Job summary
The home visiting nurse will work as part of the visiting team undertaking
both pre-arranged and same day visits to those living in care settings and housebound
patients. The role requires the nurse to be qualified and experienced at an
enhanced level in a relevant area, able to assess and treat patients within
their scope of practice as well as via close liaison with the patients GP
practice.
The team will be primarily in
the community but based at our premises, The Annexe, Ethelbert Road Surgery and
the focus of the role includes:
Supporting Care
Home rounds and the management of long term conditions under the supervision of
the aligned practice
Taking an
integrated approach to working with patients, their carers
Keeping patients
at the centre of collaborative and integrated neighbourhood working
Providing
effective care planning and comprehensive assessments
Supporting the
development of effective systems and processes to ensure well coordinated,
high quality care that meets contractual requirements
You will need access to
suitably insured transport to enable you to travel around the Canterbury
practices catchment area.
Main duties of the job
Support the delivery of Enhanced Health
in Care Homes including:
o
Assessment upon admission of new
patients to care homes
o
Proactive, timely and consistent weekly
support to the care home
o
Evaluate and modify care plans
o
Timely same day response to the in-reach
teams where appropriate
o
Provide direct clinical care to patients
using established clinical guidelines for both routine and urgent complaints.
Be able to:
o
Perform specialist health checks and
reviews within their scope of practice and in line with local and national
guidance
o
Lead certain services (e.g., monitoring
blood pressure and diabetes risk of elderly patients, reviews of patients with
learning disabilities)
o
Provide an alternative model to urgent
and same day GP home visits for the networks
o
Communicate at all levels across
organisations ensuring that an effective, person-centred service is delivered
o
Communicate proactively and effectively
with all colleagues across the multi-disciplinary team, attending and
contributing to meetings as required
o
Maintain accurate and contemporaneous
health records appropriate to the consultation
o
Communicate effectively with patients
and, where appropriate, family members and their carers, where applicable,
complex and sensitive information regarding their physical health needs,
results, findings and treatment choices
About us
Canterbury Integrated Healthcare supports the 7 Canterbury practices and their PCNs covering a patient population of around 100,000 and we have worked together for many years
The local care vision in East Kent is for localities to develop a model of care that enables people to live as independently as possible by delivering high quality, person centred care that integrates hospital, social care, community and voluntary services around primary care networks of GP practices.
The vision for Canterbury is for the two PCNs to work together to achieve excellent patient care through integrated pathways accessed close to home via local GP practices.
The Canterbury PCNs will achieve this by delivering primary care at scale, including:
- Engagement from all practices within the City in the Integrated model of care
- Partnership working with other PCNs, NHS Trusts, community providers and the voluntary sector
- A comprehensive workforce strategy including engagement with the new medical school for Kent and Medway and the new Additional PCN roles.
We aim to work collaboratively with other healthcare providers and support organisations, to enable more patients to be treated in a primary care setting, closer to home.
Job description
Job responsibilities
It is important to note that responsibilities
will evolve so this is not designed to be an exhaustive list.
The role includes:
Support the delivery of Enhanced Health
in Care Homes including:
o
Assessment upon admission of new
patients to care homes
o
Proactive, timely and consistent weekly
support to the care home
o
Evaluate and modify care plans
o
Timely same day response to the in-reach
teams where appropriate
o
Provide direct clinical care to patients
using established clinical guidelines for both routine and urgent complaints.
Working as part of a multi-disciplinary
team within Canterbury Integrated Healthcare including involvement in weekly
frailty and/or care home MDT meetings
Assess and triage patients, including
same day triage, and as appropriate provide definitive treatment (including
following patient group directives, NICE (national) and local clinical
guidelines and local care pathways) or make necessary referrals to other
members of the PCN team
Anticipatory care planning to include
ReSPECT discussions and development of Personalised Care and Support Plans
Advise patients on general healthcare and promote self-management where appropriate, including signposting
patients to the PCNs social prescribing service and, where appropriate, other
community or voluntary services
Liaising with other professionals,
families and carers to provide clinical information relating to patient
management.
