An exciting opportunity has arisen for Band 6 practitioners to work within our established Hospital @ Home and Urgent Community Response Teams in West Essex.
The teams assess and manage acutely unwell patients at home using a variety of pathways including respiratory, heart failure and frailty, to prevent unnecessary admissions to hospital.
This includes the utilisation of remote technology and new ways of working to provide a safe alternative to hospital admission and support people to be discharged from hospital earlier than may have been possible previously. The focus of this role is delivering high quality care in the community, holistic assessments, planning, implementing, and reviewing care provision across the Hospital at Home and UCRT pathways of care. This is an exciting opportunity to shape services that will improve the experience of healthcare for the population of West Essex and deliver an NHS national priority.
We are looking for enthusiastic and motivated individuals to join the team with a range of skills and clinical expertise. You need to be flexible, hardworking, have excellent communication skills and appreciate the need for professional development within your practice to ensure we establish a responsive and effective team.
There will be training opportunities to complete the Non-medical prescribing and clinical examination module's.
Responsible for prioritising and planning own workload on a day-to-day basis with some direction.
To use advanced knowledge and skills in order to manage patients care as an autonomous practitioner; without direct supervision, drawing on advanced theoretical and practical experience.
Negotiate, agree expectations, and set appropriate realistic and individual goals in partnership with the patient, carer and colleagues
Ensure that assessments, programmes of care, and evaluations related to patients being accepted and onboarded onto the service pathways comply with the Trust’s agreed clinical standards.
Ensure provision of holistic and rapid assessment of patients referred in a timely manner to support early discharge from the acute hospital provision.
Provide home visits and deliver programmes of care according to clinical need within agreed protocols after escalation and discussion at MDT meetings.
Facilitate safe and timely discharge from the service including generation of a discharge summary to GPs.
Valuing you. Recognising your dedication. At EPUT, we look after you.
Receive supervision and support to help you fulfil your potential.
Join an inclusive EPUT community and connect with others through engagement events and equality or champion networks.
If you need help, we provide mental health and wellbeing services, occupational health advice and counselling.
We run recognition awards to recognise staff's hard work and dedication.
Benefits
27 days holiday, plus bank holidays, rising to 33 days after 10 years’ service.
Excellent pension of up to 14.5% of your pensionable pay.
Staff discounts include Blue Light Card, NHS discount offers, and staff benefits.
£8K relocation package if you move to Essex to join us (terms and conditions apply)
Season ticket loans are interest-free to cover the cost of travelling to and from work via tram, rail, or bus.
Work that wraps around your needs
Flexible working: available from day one for most roles.
Job share: Applications for job shares are welcomed.
MAIN RESPONSIBILITIES
The post holder will be a registered nurse or Paramedic who has extensive clinical knowledge. You will have experience at working at a band 6 level and have acute and/or community experience. You would have undertaken a recognised mentorship qualification and demonstrate continuous professional development.
The post holder will be providing patient care in patients own homes, and able to travel independently across sites. You will be using technology to support and monitor patients.
To provide clinical expertise and support for the clinical team.
To provide clinical care for patients, co-ordination of the multidisciplinary team and allocating visits as appropriate.
Development of the service through reflective practice; clinical supervision & audit.
The identification of suitable people referred to the service for planned early discharge from hospital or for the prevention of admission to the acute sector or long term care.
To be responsible, without supervision, for the assessment of care needs and the development, implementation, and evaluation of programmes of care with an understanding of their Professional Code of Practice.
You will need to recognise deteriorating patients and use the appropriate patient pathways for escalation.
You will work with colleagues across the integrated care system to develop and maintain high quality, clinically driven pathways so that we are able to provide the best patient experience to our local population.
Establish and maintain effective communication with patient/carers and families about complex matters providing a warm welcoming and enabling environment to support therapeutic relationships.
Develop specialist knowledge, in area of practice, underpinned by theory.
Assess, plan, implement and evaluate the effectiveness of nursing care and adjust the programmes of care where indicated along with maintaining the health, safety and security of self and others in own work area.
Contribute to the development of services.
Contribute to quality improvement.
Support patients, carers and colleague’s equality, diversity, and rights.
Lead others in the development of knowledge, ideas, and work practice.
Plan, allocate, assess, and provide feedback to team members.
Maintain and support the efficient use of physical and /or financial resources.
You will practice in accordance within your professional, ethical, and legal framework.
Ability to work flexibly and unsocial hours to meet the demands of the service.
