Job summary
Up to 37.5 hours per week.
Are you passionate about making a difference in the lives of
people with frailty in our communities across Plymouth, the South Hams, and
West Devon? Do you thrive in a dynamic and innovative healthcare environment?
We have some very exciting opportunities to join our exciting Community Frailty
Virtual Ward project. This project forms part of a wider plan to improve urgent
and emergency healthcare delivery.
We are committed to revolutionising healthcare delivery for
frail and elderly patients by launching a Community Frailty Virtual Ward. Our
aim is to provide high-quality, patient-centred care in the comfort of their
own homes, reducing hospital admissions and length of stay in hospital and
enhancing overall well-being through enhanced care coordination.
This role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for more information with regards to eligibility.
Please note that Livewell may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. Therefore, we recommend you submit your application at the earliest opportunity.
All Livewell staff are expected to be able and willing to work across a 7 day service.
Main duties of the job
Key to the delivery of the Frailty virtual ward is the delivery
of high-quality treatment escalation plans (TEPs) for people with moderate and
severe frailty. We aim to have 100% of people with this diagnosis with a TEP in
place. You will form part of a team that will hold sensitive conversations using
advanced communication techniques with people and their family and carers to
enable them to make informed decisions about what should happen if their
treatment needs escalate. You will be supported by the Frailty Virtual Ward
Team, which is comprises of Medics, ACPs, Frailty practitioners and Allied
Health Professionals.
Training will be provided for those not already competent to
undertake this. It is essential that the applicant is fully competent in their
own area of work before applying for this position.
We will consider applications for people seeking full and
part time posts and flexible hours.
Key Responsibilities
Production of Treatment Escalation plans in
collaboration with people, carers and health care professionals for people with
moderate and severe frailty
Support staff in locality teams with the
production of TEPs
Backfill other nurses within your own areas of
competence and scope to allow them to train to deliver TEPs
About us
Livewell Southwest is an independent, award-winning social
enterprise delivering integrated health and social care services across
Plymouth, South Hams, and West Devon, with specialist services in parts of
Devon and Cornwall. Our teams work in community hospitals, GP practices, sports
centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and
collaboration. We focus on transforming services to ensure sustainability, while
empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in
shaping the care they receive, striving to deliver the right care at the right
time and place. Centering our work on individual needs helps people lead
healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training
pathways, leadership programs, and funding for qualifications like the Care
Certificate and Nurse Training Scholarships. Our induction and preceptorship
programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all
sections of the community, including those with armed forces experience, lived experience of mental
health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the
application process, contact the Recruiting Manager listed in the job advert.
Job description
Job responsibilities
JOB PURPOSE
This role will help to ensure that all people with moderate and severe frailty have an agreed Treatment Escalation Plan in place that can be called upon during times of escalated need. The post holder will visit identified people with frailty in the community, and work with them in a sensitive and empathetic fashion to agree a robust TEP that meets the needs of the individual. The role will link closely with the Frailty Virtual Ward team, which will comprise of a range of professionals, including Medics, Advanced Care Practitioners and a range of other healthcare professionals.
In addition to these duties, the post holder will be expected to provide backfill into nursing teams, within their existing level of competency. This will allow current staff to train to undertake TEPs, increasing the overall number of people in the workforce who can have these conversations with people.
It is the aim that 100% of people who have been identified has having moderate or severe frailty have a TEP in place.
4. SCOPE AND RANGE
- To work within the scope of the NMC professional code of practice. Moving across the organisation should the need arise, for example, in a pandemic situation.
- Your role may require you to be a non-medical prescriber / Nurse Prescriber taking responsibility for prescribing in line with Nurse Prescribing formulary and Plymouth Area Joint Formulary.
- To work within Livewell Southwest policies.
- Within the role you will be expected to work with more complex patients providing holistic evidence-based care, assessing, planning, implementing the treatment requirements of the practice population.
