Important Job Application Information
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum Vitae,
Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the
vacancy reference number in the subject box) or to the postal address given on the General
Conditions of Service.
All completed applications are held in Human Resources until the closing date. After the
closing date a panel will meet to prepare an interview shortlist. Once this decision has been
made, all shortlisted applicants will be emailed to invite them to attend for interview. It is
important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted
regarding interview within 6 weeks of the closing date, your application has been unsuccessful
and you will receive no further correspondence from Human Resources.
ADDITIONAL INFORMATION:Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
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NHS TAYSIDE - AGENDA FOR CHANGE
JOB DESCRIPTION
1.
JOB IDENTIFICATION
Job Title
COPD Peripatetic Nurse
Department(s)/Loc Community Nursing, Dundee CHP
ation
Number of job 2
holders
2. JOB PURPOSE
The aim of the Dundee CHP COPD programme is to improve the quality of life of patients
with COPD. The post holder will ensure that the highest standard of care is given which
complies with current legislation, clinical and local guidelines.
Responsible and accountable for the holistic assessment, planning, implementation and
evaluation of the treatment requirements of the COPD practice population using a variety of
sources to meet the patients needs.
The post holder will provide COPD specialist advice to healthcare professionals, clients,
carers, relatives and other agencies within Tayside.
3. ORGANISATIONAL POSITION
Keep Well Programme Coordinator
COPD Team Leader
COPD Senior
Peripatetic Nurse
4. SCOPE AND RANGE
COPD Peripatetic
Nurses
Dundee CHP has a population of approx. 160,000 patients across 29 General Practices. The
prevalence of COPD within this population may be as high as 5%.
1. The post holder will be required to work autonomously with individual patients and
their families, within the community setting, to co-ordinate and deliver services, to
clients of designated General Practices in the clinic and home setting.
2. The post holder will have a Dundee wide remit. The area covered will include
Dundee, Angus and Perth communities within the boundaries of the Dundee GP
practices assigned.
3. The post holder is an autonomous practitioner, responsible for ensuring systems are in
place to identify clients who are at high risk of developing COPD. She/he will also
ensure that systems are in place to screen, monitor and diagnose and treat those at risk.
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4. The post holder will have a dedicated, experienced mentor from the COPD peripatetic
service to support, guide and develop their role.
5. The post holder will act as a resource in relation to COPD for staff within Dundee
CHP, mainly staff within designated practices e.g. GP’s, practice managers, practice
nurses, community staff and other agencies e.g. social work department and voluntary
agencies.
6. The post holder will be expected to participate in the ongoing development of the
COPD service by initiating/participating in the development of the service through
agreed audit and research.
7. Responsible for ordering essential supplies and equipment required to carry out the
COPD programme such as equipment for diagnosing and monitoring disease e.g.
spirometry consumables.
8. Responsible for ensuring the accuracy and maintenance of equipment used by the post
holder e.g. spirometer and pulse oximeter.
5. MAIN DUTIES AND RESPONSIBILITIES
1. Responsible and accountable for the on-going holistic assessment, diagnosis, delivery,
implementation and monitoring of COPD care, ensuring that the highest standard of
service and care is delivered in a consistent and safe manner within the home / clinic
setting. The aim being to manage symptoms, prevent deterioration in health where
possible, prevent complications, improve quality of life and reduce hospital admissions.
2. The post holder will carry a housebound caseload incorporating all the practices assigned.
This will be effectively managed and organised and workload will be prioritised to ensure
that the best interests of the patients and service are met.
3. To support the public health agenda by promoting service development and participating
in health education activities, promotion of healthy lifestyles and prevention of disease in
order to achieve optimum health and independence for COPD patients, e.g. smoking
cessation, pulmonary rehabilitation
4. Offer ongoing support to chronically sick patients and their families and provide support
to those in crisis situations that may require immediate intervention.
5. The post holder will ensure that the care given complies with current legislation, national
and local COPD guidelines.
6. Accurate, up to date clinical records will be maintained in accordance with divisional
policy, GP practice requirements, legislation, good practice and patient confidentiality.
