HSE Job Specification, Terms and Conditions

Transcription

1 HSE Job Specification, Terms and Conditions Job Title, Grade, Grade Code Background Details of the Programme Clinical Lead for the National Clinical Programme for Sepsis (0.5 WTE) Clinical Strategy and Programmes is a national function reporting to the Chief Clinical Officer, HSE. This national function will be renamed as part of the current organisational design (June 2018) of corporate HSE. The Chief Clinical Officer (CCO) is responsible for ensuring clinical leadership, encompassing medical, nursing, midwifery and health and social care professions, at the most senior level of the organisation and will work closely with other National Directors and with senior leaders within Community Healthcare Organisations and Hospital Groups to secure sustainable improvements in patient and service user outcomes, safety and experience. Together with the DDG Strategy and DDG Operation, the CCO will strengthen clinical leadership in the health services to drive essential transformation and support the system to transition from a hospital centric model towards a community and primary care based service within a commissioning/provider model. National Clinical Programmes strengthen clinical leadership, improve clinical performance, and ensure care is delivered in a manner that maximises quality and access while minimising expenditure. There is increasing international evidence that a significant number of unavoidable deaths occur in first world countries due to a failure to recognise sepsis early and manage the treatment of the patient with sepsis within a defined timeline. The National Clinical Programme for Sepsis has as its primary aim the reduction in avoidable death from sepsis by ensuring that each hospital has in place an effective strategy for recognising, treating and escalating patients with sepsis to give them the maximum opportunity to survive. The programme s work is guided by the National Clinical Effectiveness Committee (2014) Sepsis Management: National Clinical Guideline No. 6 and by the National Sepsis Committee. In addition, the World Health (WHO) (2017) Resolution on Sepsis includes a recommendation that member states develop methods to monitor the burden and outcome from sepsis. National clinical programmes work in conjunction with the relevant postgraduate training bodies to provide the change leadership required in their area of practice: a. To develop national models of care, treatment guidelines, standard operating procedures, (SOP), care pathways, decision support algorithms, and performance metrics. b. To support local implementation of best practice and correction of underperformance. c. To provide a sustained focus in quality improvement and resource utilisation d. To identify innovations that will deliver measurable improvements in access, quality, and resource utilisation e. To provide effective communication to stakeholders within and outside the HSE. Scope and Purpose of Post The main scope and purpose of the Clinical Lead for the National Clinical Programme for Sepsis is to develop and lead the work plan of the National Clinical Programme for Sepsis. The work plan includes; 1. Work with the Paediatric programme to develop clinical decision support tools (sepsis forms) for paediatrics and neonates. 2. Work with the Paediatric programme on an update to the 2014 guideline for Paediatric sepsis 3. Work with Maternity services on the monitoring of maternal sepsis & its management 4. Work with Health Intelligence on NQAIS Sepsis 5. Produce the annual National Sepsis Report for 2019 with QID and HPO 6. Host the annual National Sepsis Summit 7. Decide on and guide the quarterly clinical audits and their reports with the Sepsis 1

