Total 36,753 job vacancies in London, London, SW2 1RW

Clinical Responsibilities To manage the psychology waiting list and the psychology provision at one of the Havens sites, which offers medical care and other follow up services including psychological interventions, to those who have been raped and sexually assaulted. To provide specialist psychological assessments, formulations and interventions for clients in the CYP Psychology Service at the Havens including:o Specialist assessment and clinical formulation of children and adolescents who have experienced sexual assault, rape or who have been sexually exploited. To include psychological tests, self-report measures, rating scales, direct and indirect structured / semi-structured and unstructured observations and interviews with the client, family members and others involved in their care.o Specialist evidence-based, medium term, intervention for children and adolescents traumatised by sexual abuse, monitoring outcomes and modifying / adapting intervention as required and drawing on a range of theoretical options, and supporting their transition to local services where appropriate. Undertaking liaison psychology with The Havens and borough services, including:Advocates; local borough CAMHS teams; local charity and third sector services; local early support services; and local IAPTS and school counsellors. To provide culturally appropriate psychological interventions with carers or families of referred clients when required. To assess risk using standardised tools, and to develop and implement risk management plans on the basis of this information. To communicate skilfully, complex and sensitive information with clients, parents, carers, and colleagues taking account of sensory, developmental and culturalbarriers to communication. To prepare written reports. To work as an autonomous professional within Health Professions Council (HPC), BPS and/or BABCP guidelines and the policies and procedures of the service, taking full responsibility for own work including treatment and discharge decisions. To attend regular clinical supervision

To participate in providing a catering service to meet the patients meal and beveragerequirements. To monitor the cleaning duties in accordance with the ward schedules and procedures of the area and take action to rectify any faults this will include the post holder undertaking emergency cleaning. To assist patients and visitor as requested attending the ward as requested by the Midwife in charge eg provide teas /coffee/biscuit. Keep notice board updated and tidy. The post holder is also responsible with the ward manager and ward staff in ensuring the area surrounding the bed is checked, to ensure all the necessary items are available in the lockers prior the next patient being admitted to that bed space. To participate in providing a complete and safe catering service to the patients. To ensure that patients meal and beverage requirements as per the clinicians instructions are met. This will include temperature testing of meals and fridges. To monitor the cleaning duties in accordance with the schedules and procedures of the area and take action to rectify any faults and this may mean undertaking emergency cleaning. To ensure that there is sufficient clean linen available to meet the needs of the unit. This will include keeping the linen room tidy and ensuring that dirty linen is available for collection. Ensuring that there is enough stock available for ward use. To ensure that all empty beds are clean and ready for the next patient, this may entail the post holder making beds following training. The area surrounding the bed must also be checked, to ensure all the necessary items are available in the lockers for the next patient.

Please kindly refer to the job description and person specification attached to this vacancy for further information.

Please see attached job description and personal specification for further information on role responsibilities and requirements.

Responsibilities include but are not limited to: Lead on the transformation, provision and maintenance of high-quality services in line with the Trust vision, objectives and values, and national guidance. Contribute fully to the ACS senior management team with additional specific service management and professional responsibility within the Division. The post has external relationships with the Clinical Commissioning Groups (CCG), Local councils and Whittington Hospital Acute services and other neighbouring acute and Community NHS Organisations. Ensure the delivery of high-quality care and customer services, continual service improvement, service re-design and development, managing staff performance, and providing professional advice on service improvements. Deputise for the Borough Lead & Associate Director of Nursing/Therapies/Therapies as necessary. To lead on the continuing development of Urgent Response areas in the light of current health strategies and improve integrated working with other agencies e.g. Discharge to Assess, STP transformation etc. To be accountable for the delivery of Urgent Response services. This will include ensuring clinical standards of practice, advising or leading on recruitment and retention of staff in these teams, and giving professional advice to other service managers. To foster cross-professional working with professionals across the Trust in order to improve patient delivery and care, including developing training, liaison and joint working. To be responsible for and line manage the staff within the Urgent Response services and support staff for the community services listed below in Haringey or Islington: Integrated Discharge Team Rapid Response Borough-based Virtual Ward Bed-based intermediate care District Nursing assessment Therapy assessment Early supported discharge