7. Develop, implement and evaluate systems that support and involve patients, carers and
relatives in the planning and delivery of individualised care. Actively seek views of
service users and carers to improve the health care experience for individuals.
8. The post holder is responsible to ensure a manageable workload is achieved, by ensuring
patients are seen timeously and by the most appropriate person whilst achieving targets
for the delivery of the COPD service.
9. Initiate, establish and maintain good working relationships and communications with
patients and carers.
10. Engage in joint working with medical, nursing and PAMs staff to support a
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multidisciplinary team approach to care provision.
11. To work collaboratively with other agencies i.e. health, statutory and voluntary, to provide
a seamless service to patients and carers being cognisant of local and national health
agendas e.g. participate in the SSA process
12. Establish, maintain and review systems to ensure effective communication with
individuals and within groups. This may be complex and potentially stressful, e.g.
attendance at case conference to address complex needs.
13. To audit, against standards of care, measure clinical outcome and implement any required
change.
14. The post holder is required to take responsibility for his/her own professional
development in discussion with and the agreement of Respiratory Disease Facilitator.
15. By personal example, ensure that the highest standard of professional conduct is
maintained.
16. Responsible for the ordering and maintenance of stock supplies e.g. respiratory
consumables.
17. Responsible for ensuring that appropriate equipment is used, maintained, serviced and
cleaned reducing the risk of cross infection, misdiagnosis and ensuring a safe working
environment. e.g. calibration of spirometers.
18. Ensure effective use of financial resources and the delivery of COPD services.
19. To participate in and support ongoing research in COPD nursing practice audit / research.
20. To participate in the development, implementation and evaluation of policies, procedures
and guidelines, in relation to COPD care at a local and regional level.
21. The post holder is required to comply with all statutory policies including Health and
Safety of the division, board and the NMC code of professional conduct, guidelines and
standards and to assist in the investigation and resolution of complaints in line with
division policies.
6. COMMUNICATIONS AND RELATIONSHIPS
The post holder requires to develop and maintain open and effective systems of
communication on routine, complex, sensitive, challenging and potentially stressful matters
on a daily basis. Using the full range of verbal, non-verbal and written communication skills,
the postholder has a responsibility to enable any communication difficulties worked through
and resolved in a positive manner.
Reasons for Communication are varied and will include the following;
Providing and obtaining information, educating, teaching, learning, listening, motivating,
negotiating, persuading, empathising, breaking bad news, counselling and promoting change
and development.
Communication will at times be difficult as there will be barriers to understanding given the
age and prevalence of co-morbidities within this group of patients e.g. patient understanding
with regards to treatment regimes - daily.
Communication will at times be highly sensitive e.g. informing patients and carers of likely
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prognosis - weekly.
Internal contacts
GP, Practice Manager and Practice Nurses within different General Practices/Health Centres
Respiratory Disease Facilitator/ COPD Team members
Community District Nursing Service
Service Development Manager
Secondary care staff e.g. Respiratory Liaison Nursing Service, Respiratory Consultants,
Nursing and Medical staff
Mental Health Nurses, Nursing/Residential Home Staff
PAMs e.g. Dietician, Physiotherapist, Occupational Therapist, Pharmacist,
External contacts
Local authorities specifically Social Work Department, Welfare Rights, Crisis team
Voluntary agencies.
Patients, relatives, carers and families
(this list is not exhaustive)
7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
1st Level Registered Nurse
Experience in Primary Care/Community Setting
COPD diploma
Evidence of Continuing Professional Development
Demonstrable skills/experience in:
skills




Time management, excellent communication, effective listening and interpersonal
Ability to work under pressure
Ability to work within multidisciplinary teams.
