Job summary
The post holder will proactively manage a caseload of patients requiring complex case management in order to prevent hospital admissions and facilitate early discharge to improve patient health outcomes. Patients requiring case management in the HUURT will be identified by case-finding in the Ambulatory Emergency Care (AEC) unit, Accident and Emergency department, Whittington Health and NMUH wards, LAS, Care Homes, Community Nurses and via GP referral.
Key partners are Whittington Health and North Middlesex University Hospital Emergency Departments, assessment units, acute wards and GPs.Patients will be identified as not requiring hospital admission but needs high acuity Community support in order to go home safely.Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing and use these both in the community and ambulatory care centre setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries. The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital settings also via Community referrals.
Main duties of the job
Leading a team of advanced nurse practitioners and providing senior clinical support to the team.o Working strategically and instigating quality improvement for the service.o Assessing and managing high acuity complex patients autonomouslyo Facilitate the early discharge of patients from the Whittington Health and NMUH inpatient wards and complete their recovery in the home environment by working collaboratively with the AEC Consultant.o Be aware of and utilise appropriate resources within the HUURT and in the provision of total patient care. To manage the team on a day-to-day basis, supporting junior staff with decision making and skills development.o Act as a link nurse to AEC consultants, GPs, Community Nurses, LAS, Social Services and other relevant professional areas as necessary.o Undertake a comprehensive baseline assessment for each identified patient in conjunction with the AEC consultant, patient, relatives, carers and patient care team.o Use the assessment to agree and implement a patient held personalised plan of care to be agreed with the patient, relatives and carers and the patient care team.o Ensure that there are effective communications with other agencies (including Out of Hours Services) about care plans and maximise the input of these agencies to support patients at home.o Promote self management and health gain through patient education and health promotion activity.
About us
Whittington Health is an exciting, innovative, and dynamic integrated care organisation (ICO) spanning both acute and community settings. Whittington Health is the lead provider for both Virtual Wards and remote monitoring in North Central London (NCL). The Whittington Hospital is an integrated care organisation, providing both hospital and community services. Our Adult Community Services have been rated Outstanding by CQC and we aim to continue to provide outstanding care. This means, care that is better coordinated, in the right place and designed around individual patient's needs. This means we can bring high quality services closer to home and speed up communication between community and hospital services, improving our patients' experience. We are fully committed to reducing the inequalities gap for BAME groups and have excellent staff networks progressing this. Please click here to see a video of what it is like to work in Adult Community Services, Whittington Health:https://vimeo.com/585737658
Job description
Job responsibilities
Leadership Assist in evaluating the effectiveness of the service in relation to patient outcomes. Act as a role model in assisting to develop the practitioner role according to service demand and evolving models of care. Provide senior clinical advice relating to patients with complex needs to the Haringey Urgent Response team. Undertake duties as delegated by Service manager; this may include standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care. Work with colleagues and users, to identify the changing needs of Whittington Health and the population it serves and promote practice that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to the needs of clients and patients. Assist in developing
Risk Management Assist in ensuring that clinical risk is assessed and managed in line with professional and Whittington Health standards. Ensure that comprehensive risk assessment
Quality Work within Whittington Health Quality and Assurance Standards including the monitoring and reviewing of quality standards, policies and protocols as required within the service. Take the service lead in areas where there is a specific nursing need as agreed with the Service Manager. Ensure that the care given meets the standards and policies set by Whittington Health. To inform line management of constraints that will prevent these standards from being met.
Job description
Job responsibilities
Leadership Assist in evaluating the effectiveness of the service in relation to patient outcomes. Act as a role model in assisting to develop the practitioner role according to service demand and evolving models of care. Provide senior clinical advice relating to patients with complex needs to the Haringey Urgent Response team. Undertake duties as delegated by Service manager; this may include standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care. Work with colleagues and users, to identify the changing needs of Whittington Health and the population it serves and promote practice that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to the needs of clients and patients. Assist in developing
Risk Management Assist in ensuring that clinical risk is assessed and managed in line with professional and Whittington Health standards. Ensure that comprehensive risk assessment
Quality Work within Whittington Health Quality and Assurance Standards including the monitoring and reviewing of quality standards, policies and protocols as required within the service. Take the service lead in areas where there is a specific nursing need as agreed with the Service Manager. Ensure that the care given meets the standards and policies set by Whittington Health. To inform line management of constraints that will prevent these standards from being met.