Process all tobacco dependency treatment referrals promptly and record appointments and inpatient assessments in the appropriate databases in -line with service protocols. Update records in a timely manner. Maintain accurate patient records and store patient records securely ensuring data protection regulation are consistently applied Deliver tobacco dependence initial assessments and follow-up advice and support sessions. Sessions should include behavioural support and support provision of stop smoking medications when indicated and work within recommended local protocols and NICE/NCSCT guidelines. This will involve face to face sessions on inpatient wards, as well as follow-up by telephone or other methods Deliver Carbon Monoxide (CO) monitoring to a high standard when required Develop individually tailored support plans including recommending and delivering treatments based on assessed needs, in accordance with local and national protocols. Signpost refer to other health, community and voluntary services as required. Act as positive role model to clinical staff in supporting service users to manage withdrawal and support quit attempts; maintain a strong visible clinical presence Provide ongoing advice and support to ward staff on tobacco dependency treatment issues as needed. Identify training opportunities and proactively engage with ward teams to organize briefings/ training for clinical staff on implementing Very Brief Advice and starting pharmacotherapy for tobacco dependence. Attend and participate in relevant meetings including the regular Tackling Tobacco Dependency Action Group meetings Ensure robust discharge planning for the patients ongoing specialist tobacco dependency treatment/stop smoking support for patients wishing to quit. Devise and maintain a patient data base to ensure follow up calls are scheduled, carried out and documented Correspond with GPs, referring physicians and other healthcare professionals, community stop smoking services and community partners as needed Help to facilitate smoke free environments by educating patients and staff of the Trusts smoke free policy and support patients to manage withdrawal symptoms and cravings with nicotine replacement therapy and behavioral advice. Support the project manager and wider team in promotion of National campaigns across the Trust such as Stoptober and No Smoking Day, as well as local service promotional activities, campaigns and quality improvement projects. Support the evaluation and reporting of data and monthly outcomes/KPIs Identify areas of service improvement based on experience, user feedback and data analysis and support the team in improving outcomes and service delivery Attend regular supervisions regarding clinical work and raise any issue of concern or any training and development needs with Project Manager. Provide evidence-based information to people about stopping smoking, minimizing harm from tobacco and health-related issues in line with best guidance and protocols

Key responsibilities: Provide pharmaceutical input to areas of chronic disease management within the practices and develop pharmacist-led patient care pathways Undertake chronic disease reviews Undertake structured medication reviews to manage patients with complex polypharmacy , especially older people, housebound patients, people in residential care homes and those with multiple co-morbidities Provide expert clinical medicines advice for the practice teams, giving support with prescription and medication queries Help support the repeat prescriptions system including providing training for administrative and reception staff and reviewing and implementing repeat prescribing policies Improve prescribing practice through educational support for all prescribers in the practices Provide clinical leadership on medicines optimisation, safe prescribing and quality improvement, identifying national and local prescribing guidance that affects patient safety requiring implementation - including MHRA alerts, product withdrawals and new research evidence Manage some aspects of the quality and outcomes framework and enhanced services Medicines reconciliation on hospital discharge and transfer of care Support improvements in clinical care through practice-based audits and implementing change. Liaise with community and hospital pharmacy services to help provide streamlined care, improve patient outcomes, and help manage workload, and liaise directly with hospital colleagues where prescribing needs to be returned to specialists. Respond to patient queries, questions, and concerns regarding medications - face to face and/or telephone contact Contribute to the recruitment, induction, development and appraisal of pharmacy technicians and junior pharmacists and ensure that adequate training and supervision are provided Manage the pharmacy technician team together with the clinical, prescribing and reception leads in each practice Contribute to the vision and development of pharmacy services within the PCN Support public health campaigns such as vaccination

To identify vulnerable service users in Primary Care and deploy resources in an effective manner to meet their needs within existing budgets. To carry out needs assessment of individuals presenting to the duty service in crisis. To promote and support self-care, recognising the important role of individuals, their families and carers as co-producers of health. To identify vulnerable adults and provide effective programmes of support that protect and promote their health and wellbeing, intervening appropriately when a persons safety or welfare is at risk. To ensure that CNWL Trust and LA protocols are adhered to by team members. To cover for the absences of senior colleagues as appropriate and as required by service needs. To contribute to the implementation of the Clinical Governance agenda including Target Setting for Teams, Clinical Audit. Participate as a key member of the Borough Service to ensure collaborative and innovative practice.

