About this role
Job summary
Tobacco Dependence Specialists play a vital role in liaising and working with other healthcare professionals regarding the patient's treatment plan and ongoing care. Specialists also perform the important role of providing training and support to frontline staff who deliver the admission care bundle, enabling them to issue NRT to patients and refer to TDT for specialist support.
The post holder will deliver behavioural interventions to patients, such as developing self-regulation skills, withdrawal management techniques, effective use of tobacco dependence medication and enhancing confidence to pursue long-term abstinence. To achieve an effective therapeutic relationship to help treat the patient's tobacco dependence, during their admission and post-discharge, high quality communication and rapport building skills are required.
Main duties of the job
The focus of the role is to support delivery of routine Tobacco Dependence Treatment across the following pathway:
A. NHS Inpatient Tobacco Dependence Treatment Delivery Model, comprising:
Admission Care Bundle - Admitting team provides immediate brief advice and acute management of nicotine withdrawal. Inpatient Care Bundle - Tobacco Dependence Team (TDT) provides personalised support and development of treatment plan. Post-Discharge Care Bundle - Delivery of post- discharge treatment and referral to specialist support by the Tobacco Dependence Team. Support will also be given across the following pathways as required:
B. Cessation of Smoking Treatment in the Emergency Department (CoSTED)
Provision of nicotine vapes to patients attending ED. C. Stop B4 the Op initiative
Delivery of routine tobacco dependence treatment prior to elective surgery.
About us
The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description Job responsibilities
Clinical responsibilities
Deliver high quality specialist tobacco dependence assessment and treatment to patients across Denmark Hill and PRUH sites.
To conduct assessments and formulate tobacco dependence care plans for patients, carers and clinical teams, evaluating outcomes and ensuring correct pharmacotherapies are administered.
Review smokers level of withdrawal symptoms and ability to manage nicotine withdrawal, providing appropriate support.
To provide specialist advice, consultation and support to clinical staff, health care providers and management teams within the organisation.
To undertake training needs assessments and delivery programmes within and across all clinical services so that all clinical staff can provide first-line support to tobacco dependent patients (admission care bundle).
Support implementation of relevant initiatives e.g. Stop-before the Op with elective surgical specialties and Cessation of Smoking Treatment in the Emergency Department (CoSTED).
Manage and support the implementation of the NCSCT admission care bundle and BTS rapid inpatient NRT prescribing protocol across inpatient wards.
Assist in-patients who are ambivalent to long-term abstinence from tobacco to manage withdrawal symptoms and urges to smoke, supporting temporary abstinence and a smokefree hospital admission.
Provide effective support to patients who are committed to a goal of long-term abstinence during their admission and following discharge from hospital.
Liaise with and provide professional support to designated ward smokefree champions.
Maintain support and continuity of care when patients are transferred to another ward/speciality.
Deliver regular telephone support to patients after discharge from hospital.
Provide specialist support and encouragement to non-smoking patients who have low confidence in remaining smokefree.
Provide tobacco dependence consultation and if applicable treatment to staff
To manage a caseload of patients independently and prioritise their needs.
To contribute to the ongoing development, delivery, monitoring and evaluation of the tobacco dependence treatment team.
Participate in national campaigns at Kings such as Stoptober, Lung Cancer Awareness and No Smoking Day.
People Management and Performance
Line manage and develop Tobacco Dependence Advisors (band 5) across KCH sites.
Liaise with both hospital care teams and external service providers to ensure that Tobacco Dependence Treatment is fully integrated into routine patient care pathways.
Support the design and delivery of appropriate training to all levels of staff within the organisation to support the routine treatment of tobacco dependence.
Competent in delivering training to support and develop Tobacco Dependence Advisors in the team and associated clinical staff.
Develop and support innovative projects and initiatives to increase awareness of tobacco dependence treatment and the support available to patients and staff, particularly smokers with long term conditions.
To liaise with voluntary and community organisations to develop and improve post discharge care for tobacco dependent patients and ensure that outcome data is fed back to the team.
Research and Service Development
To utilise theory and evidence-based literature to support work with tobacco dependent patients.
To keep up to date with evidence-based practice relating to the treatment of tobacco dependence, implementing good practice where required.
Undertake appropriate research and disseminate findings to team and departmental colleagues where appropriate.
To undertake clinical audits and service evaluations within the Tobacco Dependence Team to improve service provision.
To work closely with the Trust and community communications departments to ensure that smoking cessation support services are widely publicised.
To engage with different staff groups and departmental specialties to embed routine treatment for tobacco dependent patients as part of the clinical care pathway.
To identify barriers that staff encounter making tobacco dependence referrals and supporting patients who smoke, making appropriate recommendations and implementing best practice.
Devise health education resources or support materials for patients and staff where appropriate.
To develop and deliver tobacco dependence training sessions to wards and specialist teams.
Person Specification
Key skills and experience Essential
Educated to degree level or equivalent Post graduate qualification or significant experience of working in a relevant discipline (addiction treatment, psychosocial support and changing health behaviours) Extensive knowledge of tobacco dependence treatment Evidence of continuing professional development in utilising behaviour change techniques and supporting healthy lifestyles for patients Knowledge of secondary care and how acute wards function Experience of developing and delivering training for a range of health professionals and others
Desirable
Experience of delivering tobacco dependence treatment to patients in an acute setting. Experience of providing telephone support/interventions Experience of performance reporting and delivering targets
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 (Opens in a new tab).
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 (Opens in a new tab).
Employer details Employer name King's College Hospital NHS Foundation Trust
Address Kings College Hospital
Denmark Hill
London
SE5 9RS
United Kingdom
Employer's website https://www.kch.nhs.uk/ (Opens in a new tab)