COMMUNICATIONS AND RELATIONSHIPS
To communicate collaboratively with the wider MDT (Multi-Disciplinary team) to explore complex issues and to make complex decisions.
Work closely with hospital staff including consultant and community services including GPs, liaising on a regular basis to ensure effective communication and service delivery.
To effectively communicate complex and highly sensitive information.
To agree the arrangements for communication with the patient/family/carer, and to document these in accordance with Trust policy and the patients right to confidentiality.
To competently receive highly sensitive information concerning patient’s medical condition and provide information using persuasive, reassuring skills as required, which may include when patients/family/carer are hostile and antagonistic e.g., bereavement / special needs / learning disabilities / where English is not the first language
To ensure that essential information on the patients’ condition and progress is recorded by self and team members appropriately according to Professional guidelines.
Report all clinical and non-clinical incidents and proactively manage risk to vulnerable adults in discussion with the Clinical lead nurse.
Assist in maintaining a safe working environment for self, colleagues, patients, and others, report any accidents or untoward occurrences as per policy and undertake any investigations as required for untoward incidence, complaints, risk management and health and safety issues.
Confidentiality to abide by the Data Protection Act 1998, by ensuring that all computerised information related to patients and other members of staff to which he/she has access in the course of employment, is regarded as strictly confidential. This rule applies to written information. Failure to adhere to this instruction will be regarded as serious misconduct and lead to disciplinary action.
Analytical and Judgemental Skills
To undertake data collection effectively using the agreed systems.
To use clinical judgmental skills to decide upon and recommend best course of action for assessing and interpreting complex needs of patients/families/carers when a range of options exist, escalating as appropriate.
Analyse situations and instigate emergency procedures as required Physical Skills.
Physically able to assist patients with activities of daily living and moving and handling.
Able to carry out complex observations, monitor and use relevant equipment safely, ensuring accuracy and dexterity.
To utilise highly developed physical skills where accuracy is important e.g. in preparing and giving IV injections, assembling surgical equipment, maintaining infusions.
Driving skills are required for this community post.
Responsibility for Patient Care
To assess, develop, implement, and evaluate specialist nursing care programmes from admission to discharge.
To obtain people’s informed consent, highly providing specialist advice and discussing the implications of the whole assessment process.
To undertake specialist nursing interventions consistent with evidence based practice, transferring and applying knowledge and skills to meet patients’ needs, evaluating and modifying interventions as appropriate.
To analyse and rigorously review all aspects of the patient care plan interpreting information and using specialist knowledge and clinical judgement to liaise with MDT (Multidisciplinary Team), coordinating and participating in case discussions as required.
To refer patient/family/carer to other practitioners when needs and risks are beyond one’s own scope of practice or require longer term support.
To support patients/family/carers encouraging them to promote their own health and wellbeing and to express their interests and concerns.
To provide support and care for the patient and his/her family/carer respecting their need for privacy and dignity.
PLANNING AND ORGANISATIONAL SKILLS
To prioritise workload of themselves and others, assess performance and provide clear constructive feedback to team members.
To monitor progress of work recognising changing priorities and implement corrective actions within own limits and informing the relevant people.
To adhere to trust policies and procedures relating to own workplace to contribute to service development.
To evaluate current policies and procedures and identify the impact they have within their clinical environment.
To identify outcomes of evaluation and offer constructive views on service developments.
To implement and propose changes to policies/practices in own area.
To evaluate with others the effectiveness of any changes and how these have improved services.
Responsible for day-to-day supervision, allocation and co-ordination of clinically based teams making the best use of their abilities.
To lead a team whilst assuming responsibility and control of the work area management in the absence of the manager.
To participate in the clinical supervision of staff and providing relevant training and assessment.
To participate in the appraisal process for themselves and others.
To identify, report and address poor performance issues, where required.
To diffuse challenging behaviour, ensuring that the situation is managed in a sensitive way.
To participate in the recruitment and selection process.
To participate in the identification of future workforce requirements.
To contribute to the development of a learning environment.
To implement disciplinary and grievance procedures where required.
Work is managed rather than supervised and can act independently within appropriate occupational guidelines.
Leads specialist area or team and may manage a case load in the community.
ADDITIONAL DUTIES
In addition to the above duties you will also be expected to perform the below key activities in line with your job role;
Complete mandatory training in line with Trust policy and procedures.
To participate in the staff appraisal process and to undertake for any staff you manage.
To keep yourself updated on all matters relating to Trust policy.
To provide management supervision where appropriate.