2 ADONs 8. Work with Social Care on the development of recognition and management pathways for sepsis in residential care 9. Work with Primary Care to promote sepsis education at a postgraduate level and to develop appropriate clinical decision support tools 10. Work with clinical microbiology to promote antimicrobial stewardship 11. Work with HPSC to monitor balancing measures with respect to the impact of changed sepsis management. 12. Promote sepsis awareness in the community The Clinical Lead will work within the context of an overall agreed national governance structure as set out for all Programmes. It is through this governance structure that Programme models of care, documents, guidelines and support tools will be approved. Reporting Arrangements The Clinical Lead for the National Clinical Programme for Sepsis shall report directly to a designated National Clinical Advisor & Group Lead (NCAGL)* and shall ensure that Clinical Strategy and Programmes is provided with all necessary information to exercise governance and policy responsibilities. *Please note: as the Health Service is going through structural change, the structures of the programmes and the working relationship may change over the time of this term Selection Closing Date The Clinical Lead for the National Clinical Programme for Sepsis will be selected through a joint process between the HSE and The Forum of Postgraduate Training Bodies. The successful candidate will be seconded to HSE Clinical Strategy and Programmes. Friday 3 rd August 2018, close of business Proposed Interview Date Informal Enquires Late August 2018 Informal enquiries should be directed to: Idowu Akingbagbohun. Tel: idowu.akingbagbohun@hse.ie Organisational Area Key Working Relationships Principal Duties and Responsibilities HSE Corporate; Clinical Strategy and Programmes, which is the national clinical leadership function of the Office of the Chief Clinical Officer (0.5wte) The proper execution of duties will involve the development of appropriate communication arrangements with key stakeholders both internal and external. These include but are not limited to HSE National Directors, National Clinical Advisor and Group Leads, Hospital Group CEOs, CHO Chief Officers, Clinical Directors, Directors of Nursing, HSE Strategy and Planning Commissioning Teams, HSE Acute and Community Operations, Department of Health, National Sepsis Committee postgraduate training bodies and professional representative groups The Clinical Lead for the National Clinical Programme for Sepsis will: Lead the implementation of the work plan of the National Clinical Programme for Sepsis. Lead on the development of national standards for early detection and management of sepsis Support the implementation of current standards (NCG No 6, Sepsis Management) for early detection and management of sepsis Support implementation of the recommendations of the National Sepsis Steering Group Provide clinical advice and guidance to the HSE in relation to developing strategies to reduce morbidity and mortality from sepsis in Ireland. Provide clinical advice and support to the HSE Deteriorating Patient Project. Act as an expert for teams facing challenges and barriers in implementing national standards for sepsis detection and management Support Senior Managers and clinical leads for sepsis in all acute hospitals to ensure education programmes and supports are in place to detect sepsis and treat the patient as per guidelines and support local audit structures. Work with all service providers to ensure that they are aware of the resources required to provide appropriate sepsis care Work with Clinical Strategy and Programmes to comply with all necessary governance and policy responsibilities. 2

3 Provide expert guidance in view of changing clinical practice, integrate evidence based care, research into practice guidelines and seek to foster innovative and novel ways of care and service delivery. Identify quality improvement guidelines and provide input, suggestions and review of appropriate Quality Improvement initiatives in the specialty. Support the development and provision of clinical and operational aspects of the programme for specialist professional development and education. Support the provision of and embedding of education and training for undergraduate and postgraduate medical specialist training in respect to both clinical and operational aspects of the programmes. Identify potential research areas for the programmes. Undertake evaluation of current service delivery based on agreed targets and provide expert advice, when requested, to areas where performance falls short of target in the context of the delivery of the model of care and related key performance indicators. Support implementation of current and future national standards for equity of access, quality and safety. Provide clinical programme leadership, communication and focus to interdisciplinary health professional teams, hospitals, and professional bodies across all healthcare settings in the context of supporting work streams of the clinical programme. Engage and agree with other National Clinical Programmes as appropriate, identify and support interdependencies between programmes and seek to resolve issues between programmes that may arise. Provide clinical advice and expertise where relevant to the clinical programme and as requested by the HSE Consultants Applications Advisory Committee. Provide clinical advice and expertise where relevant in relation to commissioning of health and social care services relevant to the clinical programme. Work with relevant patient groups and patient representatives to ensure the voice of the patient is considered as practices and guidelines are defined. Adhere to the HSE National Financial Regulations for any expenditure or costs associated with the programme. Adhere to the HSE Communications protocol for any interaction with the press or media and in relation to any public relations events or queries. Make information available to programme managers or assigned person in respect to PQ s or Reps for Government through Clinical Strategy and Programmes. Comply with Freedom of Information and Data Protection legislation. Comply with the Ethics in Public Office (a copy of this declaration should be forwarded to the office of the Director of Clinical Strategy and Programmes each year). Support and engage in the commissioning process with HSE Strategy and Planning. Liaise with National Clinical Advisor and Group Leads, Hospital Groups CEOs, CHO Chief Officers, Clinical Directors, Directors of Nursing / Midwifery, Group CEOs and other National Directors to provide advice and support in implementation of best practice and correction of defects Be a member of and liaise with National Sepsis Steering Group in its capacity as the Programme Advisory Group to ensure their ongoing input to process The above Role Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office. Eligibility Criteria Qualifications and/ or experience On the closing date of the campaign each applicant must: Be a Consultant with a minimum of 10 years post-graduate medical qualification experience. Be registered as a specialist in the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council in Ireland. Be working as a consultant and a current employee of the HSE, or other statutory health agencies and bodies which provide services on behalf of the HSE under Section 38 of the Health Act