The inpatient Heart Failure team is a cross-site, integrated multidisciplinary team and we aim to work collaboratively to deliver care that meets best practice in heart failure across both sites of the Trust. This post will be cross-site working at Chelsea and Westminster Hospital and at West Middlesex University Hospital and the post holder will be expected to contribute to the service as a whole under the direction of the lead specialist nurse for heart failure. This is a developmental role in which the successful applicant will be supported to develop their skills and knowledge in heart failure both formally and in clinical practice. Specifically related to drug titration, patient monitoring, patient education, the assessment and management of heart failure patients and end of life care as per national and local guidelines on the care and management of heart failure. The post holder will be supported to manage their own caseload, which would include nurse-led clinics, virtual clinics, and telephone consultations. This would incorporate education to heart failure patients in both the inpatients and out patients setting The post holder would also be involved in the ongoing development and facilitation of the virtual wards, the use of digital resources, the development of Remote Monitoring and utilising the ambulatory services. The post holder will provide a leadership role and forge In addition forging links with those involved in the ongoing development of the heart failure service. The Heart Failure Specialist Nurse provides expertise in all aspects of cardiac care provision with a specific interest in Heart Failure. The post holder will be an experienced practitioner with experience of cardiology and will develop the ability to work autonomously They will assist in undertaking regular audits, quality improvement activities and participate in the strategic development of the service. The post holder will also actively disseminate experiences through publication, conference presentations and participate in local heart failure and nursing research and national working parties. Please see JD for further information

Clinical Practice Assess, diagnose, triage, and manage patients, taking responsibility for the management of a complex caseload. You will progress and request investigations when trained to do so (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment. Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy and investigation when trained to do so. Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate. Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions. Provide care that is tailored to the individual needs. This would include, appraising the impact of individuals' clinical status on their general health, well-being, employment status (including in relation to function, physical activity, mobility and independence). Support patients to set their own goals and be confident in their approach to self-management. Evidence, Research, and Development Develop relationships and a collaborative working approach across the PCN supporting the integration of pathways in primary care. Work as part of an MDT in a patient-facing role, using your expert knowledge of MSK issues, to create stronger links for wider MSK services through clinical leadership, teaching and evaluation skills. Support research and audit programmes to evaluate and improve the effectiveness of our FCP service. Streamline the pathway of care by providing a responsive service so that patients receive timely access to care. Leadership Lead, manage and contribute to service delivery. Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training. Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care. Facilitating learning Provide feedback and support to other PCN clinical team members on appropriate referral criteria. Critically reflect on your own practice, and continue to develop your skills.

Weekly Complex LARC clinic Monthly Deep Implant Clinic 2 LARC/Training clinics (could include Young people's clinic) 2 General GUM clinics (1:8 weekends) Job Planning, appraisal, continuing professional development, clinical governance, mandatory training, Research and academic activity lead ***Job Description is pending Royal College approval***

