Feb 2013 Specialist Medicine Job Description Job Title: Screening Practitioner Band: 6 Hours of Work (p/w): 37.5 Service Centre/Directorate: Specialist Medicine Base: St George’s Hospital – Endoscopy Services but the post holder will be required to work at any of the South West London Bowel Cancer Screening Centre (SWL BCSC) satellite sites. Accountable to: Screening Programme Lead Nurse Reports to: Director of Screening for SWL BCSC Responsible for: The management of patients journey through the Bowel Cancer Screening Programme including FOBt and Bowel Scope. Key working relationships: Screening Programme Lead Nurse, Director of Screening, Screening Endoscopists, Junior Doctors, Histopathologists, Radiologists, Specialist Screening Practitioners, Screening practitioners, Bowel Cancer Screening Programme and Quality Assurance Manager, Screening Programme Hub, Administration and Clerical Staff, Nursing Staff, GP’s, patients and general public. Role of the Department: The Endoscopy unit based at St. George’s Hospital provides the following services: diagnostic and therapeutic Endoscopy services to St. Georges Healthcare Trust, surrounding PCTs, together with tertiary referrals from other Trusts; screening services to the South West of London in conjunction with the National Bowel Cancer Screening Programme; basic skills and advanced Endoscopy courses in conjunction with JAG and the National Endoscopy Training Programme. Feb 2013 Job Summary: To play a pivotal role in supporting the Bowel Cancer Screening Programme by: Working collaboratively with the programme hub Co-ordinating and providing care from the screening centre to address the needs of individuals arising as a consequence of the screening programme. Acting as the patient’s advocate supporting them to navigate and make informed choices at all stages of the screening process. Co-ordination of health promotion activities with local health promotion services to improve access to screening by all sections of society. Trust Vision & Values: The postholder is expected to have a clear understanding of how this post contributes to the achievement of the trust vision of: By 2015 we will be a thriving Foundation Trust at the heart of an integrated healthcare system. One that delivers improved patient care at a community, hospital and specialist setting, supported by a unique and nationally recognised programme of research, education and employee engagement. We expect all our staff to share the values that are important to the Trust, being Excellent, Kind, Responsible & Respectful, and behave in a way that reflect these. St George’s Healthcare NHS Trust is committed to safeguarding children and vulnerable adults and expects that all staff will share in this commitment. The Trust is clear that all staff have a responsibility to be aware of children and adult safeguarding policies and procedures and that each member of staff, clinical and non-clinical, will attend child or adult safeguarding training that is provided at an appropriate level to suit their role. The Trust has the additional expectation that all staff will be able to identify concerns and know what action to take. Main Duties/Key Results Areas: The post holder will: Support the provision of helpline services run from the hub by resolving queries referred by them to the screening centre Provide advice, information and support for those making direct contact with the screening centre. Be responsible for care delivery to patients identified by the screening programme and will meet the needs of patients arising as a result of: Having been called to participate in screening Having been identified as positive on screening or invited to participate in Bowel Scope Needing to be assessed as fit to undertake screening colonoscopy or alternative diagnostic investigations Carry out venepuncture in order to ensure safety in dispensing bowel preparation Needing to be able to make informed decisions prior to undergoing screening colonoscopy or alternative diagnostic interventions. Feb 2013 Having been identified as requiring further intervention, treatment, surveillance follow up, or discharge Ensure timely access to screening colonoscopy or alternative diagnostic intervention and seamless transition to agreed pathways in primary, secondary, tertiary or outpatient care settings, during all stages of the screening pathway. Establish effective links with the local Multidisciplinary Teams in order to ensure that; Where cancer is detected, there is timely presentation and transfer of patients to the MDT Patient records for the screening services can be completed to include data on treatment, staging and outcomes provided by the MDT. Apply relevant policies, guidelines and procedures in order to inform the overall management of local screening services and the Bowel Cancer Screening Programme. Maintain personal contact with patients, relatives and carers, being sensitive to their needs for courtesy, dignity and privacy and ensuring a friendly environment at all times. Participate in data collection and quality assurance, service feedback and audit with particular responsibility for the follow up of patients at 30 days. Prioritise own work and that of others to ensure the department is managed effectively. GENERAL To act in accordance with the NMC Code of Professional Conduct and to be accountable for own clinical practice and professional action at all times. Ensure continued and effective registration with the NMC. To have responsibility for the Health, Safety and Welfare of self and others and to comply at all times with the requirement of the Health and Safety Regulations. To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity in accordance with the provisions of the Data Protection Act and its amendments. To work in accordance with the Trust’s Equal Opportunities policy to eliminate unlawful discrimination in relation to employment and service delivery. To promote at all times equal opportunities for staff and patients in accordance with St George’s Healthcare policies to ensure that no person receives less favourable treatment than another on the grounds of: age; disability; marriage and civil partnership; pregnancy and maternity; race (ethnicity); religion or belief; sex (gender); gender reassignment or sexual orientation. To ensure skills are up-to-date and relevant to the role, to follow relevant Trust policies and professional codes and to maintain registration where this is a requirement of the role. Feb 2013 To comply with St. George’s Healthcare No Smoking Policies. To undertake such duties as may be required from time to time as are consistent with the responsibilities of the grade and the needs of the service. This job description is not an exhaustive document but is a reflection of the current position. Details and emphasis may change in line with service needs after consultation with the postholder. St George’s Healthcare NHS Trust is an Equal Opportunities employer and operates a No Smoking Policy. Person Specification Job Title: Screening Practitioner Factor Band: 6 Essential Desirable Qualifications and Training Registered health care professional Degree Counselling/health promotion qualification Experience Minimum 2 years post Evidence of providing written Skills registration Evidence of managing a caseload or care group in a clinical setting with multidisciplinary working Evidence of having worked with patients from at least one of the following groups o lower GI disease or cancer Evidence of having been responsible for day to day supervision or co-ordination of staff in a clinical setting Evidence of participation in quality assurance, audit and research Patient examination and history taking Presentation skills I.T skills (standard key board user) Customer care skills Ability to organise and prioritise own workload Ability to supervise others and verbal communications to consultants and GPs as an integral part of caseload responsibilities. Working with patients with lower GI cancers Experience of conducting audit/QA/research and changing practice Responsibility for safe use of equipment and resources/stock control Advanced patient examination and history taking Basic counselling skills Patient teaching/adult education Accessing and entering electronic data in clinical systems Method of Assessment A A I A I Feb 2013 Ability to communicate sensitive information and address barriers to understanding Ability to maintain accurate records Venepuncture and cannulation Holds full driving licence Knowledge Aware of national agenda and changes to improve cancers services including the Bowel Cancer Screening Programme Knowledge of clinical governance, risk management, valid consent and withdrawal of consent. Knowledge of equality and diversity Other Demonstrates the ability to Attitude/Attributes /Behaviours organise self and team members Demonstrates a history of continuing professional development Demonstrates positive attitudes towards cancer screening Registered as a car user according to local policy Key: I = Interview A = Application Form T = Practical Test Lower gastro-intestinal diseases Benign and malignant GI cancer A I presentation and disease progression GI endoscopy and radiological investigations/treatment for GI cancer Surgical and oncology procedures for treatment of GI cancer A I