Structural Heart Valve Disease Enhanced Practitioner

Structural Heart Valve Disease Enhanced Practitioner
Location: Level 7 BHI, Cardiology Matron, Bristol, BS2 2HW
Salary: £49,387 to £56,515 a year
Contract: Fixed term
Working pattern: Part-time
Band: Band 7

Job summary
The Structural Heart Valve Disease (SHVD Enhanced Practitioner (EP) in this position is responsible for the care coordination/ triage and patient facilitation of of the structural heart cardiology patient pathway as part of a team of structural heart Enhanced practitioners and consultant cardiologist. Responsibilities include Transcatheter Aortic Valve Implant (TAVI) and Transcatheter Edge to Edge (Mitral and Tricuspid) and all structural heart patient care coordination.

The post holder will be required to work 8-16:00 or 08:00-18:00 shifts Monday to Friday, with some consideration of compressed hours and occasional Working from home

The essential requirements that will be expected from the post holder is to review the process of patient referrals ensure the delivery of early responsive, high quality patient care. Having a patient centred focus to facilitate clinical assessment, admission, and safe discharge of inpatients. Program initiatives around improving patient experience, process, education and outcome appropriateness.

The post will be considered for band 6, if successful applicant requires additional skills

Main duties of the job
Lead SHVD to provide professionals with a succinct referral and triage route for patients requiring SHVD
Reviewing current referral pathways, evaluate and guide change.
Evaluate the patient's referral information provided by the referrer
Support clinical decisions of patients and in alignment with ESC and NICE guidance to support patients to be triaged appropriately to TAVI and not requiring surgical intervention.
Link with the SHVD to discuss the referral and an appropriate action plan
Liaise with the referrer to agree next steps
Continually evaluate the coordination process.
Work closely with referrers to provide reason for referrals, patients symptoms, level of urgency whilst ensuring speedy access to investigations e.g. CT TAVI,
Support patients to prepare for pathway e.g. dentistry,
Take opportunities to form networks for clinical developments locally and nationally.
Provide staff training of new ways of working
Clinical development to show benefits for investment and a sustainable patient pathway that works across Bristol with GP, and with District general and tertiary referrals

About us
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.

With an annual turnover of 2.6 billion, we are now one of the largest NHS trusts in the United Kingdom.

Chaired by Ingrid Barker and led by Maria Kane as Chief Executive, Bristol NHS Foundation Trust aims to transform the way healthcare is delivered locally with a clear focus on making a difference for what we call our Four Ps:

• Better outcomes for our Patients
• More opportunities for our People
• Fairer more consistent care for our Population
• Best Value for Public Purse

Our vision for five years from now:

• Patients will wait less time to be diagnosed and treated, and they will have the same high-quality experience and outcomes, regardless of who they are or where they live.
• We will meet rising demand by maximising the use of our available resources.
• More care will be delivered nearer to patients, in their homes or the community.
• Digital technologies will have transformed the way we work and the way we deliver care.
• Our people will feel engaged, energised and empowered by their work.
• We will be known as a place where people enjoy working, training and building a career.
• Our volume of globally renowned research and innovation will have grown significantly.
• We will contribute to system financial balance

Job responsibilities

• Facilitate succinct communication between cardiologist / SHVD and referring physician regarding patient pathway position
• Facilitate communication and /or education/ guidance between primary care to support early referrals that promote early referral and address health inequality
• Coordinate any additional testing i.e. Cath, TTE, CT, if expected timelines expired.
• Coordinates concerns among multiple departments including but not limited to, Cath lab, anaesthesia, CT, echo, vascular, hospital units
• Facilitate scheduling and of structural heart procedures
• Act as clinical expert in assessing, discharging, escalation of care includig NMP and providing specialist knowledge and advice to nurses and clinical teams/staff working within Division and Trust.
• Review the information access that is available to patients and families through all stages of care and look for ways to support appropriate information sharing.
• Working with operational and outpatient teams to facilitated strong working relationships that support succinct referrers letters to SHVD team
• Support a SHVD wide approach on improvement, in conjunction with divisional education facilitators, to support triage of peri/post TAVI/Mitra Clip care to CCU/CICU and cardiac wards.
• Support the delivery and evaluation of TAVI/Mitra Clip pathway inclusive of investigations, treatment and procedures alongside digital content aligned to workforce priorities.
• Act as clinical expert providing specialist knowledge and advice to nurses and clinical teams/staff working within Division and Trust
• Dynamically support the SHVD team response to new service development demands such as maintaining patient pathways and promote practitioner led activities such as preoperative, follow up clinics and patient discharge.
• Ensure patient involvement activities and feedback are contemporary, and promote safe, outstanding patient care.
• Communicating with professional leads for nursing, midwifery and AHP and other members of staff across the Trust, including senior clinical staff.
• To develop and implement a personalised patient education content strategy for the SHVD service. This educational approach will include patients and carers knowledge and understanding of assessment, investigations and personalised information provision, all clearly documented to facilitate a synchronised care pathway.
• Review the next steps that support Cath lab competencies development progression to merge catheter lab and enhanced practitioner roles, that progress both staff and patient care.
• Initiates and coordinates education for primary care, GP and allied Health professionals
• Professionally demonstrate transformational and inspirational leadership with responsibility for supervising, leading and managing, as well as overseeing the practice development of the TAVI pathway and staff.
• Responsible for devising and providing training that is compliant of professional and regulatory standards such as NMC, HCPC, CQC and Health Education England and is cohesive and flexible with other CNS/EP/AP and clinical teams.
• Act as a professional expert resource for line managers, staff, preceptors and trainees.

Person Specification
A&I
Essential

• RGN. 1st Level
• Current NMC Registration
• Evidence of master's level study in relevant health related subject or equivalent experience
• Qualification in Teaching, Assessing and Mentoring
• PACR &/or, PADRAP
• Significant current/ recent acute cardiology knowledge

Desirable

• NMP
• Significant current/ recent acute cardiology knowledge
• Management qualification
• Recent evidence of working on trust or divisional wide projects/initiatives

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer contact details
For questions about the job, contact:
Structural Heart Valve Disease EP
Sokila Adams
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