Nurse - Outreach Services and Hospital Inreach

Arch Health CIC

Job summary

Please note that should this vacancy attract sufficient interest it may be necessary to close the vacancy at an earlier date. We therefore suggest that you apply at an early stage to avoid disappointment.

Hours advertised are 18

Arch Health CIC is a values driven, non-profit health care provider which delivers primary care to homeless and vulnerably housed people in Brighton & Hove. The service is staffed and led by a dedicated local team and was rated outstanding in all 5 areas of a CQC inspection in January 2019.

In addition to a specialist GP surgery, we also provide outreach services into the Royal Sussex County Hospital and a variety of community contexts which serve people who are without secure accommodation. We are a committed and experienced team with a passion for improving the health and well-being of people who are homeless or vulnerable.

Salary is £31,535 Pro rata

Main duties of the job

We have a rare opportunity for a Registered Nurse to join the clinical team to support our community outreach, working in a variety of community contexts including day centres, hostels, Royal Sussex Country Hospital and our new step-down-beds facility.

We are looking for an outstanding nurse who shares our vision and values and is motivated to tackle the problem of health inequality in our city. Our ideal candidate will combine excellent clinical skills with a genuine passion for meeting the needs of our patients many of whom have multiple and complex needs.

In this role you will deliver proactive, high quality nursing care to meet the needs of people who are homeless within the Royal Sussex County Hospital and various contexts around the city including day centres, hostels and our new step-down-beds facility.

About us

In return youll receive a competitive salary, 25 days holiday (pro rata), generous terms and conditions, relevant training, supervision and a positive working environment. Youll also have the satisfaction of serving some of the most vulnerable people in the city.

Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES

Clinical

• To independently manage a caseload of patients across various contexts, prioritising work effectively
• To effectively engage patients from a variety of backgrounds
• To independently undertake effective comprehensive holistic health, housing and social care assessments for patients including independent assessments of risk
• To take time to listen to patients who may have highly distressing personal circumstances and stories to understand their needs
• To utilise strategies to improve communication with patients e.g. accessing Language Line, taking time to explain leaflets and letters etc
• To utilise strategies to work to minimise the impact of disability on patients e.g. identifying the need for a walking aid, or new wheelchair etc
• To provide subsistence support to patients as required in line with service policy
• To develop effective discharge plans for patients leaving hospital and work to achieve these
• To make appropriate referrals for patients as necessary
• To proactively identify the need for e.g. mental capacity assessments, safeguarding referrals, challenges to NHS charging decisions within the caseload and take action as required
• To record all work undertaken with patients in an accurate and timely manner in all relevant clinical databases, enabling effective integrated care, and the collection of monitoring and evaluation data
• To clinically advocate and negotiate on behalf of clients with partners, health colleagues and hospital staff without generating conflict
• To attend case conferences / case reviews and/or convene them as necessary
• To motivate and empower patients to make changes around their health
• To deliver health promotion interventions to patients as necessary
• To deliver harm reduction and suicide prevention interventions as necessary
• To provide nursing care and support to patients in step down care as part of a wider team.
• To work with the wider team and partners to provide opportunities for patients to engage with their health in the community or street.

Administrative

• To maintain accurate patient records, entering onto the practice system the appropriate agreed codes, using agreed standards of data entry, templates and protocols, completing all documentation, computerised and paper-based, as is required for good patient care.
• To maintain robust systems of data collection, audit and review of all clinical activities, protocols, care pathways and clinical systems, liaising with fellow colleagues in the practice and in the local and national health system as needed to insure good patient care and service is maintained and to satisfy the standards of external regulatory bodies such as the CQC etc.
• To participate, in partnership with other clinical and managerial staff, the necessary data collection for QOF and other incentive schemes as needed by the practice, prompting other members of the team as needed for assistance in gathering the required data.
• To create and maintain in cooperation with other nursing and admin colleagues a system of clinical stock and equipment maintenance, calibration, and supply; working closely with the practice manager to insure cost efficient purchasing of perishable and expensive items.
• To maintain all documentation needed to carry out your clinical duties.
• To participate Infection Control procedure and protocols and their implementation within the practice.

Communication

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
• Utilise communication skills to support patients to adhere to prescribed treatment regimens
• Anticipate barriers to communication and take action to improve communication

Personal Responsibilities

• To maintain you own continuous CPD and ensure a PDP is kept up to date in line with the practice and nursing team development plans.
• Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC)
• To maintain your own annual registration with the NMC and adhere to its Code of Professional Conduct
• Promote the Homeless Health Service in a positive way, adopting a flexible approach to problem solving and service delivery.

The list of duties in the job description should not be regarded as exclusive or exhaustive. As this is a new and dynamic service you may be required to undertake responsibilities which are not specifically listed here but relate either to the Covid19 response or the wider primary care service which Arch offers

Person Specification

Qualities/Attributes

Essential

• Ability to work without direct supervision and determine own workload priorities
• Able to work under pressure and in a changing environment

Desirable

• Able to demonstrate enthusiasm to developing nursing skills
• An understanding, acceptance and adherence to the need for strict confidentiality
• Ability to use own judgement, resourcefulness and common sense
• Ability to work as part of an integrated multi-skilled team
• Pleasant, articulate and kind
• Flexibility of working hours/ able to work at the desired times

Experience

Essential

• Experience of working in accordance with the NMC Code of Professional Conduct

Desirable

• Experience of Microsoft Office software
• Experience of working with complex patients or homelessness
• Experience of Primary Care

Qualifications

Essential

• Registered General Nurse
• A demonstrable commitment to professional development

Knowledge/Skills

Essential

• Effective communication and interpersonal skills

Desirable

• Knowledge and understanding of current national developments and trends in health care and practice development
• Assessing and developing risk management protocols
• Implementing strategies for quality assurance and quality audit
• Evidence of innovative practice
• Experience of working with new technologies in health care practice
• Understanding of clinical coding in general and Read coding in particular
• Understanding of the health needs assessment process in relation to homelessness
• Experience of TPP SystmOne clinical system

Employer details

Employer name

Arch Health CIC

Address

School Clinic

Morley Street

Brighton

BN2 9DH

Employer's website

https://archhealthcic.uk/

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