Date XXXXXXX Job Title : Palliative Medicine Specialist Department : Palliative Care Services, Medicine & Health of Older People Services Location : Hibiscus Hospice will be the primary location and there may also be opportunities to work at the North Shore and Waitakere Hospital locations Management Report : Operations Manager Older Adults and Home Health & Palliative Care Clinical Manager Hibiscus Hospice Professional Report : Clinical Director Palliative Care Services Directly Supervising : Junior Medical Officers (Registrar and House Officer) Functional Relationships with : Primary Nursing and Medical staff Allied Health staff Managers and support staff Patients, their family/caregivers and whanau Secondary GPs and Primary Health Organisations (PHOs) Hospital Palliative Care New Zealand Australia and New Zealand Society of Palliative Care Medicine Chapter of Palliative Medicine Royal Australasian College of Physicians Hospice New Zealand Purpose : To lead and supervise the provision of comprehensive, quality palliative care for patients and their families. Waitemata District Health Board -JOB DESCRIPTION - Page 1
Head of Division & General Manager Medicine & Health of Older People Services WDHB Chief Executive Officer Hibiscus Hospice Operations Manager Older Adults & Home Health WDHB Clinical Director Palliative Care Services Clinical Manager Hibiscus Hospice Palliative Medicine Specialist Reporting line Clinical accountability KEY TASKS To provide clinical expertise within the hospice and hospital settings EXPECTED OUTCOMES Provide best quality palliative care to patients ensuring symptom management is of a high standard and that the emotional and spiritual needs of patients and their families are met. Undertake clinical responsibility and demonstrate conduct in all matters relating to employment, in accordance with best practice and relevant ethical and professional standards and guidelines, as determined from time to time by: o o o NZ medical council The Australasian Chapter of Palliative Medicine The Royal Australasian College of Physicians Waitemata District Health Board -JOB DESCRIPTION - Page 2
KEY TASKS EXPECTED OUTCOMES o Health and Disability Commissioner Providing consultative specialist palliative care to adult patients (and their family/caregivers and whanau) as an integrated member of the multidisciplinary palliative care team Providing patients, family/caregivers and whanau with timely information regarding palliative care service provision within the hospital, hospice and community setting and linking them to community services to improve care co-ordination, a seamless continuum of palliative care and overall outcomes of care Supporting patients, family/caregivers and whanau with complex decision making. Identifying patients in need of general and specialist palliative care including under-served hospitalized palliative populations: especially those with non-malignant disease, Maori and Pacific peoples. Supporting general hospital palliative care provision to facilitate integration of a palliative care approach into the care of patients who are in hospital with a life-limiting illness Initiating and/or contributing to clinical review/case conference meetings as appropriate Assisting staff as required to resolve medical ethical and professional issues Developing and fostering close links to community service including GPs, district nurses, and hospices Promoting an interdisciplinary team approach to patient care and discharge planning at all times Ensuring patient care is safe, clinical practice is appropriate and department practice is innovative and evidence based Participate and co-ordinate a team approach to new service development initiatives to ensure ongoing financial viability for the service Establishing standards of practice/protocols and clear expectations of staff within the interdisciplinary team Developing effective teamwork and collaborative relationships, as appropriate, within the Waitemata District Health Board -JOB DESCRIPTION - Page 3
KEY TASKS EXPECTED OUTCOMES interdisciplinary team Dealing with conflict situations, working to achieve a win-win situation Community Engagement Developing and fostering close links to community service including GPs, Residential Aged Care, District Nurses and other hospices Exercising persuasion and influence to further develop relationships Teaching/Research Developing and facilitating undergraduate and postgraduate teaching in palliative care for staff and undergraduate trainees Providing support and teaching as required for registrars and Advanced Trainees in palliative medicine Supporting continuing education programmes within the service Developing and implementing relevant research activities consistent with the strategy of the service Actively encouraging staff to identify opportunities for improvement, when appropriate Call Back Activities This section is draft for clarification with Hospice re first on call vs second on call and expected frequency of roster. Need to reflect how often required to do on call and for how long at a time. Administration Initiating and/or contributing to clinical review/case conference meetings as appropriate Maintaining accurate records at all times The employee is required to participate in the Medical On-Call roster for Hibiscus Hospice. The On-Call roster hours for weeknights are 1630 0800 and across weekends and public holidays. When on call, the employee is required to remain immediately contactable and to attend the Hospice within 30 minutes of call. The employee is expected to be familiar with and to comply at all times with the Hibiscus Hospice Medical On-Call Policy. To be responsible for aspects of own professional Establish annual goals, objectives, performance Waitemata District Health Board -JOB DESCRIPTION - Page 4
