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Job description Post Title: Interventional Radiology Nurse Pay Band: 5 Hours: Full time 37.5 hours per week Location/ Department: Radiology / Worcestershire Royal Hospital Reports to: Interventional Radiology Unit Manager Liaises with Medical and Radiographic Staff, Students Administration and Clerical Staff Other Health Care Professionals and Care Providers, Porters Patients and Relatives Risk assessment This post involves working with radiation, manual handling, exposure to body fluids and display screen equipment. Job Purpose: To provide specialist nursing care and support to all patients and users of the Radiology service primarily within interventional radiology (elective and emergency procedures) ensuring dignity and privacy To ensure the maintenance of a high-qualitypatient focussed care at all times through the effective leadership, management of staff and resources. To provide effective leadership and to act as a good role model, working with all members of the multi-disciplinary team and co-ordinate all aspects of care in the best interests of the patient and family. To provide supervision, support and education to qualified and unqualified staff. To lead a regular programme of education and development for registered and unregistered staff to optimum potential To promote the role of the theatre practitioner are the patient advocate throughout the peri-operative process. To communicate effectively with all members of the multi-disciplinary team to co-ordinate all aspects of patient care To liaise and work closely with the person taking continuing responsibility for the Operating Theatres To accept personal responsibility and accountability for infection prevention and control practice Key Duties Provide holistic, specialised nursing care in all areas of Interventional Radiology Nursing. Support and inform family member and carers who often accompany patients for both elective and emergency procedures. Liaise with referring doctors and ward staff to ensure pre-procedural work is completed. Prepare equipment for the safe care of the patient during the procedure. Identify and act on potential hazards to both patients and staff, and where appropriate, act to prevent patientinjury. Identify potential complications of various drugs used during the procedure, including contrast media. Participate in the planning of the procedure and the management of the procedural list. Access, plan and implement the total care of the conscious or conscious-sedated patient. Co-ordinate and document planned patient care during the procedural phase. Practice the principles of asepsis and act as a lead professional in infection control. Recognise the early signs of complications and acting upon these as appropriate. Provide skilled assistance to Consultants and Clinicians within interventional radiology. Assisting in sterile procedure (scrub), circulating, and in the care of sedated and anaesthetised patients. Take responsibility for care, custody and administration of pharmaceuticals Assist when necessary in the ordering of supplies, maintenance and repair of equipment to assist in budgetary control. Utilise advanced nursing/clinical practices in accordance with the training provided e.g. cannulation, administration of Intravenous pharmaceuticals as per departmental protocol. Observe and maintain the safety and comfort of patients at all times during their waiting, examination and post examination stay in the department. Adhering to the highest possible professional standards and maintain confidentiality at all times Ensure any compliments and complaints from any source, are reported immediately to Line Manager. Report all incidents of injury to yourself or patients to a line manager and complete appropriate incident form. Will be required participate in the provision of the 24-hour 7 day per week service Comply with Departmental Ionising Radiation Local Rules and Ionising Radiation (Medical Exposure) Regulations 2000, (IR(ME)R 2000 ). Act as a professional role model and observe the rules and regulations of your professional body (Nursing and Midwifery Council) Undertake a wide range of more complex nursing procedures requiring applications of specialist expertise and knowledge and act as a source of reference. Quality: To maintain correct documentation and record keeping using appropriate information systems. To maintain protocols and quality standards for working practices within the area. To participate in the medical/clinical audit of work and to collect information for the activities within the department. To ensure proper maintenance of equipment and to monitor breakdowns Finance, Information and Resources: To ensure the effective use of resources, liaising with the Site Superintendent in respect of this. Professional Education and Training: To participate and supervise in the training of others particularly in respect of specialised area and to contribute to staff training needs with regard to induction, orientation and continuous education of staff. To have an understanding and implement relevant Health & Safety at work and Welfare issues, including the Ionising Radiation Regulations. To undertake an annual appraisal and appraise others as indicated within departmental cascade system. Identify training and development needs for self and others including opportunities that satisfy service needs, in agreement with line manager. To identify to your manager any known limitations within your professional competence. To appear on duty promptly and dressed in line with Trust uniform policy. Be available to work at the appointed time and location, and monitor performance of others on a daily basis, advising improvements to individuals when required. To liaise with other disciplines in the Trust and to foster good inter-personnel skills and communication skills within the department and the hospital. Statutory and Health and Safety: To ensure that all Trust, Unit and Directorate policies relating to Health and Safety, COSHH, Security and Ionising Radiations Regulations 1999, IR(ME)R 2000 and any other Local Radiation Safety policies are understood and observed in the department. To attend compulsory training as instructed. Ensure that all apparatus and equipment is working satisfactorily and safely Frequently assist Radiologists and clinicians during highly stressful and intricate interventional procedures. Assess patient mobility and identify correct manual-handling techniques accordingly. There is a frequent requirement to manoeuvre patients of various sizes for their examination in a safe and competent manner. Occasionally escort patients on trolleys and beds to wards across the hospital site. Frequently