4 Experience and skills 1. Have current experience as a lead clinician in the care of patients with sepsis, severe sepsis and septic shock 2. Have experience and knowledge of systems and structures in the HSE and voluntary health sector in Ireland 3. Have demonstrated successful and innovative leadership in the management of sepsis in health care delivery. 4. Have experience in the multi-disciplinary implementation of sepsis guidelines at local level. 5. Have experience in sepsis education at undergraduate, postgraduate, local and national level. 6. Have a profile of peer recognition at national or international level. 7. Demonstrate the ability to foster, mentor and enable multi-disciplinary teams addressing healthcare and practice development issues. 8. Have the ability to recognise and respect the expertise and contribution of all team members and harness this for the achievement of programme aims. 9. Demonstrate the capacity to integrate scientific research in knowledge generation, transfer and application. 10. Be committed to building an environment in which personal success is identified through programmatic leadership and strategic direction, not by personal medical practice or scientific project achievement. 11. Be committed to fostering partnerships, multi-professional and multi-disciplinary relationships, multi-institutional relationships, and collaborative, programmatic development across primary, community and tertiary constituencies. 12. Have excellent inter-personal skills, including experience and familiarity with public, professional, media and political communications and stakeholder relations. 13. Be acceptable of, and comfortable with, environments characterised by ambiguity, change management, continuous development and a requirement for flexible and creative approaches to resolution. Health A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service. Character Each candidate for and any person holding the office must be of good character Conflict of Interest Prior to applying for any national Clinical Lead role, candidates are responsible for ensuring that they do not have any conflict of interest and that they have taken appropriate steps to fully disengage prior to their appointment from any planning, engagement, activity or transaction that might give rise to a conflict of interest. Candidates will be required to make a declaration to this effect prior to their being appointed by the Clinical Strategy and Programmes Division, HSE. It is also the responsibility of a Clinical Lead, during the tenure of the role, to ensure that no conflict of interest arises as a result of any plan, engagement, activity or transaction. Should the Clinical Lead be unsure about whether a contemplated plan, engagement, activity or transaction might constitute a potential conflict of interest, they are obliged to discuss this fully with the relevant National Clinical Advisor and Group Lead to determine the required action, if any. Specific Selection Process Candidates interested in being considered for this position should submit an expression of interest to Clinical Strategy and Programme by to nationalcsp@hse.ie The expression of interest should clearly outline your interest in and suitability for the post with a copy of your curriculum vitae no later than 5pm on Friday 3 rd August Informal enquiries to: Idowu Akingbagbohun. Tel: idowu.akingbagbohun@hse.ie Tenure The term of office will be 18 Months subject to the signing of a secondment agreement. The role will be 0.5 whole time equivalent 4

5 Terms and Conditions Current terms and conditions of HSE (or Section 38 agencies) employment will be retained. The reform programme outlined for the Health Services may impact on this role and as structures change the job description may be reviewed. This job description is a guide to the general range of duties assigned to the post holder. It is intended to be neither definitive nor restrictive and is subject to periodic review with the employee concerned. Useful Resources HSE Clinical Programmes and Strategy Division. National Sepsis Outcome Report, 2016, 5th Sept Available online at pdf HSE Clinical Strategy and Programmes Division. National Sepsis Report Health Service Executive, Dublin, National Clinical Effectiveness Committee. Sepsis Management: National Clinical Guideline no. 6. Department of Health, Dublin, November Available online at: World Health Organisation. Improving the prevention, diagnosis and management of sepsis. WHO, 140th session, 25th Jan EB140.R5. Available at 5