Job summary
The post holder will work as part of the Community Response Team and provide Urgent Care Response to manage patients in the community setting, avoiding A&E attendance and hospital admissions. The post holder will support the clinical team in clinical triage and allocation of referrals.
The CRT works in collaboration with North West Ambulance Service (NWAS), Primary Care, Care Homes and the wider healthcare economy, with a focus on safe admission avoidance and supporting patients in crisis by managing their care and treatment at home. The team also have a key role with patients being discharged from hospital to ensure safe effective discharge.
Experience in the NHS is essential and Community experience is desirable.
This is a new post, currently going through job matching. It is expected to be evaluated as a Band 7.
Main duties of the job
- To manage the coordination of the team each day and supporting manager in expansion of the admissions avoidance service.
- To provide clinical leadership and support for the assessors and support workers.
- To support delegated activity from the Advanced Clinical Practitioners.
- The post holder will take a lead in the screening and allocation of all referrals into the admission avoidance team.
- To work as part of the integrated multi-disciplinary team and be responsible for assessment and management of a clinical caseload.
- To undertake comprehensive assessments of patients with complex presentations.
- To establish individualised management and treatment plans, using clinical reasoning and utilising a wide range of evidence-based treatment skills.
The role will require you to work across all areas in the Trust which includes those that are designated as positive, asymptomatic and negative COVID wards.
This full time role (37.5 hours) works to deliver service 7 days per week from 8am-10pm. An Enhanced DBS (with Adults Barred List check) will be obtained for the successful candidate during pre-employment checks. Applicants may hold professional registration from a Nursing or Allied Health professional background.
Based in the Community division so you will need to be required to travel across the borough.
Be advised, the vacancy could close early if a high number of applications is received.
About us
Choose Well - Choose WWL
Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated there is helpful advice and information available by contacting covid-19.vaccine@wwl.nhs.uk where you can also ask about how to access vaccinations.
On-Call
Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.
Job description
Job responsibilities
Key results from the job holder
- Delivery of Key Performance Indicators (KPIs) on care assessment, care delivery and workforce.
Planning and Organisational Duties
- Work within the Trust's Policies and Procedures and the parameters set down in agreed local clinical protocols and guidelines and national guidelines such as those published by NICE.
- Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnose, plan, implement and initiate changes where required. This will include monitoring and evaluating the responses to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient.
- Apply appropriate advanced clinical and technological skills in response to the changing needs of care and the dynamic state of healthcare services.
- Facilitate the development of clinical practice through research and education of the multidisciplinary team, by integrating theory with practice.
- Evaluate care through quality assurance initiative and assessment of clinical outcomes.
- Be an expert clinical resource for other health care practitioners.
- Take every opportunity to promote the health of patients and initiate health education strategies as necessary.
- Participate in risk management and risk assessment working closely with other members of the clinical team.
- Continually develop own professional practice as indicated by the changing needs of services / patients
- Participate in the development of the quality and audit strategy, which includes standard setting and development of audit tools.
- Participate in developing and updating clinical protocols in care in responses to advances in clinical practice.
Communications and Key Working Relationships
- Accept, make and receive referrals to and from other health care professionals.
- Communicate patients' conditions, verbally and in writing, to other members of the healthcare team and contribute to decision-making processes in patient management.
- Communicate on an on-going basis with the GP, Community Medical Lead, Senior Registrar / Consultant responsible for the patient - updating him / her on changes/progress.
- Participate in virtual ward rounds, perform case presentation and contribute to the decision-making process in patient management.
- Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
- Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines.
- Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
Professional & Clinical Practice
- Ensure clinical practice reflects all current HCP/NMC documents including (a) Code of professional Conduct (b) Standards for record keeping (c) Administration of Medicines.
- Work within the trust s policies and procedures and the parameters set down in agreed local clinical protocols and guidelines and national best practice guidelines such as those published by NICE and within own sphere of competence. Trust policies, procedures and guidelines can be found on the trust website.
- Assess a range of patients with undifferentiated and differentiated problems and under supervision if needed and work towards the development of a comprehensive management plan in undifferentiated and differentiated presentations.
- Develop and utilise advanced knowledge and skills to assess, examine, diagnose, plan, treat and refer patients if needed to meet the patients physiological, psychological and social needs and in response to the changing needs of the service.
- Utilise appropriate investigations to confirm diagnosis and action as needed.