stand for long periods wearing heavy lead rubber protective clothing. Standard Clauses: The purpose of this post should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post. The post holder may from time to time be asked to undertake other reasonable duties. Any such changes will be made in discussion with the post holder in the light of service needs. Competence The post holder is responsible for limiting his/her actions to those which s/he feels competent to undertake. If the post holder has any doubts as to his or her competence during the course of his/her duties then s/he should immediately speak to their line manager or supervisor. Codes of conduct All employees of the Trust who are required to be registered with a professional body, to enable them to practise within their profession, are required to comply with their code of conduct and requirements of their professional registration. Those staff who are not required to be registered with a professional body are required to comply with the Trusts codes of conduct. Confidentiality The post holder must maintain confidentiality, security and integrity of information relating to patients, staff and other Health Service business. Records Management All employees of the Trust are legally responsible for all records that they gather, create or use as part of their work within the Trust (including patient, financial, personnel and administrative), whether paper or computer based. All such records are considered public records and all employees have a legal duty of confidence to service users. Employees should consult their manager if they have any doubt as to the correct management of records with which they work. Health and Safety Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and the Manual Handling Operations Regulations (1992) and all relevant Trust Health and Safety Policies and Guidance. This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the Trust. Infection Control Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable Health Care Associated Infection. All Employees must undertake annual mandatory updates in Infection Control. Risk Management It is a standard element of the role and responsibility of all employees of the Trust that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, taking appropriate actions, and reporting all incidents, near misses, and hazards promptly. It is a contractual obligation that all employees must co-operate with any investigations undertaken. Children and vulnerable adults You have a responsibility for promoting and safeguarding the welfare of the children/young people/vulnerable adults that you come into contact with or are responsible for in your job role and sphere of competences.

Job Purpose: The post holder will be responsible for selecting patients from the waiting list and dating for surgery at the Alexandra hospital and Kidderminster hospital. You will be responsible for ensuring the patients have been deemed fit for surgery, liaising with the county wide preoperative assessment team. Key Duties: To ensure that patients are added to the appropriate clinicians wait lists for surgery. To contact patients via telephone to confirm surgery dates. To book day case and elective procedures for theatres countywide. To cancel and reschedule theatre lists as indicated by clinical teams and/or Preoperative assessment outcomes promptly in line with booking rules. To action changes to individual appointments whilst ensuring that patients are seen within the agreed clinical priority and that written confirmation is immediately sent. To ensure that patients receive an acknowledgement letter or are immediately appointed in line with agreed booking arrangements, administrative procedures and the patient access policy.

Key Duties: Professional Collaborate with education providers to ensure learning environments are reviewed as required. Act as a resource for all clinical staff and students, and to advise accordingly To comply with all relevant WAHT Policies & Procedures in exercising the duties of the role. To actively participate and contribute towards the setting and achievement of personal development plan and objectives for the team To be responsible for the continued development of the preceptor, mentor and clinical supervision programmes To lead the AHP team in the education around patient care. To carry out responsibilities in such a way as to minimise the risk of harm to children, young people and vulnerable adults, promoting their welfare and raising any concerns in a timely manner in accordance with the Trusts policies relating to safeguarding. Understand and utilise current research practice and other forms of evidence when auditing or developing practice (clinical or education focused) Ensure that the AHP workforce is developing alongside latest evidence-based methods and thus ensuring high standards of care are delivered across a multi-disciplinary AHP workforce Managerial To be the lead collaborator with departmental AHP leads and to manage AHP Practice Educators team managing priorities, work plans and resource management throughout each department. Responsible for efficient and effective use of resources. To manage time effectively to meet project outcomes. Care for equipment and supplies within sphere of responsibility. Maintain accurate written and computerised records. To provide progress reports and statistical returns to NHSE- WTE and HEI on and clinical placement activity as appropriate. To maintain current records and progress reports on individual projects and initiatives. To ensure that staff managed by the post holder comply with Trust policies and procedures taking appropriate action where and when required that complies with local policy and procedure Regularly assess potential and performance of AHP staff in accordance with Trust personal development review and action personal development plans. Participate in the recruitment and selection of staff, helping at Recruitment events as required. Comprehensive Budget management skills, including student data collection tools and the allocation of student tariffs as well as the appropriate use of CPD funds for AHP development To Facilitate and undertake regular well-being and career conversations for all members of the AHP workforce. Leadership To assess development needs and create a culture of reflective practice. Be aware of NHS initiatives and contribute to change management. To utilise and apply both national and local policies directly relating to the development and support of AHP professions across the organisation (such as HCPC preceptorship framework) To maintain the high standards of the department by defining and setting individual and team objectives. To lead on and