KEY TASKS EXPECTED OUTCOMES development targets and strategies to meet these. This includes Maintenance of Professional Standards requirements, such as attending organized academic clinical/cme meetings, to ensure ongoing vocational registration Maintain Palliative Medicine knowledge and clinical competence through continuing selfeducation including attendance at relevant courses/seminars/conferences and review of relevant literature Participate in teaching activities consistent with the strategy of the department and providing evidence based and best practice approach to palliative care education Participating in research activities and clinical development projects consistent with the strategy of the service Participating in annual performance appraisal with Clinical Director and Service Manager with 360 degree reviews as required Medical Team Leadership Provide leadership to the Medical Team including coaching, mentoring, supervision and role modelling Sound decision making Confident and credible in areas of responsibility Evidence of language, behaviour and attitude towards staff, patients and stakeholders is aligned with the values of both the Hospice and the DHB Clinical Governance, Quality Assurance & Service Development Participate in developing, reviewing and implementing, the service s strategic planning, resources and educational material Support the effective use of resources to meet priorities Participate in formal and informal palliative care quality activities (e.g. Morbidity and Mortality meetings, journal club, paper rounds and peer review). Undertake clinical review and audit as agreed with the Service Manager and Clinical Director, Medicine Identify and address clinical governance issues Waitemata District Health Board -JOB DESCRIPTION - Page 5
KEY TASKS EXPECTED OUTCOMES pertaining to the hospital and hospice palliative care service Advocate for and adopting local, national and international palliative care standards and best practice Educate, up-skill, empower and support clinical staff in general palliative care provision Commit to quality improvement in clinical and management practice through participation in audit, research, professional development, benchmarking, credentialing, and accreditation Maintaining individual and team psychological health in order to ensure sustainability of workforce and avoid burnout. Statutory & Treaty of Waitangi obligations Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. Shows sensitivity to cultural complexity in the workforce and patient population To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Company health and safety policies are read and understood and relevant procedures applied to their own work activities Workplace hazards are identified and reported, including self management of hazards where appropriate Can identify health and safety representative for area Waitemata District Health Board -JOB DESCRIPTION - Page 6
Waitemata DHB Behavioural Competencies & Values Adheres to Waitemata District Health Boards 4 Organisational Values of: Every single person matters, whether a patient / client, family member or a staff member We see our work in health as a vocation and more than a job, We are aware of the suffering of these entrusted to our care. We are driven by a desire to relieve that suffering. This philosophy drives our caring approach and means we will strive to do everything we can to relieve suffering and promote wellness. We need to be connected with our community. We need to be connected within our organisation across disciplines and teams. This is to ensure care is seamless and integrated to achieve the best possible health outcomes for our patients/clients and their families. We seek continuous improvement in everything we do. We will become the national leader in health care delivery. Behavioural Competencies Behaviour Demonstrated Communicates and Works Cooperatively Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi. Is Committed to Learning Proactively follows up development needs and learning opportunities for oneself and direct reports. Is Transparent Communicates openly and engages widely across the organisation. Enacts agreed decisions with integrity. Is Customer Focused Responds to peoples needs appropriately and with effective results Identifies opportunities for innovation and improvement Works in Partnership to Works in a way that: Reduce Inequality in Outcomes Demonstrates awareness of partnership obligations under the Treaty of Waitangi. Shows sensitivity to cultural complexity in the workforce and patient population. Ensures service provision that does not vary because of peoples personal characteristics. Improves health Work practices show a concern for the promotion of health and well-being for self and others. Prevents Harm Follows policies and guidelines designed to prevent harm. Acts to ensure the safety of themselves and others. Waitemata District Health Board -JOB DESCRIPTION - Page 7