- Work towards organising the clinical management of patients, utilising advanced knowledge and skills prioritising patients accordingly. This may be through triage, face to face and telephone consultations, MDT meetings as appropriate using professional clinical judgement.
- Recognise and respond appropriately to urgent and emergency situations with the support and guidance from other team members.
- Work towards managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others with the support and guidance from other team members. This will involve utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.
- Make and receive referrals to and from other health care professionals.
- Communicate patients condition, verbally and in writing as required, to other members of the multi-professional and multi-agency team and contribute towards the decision-making processes in patient management.
- Discuss with ACP the utilisation of medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice.
- Support and promote patient independence and daily living within their home.
- Support patients to make healthy lifestyle choices through implementing health education and promotion strategies and promote self-care where appropriate.
Evaluation & Research
- Facilitate the development of clinical practice through research and education by integrating theory and practice.
- Implement research-based practice and assist in disseminating research findings and support changes in care.
- Engage in research activity and audit as appropriate, in order to enhance knowledge of the role and service delivery and / or improve patient outcomes.
- Support and facilitate other staff if appropriate, who are undertaking research / audit projects.
- Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers.
- Apply new knowledge to the development of own practice demonstrating evidence- based care.
Management/Leadership
- Act as a role model, educator, supervisor and coach seeking to instil and develop the confidence of others.
- Actively contribute to service improvements where appropriate.
- Display trust values.
- Promote personal fitness to work presenting a professional image of the organisation.
Developing Self & Others
- Evaluate practice of self and others.
- Evaluate and audit own and others clinical practice, selecting and applying valid reliable methods, then acting on the findings to develop self and others.
- Monitor and maintain health, safety and security of self and others.
- Actively engage in peer review to inform own and others practice, formulating implementing strategies to act on learning and make improvements.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Demonstrate resilience.
- Participate in clinical supervision.
- Continuously update own skills and knowledge and maintain awareness of clinical issues.
- Demonstrate reflective practitioner skills.
- Identify own personal training needs and take part in any appropriate training applicable to development needs.
- Develop and support a positive learning environment for self and others.
Quality
- Participate in audit and research if required.
- Implement high standards of care and act or raise concerns when standards are not being maintained following local policy and procedures.
- Assess capacity, gain valid informed consent and work within the legal framework with patients who lack capacity to consent to treatment. Be aware of the mental Capacity Act.
- To support / patient/carer involvement in providing feedback to inform service development and improvements.
- To act as an advocate for the patient including promoting and protecting the patients interests, privacy and rights, equality and inclusion.
- Recognise and report adverse events, incidents, errors and near misses.
- Apply infection control measures according to national guidelines.
- Be proactive in the management of all risks. This entails risk assessment of all situations, complying with the Health and Safety at Work Act 1974, utilising the incident reporting system, implementing Caldicott principles and utilising the freedom to speak up guardian when appropriate.
- Demonstrate the ability to keep up to date with current practice, using available evidence and contributing to developments.
- Actively participate in clinical supervision and the appraisal process.
- Be accountable for own professional actions and recognise own professional boundaries.
- Ensure all clinical incidents are reported to the line manager.
- Promote and maintain high standards relating to health, safety, infection control and welfare of self and others.
- Display behaviours that demonstrate the organisation vision and values
Responsibility for Finance
- To identify and actively participate in any cost improvement measures as required.
- To be responsible and support the appropriate use and management of clinical and non-clinical resources within field of practice e.g consumables, travel.
Responsibility for Human Resources
- Involvement in staff engagement and patient feedback.
- Participate in personal development review.
- Undertake clinical audit and audit the evaluation of practice of self and others.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Work Circumstances & on-call
37.5 hours Monday to Sunday between service hours of 0800-2000. No on call duties.
Job description
Job responsibilities
Key results from the job holder
- Delivery of Key Performance Indicators (KPIs) on care assessment, care delivery and workforce.
Planning and Organisational Duties
- Work within the Trust's Policies and Procedures and the parameters set down in agreed local clinical protocols and guidelines and national guidelines such as those published by NICE.
- Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnose, plan, implement and initiate changes where required. This will include monitoring and evaluating the responses to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient.
- Apply appropriate advanced clinical and technological skills in response to the changing needs of care and the dynamic state of healthcare services.
- Facilitate the development of clinical practice through research and education of the multidisciplinary team, by integrating theory with practice.
- Evaluate care through quality assurance initiative and assessment of clinical outcomes.
- Be an expert clinical resource for other health care practitioners.
- Take every opportunity to promote the health of patients and initiate health education strategies as necessary.