understand the different management, leadership, cultures and personalities and recognise the need to adapt communication as appropriate with not only the direct team but the wider AHP team. Training, Education and Development To deliver and facilitate training and education to health care staff and pre-registration AHP students in clinical and classroom settings. To be responsible for the completion of educational audits and the production, development and implementation of action plans in conjunction with CEs and managers and tutors. To design, plan and implement a learning programme for students, Practice Assessors and Supervisors. To ensure the overall evaluation of learning programmes, designing and/ or implementing evaluation strategies that determine the effectiveness of practice learning experience is completed through a comprehensive auditable process To act as a resource for information about training courses and educational opportunities. To offer educational support to all members of staff undertaking courses and training. Use of Information To maintain databases and records of staff training. To participate in audits relevant to health care training. Ensure confidentiality in all matters relating to patients and information obtained during the course of employment in accordance with Data protection, Caldicott and Freedom of Information Acts. Ensure the maintenance of accurate and up to date patient records in line with NMC guidelines for Records and Record Keeping when in clinical practice. Use of Electronic communication systems, personal computer systems and normal office equipment. Decisions, Judgements and Freedom to Act To work independently to ensure services are delivered and targets met. To be accountable for decisions affecting their sphere of responsibility. To liaise with senior staff as appropriate issues relating to financial , human resources and corporate quality and governance issues and service developments that have wider implications for services across the organisation. Communication and relationships To liaise and communicate with managers, staff, clients and students at all levels. Develop effective channels and systems of internal and external communication and ensure all staff kept informed in a timely and appropriate manner. To maintain effective communication between trust, university staff and external organisations. To assist in presenting written and verbal reports to trust board, senior management teams University of Worcester, other Universities and managers throughout the organisation in relation to training and development within sphere of role. To ensure that confidentiality is maintained at all times in conjunction with the Trust's Confidentiality Policy. Physical, mental, and emotional demands of the post To maintain a patient focus in all service activities. To work flexibly to meet critical short term and long term deadlines. To work alongside staff in clinical settings, undertaking direct patient care and ensure that the individuals can meet the physical and emotional demands of the clinical portion of this role To always act sensitively in ensuring that concerns of staff and students are dealt with sympathetically. To ensure effective management of the service and to attend relevant staff, professional and corporate meetings. The above job description is a summary of the main responsibilities of the postholder, and not an exhaustive list of duties to be undertaken. The duties may be redefined in accordance with the demands of the service. Any redefinition will be subject to discussion between yourself and your manager and be within your level of competence.

A suitably experienced post-holder will be expected to provide a clinical service in General Internal Medicine to patients of the Worcestershire Acute Hospitals NHS Trust and to General Practitioners. The post-holder will be expected to provide a clinical service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners and to attend multi-disciplinary meetings. The successful candidate will be expected to work within multi-disciplinary teams in providing high quality clinical care. It is anticipated work will be undertaken on three sites and closer to the patients home. The Trust is seeking to extend services to GP surgeries/health centres etc and job plans may be revised in due course. The post-holder will provide support to the A&E department and acute medicine to ensure timely appropriate care, and patient flow through the hospital. Key performance indicators will be established at each stage of the patients journey and be designed to support flow through the hospital system. The post-holder will provide consultation and advisory service to clinical colleagues in the Trust and Primary Care. The post-holder will attend cross county & cross site meetings. The post-holder will collaborate with colleagues to deliver a high quality, timely service and to work towards meeting the Trusts and departmental objectives. The post-holder will, if relevant, participate in the on call rota to ensure that both emergency and urgent services are provided out of normal hours, to be shared equally with Consultant colleagues in post. The Trust would expect a consultant whilst undertaking on-call duties to attend the hospital site to review patients when clinically necessary. The consultant on call must be prepared to attend willingly whenever requested to do so by a member of their medical and nursing team. The post-holder, whilst undertaking weekend on call duties, will attend the hospital to undertake patient reviews.

Alongside the Band 6 Job Description and Person Specification, the post holder will also: Behave consistently with and promote the values of the trust, Adhere to HCPC practice guidelines Adhere to any professional training specific guidelines, Implement the psychology provision guidelines and trust policies, Be supported to evaluate referrals, undertake the assessment, treatment, and management of patients with psychological difficulties with a varying range of complexity and aetiology with reference to clinical need and service capacity. This post will be considered for candidates in their final year of professional training and prior to becoming registered as a Clinical/Counselling Psychologist with the HCPC. They would initially be employed, fixed term, on a Band 6 Trainee Clinical/Counselling Psychologist Job Description. Upon HCPC registration the post would then be upgraded to a permanent Band 7 Clinical/Counselling Psychologist Job Description. The Band 7 job description is included in a separate job advert. For full details of the duties and criteria for the role please refer to the job description and person specification attached.