Hibiscus Hospice Behavioural Competencies & Values MISSION This is a short expression of what we do currently, why and how we do it: Created by our community for our community We provide the people of our diverse communities with the highest quality specialist palliative care, in: their homes our Outpatient Clinics our In Patient Unit partnership with other healthcare providers We enhance quality of life through support and comfort, and the hope of a peaceful death. VISION This is a short expression of how we want to look in 5 years and is therefore aspirational: We are a vibrant, innovative and self-confident organization relishing our future challenges. We thrive through ongoing engagement with our diverse communities. We promise dignity and compassion beyond expectation for those facing the final stage of life. Created by our community for our community VALUES These are the fundamental principles that guide all our work: Attitude: Respect: Accountability: Teamwork: Open-hearted, open-minded For everyone and for each other We demand excellence Better outcomes, working together BEHAVIOURS: These are the standards required to deliver on each value and the behaviours we love to see and those we donot want to see: VALUE STANDARD LOVE TO SEE DON T WANT TO SEE ATTITUDE KIND I am thoughtful of other Dismissive of other people s people and take time to put feelings, beliefs, culture or myself in other people s pain. shoes. POSITIVE INNOVATIVE I am positive about what we can achieve. I have high standards, I motivate others to achieve and celebrate our success. I am open, flexible and Negativity, pessimism, poor performance and blaming others. Judgemental, making Waitemata District Health Board -JOB DESCRIPTION - Page 8
VALUE STANDARD LOVE TO SEE DON T WANT TO SEE accepting of challenges. assumptions, closed minded and resistant to change. RESPECT DIGNIFIED I treat others as I would like Behaving in a way that makes to be treated. people feel unsafe, unvalued or bullied. EVEN HANDED I treat all people with compassion and fairness. Unfair and inconsistent. HONEST I am honest with myself and with others, I can be trusted. Dishonest, misleading, deceptive ACCOUNTABILITY OWNERSHIP I see your problem as my problem; we are all in this together. Selfish silos, blaming, isolation, exclusion and collusion. STEWARDSHIP I use our resources thoughtfully and effectively. Wasting of precious resources. PROFESSIONALISM I behave and work in a responsible and ethical manner that is consistent with my profession. Unethical and irresponsible behaviours that are incongruent with personal, professional, team and organisational standards. COMPLIANCE I will work in a way that keeps myself and others safe from harm. Unsafe and non-compliant practices and behaviours. TEAMWORK COMMUNICATIVE Everyone has a voice; we listen, acknowledge, feedback and respond appropriately. Withholding information, gossiping, not speaking out. CONSISTENT We recognise that each individual brings unique qualities to contribute to the group. Inappropriate use of power or position. COLLABORATIVE We are on the same page; we make decisions together. There is no I in Team. Waitemata District Health Board -JOB DESCRIPTION - Page 9
VERIFICATION: Employee: Manager: Date: Review Date: Note: This job description forms part of an individual s contract of employment with WDHB and must be attached to that contract. Waitemata District Health Board -JOB DESCRIPTION - Page 10
PERSON SPECIFICATION POSITION TITLE: Palliative Medicine Specialist Minimum Preferred Qualification Fellowship of the Australasian Chapter of Palliative Medicine (or equivalent) Eligibility for vocational registration as a medical practitioner with the NZMC Evidence of progress towards Maintenance of Professional Standards Programme Experience Experience in hospice and or hospital palliative care Trained in principles of evidence-based medicine Skills/Knowledge/Behaviour High standard of written and verbal communication Able to work as an integral member of a multidisciplinary team Able to maintain good professional relationships and be respectful of other team members skills A demonstrated belief in, and commitment to, promoting quality of life. A higher postgraduate medical degree e.g. MD PhD etc. Experience in hospice or specialist hospital palliative care medicine and team working for at least two years Ongoing research activities An interest in personal professional development and a willingness to take on further roles within the team An interest in promoting a consumer focus of care delivery Waitemata District Health Board -JOB DESCRIPTION - Page 11