Job Summary The post holder works as part of the general practice team under the supervision of the practice nurse, and supports them by participating in the delivery of patient care. The post holder undertakes roles and duties delegated by the practice nurse or a General Practitioner. They will work collaboratively with the general practice team to meet the needs of practice population by providing quality evidence based care. The post holder will strive to improve standards of care and contribute to the identification of practice population needs. The post holder will follow practice policy and procedures. Roles and Responsibilities: The post holder will be responsible for the following clinical activities: Undertake, record and follow guidelines for the tasks for which they have received appropriate training Assisting the surgeon in the minor surgery clinic Daily phlebotomy clinic Measuring and recording following physiological measurements in routine presentations Using patient specific directions, administer to adults B12, influenza and pneumococcal vaccine under indirect supervision of a regulated professional To gain the underpinning knowledge and practical skills to administer basic life support or adrenaline if necessary Undertake wound management as delegated by the regulated professional, referring back any patient that does not fit within established protocols Assist in raising awareness of health and well-being, and how it can be promoted Give accurate and appropriate information to patients and groups within own competence Where appropriate, provide support and encouragement to self-manage their conditions According to practice need and having undertaken appropriate training provide clinical care including monitoring and review of non-complex long term conditions Assess patients readiness to change and provide motivational support as appropriate in cases for example smoking, obesity and healthy living for older people Plan, develop and implement health promotion activities either in one to one or small groups as appropriate e.g. smoking, exercise and diet Communication Patients are treated with dignity, respect and discretion whilst maintaining their confidentiality Communicate effectively with patients and carers, recognising their needs for alternative methods of communication Undertake effective communication with patients in specific clinical situations Communicate effectively with the primary health care team Acts in a manner that acknowledges patients right to make decisions and recognises their responsibilities Maintain confidentiality during communication consistent with legislation and employers policies Personal and people development Take responsibility for maintaining a record of own personal development Work with the practice to access appropriate training based on identified need To recognise and understand the roles and responsibilities of individuals working in the primary health care team Be familiar with the changing structures of health care provision relevant to general practice Health, safety and security Use and encourage others to be familiar with the personal security systems within the workplace according to practice guidelines Identify the risks involved in work activities and undertake them in a way that manages the risks Use and encourage others to adopt appropriate infection control procedures and maintain work areas in each clinical room so that they are clean, safe and free from hazards reporting of any potential risks identified, including: hand washing universal hygiene procedures collection and handling of laboratory specimens segregation and disposal of waste materials decontamination of instruments and clinical equipment reporting and treatment of sharps injuries dealing with blood and body fluid spillages Assist patients and colleagues in adopting sound infection control measures Understand and apply the principles of the cold chain Ensure safe storage, rotation and disposal of vaccines and drugs within area of responsibility Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate Be aware of statutory child health procedures, and statutory local guidance. Know the health and safety policies and procedures within the workplace, including fire procedures, maintaining documentation, monitoring and maintaining of equipment and furniture within your area of responsibility Use the computer monitor safely Be able to identify the risks to health of microbiological and chemical hazards within the working environment according to the Control o Service improvement Work with colleagues in the team on the development of current and new services and other initiatives Deal with requests from patients and clinical staff for health information leaflets Quality Ensure own actions are consistent with clinical governance systems Practice in accordance with agreed standards of care Ensure stock items under your control are ordered and available in the treatment and consulting rooms Know the practice's policies in this respect, especially the whistle-blowing policy - available in the practice staff handbook Be able to manage your own time effectively Equality and diversity Act in ways that recognise the importance of people's rights, interpreting them in a way that is consistent with procedures Respect the privacy, dignity, needs and beliefs of patients and carers Understand basic legal and communication issues regarding child abuse, family violence, vulnerable adults, substance abuse and addictive behaviour Act as a chaperone Information processes Familiar with general practice computerised clinical system so as post holder can record information and activities undertaken with patients and carers in an accurate and timely fashion Inputs accurate Read codes about patients to ensure accurate retrieval of information for monitoring and auditing processes Maintain confidentiality or information relating to patients, relatives, staff and the practice Take the necessary precautions when transmitting information Learning and development Disseminate learning and information gained from courses. Confidentiality The post holder should be aware of the confidential nature of this job. Any matter of a confidential nature relating to patients, carers, relatives, staff, volunteers or practice business must not be divulged to any unauthorised person. Health and Safety The post holder is required to take reasonable care for his/her own health and safety and that of other persons who may be affected by his/her acts or omissions. To liaise with the Practice Manager to maintain the safety and wellbeing of patients, visitors and staff in accordance with the national and local policy. Ensure correct procedures are followed and documentation is completed for all accidents and incidents. Data Protection Act The post holder must be aware of the Data Protection Act and follow local codes of practice to ensure appropriate action is taken to safeguard confidential information. It will be necessary for the post holder to work alongside other staff from time to time. These duties will include supervision, training and support to help them achieve their full potential whilst working within their role description. Other responsibilities This job description covers the major responsibilities to be carried out and may be amended in the light of changing needs of the practice. Consultation will occur before any such changes take place

Please view the attached recruitment profile which is a summary of the detailed Job Description and Person Specification for the full personal attributes we require for the role. You will need to demonstrate these throughout the recruitment process. What we offer: Starting salary of £37,338 - £44,962 per annum in accordance with AfC. A full time permanent opportunity to join as a Band 6, and progress in NHSBT. Opportunity to work with a national organisation and be based in London. NHSBT promotes flexible working opportunities and welcome requests. 27 days annual leave (pro rata for part-time) plus Bank Holidays, increasing to 29 days after 5 years service and to 33 days after 10 years. NHS pension scheme. The NHS Pension Scheme is a defined benefit scheme (not dependent on investment returns) Further details and outline of benefits can be found at: www.nhsbsa.nhs.uk/pensions Weve fostered a culture of continuous learning where colleagues are well-led, engaged, and encouraged to grow. We support you in reaching your full potential, both in your current role and future career. Our Thrive program embodies our commitment to learning and development, offering a wide range of activities to support your personal and professional growth. Its open to everyone at NHSBT, ensuring you have the resources to succeed and shine in your role. This vacancy will close at 23:59 on Sunday 20th October 2024. Interviews are anticipated to be held on week commencing 4th Nov 2024 subject to confirmation. For informal enquiries please contact Angela Warriner, Senior Nurse Manager at angela.warriner@nhsbt.nhs.uk.

