriate work related research/ evaluation projects- To keep abreast of evidenced based practice in the clinical area by use of relevant reading, attendance at in-service training, external courses and database searches- To ensure good working knowledge of national and local standards and monitor quality as appropriateAs part of the physiotherapy department’s commitment to meeting patient needs and delivering excellence we provide a 24 hours, 7 day service. It is therefore essential the post holder be able to work their hours flexibly and contribute fully to both existing and new rota’s.The following statement forms part of all job descriptions:-The post holder is required to follow Trust policies and procedures which are regularly updated including:Confidentiality / Data Protection / Freedom of InformationPost holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 2018. Post holders must not, without prior permission, disclose any information regarding patients or staff. If any member of staff has communicated any such information to an unauthorised person, those staff will be liable to disciplinary action up to and including dismissal. Moreover, the Data Protection Act 2018 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.Following the Freedom of Information Act (FOI) 2000, post holders must apply the Trust’s FOI procedure if they receive a written request for information. Information GovernanceAll staff must comply with information governance requirements. These includes statutory responsibilities (such as compliance with the Data Protection Act), following national guidance (such as the NHS Confidentiality Code of Practice) and compliance with local policies and procedures (such as the Trust's Confidentiality policy). Staff are responsible for any personal information (belonging to staff or patients) that they access and must ensure it is stored, processed and forwarded in a secure and appropriate manner.Equal OpportunitiesPost holders must at all times fulfil their responsibilities with regard to the Trust’s Equal Opportunities Policy and equality laws.Health and SafetyAll post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations, to ensure that the Trust’s health and safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees.Infection ControlAll post holders have a personal obligation to act to reduce healthcare-associated infections (HCAIs). They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs. All post holders must comply with Trust infection screening and immunisation policies as well as be familiar with the Trust’s Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using aseptic techniques and safe disposal of sharps. Risk Management All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the Trust’s use of risk assessments to predict and control risk, as well as the incident reporting system for learning from mistakes and near misses in order to improve services. Post holders must also attend training identified by their manager, or stated by the Trust to be mandatory.Flexible WorkingAs an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.Safeguarding children and vulnerable adultsPost holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.SustainabilityIt is the responsibility of all staff to minimise the Trust’s environmental impact by recycling wherever possible, switching off lights, computers monitors and equipment when not in use, minimising water usage and reporting faults promptly.Smoking PolicyThe Trust is committed to providing a healthy and safe environment for staff, patients and visitors. Staff are therefore not permitted to smoke on Trust property or in Trust vehiclesReview of this Job DescriptionThis job description is intended as an outline of the general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder.Person specificationPrevious experienceEssential criteria- Exercise delivery experience in a group setting using relevant clinical skills.- Experience of estimating nutritional intake using 24-hour recall, food diaries, food frequency questionnaires and analysis software- Experience of working with people living with overweight and obesityDesirable criteria- Evidence of service development e.g. audit- Experience of working with a culturally diverse population- Evidence of autonomy in previous workSkillsEssen...