Date: June 2017 Jb Title : Palliative Medicine Specialist Department : Palliative Care Services, Specialty Medicine & Health f Older Peple Divisin Lcatin : Nrth Shre Hspital primarily, althugh there may be pprtunity t spend time at Waitakere Hspital as required Reprting T : Clinical Directr, Palliative Care fr prfessinal clinical standards, and t the Operatins Manager, Older Adults and Hme Health fr peratinal matters Directly supervising : Registrar and Clinical Nurse Specialists Palliative Care whilst at Nrth Shre Hspital Functinal Relatinships with : Primary Nursing and Medical staff at Waitakere and Nrth Shre Hspitals Nursing and Medical staff at Hspices Allied Health staff Managers and supprt staff in Waitemata DHB Clinical Nurse Specialists in the Hspital Palliative Care team (Waitemata DHB) Patients, their family/caregivers and whanau Secndary GPs and Primary Health Organisatins (PHOs) Auckland Reginal Cancer and Haematlgy Services Specialist Services in the Auckland Regin Prfessinal rganisatins Hspice New Zealand Australia and New Zealand Sciety f Palliative Medicine Ryal Australasian Cllege f Physicians (Chapter f Palliative Medicine) Purpse : T lead, prvide, and supervise cmprehensive specialist palliative care, educatin and supprt within Waitemata DHB with a special fcus n Nrth Shre Hspital fr the benefit f patients and their families. Waitemata District Health Bard -JOB DESCRIPTION - Page 1
Our Purpse, Values and Standards At the heart f Waitemata DHB is ur prmise f best care fr everyne. This prmise statement is the articulatin f ur three-fld purpse t: 1. prmte wellness, 2. prevent, cure and amelirate ill health and 3. relieve the suffering f thse entrusted t ur care. At the heart f ur values is the need fr all f us t reflect n the intrinsic dignity f every single persn that enters ur care. It is a privilege t be able t care fr patients, whānau and ur cmmunity, a privilege that is smetimes verlked in ur day t day wrk. Our standards and behaviurs serve as a reminder t us all abut hw we are with ur patients and with each ther. Purpse f the rle : T prvide clinical expertise within the hspital setting Prvide best quality palliative care t patients ensuring symptm management is f a high standard and that the emtinal and spiritual needs f patients and their families are met. Undertake clinical respnsibility and demnstrate cnduct in all matters relating t emplyment, in accrdance with best practice and relevant ethical and prfessinal standards and guidelines, as determined frm time t time by: NZ medical cuncil Waitemata District Health Bard -JOB DESCRIPTION - Page 2
The Australasian Chapter f Palliative Medicine The Ryal Australasian Cllege f Physicians Health and Disability Cmmissiner Prviding cnsultative specialist palliative care t adult patients (and their family/caregivers and whanau) as an integrated member f the multidisciplinary palliative care team Prviding patients, family/caregivers and whanau with timely infrmatin regarding palliative care service prvisin within the hspital, hspice and cmmunity setting and linking them t cmmunity services t imprve care crdinatin, a seamless cntinuum f palliative care and verall utcmes f care Supprting patients, family/caregivers and whanau with cmplex decisin making. Identifying patients in need f general and specialist palliative care including under-served hspitalized palliative ppulatins: especially thse with nn-malignant disease, Mari and Pacific peples. Supprting general hspital palliative care prvisin t facilitate integratin f a palliative care apprach int the care f patients wh are in hspital with a life-limiting illness Initiating and/r cntributing t clinical review/case cnference meetings as apprpriate Assisting staff as required t reslve medical ethical and prfessinal issues Develping and fstering clse links t cmmunity service including GPs, district nurses, and hspices Prmting an interdisciplinary team apprach t patient care and discharge planning at all times Ensuring patient care is safe, clinical practice is apprpriate and department practice is innvative and evidence based Participate and c-rdinate a team apprach t new service develpment initiatives t ensure nging financial viability fr the service Establishing standards f practice/prtcls and clear expectatins f staff within the interdisciplinary team Waitemata District Health Bard -JOB DESCRIPTION - Page 3