Able to work on own initiative/motivated self starter
Problem solving skills/flexible approach to care
IT skills
Clinical skills e.g. CPR, anaphylaxis management
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ESSENTIAL ADDITIONAL INFORMATION
8. SYSTEMS AND EQUIPMENT
Responsible for the safe use of patient related equipment used ensuring it is regularly
calibrated, serviced and working to national and local guidelines where appropriate including:






Spirometers
Pulse Oximeters
Nebulisers and compressors
Carbon monoxide monitor
Anaphylaxis kit
Blood sample equipment
Awareness of oxygen cylinder, sizes and availability oxygen conservers, oxygen delivery
systems including access to equipment to facilitate patient independence
Personally generated clinical notes
Patient held records
Telephone/Mobile Phone
Inputs personally generated data into electronic systems
Clinical IT systems within practices and NHS Tayside, IT developments e.g. TARDIS
ensuring local and national data protection requirements are adhered to.
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of the business of NHS Tayside are corporate records
and are public records under the terms of the Public Records (Scotland) Act 1937. This
includes email messages and other electronic records. It is your responsibility to ensure
that you keep appropriate records of your work in NHS Tayside and manage those
records in keeping with the NHS Tayside Records Management Policy and with any
guidance produced by NHS Tayside specific to your employment.
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9. PHYSICAL DEMANDS OF THE JOB
Physical Skills
Perform clinical tests e.g. pulmonary function
Administer vaccinations and venepuncture
Use of IT systems
Physical Demands
Requirement to perform clinical tests e.g. spirometry, venepuncture several times per day
Requirement to carry bulky equipment e.g. bag containing spirometer, pulse oximeter, inhaler
devices, scales, clinical notes etc - several times per day
Requirement to travel, sometimes in adverse weather conditions, throughout Dundee city several times per day
Occasional need to manoeuvre breathless patients - once per month
Requirement to input data - several times per day
Mental Demands
Concentration required when checking documents / patients notes, injections, drug dosages,
scheduling visits - several times per day
Concentration required when obtaining clinical history and examination of patient - several
times per day
Requirement to concentrate on computer screens (up to one hour) - several times per day
Concentration required for accurate data input - several times per day
Caring for patients/carers with special needs e.g. illiterate, socially deprived or in crisis - daily
Interpretation of pulmonary function tests in order to diagnose respiratory disease - several
times per day
There may be unpredictable clinical demands leading to changing planned scheduled
workload - daily
Retention and communication of clinical information - several times per day
Management, organisation, preparation, planning and prioritising workload - daily
Liaison between multiple General Practices - weekly
Emotional Demands
Communicating with the distressed / anxious / worried patients, relatives and carers - several
times per day
Palliative care support i.e. ongoing emotional, physical, spiritual and psychological care to
COPD patients who are dying from their disease over a prolonged period - weekly
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Caring for patients following receipt of poor prognosis - weekly
Working Conditions
Direct exposure to body fluids e.g. blood and sputum - several times per day
Exposure to poor social circumstances - weekly
Requirement to work in confined spaces (patients homes) - weekly
Lone working - daily
Unpleasant conditions, exposure to cigarette smoke in patients home - weekly
Driving hazards - daily
Confused patients e.g. due to oxygen deprivation, dementia - weekly
Oxygen therapy hazards causing increased fire risk - monthly
Occasional exposure to verbal aggression - once per month
10. DECISIONS AND JUDGEMENT
With the support of the dedicated mentor, the post holder will work as an autonomous
practitioner, where the workload will be both self generated and generated via others e.g.
GP's, district nursing service, hospital team, patient and carer demand, social work and other
health care professionals.
Assessing and interpreting acute and chronic patient conditions. Recommending prescription
changes to GP's in order to improve patient management. Deciding when to refer to other
health care professionals, statutory and voluntary services.
Work will be carried out and reviewed in accordance with NHS Tayside policies and
procedures.
The post holder's manager will undertake performance review and appraisal in accordance
with PDP policy.
Meetings with manager are held on two - weekly basis.
The post holder has the responsibility to regularly reflect upon and review their decisions and
actions in relation to care management, communications and relationships.
11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Being able to meet the clinical needs of the client group and demands from other agencies
and professionals while maintaining continuity of care and developing direct patient care
within the clinic, home and other settings.
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Dealing with the physical and mental demands which are part of caring for chronically sick /
palliative patient.
Being able to work effectively, collaboratively and establish effective lines of communication
within a number of general practices and the wider primary care team.
Working in multiple General Practice where there are varied systems of record keeping and
IT support networks.