- To work collaboratively and maintain key working relationships with managers, service heads and leads.
- Establish and uphold proactive connections with stakeholders, including ICBs, NHS Organisations, CHC, PCNs, Plymouth City Council, as well as private/voluntary sector (i.e. St. Lukes).
- Lead and participate in the management of enhanced assessments, rehabilitation programmes
- Promoting and supporting people in their care and treatment to help them manage their own health and wellbeing, Maximise independence.
- Share knowledge and skills and empower others.
- Support the audit of patient outcomes.
- Some services may need extra training to administer certain medications, such as intravenous medication, oxygen, or medicines under patient group directives.
- Prevent hospital admission.
- You may be required to undertake 7 days working, including bank holidays, this is subject to the terms and conditions set out in your contract of employment.
Please download the full job description from the advert
Job description
Job responsibilities
JOB PURPOSE
This role will help to ensure that all people with moderate and severe frailty have an agreed Treatment Escalation Plan in place that can be called upon during times of escalated need. The post holder will visit identified people with frailty in the community, and work with them in a sensitive and empathetic fashion to agree a robust TEP that meets the needs of the individual. The role will link closely with the Frailty Virtual Ward team, which will comprise of a range of professionals, including Medics, Advanced Care Practitioners and a range of other healthcare professionals.
In addition to these duties, the post holder will be expected to provide backfill into nursing teams, within their existing level of competency. This will allow current staff to train to undertake TEPs, increasing the overall number of people in the workforce who can have these conversations with people.
It is the aim that 100% of people who have been identified has having moderate or severe frailty have a TEP in place.
4. SCOPE AND RANGE
- To work within the scope of the NMC professional code of practice. Moving across the organisation should the need arise, for example, in a pandemic situation.
- Your role may require you to be a non-medical prescriber / Nurse Prescriber taking responsibility for prescribing in line with Nurse Prescribing formulary and Plymouth Area Joint Formulary.
- To work within Livewell Southwest policies.
- Within the role you will be expected to work with more complex patients providing holistic evidence-based care, assessing, planning, implementing the treatment requirements of the practice population.
- To work collaboratively and maintain key working relationships with managers, service heads and leads.
- Establish and uphold proactive connections with stakeholders, including ICBs, NHS Organisations, CHC, PCNs, Plymouth City Council, as well as private/voluntary sector (i.e. St. Lukes).
- Lead and participate in the management of enhanced assessments, rehabilitation programmes
- Promoting and supporting people in their care and treatment to help them manage their own health and wellbeing, Maximise independence.
- Share knowledge and skills and empower others.
- Support the audit of patient outcomes.
- Some services may need extra training to administer certain medications, such as intravenous medication, oxygen, or medicines under patient group directives.
- Prevent hospital admission.
- You may be required to undertake 7 days working, including bank holidays, this is subject to the terms and conditions set out in your contract of employment.
Please download the full job description from the advert
Person Specification
Additional Requirements
Essential
- Familiar and committed to the principles and values of the NHS.
- Demonstrate commitment to focus on quality, promotes high standards to consistently improve patient outcomes.
- Creates and fosters a culture of openness, honesty, integrity and inclusiveness.
- Ability to work flexibly, demonstrating commitment to partnership working.
- Ability to travel across Plymouth and other geographical areas. Reasonable adjustments under equality act will be considered for the successful applicant
Desirable
- Values diversity and difference.
Qualifications
Essential
- Registered NMC Nurse with a Degree (or working towards)
- Current Registered Nurse with a minimum 2 years post registered experience.
- Experience of mentoring.
Desirable
- Recognised teaching qualification mentorship or equivalent.
- Leadership experience/qualifications
- NMP prescribing qualification or willingness to undertake.
- DNSPQ Qualification
- Specialist Nurse modules
Specific Skills
Essential
- Good time management
- Autonomous practitioner with the ability to work unsupervised.
- Ability to assess and treat patients using evidence-based practice.