To manage a complex and highly specialist caseload independently demonstrating evidence of sound clinical judgement and outcome measurement with access to support and supervision as necessary. To demonstrate highly specialist knowledge in clinical specialism underpinned by current evidence based practice. To reflect on practice with peers and identify strengths and needs. To demonstrate evidence of highly specialist clinical judgement, evidence based practice and outcome measures. To act as a lead speech & language therapist in the appropriate specialism. To provide support and supervision for junior team members as directed by Team Leader. To provide specialist second opinions, advice and training to less experienced/ junior colleagues and/or other professionals in the field. To write appropriate reports and case notes, reflecting specialist knowledge. To communicate verbally and in writing with parent/ carer/ client assessment findings, diagnosis and therapy intervention plan reflecting specialist knowledge. This may include breaking bad news in a sensitive manner. To negotiate with parents/clients/other professionals around case management and to recognise potential breakdown and conflict when it occurs and take steps to resolve. To employ negotiation skills in the management of conflict across a range of situations. To deal with initial complaints sensitively, avoiding escalation where possible. To attend and contribute to relevant Speech and Language Therapy Team meetings and participate in team projects. To attend and participate in departmental study/development days. To take a proactive role within multidisciplinary teams. To supervise and plan time-table and work for assistants and volunteers. To take responsibility for day-to-day operational management of small staff groups. To take the lead on inter-agency team-working as requested. To represent the SLT department in meetings with other agencies e.g. teachers. To assist the line manager in the identification of training needs within the team. To be responsible for the specialist teaching / training of other speech and language therapists and other professional groups. To target training appropriately to the needs of course participants and to evaluate it. To develop and deliver specialist training to others in the area of clinical expertise. To contribute to the induction and support system for new staff. To provide full student speech and language therapy placement. To take the lead on the development of local policies and care pathways. To use highly specialist knowledge to inform service/ policy developments as appropriate. To monitor service delivery and own highly specialist service delivery and report to line manager. To be responsible for implementing agreed changes in working practice. To monitor stock levels in own service area and request new equipment as appropriate. To be responsible for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained including equipment loaned to clients. To maintain up to date and accurate case notes in line with RCSLT professional standards and local trust policies. To share information with others, observing data protection guidelines. To gather and collate activity data accurately and regularly, ensuring the provision of such information promptly within local Trust guidelines. To initiate Clinical Governance /audit projects within local service. To instigate and participate in departmental research and clinical governance/audit projects. To collect and provide research data as required. To be accountable for own professional action and recognise own professional boundaries. To work independently within defined departmental and national protocols/policies and professional code of conduct. To access appraisal within an Individual Performance Framework at pre-determined intervals. To identify and attend relevant training and development in line with appraisal and service needs relating to clinical specialism. To keep up to date with new developments within a clinical specialism, at a highly specialist level, through attendance at relevant SIGs and other training. To have a working knowledge of Clinical Governance and its application to professional practice. To monitor auditory, visual and kinaesthetic aspects of clients communication and to identify appropriate strategies to facilitate and enhance communicative effectiveness. This may require intense periods of concentration. To demonstrate the ability to manage clients with challenging behaviour appropriately. Any other duties commensurate with the grade. This job description gives a general outline of the post and is not intended to be inflexible or a final list of duties. It may therefore be amended from time to time in consultation with the post holder.

Driving High Quality and Sustainable Outcomes The Director of Performance and Planning and Deputy COO will lead on the identification of any performance risks or issues and work with the Clinical Group Chief Executives to develop impactful solutions. The post holder will lead the direction and oversight of performance and assurance at an aggregate level across the Trust meets its statutory responsibilities and that any performance risks are identified in a timely manner. They will also lead on the design, development and deployment of the appropriate reporting and monitoring mechanisms to the Trusts and Clinical Groups Boards. The post holder will work at the heart of a complex set of accountabilities and relationships. They will be expected to develop strong collaborative relationships both internally with the Clinical Groups and externally with the ICB and APC and neighbouring providers whilst maintaining an objective and constructive view of performance and elective recovery issues. Build a robust and productive relationship with the ICB and APC in order to lead on the delivering the performance and elective recovery agenda for South East London. Planning and Organisation The post holder will: Lead on the future design, development and implementation of the Trusts performance management framework, ensuring that it operates efficiently and effectively and provides the necessary assurance to the Trusts Board and Clinical Group Chief Executives. Develop the system and lead on the Trusts approach for capacity and demand modelling to support future planning and to monitor demand changes. Lead as the local expert on the performance management of healthcare services; integrating systems and managing effective working relationships with the appropriate stakeholders. Represent the Trust in sensitive and political situations, delivering difficult messages where required to senior teams and external organisations. Be the operational lead on behalf of the COO for internal business planning and the NHS national operational planning round