Occupational Health Nurse

• Post: Occupational Health Nurse
• Service: MBPCC
• Enable Service
• Accountable to: Clinical Lead
• Responsible to: Advanced
• Nurse Practitioner
• Hours: 37.5 per week

Salary

• £41,590 (30% enhanced hourly rate for Saturday
• working)
• Contract Type Fixed term 12 months.
• Secondment applications welcome.

Base: Hybrid and

flexible with home working occasional Barrow and Mid Furness PCN sites

2.

SERVICE CONTEXT

The pilot operates across Barrow and Mid Furness

Primary Care Networks and is delivered by Morecambe Bay Primary Care

Collaborative on behalf of participating practices.

The service is multidisciplinary. The post holder

works alongside the Clinical Lead, Advanced Nurse Practitioner, allied health

professionals, administrative staff

Participation is voluntary for patients. The service

operates within an agreed clinical governance framework, defined escalation

routes back to general practice, and a Data Sharing Agreement covering all

information flows.

The pilot is time limited and subject to independent

national evaluation. Data capture, consistency of practice and adherence to

agreed protocols are therefore integral to the role rather than administrative

afterthoughts.

The post holder does not replace the patients GP and

does not assume responsibility for the management of underlying clinical

conditions. Where clinical need is identified, it is escalated to the

registered practice through agreed pathways.

3. KEY WORKING RELATIONSHIPS

Internal

Service Lead day to day management, absence and

sickness, appraisals

Clinical Lead, Advanced Nurse Practitioner, allied

health professionals, Enable administrator

External

Referring GPs, practice managers

and primary care teams across Barrow and Mid Furness.

Patients and, with consent, their employers, line

managers, HR

Local employers,

Jobcentre Plus, VCSE [Voluntary, Community, and Social Enterprise] partners,

therapy and mental health services, and other statutory agencies

4. MAIN DUTIES AND RESPONSIBILITIES

Clinical assessment and workability planning

Undertake structured work and health assessments with

patients referred into the pilot, face to face, by telephone or by video,

according to patient need and clinical appropriateness.

Assess the interaction between a persons health

• condition, their functional ability and the demands of their role, taking
• account of all appropriate physical, psychological, social and workplace
• factors.
• Formulate and co-produce personalised Workability
• Plans focused on functional capability, phased return, adjustments and the
• practical support required to sustain work.

Exercise autonomous professional judgement in

• determining whether a period away from work is clinically appropriate, and
• articulate that judgement clearly, proportionately and defensibly.
• Provide specialist advice on reasonable adjustments,
• graduated return to work, workplace modification and phased hours, informed by
• an understanding of the Equality Act 2010 and relevant health and safety
• legislation.

Review and update Workability Plans at agreed

intervals, adjusting recommendations as recovery,

circumstances or employer response change.

Recognise the limits of the pilot service and of

personal professional competence and escalate promptly and appropriately.

Triage, caseload and pathway management

Contribute to the triage of incoming referrals,

applying agreed criteria to determine the appropriate assessment route, practitioner and priority.

Manage a personal caseload, prioritising

effectively against service standards and pilot appointment targets.

Identify patients whose needs fall outside the pilot

• model including those requiring urgent clinical assessment, safeguarding
• intervention or mental health crisis support and escalate through agreed
• routes without delay.
• Refer and signpost to wider support, including WorkWell coaching, therapy services, musculoskeletal
• pathways, social prescribing, debt and housing advice and employment support.

Support colleagues in the wider team with clinical

• advice on complex or borderline cases, within scope of practice.
• Employer and stakeholder liaison
• With patient consent, participate in three way
• conversations between the patient, their employer and the service to agree
• practical adjustments and maintain workplace connection from day on e of
• absence.

Produce clear, objective written advice for employers

and managers that answers the question asked, respects medical confidentiality

and avoids unnecessary clinical detail.

Communicate sensitively with employers who may hold

differing views, using negotiation and persuasion to reach workable outcomes

for the patient.

Build constructive relationships with referring

practices, providing feedback that supports referral quality and confidence in

the pilot model.

Clinical governance, safety and record keeping

Practice at all times within the NMC Code,

professional standards, pilot protocols and standard operating procedures.

Maintain accurate, contemporaneous and legible records

in the approved clinical system, in line with the Data Sharing Agreement and

information governance requirements.

Obtain and record valid informed consent for

assessment, for information sharing and for any contact with employers or third

parties.

Discharge safeguarding responsibilities for children

and adults at risk, escalating concerns in accordance with agreed policy.

Report incidents, near misses, complaints and risks

through the pilot governance framework, and contribute to learning from them.

Participate in clinical supervision, case review and

multidisciplinary discussion, including reflective review of complex or

contested cases.

Maintain professional indemnity and NMC registration

• and comply with revalidation requirements.
• Service design, data and evaluation
• Contribute to the development and refinement of
• assessment templates, triage criteria, escalation thresholds, business rules
• and standard operating procedures as the pilot matures.

Capture the agreed management information and

evaluation data set accurately and at the point of care, understanding that

incomplete data weakens the national evidence base.

Participate in audit, service evaluation, quality

improvement and test-and-learn cycles, and act on the findings.

Support the independent national evaluation, including

• interviews, case note review and data collection, within the limits of patient
• confidentiality.
• Education, promotion and professional development
• Promote the pilot to practices, patients, employers
• and partners in a positive way

Provide informal supervision, coaching and clinical

advice to non-clinical members of the team.

Maintain and extend personal expertise in occupational

health, work and health policy and fitness for work assessment; undertake

training identified as necessary for the role, including any pilot specific

training.

Participate in appraisal, personal development

planning and mandatory training.

5. WORKING ARRANGEMENTS

This is a fixed term post for 12 months, funded

through the national pilot. Continuation beyond the pilot period cannot be

guaranteed and is subject to national decisions on the future of the model.

A flexible and agile approach to working is expected.

The service operates a blended model of face to

face clinics, remote consultation and home working, and the balance between

these will vary with service demand and patient need.

Home working is supported for remote assessment,

report writing and administrative activity, subject to a suitable, confidential

home working environment and compliance with information governance

requirements. Home working is an operational arrangement, not a contractual

entitlement, and does not remove the requirement to attend sites.

Regular travel across Barrow and Mid Furness is

required. Access to a vehicle and a full UK driving licence is necessary.

Some flexibility over working hours may be needed to

accommodate patients who are in work and employers who are only available

outside core hours such as Saturday working

The post holder will be expected to work in a rapidly

evolving service where processes, systems and documentation change during the

pilot period.

6. GENERAL RESPONSIBILITIES

Mandatory Training & Compliance

• The post holder will be required to complete and remain compliant with
• all mandatory training as defined by the organisation.
• Evidence of current training may be requested prior to commencement, and
• refresher training must be completed within specified timeframes.
• MBPCC will consider the ability to passport training records if post
• holder has evidence of completion from other relevant employment

Additional Information

• This role includes being partly home-based, which requires a high level
• of self-management.
• Candidates must ensure a secure working environment in line with data
• protection policies.