Be able to:
o
Perform specialist health checks and
reviews within their scope of practice and in line with local and national
guidance
o
Lead certain services (e.g., monitoring
blood pressure and diabetes risk of elderly patients, reviews of patients with
learning disabilities)
o
Provide an alternative model to urgent
and same day GP home visits for the networks
o
Communicate at all levels across
organisations ensuring that an effective, person-centred service is delivered
o
Communicate proactively and effectively
with all colleagues across the multi-disciplinary team, attending and
contributing to meetings as required
o
Maintain accurate and contemporaneous
health records appropriate to the consultation, ensuring accurate completion of
all the necessary documentation associated with patient healthcare and
registration with the organisation
o
Communicate effectively with patients and,
where appropriate, family members and their carers, where applicable, complex
and sensitive information regarding their physical health needs, results,
findings and treatment choices
Any other tasks and duties commensurate
with the role
Job description
Job responsibilities
It is important to note that responsibilities
will evolve so this is not designed to be an exhaustive list.
The role includes:
Support the delivery of Enhanced Health
in Care Homes including:
o
Assessment upon admission of new
patients to care homes
o
Proactive, timely and consistent weekly
support to the care home
o
Evaluate and modify care plans
o
Timely same day response to the in-reach
teams where appropriate
o
Provide direct clinical care to patients
using established clinical guidelines for both routine and urgent complaints.
Working as part of a multi-disciplinary
team within Canterbury Integrated Healthcare including involvement in weekly
frailty and/or care home MDT meetings
Assess and triage patients, including
same day triage, and as appropriate provide definitive treatment (including
following patient group directives, NICE (national) and local clinical
guidelines and local care pathways) or make necessary referrals to other
members of the PCN team
Anticipatory care planning to include
ReSPECT discussions and development of Personalised Care and Support Plans
Advise patients on general healthcare and promote self-management where appropriate, including signposting
patients to the PCNs social prescribing service and, where appropriate, other
community or voluntary services
Liaising with other professionals,
families and carers to provide clinical information relating to patient
management.
Be able to:
o
Perform specialist health checks and
reviews within their scope of practice and in line with local and national
guidance
o
Lead certain services (e.g., monitoring
blood pressure and diabetes risk of elderly patients, reviews of patients with
learning disabilities)
o
Provide an alternative model to urgent
and same day GP home visits for the networks
o
Communicate at all levels across
organisations ensuring that an effective, person-centred service is delivered
o
Communicate proactively and effectively
with all colleagues across the multi-disciplinary team, attending and
contributing to meetings as required
o
Maintain accurate and contemporaneous
health records appropriate to the consultation, ensuring accurate completion of
all the necessary documentation associated with patient healthcare and
registration with the organisation
o
Communicate effectively with patients and,
where appropriate, family members and their carers, where applicable, complex
and sensitive information regarding their physical health needs, results,
findings and treatment choices
Any other tasks and duties commensurate
with the role
Person Specification
Qualifications
Essential
- Registered with the appropriate professional council
- Level 7 or above postgraduate certification
Other Requirements
Essential
- Access to own transport and ability to travel across the locality
- Flexibility to work outside of core hours when required
- Ability to work remotely when required
Personal Qualities
Essential
- Drive to provide excellent integrated patient care
- Ability to work collaboratively in a team
- Flexible approach to the evolving nature of the role
- Ability to sometimes work under pressure to meet deadlines
- Ability to reflect upon own performance and consider improvements
Experience
Essential
- Excellent interpersonal and communication skills
- Time management and ability to prioritise workload
- Ability to work autonomously and use own initiative
- Ability to assess and manage risk when working with individuals
Desirable
- Experience of working with patients in their own homes or a care setting
- Experience in community or frailty sectors
- Experience in managing Long Term Conditions
Person Specification
Qualifications
Essential
- Registered with the appropriate professional council
- Level 7 or above postgraduate certification
Other Requirements
Essential
- Access to own transport and ability to travel across the locality
- Flexibility to work outside of core hours when required
- Ability to work remotely when required
Personal Qualities
Essential
- Drive to provide excellent integrated patient care
- Ability to work collaboratively in a team
- Flexible approach to the evolving nature of the role
- Ability to sometimes work under pressure to meet deadlines
- Ability to reflect upon own performance and consider improvements
Experience
Essential
- Excellent interpersonal and communication skills
- Time management and ability to prioritise workload
- Ability to work autonomously and use own initiative
- Ability to assess and manage risk when working with individuals
Desirable
- Experience of working with patients in their own homes or a care setting
- Experience in community or frailty sectors
- Experience in managing Long Term Conditions
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Canterbury Integrated Healthcare
Address
The Annexe (Next door to Canterbury Medical Practice)
Ethelbert Road
Canterbury
Kent
CT1 3NR
