Job summary
Critical Care Outreach Practitioner, Band 7
Join a dynamic team that transforms patient outcomes and supports frontline staff in delivering exceptional care.
- Are you ready to make a real difference in the lives of critically ill patients? As a Critical Care Outreach Practitioner, you'll be at the heart of a 24/7 service dedicated to early intervention, advanced clinical support, and improving pathways for acutely unwell patients. Your expertise will empower ward staff, enhance patient recovery, and reduce avoidable incidents, including cardiac arrests.
Why Join Us?
This role offers a unique blend of advanced practice, leadership, and education. You'll work in a fast-paced, supportive environment where every day brings new challenges and rewards.
You'll be pivotal in shaping the future of critical care within the Trust, driving quality improvement, and leading innovative service delivery.
What We're Looking For:
Passionate, highly skilled clinicians with a commitment to patient safety, exceptional communication skills, and a drive to lead by example.
Are you ready to be part of a service that changes lives? Apply now to become a leader in critical care excellence.
Main duties of the job
Be part of the multi-disciplinary Hospital at Night (HAN) team with a remit to reduce number of incidences and cardiac arrests, support the deteriorating patient pathway and improve patient outcomes
Work closely with the intensive care team to facilitate timely admission to ICU/HDU and safe discharge from ICU/HDU
Develop cross-divisional collaborative relationships with clinical site managers, ward managers and matrons in improving the recognition and escalation of acutely-ill / deteriorating patients, with the emphasis on the Use of NEWS2 for the Early Detection + Management and Escalation of Deteriorating Adult Patients; and Identification and Treatment of Sepsis for all Adults aged 16 and over.
Collaborate with the learning and development departments to deliver courses including but not limited to the ALERT, BEACH, tracheostomy and non-invasive ventilation training
Please note: This role is to provide a 24/7 service, requiring day and night shifts; including weekends and bank holidays.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."
If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
1. Clinical Practice:
Perform clinical skills such as but not limited to phlebotomy, male catheterisation, arterial blood gas sampling, ultrasound guided cannulation, in accordance with Trust policies.
Support prescribers with safe prescription, and/or independently prescribe medications accordance with the Trust medications management policy, NMC/HCPC standards and the RPS Competency Framework for all prescribers.
Facilitate timely referral and transfer to ICU in partnership with medical and nursing and multidisciplinary teams.
Work collaboratively with the intensive care team to ensure patients are safely discharged from ICU/HDU. Follow-up all patients from ICU/HDU.
Undertakes active role in the Major incident response team.
2. Leadership and Management:
Lead where appropriate, support and advise colleagues during complex discussions regarding end of life decisions, withdrawal of treatment, breaking bad news and DNA-CPR orders.
Develop advanced communication and negotiating skills to manage and lead complex interactions as well as diffusing tense clinical situations and inter-professional conflict.
Communicate with patients and relatives in a sensitive manner appropriate to the situation providing information and reassurance.
Communicate in a consistent and effective manner, understanding and developing strategies to overcome barriers to effective communication and improved patient outcome and team working.
3. Education:
Creates learning opportunities for others and promotes the workplace as a learning environment.
Act as a mentor and assessor for nursing, medical and AHP students and those shadowing CCOT.
Liaise with the CCOT Lead to identify areas for continuing development through frameworks including but not limited to S.W.O.T framework. Facilitates the development of clinical skills throughout the Trust for ward staff using a variety of teaching methods.
Able to teach appropriate clinical skills to all grades of staff and is familiar with basic teaching techniques.
PLEASE SEE JOB DESCRIPTION FOR FULL DETAILS OF THE POST
Job description
Job responsibilities
1. Clinical Practice:
Perform clinical skills such as but not limited to phlebotomy, male catheterisation, arterial blood gas sampling, ultrasound guided cannulation, in accordance with Trust policies.
Support prescribers with safe prescription, and/or independently prescribe medications accordance with the Trust medications management policy, NMC/HCPC standards and the RPS Competency Framework for all prescribers.
Facilitate timely referral and transfer to ICU in partnership with medical and nursing and multidisciplinary teams.
Work collaboratively with the intensive care team to ensure patients are safely discharged from ICU/HDU. Follow-up all patients from ICU/HDU.
Undertakes active role in the Major incident response team.
2. Leadership and Management:
Lead where appropriate, support and advise colleagues during complex discussions regarding end of life decisions, withdrawal of treatment, breaking bad news and DNA-CPR orders.
Develop advanced communication and negotiating skills to manage and lead complex interactions as well as diffusing tense clinical situations and inter-professional conflict.
Communicate with patients and relatives in a sensitive manner appropriate to the situation providing information and reassurance.
Communicate in a consistent and effective manner, understanding and developing strategies to overcome barriers to effective communication and improved patient outcome and team working.
3. Education:
Creates learning opportunities for others and promotes the workplace as a learning environment.
Act as a mentor and assessor for nursing, medical and AHP students and those shadowing CCOT.
Liaise with the CCOT Lead to identify areas for continuing development through frameworks including but not limited to S.W.O.T framework. Facilitates the development of clinical skills throughout the Trust for ward staff using a variety of teaching methods.
Able to teach appropriate clinical skills to all grades of staff and is familiar with basic teaching techniques.
PLEASE SEE JOB DESCRIPTION FOR FULL DETAILS OF THE POST
Person Specification
Education and Qualifications
Essential
- Professional (NMC/HCPC) registration
- Intensive Care Course (or equivalent)
- Teaching and/or Mentorship qualification (or equivalent)
- Advanced Life Support Provider
Desirable
- Advanced Physical Assessment Course (or equivalent)
- Undertaking / Completed Master's Degree
- Independent and Supplementary Non-Medical Prescribing Course
Experience
Essential
- Substantial experience within Intensive Care
- Teaching / Mentoring Experience
Desirable
- Critical Care Outreach Experience
Skills and Knowledge
Essential
- Competent in the management of Tracheostomies
- Competent with all types of non-invasive ventilation therapy
- Intra-hospital transfer trained / competent
- IT & Database knowledge and skills
- Good communication skills and demonstration of customer service standards
Desirable
- Ultrasound-guided cannulation
Person Specification
Education and Qualifications
Essential
- Professional (NMC/HCPC) registration
- Intensive Care Course (or equivalent)
- Teaching and/or Mentorship qualification (or equivalent)
- Advanced Life Support Provider
Desirable
- Advanced Physical Assessment Course (or equivalent)
- Undertaking / Completed Master's Degree
- Independent and Supplementary Non-Medical Prescribing Course
Experience
Essential
- Substantial experience within Intensive Care
- Teaching / Mentoring Experience
Desirable
- Critical Care Outreach Experience
Skills and Knowledge
Essential
- Competent in the management of Tracheostomies
- Competent with all types of non-invasive ventilation therapy
- Intra-hospital transfer trained / competent
- IT & Database knowledge and skills
- Good communication skills and demonstration of customer service standards
Desirable
- Ultrasound-guided cannulation
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).