Would you like to make a real difference – supporting hospital-level care where it matters most: at home.
Join our innovative Hospital at Home team and be part of a service transforming how care is delivered across Surrey -- supporting patients to receive safe, high-quality acute care in the comfort of their own homes.
As part of our Community services development within Urgent Community care (Urgent Community Response/Hospital at Home), we are looking to recruit a Band 4 Community Rehab Practitioner to join an existing team of Rehab Practitioners covering Guildford and Waverley. Join our innovative Hospital at Home team and be part of a service transforming how care is delivered across Surrey -- supporting patients to receive safe, high-quality acute care in the comfort of their own homes. You'll be working at the interface of urgent care, frailty, and acute medicine, supporting:
o Hospital admission avoidance
o Early supported discharge
o Rapid response through Urgent Community Response (UCR)
o Complex care delivery in the community
You'll be supporting a service which assess, treats, and manage patients who would otherwise require hospital admission -- making real-time decisions that directly impact patient outcomes.
To work as part of the Urgent Community Care team which provides short term support to people being discharged from hospital or to keep them in their own home, the team work with our patients to enable them to achieve their optimum independence
Patients will require support with personal care, mobility, medication administration and exercise programs to achieve their individual recovery and rehabilitation goals .You will take on new patients on the Urgent Community Care Team caseload and help with the planning of their care, supported by our nurses and therapists if required for complex clinical decision making.
The post holder will be key to supporting the wider team and ensuring visits are all completed on the day, helping with allocation, scheduling and adjustments throughout the day
- To provide Therapy assessment and treatment of patients referred to the service designated by a qualified Occupational Therapist/ Physiotherapist or nurse
- Assesses and treats patients without direct supervision according to team/department standards and protocols
- To act as a co mentor for allocated Band 3 Community Rehabilitation Assistants
- To support with the allocation and scheduling of ICT visits
- May be a rotatory and flexible post working across Urgent Community Care service and our Urgent community response service .The main role will sit in Urgent Community Care (D2A)
- Working flexibly within a 7day service.
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5,000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing programme alongside a strong commitment to developing your career. Our diverse and welcoming Royal Surrey family ensures you feel valued from your initial interview and throughout your time with us.
We are clinically led and provide joined-up care by bridging hospital and community services, alongside delivering regional specialist cancer care. Our main acute hospital site is in Guildford, with community sites at Milford, Haslemere and Cranleigh, and services delivered in patients’ homes across Guildford and Waverley.
We work in partnership with Ashford & St Peter’s Hospitals NHS Foundation Trust through a collaborative Group Model, supporting joined-up services, workforce flexibility and development opportunities.
The Care Quality Commission (CQC) has rated us as Outstanding. We are proud of our achievements and continue to invest in our people and infrastructure.
To learn more about life at Royal Surrey, please watch our short video: https://www.youtube.com/watch?v=R96pMboIYdo
Adverts may close early, so you are encouraged to apply as soon as possible.
1. Responsible for effective communication with multi- professional team members/line manager and other support staff
2. Report to supervisor any patient problems, issues regarding clinical management of patients, from yourself or other community rehab workers
3. Communicate effectively, sensitively and appropriately with patients (and their carers) who may have a variety of medical, psychological and social needs, including those with impaired cognitive function i.e. stroke, deaf patients. This may involve communicating difficult or distressing information to patients about a change in function or ability.
4. Answers telephone and responds to patient’s enquiries, having the ability to problem solve and be the first line of enquiry relays information accurately to Therapists when relevant.
5. Complete all necessary records, reports and statistics.
6. To support with the allocation and scheduling of ICT visits
7. Liaise with other agencies that may support patients on discharge including Community Equipment Store
8. Key function to sign in and out staff at beginning and end of day showing initiative if problems arise, problem solving and escalation as required by service processes
CLINICAL
1. Initiate assessment, treatment and discharge of patients within Urgent Community Care as delegated by Team leads (as appropriate) without direct supervision.
2. To facilitate the safe and timely discharge of patients with non -complex needs from the Department/ assessment including comprehensive risk assessment and management.
3. To carry out community visits as appropriate to facilitate safe discharge within agreed protocols and guidelines and appropriate to in-patients/community therapy team
4. When competent as a delegated task from a registered health care professional (RHCP) to complete a full set of observations/vital signs
5. When competent as a delegated task from a registered health care professional (RHCP)to complete a Restore / Soft signs assessment
6. When competent as a delegated task from a registered health care professional to
administer medication from a medicine administration record (MAR Chart)
7. To use a range of verbal, non verbal and physical skills to plan and deliver physical rehabilitation using evidence based practice.
8. Triage patients to other staff in the team and staff that they line manage ( e.g. assistants and technical instructors)
9. To formulate and write a problem list, goals and treatment/discharge plan for each patient according to the department documentation and the unit guidelines. Document all treatments.
10. Prioritisation of own patient list and tasks. Responsible for planning and organisation of own patient caseload.
11. Attendance at relevant multi professional team meetings reporting on own behalf as appropriate.
12. Complete relevant ongoing documentation/ referrals and assessment paperwork in relation to a patient’s ongoing care.
13. Analysis skills required to trouble shoot where situations are non routine.
14. Discuss with supervisor/ team leader any ‘problem’ patients and if a patient fails to progress.
15. Have an active role in supporting daily handover
CLINICAL GOVERNANCE
1. Assists in clinical audit to review the effectiveness and efficiency of the service.
2. To contribute to service developments, delivery and evaluation within clinical area.
3. Provide the Team Leader with a monthly report as per department guidelines.
4. Attend all statutory and mandatory training.
5. Attend relevant in service at a department and unit level.
6. Keep own workload statistics and collate those for team if relevant.
7. Be aware of, and contribute to the teams overall annual plan.
8. Actively participate and be responsible for own staff development and review including achievement of core competencies, appraisal and documentation with support from Senior staff. Maintain own continuous development portfolio.
9. Contribute to team planning regarding service developments.
10. Provides team training working within wider team
11. Undertakes staff induction , support and shadowing
12. Follows department policies, provide suggestions or comments for changes.
FINANCIAL/ RESOURCES
1. To co-ordinate and monitor stock levels of stationary, equipment.
2. .
3. Initiate and follow through orders, monitoring receipt of orders where relevant.
4. Undertake annual stock review with line manager.
5. May initiate or recommend new stock requirements to enhance service delivery.
HUMAN RESOURCES
1. Day to Day line management of assistants or technical instructors. Undertake objective setting/ appraisals
2. Co- ordinate and deliver specific assistant training, reinforcing and signing off core competencies, with support of senior staff.
IT
1. Basic computer skills
2. Competent in the use of hospital computer system to ensure accurate statistical recording and notes/ discharge letters when relevant.
HEALTH AND SAFETY
1. Comply with all local Health and Safety trust policies.
2. Undertake appropriate risk assessment prior to all treatments.
3. Ensure safety of patients and staff and report problems to line manager taking any necessary remedial action to avoid accident or injury, complete incident forms.
4. Perform safety checks on equipment and aids as per department standards prior to issuance to patients.
GENERAL
1. Ensure confidentiality at all times (as per Caldicott)
2. Undertake any other duties as may be required by line manager.
3. Comply with all Trust and department policies
4. Only treat patients within a defined scope of practice/ competence.
