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Tuberculosis Outreach Worker

NHS AfC: Band 3

Main area
NHS AfC: Band 3
Full time - 37.5 hours per week
Job ref
Whittington Health NHS Trust
Employer type
Whittington Hospital
£20,330 - £21,777 per annum excl HCA
Salary period
25/10/2021 23:59

For our current apprenticeship vacancies, please go to https://www.gov.uk/apply-apprenticeship and use Keyword ‘Whittington’

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers.



Job overview

The North Central London Tuberculosis Service is provided by Whittington Health. We provide high quality medical treatment, specialist nursing and outreach support for people receiving treatment for tuberculosis, their contacts and the wider community across the boroughs of Barnet, Camden, Enfield, Haringey and Islington. Tuberculosis often affects vulnerable people with complex health and social needs, including homelessness, drug and alcohol dependence, or people who are in prison. Experience of working with these vulnerable populations would be an advantage but a comprehensive induction programme and in house training will be offered.

The post holder will work as part of our Outreach team  and you will need to be a fit, flexible, highly organised and  non-judgemental individual who enjoys working with a diverse client group in the community.  This is a great opportunity for a caring and efficient person seeking a career in the NHS



Main duties of the job

  • Provide support for those with TB disease to enable successful completion of treatment.
  • Observation and supervision of  patients taking Tuberculosis medication by Directly Observed Therapy (DOT) across the North Central London Tuberculosis Network. 
  • Build positive therapeutic relationships with patients who may have complex health needs and demonstrate challenging behaviours.
  • Case management support activities such as  re-engaging patients with treatment, escorting patients and phlebotomy. 
  • Work as part of and contribute to an established multi-disciplinary team.

Working for our organisation

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff.  We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief.  The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Detailed job description and main responsibilities




Clinical Responsibilities


  • Provide support for those with TB disease to enable successful completion of treatment.


  • To observe patients who have been identified as requiring DOT, self-dispense and swallow their TB medication.
  • Ensuring the patient is observed taking the medication in accordance with the agreed network protocol.
  • To ensure the safe transportation and storage of medication, in accordance with the agreed network protocol.
  •  To provide support and encouragement to patients receiving DOT ensuring on-going adherence and completion of treatment and reporting any concerns in a timely manner to the case manager.
  • To ensure accurate and up to date recording of all outcomes of visits to patients and informing case manager of any missed medication in a timely manner and in line with agreed protocols.
  • To establish a therapeutic rapport with patients being aware of any side effects or changes in health status the patient may be experiencing in relation to their medication and reporting immediately to the TB case manager.
  • To report immediately any untoward incidents and any other relevant information to TB case manager.
  • To report any change in social/lifestyle circumstances i.e. increased alcohol intake, eviction notice, which may affect ability to adhere to TB case manager.
  • Timely completion and submission of monthly DOT feedback documentation to line manager
  • To undertake follow-up lone worker home visit risk assessments as per network protocol, informing relevant parties of the outcome.
  • To ensure a courteous and helpful approach to patients and their relatives/carers in the community, adopting a sensitive approach whilst in patient’s home environment.
  • To work with a difficult and sometimes challenging client group




  • To participate in or contribute to other activities such as observing clinic DOT, escorting patients to appointments,  locating and encouraging patients to return to service, gathering information, Mantoux readings, community phlebotomy, basic administrative tasks, or any other activity requested by the clinical team and deemed within the expectations of the role.
  • To deputise in the absence of the community outreach coordinator.


Promoting health and preventing ill health


  • Assist in the delivery of public TB awareness campaigns.


  • Challenge prejudice and stigma associated with TB



Partnership working


  • Attend and contribute to meetings, forums and case conferences, as appropriate, i.e. case review and cohort review.
  • Be flexible in the delivery of the role across the network.
  • Undertake other developing TB service roles that fall within the skills and competence.

Professional practice


  • The post holder will identify their own training needs with their line manager through reflection and appraisal.


  • Maintain and update personal knowledge of TB and associated health issues.


  • To assist in induction of new outreach workers.


  • To identify and participate in clinical supervision.




  • To ensure timely and accurate data collection as required.


  • Maintaining patient records, both written and electronic.


  • Participate in TB audit alongside the clinical team.


  • Participate in cohort review.



Management of resources


  • To be responsible for the safekeeping and use of equipment.


  • Assist with the distribution of patient information.



Research and Development


Participates in patient experience surveys

Person specification

Core Values

Essential criteria
  • Demonstrates ability to meet core values: Innovation, compassion, accountability, respect, excellence


Essential criteria
  • • GCSE levels A to C in English and Maths or equivalent
  • • Evidence of further study in a relevant area

Skills & Abilities

Essential criteria
  • • Good standard of literacy - able to write clear reports
  • • Basic I.T skills, including word processing and use of internet
  • • Good communication skills
  • • Good interpersonal skills.
  • • Enthusiastic.
  • • Ability to use initiative to recognise own limitations.
  • • Well motivated

Knowledge & Experience

Essential criteria
  • • Demonstrable voluntary/work experience in a health or social care environment
  • • Experience of face to face contact with the public
  • • Ability to manage own time and demonstrate high quality organisational skills.

Personal Qualities

Essential criteria
  • • Be able to deal with the general public
  • • Be able to work within a team


Essential criteria
  • • Comfortable travelling and using public transport.
  • • Ability to manage moderate to high level of physical effort on a daily basis
No smoking policyPositive about disabled peopleInvestors in PeopleImproving working livesCare quality commission - GoodDisability confident committed

Applicant requirements

Applications from job seekers who require sponsorship to work in the United Kingdom (UK) are welcome and will be considered alongside all other applications. Please note that from January 2021, to work in the UK all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship unless you have permission to work via another route. Non UK / RoI candidates wishing to apply can self-assess the likelihood of obtaining a Certificate of Sponsorship here. It is vital that you provide full and accurate details of your current immigration status on the application form. Overseas applicants applying for entry clearance into the UK must present a criminal record certificate from each country they have resided in continuously or cumulatively for 12 months or more in the past 10 years. Guidance can be found here. Not everyone needs a ‘Skilled Worker’ visa. If you are applying for a vacancy in health or adult social care, check if you’re eligible to apply for the Health and Care Worker visa instead. It’s cheaper to apply for and you do not need to pay the annual immigration health surcharge

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Jacqui White
Job title
Clinical Team Lead
Email address
Telephone number

If you have problems applying, contact

Whittington Health NHS Trust
Magdala Avenue
N19 5NF
0207 288 3762