Person Specification
Education / Qualifications
Essential
- MSc. Advance clinical practitioner(or equivalent)
- Registered with NMC (or equivalent)
- Further post graduate qualification Diploma
Desirable
Skills and Abilities
Essential
- Able to communicate with patients and all grades of healthcare staff (verbally and in writing)
- Prioritisation and time management, and when under pressure
- Able to influence and inform decisions about the clinical management of patients
- Experience of providing education and training to urgent response staff, doctors and other AHPs.
- Confident & assertive when dealing with other professionals
- Demonstrates the ability to communicate complex information combined with good negotiating and presentation skills
- Ability to communicate with patients particularly on sensitive or complex issues.
- Ability to manage difficult and ambiguous situations including those that may require prompt decisions when faced with highly complex medical conditions
- Ability to identify and manage risk
Desirable
- Proven delivery of staff assessment and appraisal
- Excellent numeracy skills and analysis and interpretation of data
- Ability to interpret local or national guidance and translate them to front line clinical practice
Knowledge and Experience
Essential
- Previous experience of working within community/Urgent response/Care of elderly
- Knowledge of national priorities contributing to the development of Frailty and Acute Medicine services
- Demonstrates awareness of and commitment to the principles of clinical governance
Desirable
- Experience of working within Frailty units or Ambulatory Care environments
- Experience of contributing or leading quality improvement projects
- Previous participation in audit and / or research.
- Experience of line management and / or team leadership
- Experience of development of clinical policies and guidelines
Personal Qualities
Essential
- Demonstrates initiative, motivation & enthusiasm for the post
- Demonstrates an active appreciation of the importance of equality, diversity and inclusion
- Ability to work under pressure whilst maintaining accuracy and attention to detail
- Able to work on own initiative or as part of a multidisciplinary team.
Person Specification
Education / Qualifications
Essential
- MSc. Advance clinical practitioner(or equivalent)
- Registered with NMC (or equivalent)
- Further post graduate qualification Diploma
Desirable
Skills and Abilities
Essential
- Able to communicate with patients and all grades of healthcare staff (verbally and in writing)
- Prioritisation and time management, and when under pressure
- Able to influence and inform decisions about the clinical management of patients
- Experience of providing education and training to urgent response staff, doctors and other AHPs.
- Confident & assertive when dealing with other professionals
- Demonstrates the ability to communicate complex information combined with good negotiating and presentation skills
- Ability to communicate with patients particularly on sensitive or complex issues.
- Ability to manage difficult and ambiguous situations including those that may require prompt decisions when faced with highly complex medical conditions
- Ability to identify and manage risk
Desirable
- Proven delivery of staff assessment and appraisal
- Excellent numeracy skills and analysis and interpretation of data
- Ability to interpret local or national guidance and translate them to front line clinical practice
Knowledge and Experience
Essential
- Previous experience of working within community/Urgent response/Care of elderly
- Knowledge of national priorities contributing to the development of Frailty and Acute Medicine services
- Demonstrates awareness of and commitment to the principles of clinical governance
Desirable
- Experience of working within Frailty units or Ambulatory Care environments
- Experience of contributing or leading quality improvement projects
- Previous participation in audit and / or research.
- Experience of line management and / or team leadership
- Experience of development of clinical policies and guidelines
Personal Qualities
Essential
- Demonstrates initiative, motivation & enthusiasm for the post
- Demonstrates an active appreciation of the importance of equality, diversity and inclusion
- Ability to work under pressure whilst maintaining accuracy and attention to detail
- Able to work on own initiative or as part of a multidisciplinary team.
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).
