In Reach Nurse

Job summary

An exciting opportunity has arisen for Band 7 In Reach Nurse, supporting patient flow, particularly between the acute hospitals and the new virtual wards.

We are looking to appoint a committed, highly motivated, enthusiastic and skilled nurse to join our team. This post is for a nurse with proven clinical skills and knowledge and understanding of the safeguarding adults agenda.

The post holder will work closely with acute care colleagues and Bexley's community services to support with the identification of patients in ED and admitted patients who could be discharged earlier with community support. They will act as a liaison between the acute and community setting, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care.

The successful applicant will be dynamic, innovative and motivated with an understanding and passion for multidisciplinary working with the ability to build robust working relationships which allow for collaborative working across organisational boundaries.

The post holder will undertake holistic assessments of patients with the aim of facilitating safe and timely discharge by identifying and referring / advising on the most appropriate community health and social care pathways. This ensures timely and appropriate patient referral to integrated community services and daily liaison between acute and community setting to ensure seamless patient care pathways and community case management.

Main duties of the job

The In Reach Nurse will work as a part of a multi-disciplinary team, including health and social care colleagues to meet the needs of clients referred for assessment ensuring the highest possible standards of practice.

The role of the In Reach Nurse is to bring together different professionals to implement a timely and person-centred assessment to determine appropriate care pathways for patients to avoid unnecessary hospital admissions/expedite discharges. This involves partnership working across agencies at the interfaces of primary and secondary health and social care.

To act as a source of specialist, expert nursing knowledge and provide support and advice in the assessment of patients requiring community support, intermediate care services, or crisis intervention in the community.

To ensure the outcome of the nursing element of the assessment is multi-disciplinary in approach and to arrange and coordinate community services and Intermediate Care Services, in liaison with social care re care packages as required.

• To support the home first approach, including virtual wards and other community physical health services
• To work with the Wards to identify patients who can be discharged earlier as their needs could be met in the community setting
• To work with Bexley Discharge and Patient Flow Manager to identify those suitable for a home first pathway, including intermediate care (at home or bedded pathway)
• To work in line with the Trust objectives for community practice

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We're Kind
• We're Fair
• We Listen
• We Care

Employer details

Employer name

Oxleas NHS Foundation Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH

Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)

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Employer details

Employer name

Oxleas NHS Foundation Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH

Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)

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