Develping effective teamwrk and cllabrative relatinships, as apprpriate, within the interdisciplinary team Dealing with cnflict situatins, wrking t achieve a win-win situatin Cmmunity Engagement Develping and fstering clse links t cmmunity service including GPs, Residential Aged Care, District Nurses and hspices Exercising persuasin and influence t further develp relatinships Teaching/Research Develping and facilitating undergraduate and pstgraduate teaching in palliative care fr staff and undergraduate trainees Prviding supprt and teaching as required fr registrars and Advanced Trainees in palliative medicine Supprting cntinuing educatin prgrammes within the service Develping and implementing relevant research activities cnsistent with the strategy f the service Actively encuraging staff t identify pprtunities fr imprvement, when apprpriate Administratin Initiating and/r cntributing t clinical review/case cnference meetings as apprpriate Maintaining accurate recrds at all times T be respnsible fr aspects f wn prfessinal develpment Establish annual gals, bjectives, perfrmance targets and strategies t meet these. This includes Maintenance f Prfessinal Standards requirements, such as attending rganized academic clinical/cme meetings, t ensure nging vcatinal registratin Maintain Palliative Medicine knwledge and clinical cmpetence thrugh cntinuing selfeducatin including attendance at relevant curses/seminars/cnferences and review f relevant literature Waitemata District Health Bard -JOB DESCRIPTION - Page 4
Participate in teaching activities cnsistent with the strategy f the department and prviding evidence based and best practice apprach t palliative care educatin Participating in research activities and clinical develpment prjects cnsistent with the strategy f the service Participating in annual perfrmance appraisal with Clinical Directr and Operatins Manager with 360 degree reviews as required Team Leadership Prvide leadership t the hspital palliative care team in cllabratin with the ther SMOs - including caching, mentring, supervisin and rle mdelling Sund decisin making Cnfident and credible in areas f respnsibility Evidence f language, behaviur and attitude twards staff, patients and stakehlders is aligned with the values f the DHB Clinical Gvernance, Quality Assurance & Service Develpment Participate in develping, reviewing and implementing, the service s strategic planning, resurces and educatinal material Supprt the effective use f resurces t meet pririties Participate in frmal and infrmal palliative care quality activities (e.g. Mrbidity and Mrtality meetings, jurnal club, paper runds and peer review). Undertake clinical review and audit as agreed with the Operatins Manager and Clinical Directr, Palliative Care Identify and address clinical gvernance issues pertaining t the hspital and hspice palliative care service Advcate fr and adpting lcal, natinal and internatinal palliative care standards and best practice Educate, up-skill, empwer and supprt clinical staff in general palliative care prvisin Cmmit t quality imprvement in clinical and management practice thrugh participatin in audit, research, prfessinal develpment, benchmarking, credentialing, and accreditatin Waitemata District Health Bard -JOB DESCRIPTION - Page 5
Maintaining individual and team psychlgical health in rder t ensure sustainability f wrkfrce and avid burnut. Statutry & Treaty f Waitangi bligatins Ensures the prfessinal and plitical integrity f WDHB by carrying ut all functins in cmpliance f the Treaty f Waitangi and by demnstrating a serius cmmitment t keeping the treaty alive. T recgnise individual respnsibility fr wrkplace Health & Safety under the Health and Safety at Wrk Act 2015 Shws sensitivity t cultural cmplexity in the wrkfrce and patient ppulatin Cntribute t a safe and healthy wrkplace at WDHB by: All Emplyees Fllwing & cmplying with H&S plicies & prcesses & applying them t their wn wrk activities, including using/wearing Persnal Prtective Equipment as required. Participating in activities directed at preventing harm & prmting well-being in the wrkplace Identifying, reprting & self-managing hazards where apprpriate Early and accurate reprting f incidents at wrk and raising issues f cncern when identified. Waitemata District Health Bard -JOB DESCRIPTION - Page 6
PERSON SPECIFICATION Minimum Qualificatins Fellwship f the Australasian Chapter f Palliative Medicine (r equivalent) Eligibility fr vcatinal registratin as a medical practitiner with the NZMC Evidence f prgress twards Maintenance f Prfessinal Standards Prgramme Preferred A higher pstgraduate medical degree e.g. MD PhD etc. Experience in hspice r specialist hspital palliative care medicine and team wrking fr at least tw years Onging research activities Experience Experience in hspice and r hspital palliative care Trained in principles f evidence-based medicine Skills/Knwledge/Behaviur High standard f written and verbal cmmunicatin Able t wrk as an integral member f a multidisciplinary team Able t maintain gd prfessinal relatinships and be respectful f ther team members skills A demnstrated belief in, and cmmitment t, prmting quality f life. An interest in persnal prfessinal develpment and a willingness t take n further rles within the team An interest in prmting a cnsumer fcus f care delivery Waitemata District Health Bard -JOB DESCRIPTION - Page 7