- Ability to work alongside clinicians to support and enhance quality of patient care.
- Excellent interpersonal skills in Leadership, co-ordination and management skills.
- Delegation skills.
- IT Literate.
- Highly motivated with ability to influence and inspire others.
- Ability to act as a champion for patients and carers and their interests, ensuring the patients voice has an impact on service developments.
Desirable
- Flexible/Adaptable /Team player
- Evidence of using initiative to put innovation into practice.
Experience
Essential
- Minimum 2 years post registered experience
- Able to demonstrate Clinical Management skills appropriate to the role.
- Proven relevant experience of Leadership.
- Experience in leading and development of new pathways of care and delivering best practice
- Experience in managing sensitive issues and overcoming obstacles in communication.
Desirable
- Experience and working knowledge of community setting desirable.
- Management/Leadership qualification
- Experience of influencing change in the workplace.
Knowledge
Essential
- Up to date knowledge of current practice within the area specified in job purpose
- Knowledge of national and local frameworks and strategies
- Ability to translate best practice evidence and national policies in practice.
- Background and development knowledge of Government Policies and changes in Primary Care.
- Understanding of NICE guidance.
- The post holder will have experience undertaking Incident Investigations.
- Ability to undertake holistic patient centred assessment
Desirable
- Evidence of continued recent academic and clinical development
- Knowledge of service development
- Previous primary care / community experience.
- Competent to the level for post in each of the dimensions of the knowledge and skills framework.
Person Specification
Additional Requirements
Essential
- Familiar and committed to the principles and values of the NHS.
- Demonstrate commitment to focus on quality, promotes high standards to consistently improve patient outcomes.
- Creates and fosters a culture of openness, honesty, integrity and inclusiveness.
- Ability to work flexibly, demonstrating commitment to partnership working.
- Ability to travel across Plymouth and other geographical areas. Reasonable adjustments under equality act will be considered for the successful applicant
Desirable
- Values diversity and difference.
Qualifications
Essential
- Registered NMC Nurse with a Degree (or working towards)
- Current Registered Nurse with a minimum 2 years post registered experience.
- Experience of mentoring.
Desirable
- Recognised teaching qualification mentorship or equivalent.
- Leadership experience/qualifications
- NMP prescribing qualification or willingness to undertake.
- DNSPQ Qualification
- Specialist Nurse modules
Specific Skills
Essential
- Good time management
- Autonomous practitioner with the ability to work unsupervised.
- Ability to assess and treat patients using evidence-based practice.
- Ability to work alongside clinicians to support and enhance quality of patient care.
- Excellent interpersonal skills in Leadership, co-ordination and management skills.
- Delegation skills.
- IT Literate.
- Highly motivated with ability to influence and inspire others.
- Ability to act as a champion for patients and carers and their interests, ensuring the patients voice has an impact on service developments.
Desirable
- Flexible/Adaptable /Team player
- Evidence of using initiative to put innovation into practice.
Experience
Essential
- Minimum 2 years post registered experience
- Able to demonstrate Clinical Management skills appropriate to the role.
- Proven relevant experience of Leadership.
- Experience in leading and development of new pathways of care and delivering best practice
- Experience in managing sensitive issues and overcoming obstacles in communication.
Desirable
- Experience and working knowledge of community setting desirable.
- Management/Leadership qualification
- Experience of influencing change in the workplace.
Knowledge
Essential
- Up to date knowledge of current practice within the area specified in job purpose
- Knowledge of national and local frameworks and strategies
- Ability to translate best practice evidence and national policies in practice.
- Background and development knowledge of Government Policies and changes in Primary Care.
- Understanding of NICE guidance.
- The post holder will have experience undertaking Incident Investigations.
- Ability to undertake holistic patient centred assessment
Desirable
- Evidence of continued recent academic and clinical development
- Knowledge of service development
- Previous primary care / community experience.
- Competent to the level for post in each of the dimensions of the knowledge and skills framework.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