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST JOB DESCRIPTION Post Title: Cancer Pathway Navigator Pay Band: 4 Hours: 37.5 Contract: 12 months fixed term Location / Department: Countywide, Cancer Services Accountable to: Cancer Services Manager Trustwide Reports to: Service Improvement Manager & FDS Lead Cancer Services Trustwide Key Working Relationships: Internal: Directorate Managers, Directorate Support Managers Cancer management team Cancer Quality Assurance Manager Core and Extended members of MDT, Radiologists, Histopathologists, Oncologists Lead Clinician for the MDT Histopathology and Cytology staff CNSs & other nursing staff Medical secretaries Palliative care teams IM&T staff Cancer services booking office External: Cancer Network specialist MDTs Other hospital notes, data, histopathology and images Secretaries at the cancer centres West Midlands Strategic Clinical Network Expert Advisory Group Clinical Commissioning Group Job Purpose: To act as the patients navigator tracking their timed pathway against the national guidance to ensure patients receive their treatment within the guidelines of the National Waiting Time targets. This includes monitoring patients referred to other Trusts in the Network and influencing their pathway pathway, via the local MDT. The post holder will be responsible for capturing information about patients; ensuring up-to-date relevant information is recorded on the Trusts databases. To understand the patient pathway, including the diagnostic and staging investigations and treatment options available is essential. The post holder must also facilitate collection of data for all cancers and enter this on the Somerset Cancer Registry (SCR). Key Duties: To have full understanding of Trust and National targets relating to cancer and other waiting times and to navigate patients through their diagnostic and treatment pathways within these principles. Working on your own initiative with minimum direct supervision for the tracking of all patients diagnosed with cancer or suspected of having cancer, in order to ensure a timely diagnostic and treatment process and accurate entry of clinical data. To maintain the accuracy and effectiveness of the Trusts Patient Tracking database -SCR, ensuring it is kept up-to-date and current. To proactively monitor patients progress, highlighting problems to the cancer and directorate management team and escalating where necessary according to local protocols. To liaise with MDT co-ordinators, clinicians, clinical nurse specialists, other medical staff, medical secretaries/PAs and administrative staff and to ensure all patients on a pathway are identified and tracked. This will involve negotiating with and instructing relevant personnel, departments of clinic bookings/diagnostic tests/admissions that need to be arranged to ensure prompt treatment. To identify patients who are likely to breach their targets and escalate appropriately according to local guidance to enable action to be taken to prevent breaches. To understand service provision for cancer patients within the Network, the steps along the patient pathway and the associated flows of information. This will include referral processes, diagnostic and treatment options and involves using the Trusts computer systems -Ez notes, ICE, WINPATH, CRIS, PACs, OASIS, Bluespier, MOSAIQ, System One, GI Reporting Tool, LCMS. Liaise with Tertiary Centres to ensure all diagnostic plans are delivered in a timely way to avoid delays and support compliance against the Cancer Waiting Time (CWT) targets. To ensure a tertiary alert including all patient data transfer information is sent to any treating tertiary centre either within 2 working days of MDT discussion or as soon as identified on tracking. To ensure the referral of patients to other Trusts for appointment or MDT discussion is carried out, including sending scans, histology and clinic letter or reports to the tertiary centre when requested. All patients referred to a tertiary centre must continued to be tracked and updated on SCR. To collect Cancer Waiting Times -CWT, COSD -Cancer Outcomes and Services Dataset and audit data and enter onto the Somerset Cancer Registry- SCR. To ensure patient tracking comments are updated with precise and accurate comments as Patient Tracking List (PTLs) are sent weekly. Update SCR immediately with any actions undertaken by the Directorates that are returned on the PTLs. General Duties: Answer all telephone queries promptly and efficiently, relaying messages as appropriate Maintain up-to-date procedures detailing guidance on tracking to aid cover the role for that specialty. Actively build up knowledge of procedures and working practices for other tumour types in order to provide cover during times of leave/sickness when required. Assist in the training of new Cancer Pathway Navigators. Attend and participate in team meetings. Participate in the roll out of the cancer strategy and will be expected to contribute to the implementation of new cancer policies and protocols and running of information cancer systems. Communicate fully with the wider cancer team including both clinical and non-clinical members, at all levels internal and external to the Trust to ensure the best possible outcome for cancer patients. Participate in the Trusts Performance and Development Review and to undertake any identified training and development related to the post. Undertake statutory and mandatory training as deemed appropriate by the Trust. Develop and maintain effective working relationships with colleagues. Adhere to all Trust policies and procedures. Ensuring confidentiality at all times. Undertake such other tasks as requested by the Cancer Data Manager/Assistant Cancer Data Manager in accordance with the grade and nature of the post. Maintain a smart and professional appearance at all times. Maintain a professional manner including practising respectful office etiquette at all times. The post will be regularly reviewed and additional duties may be assigned as necessary in direct response to the changing Cancer agenda.

Coordinate clinical and support services relevant to discharge planning. Identify the need for and coordinate MDT meetings/case conferences and support private care providers in the decision making process regarding safe, effective and timely discharge of patients. Carry a caseload and work collaboratively on the management of cases, ensuring liaison with community services to support timely discharge from locked rehabilitation/specialist placements. Participate in all aspects of discharge and aftercare including cooperation with Section 117. Ensure that risk assessments are carried out in conjunction with other agencies. Attend commissioning panels acting as an advocate for patients. Establish and maintain communication with individuals and groups about complex discharges overcoming any problems in communication. Involve, support, inform, and educate family/carers where appropriate throughout the discharge process. Participate in/support the process of relevant assessments. Provide clinical supervision within the team where appropriate. For full details of the duties and criteria for the role please refer to the job description and person specification attached.

