Major Trauma Rehabilitation Coordinator

Detailed job description and main responsibilities

Major Trauma Rehabilitation Coordinator with responsibility for advancing evidence-based clinical practice in this specialty, across East Lancashire Health Care Trust. To exercise advanced clinical expertise, levels of judgement, discretion and decision making in clinical care demonstrated through the four pillars of Advanced Clinical Practice: Clinical skills, Leadership & Management, Research, and Education. This will be done in collaboration with AHP, medical and nursing colleagues.

Provide specialist clinical expertise (both within own professional clinical discipline and across the multidisciplinary therapy team), making evidence-based decisions with the patient about their rehabilitation post major trauma injuries. Practitioners will use their clinical-reasoning skills to undertake an assessment of the presenting problem, interpret findings, develop working and differential diagnoses, and formulate, communicate, and implement management plans that take account of individuals’ needs, goals and wishes, local service availability and relevant local, ICS and national guidelines and policies.

Enable individuals to make decisions about their care using the principles of shared decision making:Helping them to identify the priorities and outcomes that are important to them.Explaining in non-technical language all available options (including doing nothing)Exploring with them the risks, benefits, and consequences of each available option.Supporting them to decide on their preferred way forward.Deliver and promote programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' rehabilitation and fulfilment of personal goals and independence relevant to their major trauma injury.Provide clinical and strategic leadership within the multidisciplinary team, working with the leadership team, with responsibility for quality, training and clinical governance and research agendas.Monitor and lead improvements to standards of care through, supervision of practice, clinical audit, evidence-based practice, teaching and supporting professional colleagues and the provision of skilled professional leadership.Lead on the development and delivery of an education programme for AHP, nursing and medical colleagues across primary and secondary care staff and partner organisations focusing on the assessment and management of rehabilitation following a major trauma injury.

EXPERT CLINICAL PRACTICE:To be a clinical leader in the multidisciplinary delivery of major trauma management and rehabilitation, demonstrating advanced, expert knowledge and skills in interventions with patients and carers.Takes professional responsibility demonstrating high-level decision-making and clinical-reasoning skills in the assessment and rehabilitation of patients within relevant clinical speciality – both within own professional scope of practice and the holistic MDT.Manages a complex caseload with supervision/mentoring as required. This includes the gathering and synthesise of information on the nature of the individual’s presenting symptoms taking account of how these relate to relevant past medical history and investigations, developing and implementing rehabilitation and treatment plans based on best evidence, review and discharge planning.Request appropriate investigations based on their level of competence and interpret the findings to facilitate diagnosis and management plans of patients.To receive referrals from and make referrals to healthcare professionals review the patient and act, accordingly, thereby reducing length of time patients wait for intervention.According to current legislation to undertake independent prescribing and make appropriate use of the administration of medication using Patient Group Directions. Advise, initiate, evaluate and modify a range of interventions, which may include self-management and lifestyle advice, specialist therapies, social and independent prescribing.Record the information gathered through taking individuals’ history concisely and accurately for clinical management, and in compliance with local protocols, legal and professional requirements.Be accountable for their own decisions and actions and the outcomes of their interventions via appropriate professional body, supported by a professional culture of peer networking/review, reflective practice, and engagement in evidence-based practice.

COMMUNICATION AND KEY WORKING RELATIONSHIPS:Demonstrate effective person-centred communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using a person-centred approach.Adapt how they engage with others (including those with communication, cognitive and sensory impairments) through using different verbal and non-verbal communication styles, and in ways that are responsive to individuals’ communication and language needs and preferences. Conveying information and discussing issues in ways that avoid jargon, negative descriptors, and assumptions.Ability to communicate complex clinical information both written and verbal, in an easily understood form, to patients, carers, and all members of the multi-disciplinary team.Ability to deal with difficult or distressed patients and carers, conveying difficult and sometimes unwelcome information relating to clinical issues.Demonstrate leadership, providing clinical and emotional support for staff working in high flow and demanding environments, including ED/Ambulatory care.Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.Advise on local non-clinical services that individuals and their carers may benefit from accessing to help manage their injuries, including those relating to employment, voluntary activities, counselling services and leisure facilities.Make appropriate referrals using appropriate documentation to other health and care professionals and agencies when this is in individuals’ best interests.Respect and draw on colleagues’ knowledge and expertise within the multi-disciplinary team and across pathways. Communicating with colleagues in ways that build and sustain relationships, seeking, gathering, and sharing information appropriately, efficiently, and effectively to expedite and integrate individuals’ care.Participate as an effective team member and understand the importance of effective team dynamics. Contributing effectively to multi-disciplinary team activity (including service delivery processes and learning and development).Facilitate collaboration and close working relationships with all services engaged in delivery of major trauma care.

LEADERSHIP AND MANAGEMENT:Develop and implement robust governance systems based on an understanding of the level of practice required to deliver the service and assure safe quality standards of practice for service users.Ensure that practice is carried out in accordance with professional rules of conduct, professional standards, departmental and Trust policies, national policies and guidelines and statute.Lead new practice and service redesign solutions in response to feedback, evaluation and need.Act as a clinical role model, educator, coach, and mentor seeking to instil and develop the confidence of the workforce.Develop and initiate systems to collect feedback and involvement from individuals, families, carers, communities, and colleagues to assure and improve the quality of care and service delivery.Work with the major trauma leads on the monitoring of complaints, incidents, and patient/service user outcomes and feedback.Demonstrate receptiveness to challenge and preparedness to constructively challenge others, dealing with concerns that affect individual patients, colleagues and overall service safety and quality.To lead the development of relevant policies and clinical protocols in major trauma and be responsible for policy implementation and service development.Negotiate a personal and individual scope of practice for staff to operate within legal, ethical, professional, and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.Demonstrates an awareness of their own limitations and through this, recognise the parameters of their scope of practice.Represent ELHT on relevant committees and meetings, as a lead clinician, provide input in relation to specialist issues and clinical matters as required at a local and regional level.Act as an advocate for and contribute to a culture of organisational learning to inspire and develop future and existing staff.

EDUCATION, LEARNING AND DEVELOPMENT:Lead on the development and delivery of an education programme for all staff working with people post major trauma injuries, in primary and secondary care and the third sector to improve the rehabilitation offer and understanding of conditions.Develop a strategy for training of the MDT working with major trauma patients to develop the knowledge and skills necessary for succession planning, creating a sustainable workforce within the organisation.Provide professional clinical leadership through actively engaging in peer review to inform own and other’s practice, formulating and implementing strategies to act on learning and make improvements.To maintain own continuing professional development (CPD) by engaging in self-directed learning, using a process of critical reflection to identify learning needs to maximise clinical skills and knowledge.Maintain a portfolio of evidence or work-based learning showing how you meet all the required capabilities for working in this role.Take a lead role in implementing a competency and capability framework, inspiring the wider MDT to develop competencies and capabilities through provision of work-based and inter-professional learning opportunities.