Job responsibilities
Please see attached Job Description for full details
Post
Title: Urgent
Community Response(UCR) Practitioner Band 6
UCR/Virtual Ward-Woking Community Hospital, Heath Side Road, Woking
Pay Band: TBC
Responsible
to:UCR Matron.
Accountable to: Director of
Adult Services.
Responsible for: Senior Rehabilitation Assistants.
Introduction
The
Urgent Community Response and Frailty Teams aspire to provide a 24-hour/7-day responsive NHS community service. The Band 6 UCR Practitioner can be a Nurse,
Allied Health Practitioner or Paramedic.
There is the flexibility within the multidisciplinary team to work across days, nights and to do
internal rotation and you are able to
work autonomously, managing patient assessments within the specialty whilst
working as part of the larger multidisciplinary team, delivering individualised
and personalised direct patient care to patients across North West Surrey in
conjunction with the wider Integrated
Care System. The
teams are commissioned to reflect the needs of the local community. Service
aims include urgent case management and hospital admission avoidance, where the
focus of the role is to lead the identification and clinical assessment of
patients who will benefit from advanced complex hospital discharge care, or urgent
responsive admission avoidance on the Virtual Ward with care provided in their
own home by the multi-disciplinary team.
1. ROLE PURPOSE
1.1 To work closely with the UCR Advanced
Clinical Practitioners(ACPs) & Clinical Leads for frailty, frailty GPs,
adult social care and the third sector to provide fast reactive services for
patients with decompensated frailty and ensure rapid delivery of treatment,
care planning to support acute hospital admission avoidance where appropriate
with a focus on the 9 Common Critical Conditions- Falls; Decompensation of
Frailty; Reduced Function/Decondition/reduced
mobility; Urgent equipment provision, Confusion / Delirium, Palliative / EOL
crisis support; Urgent Catheter Care, Urgent support for diabetes; Unpaid Carer breakdown. [https://www.england.nhs.uk/wp-content/uploads/2021/07/B1406-community-health-services-two-hour-urgent-community-response-standard.pdf ]
1.2 To provide advanced assessment and care planning, including history
taking and physical assessment for patients with frailty.
1.3 To work closely with the frailty GPs, Advanced Clinical practitioners
& Clinical Leads for UCR &
Frailty , adult social care and the third sector carers and patients to
proactively identify and manage patients with frailty and support them and
their carers in the development and delivery of personalised care plans.
1.4 o provide strong holistic assessment and treatment planning of patients
with frailty, without direct supervision.
1.5 To work in conjunction with a wide range of clinical colleagues and
specifically, primary care and community teams and Social Care professionals,
leading and facilitating a patient or client focused, co-ordinated case
management approach across primary and secondary care for people who are most
vulnerable to, and at high risk of repeat admission to hospital.
1.6 To participate in and influence efforts across health and social services
to shape multi-disciplinary pathways designed to support patient choice,
improve quality of life, promote self-management and assure early intervention
through the proactive provision of care in or as close to the patients own
home as possible.
1.7 The UCR clinician will work across the caseload and
the single point of access or (equivalent), using their clinical skills to
identify the needs of patients and the correct services to liaise with.
1.8 The UCR clinician
will provide expertise within their professional discipline, to the wider team.
1.9 Provide professional
leadership within the team, supporting the Clinical leads for frailty and UCR in
managing the team and ensuring safe and effective staffing levels and provision
of resources to ensure continuous service delivery and enhancing clinical practice.
1.10Advise
on the promotion of health and prevention of illness and provide information to
individuals and groups to prevent disease, where possible. Recognise situations
that may be detrimental to health for example housing, social and economic
factors and refer to an appropriate agency and liaise with members of the
Community Care Team.
1.11To provide case management using extended
skills where appropriately trained to avoid hospital admission and manage
sometimes complex clinical needs in the community setting.
1.12 To
provide assessment of patients, using analytical and judgment skills. To
provide appropriate patient centred treatment using evidence-based practice
where-ever possible. Patients will present with acute or chronic conditions and
complex multi-system pathologies e.g. neuro, respiratory conditions,
orthopaedic rehabilitation and age related deterioration.
1.13 To
devise effective, personalised plans of care for each patient with specific therapeutic
knowledge, recognizing him or her as an individual. The plan of care, which has
been developed in conjunction with the patient, carer, and relevant others,
should be outcome based and ensure appropriate pathways of care and
communication via liaison and referral to other agencies as required.
1.14 The
goals and objectives of any intervention are clearly established and
negotiated, and where appropriate can be assessed through use of outcome
measures/ objective markers.
1.15 To
provide a holistic and therapeutic treatment programme or where appropriate
direct the intervention as necessary through UCR Community Rehab
Assistants/HCAs, Health Care Support Workers, or other members of the
multi-disciplinary team.
Person Specification
Post Title: Frailty Practitioner Band 6
Department: Frailty Hubs
& UCR
The attached job description outlines the main duties and responsibilities
of this post; this person specification lists the requirements necessary to
perform the job. Candidates will be
assessed according to the extent to which they meet the specification. It is therefore important that applicants pay
close attention to all aspects of the person specification when deciding if
their skills, experience and knowledge match these requirements.
Essential
Desirable
Assessment method
Qualifications
Registered General Nurse/ Registered Mental Health Nurse/Practitioner or BSc/Diploma
leading to inclusion on
the Health and Care Professions Council Register as an Occupational
Therapist, Physiotherapist or Paramedic
Post registration qualification or University Degree
Teaching and assessing qualification Mentorship or equivalent mentorship
qualification PETALS
Masters degree or equivalent experience gained by undertaking on-going
personal development and training
Management/Leadership Qualification/
development programme
AHP
candidate
Application
Form & Certificate
Portfolio of
evidence
Experience and knowledge
A minimum of two years post registration experience
Experience of caseload management including responsibility for complex
care packages for vulnerable people
Experience, underpinned by knowledge of working with and understanding
the complex needs of patients in a primary care/community setting
Involved in the implementation and management of change
Evidence of innovative practice
Experience of initiating or participating in clinical audit/research
relating to clinical practice
Participates in regular clinical
supervision
Experience of working with long-term conditions and frailty
Application
Form & Interview
Portfolio of
evidence
Skills
Excellent communication and interpersonal skills
Broad range of enhanced clinical skills
Ability to advocate patient issues
Ability to demonstrate leadership skills
Demonstrates organisational skills: including the ability to make
decisions and to prioritise
Ability to understand and interpret research findings/evidence-based
care and apply to practice.
Good knowledge of health and safety and risk management
Computer literate including emails and spreadsheets.
Effective written and verbal communication skills
Application Form, Interview and/or Skills
test.
Portfolio of evidence
Personal Qualities
Car driver
with valid licence and access to a car for work purposes
Reliable and
flexible
Ability to work
well in stressful situations
Innovative
and adaptable
Assertive
Commitment
to attend forums or training as learning needs are identified