KEY RESPONSIBILITIES Patient Care Responsibilities Acting as a Named Nurse/Case manager to a cohort of patients from the time of POA to admission. Responsible for assessing, planning, implementing and evaluating programmes of care within the framework of team nursing. Evaluation of patient health history and identifies previously unknown health concerns. Independently make onward referrals to an additional service as appropriate e.g. General Practitioner, Specialist Nurse. Follow up advice, referral, investigations for patients presenting with significant co morbidities. Acts as a resource and provides advice on the management of patients to staff at Band 5. To co-ordinate the patients discharge arrangements in accordance with WAHT discharge policy. To promote a patient-focused approach to care in collaboration with all relevant health professionals. To obtain accurate and concise medical and medicines histories from the patient using interpersonal skills to facilitate the assessment of the patient for both minor and major surgery. Uses information obtained during the assessment, to determine the patients fitness to proceed for surgery, demonstrating the appropriate action to take in the event of not fit to proceed. Ensure the patient has an understanding of their proposed operation by providing accurate peri-operative information both verbally and in writing. Provide information that will enable the patient to make choices about adopting a healthier lifestyle and makes a referral, as appropriate, for optimisation of their health before surgery. Arranges and co-ordinates any assessment and/or investigations needed near the time of surgery, in accordance with local and national guidance. Identifies abnormal readings and acts on the findings in an appropriate and timely manner. To assist in establishing and monitoring of protocols and care pathways. To ensure effective communication with patients, relatives and other staff. To support peoples equality, diversity and rights at all times. To safe guard vulnerable adults in accordance with agreed policies and procedures. Professional Development and Education Responsibilities To develop own teaching skills and participate in staff / student education and training. To help maintain a suitable learning environment for staff and act as a facilitator in the supervision and teaching of less experienced staff. To attend Trust / local orientation programmes and mandatory training sessions. To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness in accordance with revalidation requirements and to maintain a professional portfolio with evidence of reflective practice. To undertake Personal Development Reviews for their team and be responsible for own Personal Development Programme. To participate in the Trusts Preceptorship Programme. To assist in the development and implementation of nursing practice guidelines, standards and policies. Research and Development Responsibilities To assist in promoting nursing practice in line with relevant research. To maintain an awareness of evidence-based practice relating to POA. To contribute to research and development programmes within the unit. Audit, Quality and Risk Management Responsibilities To contribute to the setting and monitoring of measurable standards of care and be accountable for maintaining standards. To maintain awareness of the national, professional and local quality issue relevant to the delivery of nursing services, e.g. Clinical Governance. To uphold quality initiatives that improve customer care and enhance the interface between staff, patients, and visitors. To participate in the audit process for monitoring and reviewing nursing quality indicators. To be aware of personal responsibilities in relation to the maintenance of a safe environment and identification of potential risks for all personnel, patients and visitors, taking action as and when required. To be aware of the role of the nurse in handling complaints in accordance with WAHT policy. Support the development and implement new policies and guidelines into the POA service. To participate in maintaining a clean environment. The post holder will familiarise themselves with relevant Trust policies and procedures and comply with these at all times. Support the implementation of service development and improvement as appropriate and facilitate changes in service delivery. To assist in the unit lead in the provision of leadership and management. To maintain a safe unit and ensure all appropriate general risk assessments are completed in POA. To complete rosters in line with Trust deadlines To demonstrates knowledge and understanding of the POA process and the referral to treatment pathway (18 week RTT). Resource Management Responsibilities To develop and maintain an awareness of budgeting and resource management. To assist in the assessment and monitoring of staffing requirements and report problems to the appropriate manager. To monitor sickness absence and escalate as appropriate In the absence of senior staff, the post holder will take responsibility for the management of the unit/Countywide team. To ensure effective use of appointment slots and ensure that any capacity issues are identified and discussed with the POA Capacity Coordinator. Vision and Values: The Trust aims to provide local services for local people. It has developed its vision to reflect this commitment. To continue to be the major provider of acute/specialist services for the people of Worcestershire (and wider) with a strong reputation for providing outstanding, high quality, reliable, accessible and integrated healthcare for local people Driving this commitment are the Trust-wide signature behaviours: Do what we say we will do No Delays, every day We listen, we learn, we lead Work together, celebrate together

Risk assessment: Works with display screen equipment for prolonged periods. Works with audio translation machines Involves manual handling activities Job Purpose: To undertake extensive and thorough secretarial support, including medical audio/copy typing duties, operation notes and letters, discharge summaries and other official correspondence, if required. To manage waiting lists, as well as providing an effective and efficient Support Medical Secretarial Service to the Clinical Nurses in relation to their clinical duties. To work as a team with the countywide administrative staff, to support day to day working of the Rheumatology Team. To ensure that appointments are booked and monitored to achieve the National 18-week Referral to Treatment (RTT) target. The post holder will assist the departmental Senior Medical Secretaries and provide a full secretarial service for the Rheumatology clinicians. General administrative and telephone duties. Key Duties: To undertake medical audio/copy typing duties, including outpatient letters to General Practitioners, operation notes and letters, discharge summaries and other official correspondence, if required. To obtain from GPs/other departments test results prior to