12. JOB DESCRIPTION AGREEMENT
The job description will need to be signed off using the attached sheet by each post holder to
whom the job description applies.
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JOB DESCRIPTION AND ESSENTIAL ADDITIONAL INFORMATION FORM – SIGNATURE OF
AGREEMENT
Post Title
Reference Number
The attached job description and essential additional information will be used as part of the Agenda for Change
assimilation exercise and therefore the job matching panel may wish to seek further clarification on any issues
contained within the documents. Should this be necessary please identify an appropriate Manager and Staff
representative who can be contacted.
Responsible Manager
Contact No.
Staff Representative
Contact No.
I/we the undersigned agree the attached document is an accurate reflection of the requirements of the post. The essential
additional information provides accurate information of additional job related factors.
Signed :- (Manager)
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Staff Members:
NAME
(BLOCK CAPITALS PLEASE)
General Conditions 05.08
SIGNED
POST NO.
(office use only)
General Conditions of Service
POST REF NO:
P/FM/96
JOB TITLE/GRADE:
COPD Peripetitic Nurse, Band 6
LOCATION:
The Crescent, Whitfield, Dundee
Conditions of Service
Remuneration
Hours of Duty
Superannuation
The terms and conditions of service for this post are those
determined by the NHS Staff Council.
The current salary scale for the post is £26,041 to £34,876 per
annum (pro rata for part-time staff). Placing on the scale on
appointment is normally at the minimum but may be higher
subject to verification of previous relevant service.
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 28 per week.
Start and finish times will be determined by the needs of the
service.
Membership of the NHS Superannuation Scheme is not
compulsory but is open to all staff between the ages of 16 and
70 (65 in some instances).
The contributions paid are a percentage of superannuable pay,
which is essentially basic pay excluding, for example, overtime
or travelling expenses.
Contribution rates with effect from 01.04.14 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,431
£15,432 to £21,387
£21,388 to £26,823
£26,824 to £49,472
£49,473 to £70,630
£70,631 to £111,376
£111,377 and over
Annual Leave
Contribution
5%
5.6%
7.1%
9.3%
12.5%
13.5%
14.5%
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial
contribution towards scheme benefits – currently around 14% of
basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4
weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-time
staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year
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References
Public Holidays = 8 days (pro rata for part-time staff) or 1.6
weeks per year
All offers of appointment are subject to receipt of two satisfactory
references.
Occupational Health
Clearance
All offers of appointment to new entrants to the National Health
Service are subject to a medical examination. Medical
examinations are arranged and undertaken by the Occupational
Health and Safety Advisory Service (OHSAS).
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
All current or spent criminal convictions, cautions, warnings or
any case pending must be disclosed prior to commencing in
employment as detailed on the application form.
Disclosure Scotland
Immigration, Asylum and
Nationality Act 2006
Please note that having a conviction will not automatically debar
you from obtaining employment with NHS Tayside. Careful
consideration will be given to the relevance of the offence to the
particular post in question. However, if you are appointed, and it
is found that you did not reveal a previous conviction your
employment may be terminated.
The successful applicant will be required to become a member of
the Protecting Vulnerable Groups Scheme (PVG) in respect of
regulated work with protected adults and regulated work with
children.
It is a criminal offence for an employer to employ anyone who does not
have permission to live or work in the UK.
Shortlisted applicants will be asked to produce specific original
documentation at interview e.g. Passport, or full birth certificate
together with an official document giving the applicants
permanent National Insurance Number and name issued by a
Government Agency or a previous employer, as well as
photocopies of these documents.
Professional Registration/ you should have current and continuing professional registration
Induction Standards &
with NMC other and hold the appropriate qualification(s).
Code of Conduct
Smoking Policy
Smoking is prohibited within NHS premises and grounds.
Applications
Completed forms should be returned to:
recruitment.tayside@nhs.net quoting the job reference in the
subject line
or
to Human Resources Directorate, Management Offices, Perth
Royal Infirmary, Taymount Terrace, Perth PH1 1NX
By closing date of Thursday 28 August 2014
General Conditions 05.08