Genetic Counsellor (XR07)

Dyddiad hysbysebu:	02 Mehefin 2025
Cyflog:	£46,148.00 i £52,809.00 bob blwyddyn
Gwybodaeth ychwanegol am y cyflog:	£46148.00 - £52809.00 a year
Oriau:	Llawn Amser
Dyddiad cau:	23 Mehefin 2025
Lleoliad:	Leeds, LS7 4SA
Cwmni:	NHS Jobs
Math o swydd:	Parhaol
Cyfeirnod swydd:	C9298-PATH-449

Crynodeb

Take responsibility for accepting referrals (from GP, hospital doctor etc) within a defined specialty area, and prioritise action appropriately. Elicit clients concerns and expectations, as well as a detailed family history. Interpret medical, family and psychosocial history and confirm diagnostic information about family members Calculate risks of clients and families being affected by various genetic disorders (including recurrence risks and carrier risks). Identify changes of risk within the family and take responsibility for communicating and applying new scientific information for the benefit of the family over an open-ended time frame, through follow-up systems and audit measures. Communicate genetic information to clients and their relatives at an appropriate level following assessment of the individual situation. Identify and respond to emerging issues for the client and family. Receive, analyse and interpret highly complex and frequently conflicting information, and use this to make clinical judgments and manage the implications of this. Make judgments about, order, interpret and communicate normal and abnormal genomic (and other) test results to patients and health care professionals. This may involve performing phlebotomy in a variety of health care settings or clients homes. Provide accurate information on the range of options open to a client/family including reproductive and risk-reducing options Take a lead role in the provision of predictive genetic test consultations with patients. Organise and partake in joint counselling with colleagues (e.g in cases of complex family dynamics), where individual factors would indicate its utility. Expertly communicate highly sensitive and potentially psychologically damaging information, which may cause high levels of distress e.g. o breaking the bad news of positive predictive and confirmatory tests for an untreatable condition such as Huntingtons disease, or a condition that causes a high risk of developing various cancers. o giving a couple an unexpected abnormal prenatal finding, or news that their fetus is affected with a severe condition where termination of pregnancy is an option o counselling terminally ill patients about the chances that their illness may be the result of an inherited gene that they have a high chance of having passed it onto their children Assess when clients have additional needs (e.g. therapeutic counseling or psychiatric support, support group, social care services) and mobilise resources and make onward referrals for this Communicate with clients who are bereaved and provide support e.g. around termination of pregnancy, death at young age etc. Initiate timely interventions, sometimes acting as patient advocate e.g. in termination of pregnancy, timing of risk-reducing surgery etc. Use expert counselling skills and techniques to counsel clients about various testing options and facilitate decision-making. Manage clients who have great difficulty accepting a clinical diagnosis or a genetic test result. Identify and manage conflict within families created by sensitive genetic/genomic information. Manage conflict when clients demands are incompatible with professional responsibilities and resources. Use advanced counselling skills to communicate sensitively and expertly in difficult and often unexpected situations, e.g.; o in the presence of language and/or cultural differences or disability requiring the aid of an interpreter o when dealing with cases where there is antagonism and anger or in a highly sensitive atmosphere e.g. in complex ethical cases where expectations differ o in cases of psychiatric illness or learning difficulties where expert communication skills are required Assess an individuals ability to understand the highly complex nature of genetics/genomics and adapt the information, concepts and options to suit their individual needs, this may mean devising visual aids, diagrams, models and skill in assessing language and cultural needs etc. Advise on factors that reduce risk (e.g. risk-reducing surgery, high dose folic acid) and on factors that influence risk (e.g. contraceptive pill, HRT). Prepare letters to patients summarising clinic consultations and giving test results using the appropriate level of detail. This involves skilled use of dictation tools to appropriately delegate work to secretarial staff. Be aware of, and follow, accepted protocols and policies on a departmental, local and national level. Work independently and unsupervised as well as in various multidisciplinary teams (MDTs) in a variety of health disciplines. This may include lone home visiting and patient care in hospital and other health care settings. Manage own caseload; ordering investigations and other procedures as required using departmental recall policies. This will include interpreting genomics test results (as part of a multidisciplinary team if necessary). The jobholder will take responsibility for a particular area subspecialty. Ensure that all clinical documents are legible, up to date and accurate. Possess the personal skills and development that allows significant self-reflection and insight in order to comprehend and utilise dynamic counselling processes. Communication with Colleagues The jobholder will: Liaise with laboratory colleagues to order and communicate about genomic tests and to discuss complex test results which are difficult to interpret Liaise with relevant colleagues when arranging timely interventions e.g. a termination of pregnancy following an abnormal prenatal result, invasive specialist investigations, risk-reducing surgery etc. Liaise regionally, nationally and internationally with other laboratories, departments of histology, surgery, screening, fetal medicine, midwifery, neurology, psychiatry, cardiology to obtain and provide information Liaise with colleagues in other genomics centres to obtain and provide information and to establish understanding and co-operation within the legal constraints of patient confidentiality. Write letters to referring clinicians and other clinicians appropriate to that episode of care. Liaise with medical colleagues about issues that have diagnostic or clinical complexity. This may be as part of a formal MDT. Identify and discuss cases of ethical complexity Appropriately use databases and IT packages/web applications in patient care. Educating, advising and contributing to service improvement The jobholder will: Carry out audits and client satisfaction surveys and present findings to departmental members. Act as an educational resource, including formalised teaching sessions and informally providing advice where appropriate. Take part in duty rotas for providing advice to patients, colleagues and the wider healthcare system. This can involve taking and acting on urgent referrals for clients in distress or in a vulnerable situation. Form part of MDTs (including supporting patient care in the mainstream setting). Develop and utilise patient information leaflets. Present findings of research, audit and clinical practice to large groups of staff or members of the public; within the Trust, regionally, nationally, or internationally. Participate in the teaching of genomics and related subjects to medical personnel, other health care professionals and members of the public. Prepare and present clinical, psychosocial and scientific journal articles in departmental journal clubs, supervision journal club and at departmental teaching sessions. Act as an educational resource for medical and other personnel attached to the clinical genetics/genomics team and associated organisations involved with patients care e.g. voluntary bodies, patient support groups. Work on a variety of managerial working groups where specific tasks have to be undertaken influencing departmental policy decisions. This will include dissemination to other departmental members and to colleagues within a wider context. Actively seek opportunities to be involved in service development within the department, the Yorkshire, Humber and North East region, and the Genetic/Genomic Counselling profession as a whole. Identify areas where development or changes are needed and propose alternatives Be a valuable resource for mainstream colleagues as genomic testing becomes more widespread within the NHS. Comply with LTHT health and wellbeing policies to ensure staff and client safety, and ensure all incidents are reported and documented. Ensure any complaints (formal and informal) are escalated and resolved appropriately following LTHT policies. Training and mentoring The jobholder will: Support, mentor and provide clinical supervision to a variety of personnel; e.g. MSc. students, Trainee Genetic counselors and STP Genomic Counsellor Trainees. Organise training packages and induction for new staff members. Contributing to research The jobholder will: Identify participants to take part in clinical research organized through the departmental research team. Take opportunities to contribute to Genomic Counselling research locally, nationally or internationally.