admission and information for attending the Day Case unit. To accept enquiries from clinicians, GPs, wider health service professionals, other hospitals, voluntary agencies, patients and relatives. To deal with such enquires, or refer back to the Senior Medical Secretaries. To validate and adhere to the RTT (referral to treatment) targets. To ensure patient details are up to date, including patients pathway information. To participate in the use of PAS systems to establish patient information is kept as accurate as possible and produce patient documentation as required. To assist clinicians and nursing staff in obtaining results and prescriptions for Home Care. Liaise with clinical staff, to ensure that a quality service is provided to patients and to ensure the department is kept fully informed of general messages, issues, or patient concerns. In exceptional circumstances, support the appointments team with cancelling patients by telephone at short notice. To undertake training to become familiar with and competent in current health records, validation and departmental procedures and practices. To provide an effective, courteous, high quality patient access service. This will include recording data and maintaining data quality on manual and computerised systems, in accordance with agreed policies and procedures. To participate in the collection and transmission of information to enable the Directorate to meet its objectives. To assist with the sorting of day to day incoming mail, taking action or refer back to the senior medical secretaries. To assist in providing cover for other secretaries in the Rheumatology team in times of planned or unplanned absence, to ensure continuity of service. To produce header sheets for patients hospital notes and send to scanning. In times of absence - To arrange appointments and ensure that all sessions are fully utilised for Joint Injection Clinics, Ultrasound scans and Day Case bookings, ensuring that waiting times adhere to RTT policy. In times of absence - To ensure patients are added to the Day Case and joint injection waiting list effectively. In times of absence - To ensure that clinic booking rules are up to date and adhered to when dealing with referrals and making outpatient or Day Case appointments. In times of absence - To complete administrative tasks associated with Day Case entries, such as inputting priority codes, validation and ensuring repeat dates are added correctly. To carry out any other duties, within the grade as requested by other members of the team and Directorate Support Officer and Directorate Manager. The purpose of this post should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post. The post holder may from time to time be asked to undertake other reasonable duties. Any such changes will be made in discussion with the post holder in the light of service needs.

Daily supervise routine and specialised diagnostic investigations on potentially infectious patient and environmental samples using manual and automated techniques. Frequently handles potentially highly infectious and known highly infectious material in order to perform subjective interpretation of diagnostic investigations and be responsible for the validity of results. Daily supervises and co-ordinates the day-to-day operations of a section or sections of the laboratory, solving complex analytical problems to ensure a high standard of work that is completed in a safe and timely manner. Knows how to proceed in the event of a technical / analytical non-conformance and when to inform the Laboratory Manager Completes non-conformance record forms and submits to the Senior BMS/Quality Lead and / or Laboratory Manager. Daily record and report results, in electronic form and / or verbally, to persons authorized to receive them. Informs Medical staff of significant / urgent results. Daily perform technical validation of electronic reports using DSE prior to release to Medical Microbiologists Frequently perform tasks that include accuracy, precision and the use and maintenance of specialist equipment. Maintain equipment logs, for the General Bacteriology Section, including maintenance and repair. Participate in the maintenance and revision of Equipment Standard Operating Procedures. Frequently offer specialist technical advice to Medical staff, patients and other service users on validity of results including reference ranges, appropriate specimens / sampling and turnaround times. To participate in induction, training and supervision of AP, MLA, Trainee BMS, Band 5 BMS, Band 6 BMS and other staff and visitors in all relevant aspects of laboratory work including Health & Safety as directed by the Laboratory Manager. To develop and maintain the Departmental Competency Assessment schemes for Trainee BMS, Band 5 BMS, Band 6 & 7 BMS, AP, MLA staff in collaboration with the Laboratory Manager. To participate in own competency assessment scheme. Participate in personally and perform Trust Personal Development Review (PDR) for AP, MLA, Trainee BMS, Band 5 BMS and Band 6 BMS staff and inform the Chief BMS of any training and development needs. Monitor stocks of kits, reagents and consumables and report supply deficiencies to the appropriate AP and / or Senior BMS. To be responsible for the maintenance of the Quality Management System including, internal and external quality control and assurance in accordance with UKAS, HPC, and other Accreditation bodies. To be a nominated Microbiology Audit Officer and conduct audit of vertical, horizontal and examination audits in accordance with the Laboratory Audit Programme. To co-operate with the Laboratory Manager in the evaluation and implementation of new equipment and Standard Operating Procedures as required. Develop, maintain, and review Standard Operating Procedures in collaboration with the Head BMS. To participate in Clinical Trials / Research and Development as directed by a Consultant Microbiologist. Present scientific, technical data and audit data at staff meetings using appropriate communication tools. To assist in the recruitment, selection and induction of staff within line management responsibility. Knows how to respond to a major incident in accordance with Trust Policy. ADDITIONAL RESPONSIBILITIES Co-Deputy Laboratory Manager To deputise for Laboratory Manager in their absence including authorising staff leave and deputising for Laboratory Managers budgetary requirement in their absence. To be involved in the procurement process To take a lead in the recruitment processes. In collaboration with the manager to develop strategical advancements of the department. To co-ordinate the management of sickness and be involved in HR procedures. To have responsibility for limited finance and be involved in contract negotiations and tenders. contract award, and waiver submissions. Quality Manager Responsible for the system of document control. This includes maintaining an electronic database of the master list of all laboratory policies and procedures, issuing controlled documents, and ensuring that documents are reviewed on the set review date. Co-ordinate and ensures the Microbiology Audit Programme is adhered to. Is a nominated Microbiology Audit Officer and conducts vertical, horizontal and observational audits Supervise the programme of Internal Quality Assessment (IQA). Regularly monitors and signs off non-conformance reports including IQA & External Quality Assessment (EQA) and ensures that appropriate corrective and/or preventative action has been implemented. Monitor the requirements of the Departments users and ensure that they are reflected within defined quality performance measures. In collaboration with the Head BMS follows up external and other inspections and ensures and verifies that completion of any corrective actions has been undertaken. Responsibility for the education and training of all staff in quality principles and practice. Prepare reports for the Quality Management Review to include: a. Internal audit of the quality management system. b. Internal audit of the examination process. c. Performance in EQA schemes d. Performance in IQA schemes. e. Assessment of user satisfaction surveys and complaints. f. Assessments by outside bodies e.g. Care Quality Commission. g. Non-conformances and the status of corrective and preventative actions. Support the Head of Department and Head BMS in the investigation of complaints, and incidents. Provide support to senior laboratory staff on quality management matters. Attend senior staff meetings and also report on quality matters. Convene and Chair the Microbiology Countywide Quality And Accreditation Group. In collaboration with the Consultant Head of Department and Head BMS be responsible for the development, maintenance and revision of laboratory procedures to ensure a high standard of work, observing confidentially, safety and data protection in accordance with CPA standards, including maintenance of staff records of training on SOPs. Assist the Head BMS in the production of the annual Departmental Training Plan. Co-ordinate the production of training and guidance notes that support Standard Operating Procedures and the completion of the IBMS Certificate of Competence Portfolio. Technical Service In collaboration with the Training Officer, develops, maintains and organises the IQA programme for the General Bacteriology & Virology departments including: Preparing spot tests Capturing data, collating and analysing results Recording and investigating non-conformances including root cause analysis Identifying training needs and liaising with the Training Officer Monitoring and recording performance and trend analyses Preparing monthly reports and communicating results at staff meetings. Displays results. This job description will be subject to annual review and may be amended as necessary following consultation with the post holder.

PRINCIPLE DUTIES AND RESPONSIBILITIES Clinical Responsibilities Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care. Clinical decision-making adjusting doses of oral chemotherapy in line with local and national guidelines. Have a sound knowledge of oncology medications. Assess and recognise emergencies. To interpret information and take appropriate action and lead others to do the same. To independently deliver nurse led clinics when required. To see children and families from the CYP oncology case load, providing direct care, education and support for patients and their families. Process telephone encounters with families and/or young person in a timely manner. Be part of initial diagnosis of children with oncology disorders with the medical team, counselling families before diagnosis, carrying out blood tests and communicating results. Receive and raisereferrals of the CYP, working with the families and/or young person to support and educate with compassion. To communicate sensitive and distressing information to parents and families. Assess and advise patients and relatives in crisis situations and ensure that their needs are met by the whole team. To work with each family using interpersonal skills to build a trusting relationship thus promoting concordance, recognising the dynamics of change for each family. To act as an expert resource for children and young people and their families, giving advice, education about diagnosis and treatment and support that is appropriately planned to meet each individual's needs empowering them to manage their treatment regimes. This must be a dynamic process recognising the growth and development of the child and the changing themes of oncology disease. To prioritise care that can be offered to families taking a flexible approach. To be aware of professional boundaries between nurse and family. To make appropriate referral and delegation of care to community childrens nurse. To assess, plan, implement and evaluate programmes of care for the CYP liaising with schools as needed. Work with CYP oncology teams where appropriate and work in partnership with Birmingham Womens & Childrens Hospital.. Using expert judgement and analytical, problem-solving skills in the surveillance and recognition of changes in patients condition. To be aware of child protection issues and take appropriate action should there be concerns involving case conferences and planning meetings. To have an active understanding of the physiology of oncology disorders. To have an understanding of test results, and to be able to ensure that appropriate results can be explained to the family. Plan, organise and monitor the management of care for children and young people with oncology disorders who are inpatients ensuring effective discharge planning. To be responsible for effective communication between tertiary, secondary, primary care and the family. Plan, organise and monitor a seamless transition of care for adolescent patients with CYP oncology disorders and their families to the adult team or GP ensuring full preparation for the young person. To ensure accuracy of documentation and maintain an efficient and accurate record system with relevant information in agreement. To ensure safe storage of measurements or quality of life information and retrieve data such as trend plotting of these results. Access and utilise patient information through the PAS and ESR. Communication Maintain effective communication network with all multi-professionals, facilitating a multidisciplinary approach. To work effectively within the multidisciplinary oncology team including attending in-patients, ward rounds, to participate in weekly clinical meetings and out-patient clinics. To act as advocate for the CYP. Act as an expert resource for medical staff both within the trust and outside. To liaise with the TCT or adult oncology team to ensure open exchange in the developments in the oncology service. To work with oncology service at Birmingham Women and Childrens Hospital to contribute to service development, change management and the development of policies and guidelines. Leadership and Management In conjunction with the other multidisciplinary colleagues, contribute monthly/quarterly reports of case mix, workload and education activity which will be presented at Directorate meetings. Take an integral part in regional and national oncology related working groups. To participate in the presentation and publication of relevant research and best practice initiatives. To be actively involved with conferences & meetings, developing presenting skills in the regional and national setting. To represent the Trust nationally. To network with other CYP Clinical Nurse Specialists throughout the UK, joining appropriate organisations in order to collaborate, share and benchmark practices and initiatives To obtain, evaluate and disseminate information to facilitate best practice for the CYP and their families. Regular meetings with group and Lead CYP Oncology Nurse Specialist to ensure co-ordination of care, continuity and planning changing in frequency from weekly to monthly according to current service needs.Maintain confidentiality of patient/family and staff information. Be discerning when confidential information should be shared. To undertake all expanded role procedures according to agreed protocols within the scope of Professional Practice and identify areas for further advancement. Develop and maintain own clinical skills and knowledge of the oncology speciality that is evidenced based aiming to achieve a 'best practice' principle, keeping up to date with new advances in treatment and new developments in the world of children and young people oncology research. Manage time off and delegate care of patients appropriately. Professional Responsibilities Maintain own professional knowledge development and competence. Assess own educational needs and keep up to date with clinical and nursing developments in line with requirements of NMC. Be aware of the Code of Professional Conduct and be professionally accountable for own actions. Work autonomously, when required, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct). To manage own caseload managing own time on a weekly and monthly basis. Education and Training Ensure staff are fully trained on the range of equipment, consumable products associated with the care and treatment of patients. Undertakes active teaching and assessing in the education and training of clinical and non-clinical staff to support the education strategy. Support staff undertaking SACT (Systemic Anti-Cancer Treatment) competences. Act as a role model and clinical expert when liaising with the local primary healthcare teams, teachers and other relevant community health professionals in order to promote a better and on-going understanding of each child / young persons condition and associated symptoms and treatment regimes to promote effective continuity of care. Act as a resource and mentor for other members of the paediatric specialist nurse team. To mentor post registration and pre-registration students as requested. Acting as role model and clinic expert undertake active teaching and assessing in the education and training of clinical and non-clinical staff to support the education strategy. Clinical Governance Support effective governance by disseminating good practice and promoting clinical audits. Participate in Clinical Governance and Risk Management including participating in the development and implementation of audit and guidelines. Any policy development to be informed by Childrens Act and national service framework for children and young people. Participate with the investigation of complaints and incidents in line with Trust policy and procedure. Maintain high standards of nursing care within own practice and monitor the standard care. Service Development Ensure constant provision of effective, high quality nursing care. Contribute in developing the quality and availability of children and young peoples related information for families and community health care professionals. Support and work with the children and young peoples multidisciplinary team in the introduction of clinical changes. To be actively involved in the development of oncology protocols and procedures e.g. care pathway, in conjunction with other members of the oncology multidisciplinary team. Assist in introducing and applying research findings along with members of the CYP Oncology team to enhance the care of children and young people with Oncology disorders. Take a role in identifying and recommending relevant areas for research within childrens and young peoples nursing which will benefit patient care. Participate and be actively involved in multidisciplinary research studies of relevance to the care of patients with oncology , playing a lead role in liaising between the patient and the research team.

Main Duties and Responsibilities - see attachment documentation for full details Ensuring that the patient is as comfortable and relaxed as possible and confirming their agreement to the collection of a blood sample Collection of sample(s) of blood in accordance with training and procedures Ensuring samples are stored in appropriate containers Accurate, legible labelling of all samples to confirm patient identity Checking patient identification against GP/nurse request and confirming with patient whenever possible Recording collection of blood sample in patient record in accordance with practice procedure Ensuring that samples are dispatched to the appropriate laboratories in a timely fashion Ensuring that anomalies are reported to a senior member of staff Notifying the GP/nurse of any significant patient issues Liaising with and assisting members of the administrative team

Please refer to the full Job description for further information on roles and responsibilities. If you are an enthusiastic, inclusive individual committed to supporting others then we could be the perfect organisation to help you flourish. Please note we operate a 3-month probationary period for new appointments.

Behave consistently with the values and beliefs of the organisation and promote these on day to day basis. Act as a role model to colleagues, always seeking to maintain the highest standards of professionalism. Use their initiative and take responsibility for themselves and the quality of their work and the service they provide to patients. Work as an autonomous practitioner within the integrated team providing rapid and planned assessment and treatment interventions to patients in their own homes or other community settings to enable patients to maximise their independence, health and wellbeing and remain in their own homes for as long as possible. This will be achieved through a combination of hands on clinical skills and knowledge to treat, educate and support patients on a designated caseload and by working with patients and their carers to assess, plan and implement appropriate packages of care. Take responsibility for the caseload in the absence of the Senior Community Nurse when required. For full details of the duties and criteria for the role please refer to the job description and person specification attached.