- Participate in risk management and risk assessment working closely with other members of the clinical team.
- Continually develop own professional practice as indicated by the changing needs of services / patients
- Participate in the development of the quality and audit strategy, which includes standard setting and development of audit tools.
- Participate in developing and updating clinical protocols in care in responses to advances in clinical practice.
Communications and Key Working Relationships
- Accept, make and receive referrals to and from other health care professionals.
- Communicate patients' conditions, verbally and in writing, to other members of the healthcare team and contribute to decision-making processes in patient management.
- Communicate on an on-going basis with the GP, Community Medical Lead, Senior Registrar / Consultant responsible for the patient - updating him / her on changes/progress.
- Participate in virtual ward rounds, perform case presentation and contribute to the decision-making process in patient management.
- Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
- Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines.
- Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
Professional & Clinical Practice
- Ensure clinical practice reflects all current HCP/NMC documents including (a) Code of professional Conduct (b) Standards for record keeping (c) Administration of Medicines.
- Work within the trust s policies and procedures and the parameters set down in agreed local clinical protocols and guidelines and national best practice guidelines such as those published by NICE and within own sphere of competence. Trust policies, procedures and guidelines can be found on the trust website.
- Assess a range of patients with undifferentiated and differentiated problems and under supervision if needed and work towards the development of a comprehensive management plan in undifferentiated and differentiated presentations.
- Develop and utilise advanced knowledge and skills to assess, examine, diagnose, plan, treat and refer patients if needed to meet the patients physiological, psychological and social needs and in response to the changing needs of the service.
- Utilise appropriate investigations to confirm diagnosis and action as needed.
- Work towards organising the clinical management of patients, utilising advanced knowledge and skills prioritising patients accordingly. This may be through triage, face to face and telephone consultations, MDT meetings as appropriate using professional clinical judgement.
- Recognise and respond appropriately to urgent and emergency situations with the support and guidance from other team members.
- Work towards managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others with the support and guidance from other team members. This will involve utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.
- Make and receive referrals to and from other health care professionals.
- Communicate patients condition, verbally and in writing as required, to other members of the multi-professional and multi-agency team and contribute towards the decision-making processes in patient management.
- Discuss with ACP the utilisation of medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice.
- Support and promote patient independence and daily living within their home.
- Support patients to make healthy lifestyle choices through implementing health education and promotion strategies and promote self-care where appropriate.
Evaluation & Research
- Facilitate the development of clinical practice through research and education by integrating theory and practice.
- Implement research-based practice and assist in disseminating research findings and support changes in care.
- Engage in research activity and audit as appropriate, in order to enhance knowledge of the role and service delivery and / or improve patient outcomes.
- Support and facilitate other staff if appropriate, who are undertaking research / audit projects.
- Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers.
- Apply new knowledge to the development of own practice demonstrating evidence- based care.
Management/Leadership
- Act as a role model, educator, supervisor and coach seeking to instil and develop the confidence of others.
- Actively contribute to service improvements where appropriate.
- Display trust values.
- Promote personal fitness to work presenting a professional image of the organisation.
Developing Self & Others
- Evaluate practice of self and others.
- Evaluate and audit own and others clinical practice, selecting and applying valid reliable methods, then acting on the findings to develop self and others.
- Monitor and maintain health, safety and security of self and others.
- Actively engage in peer review to inform own and others practice, formulating implementing strategies to act on learning and make improvements.
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Demonstrate resilience.
- Participate in clinical supervision.
- Continuously update own skills and knowledge and maintain awareness of clinical issues.
- Demonstrate reflective practitioner skills.
- Identify own personal training needs and take part in any appropriate training applicable to development needs.
- Develop and support a positive learning environment for self and others.
Quality
- Participate in audit and research if required.
- Implement high standards of care and act or raise concerns when standards are not being maintained following local policy and procedures.
- Assess capacity, gain valid informed consent and work within the legal framework with patients who lack capacity to consent to treatment. Be aware of the mental Capacity Act.
- To support / patient/carer involvement in providing feedback to inform service development and improvements.
- To act as an advocate for the patient including promoting and protecting the patients interests, privacy and rights, equality and inclusion.
- Recognise and report adverse events, incidents, errors and near misses.
- Apply infection control measures according to national guidelines.
- Be proactive in the management of all risks. This entails risk assessment of all situations, complying with the Health and Safety at Work Act 1974, utilising the incident reporting system, implementing Caldicott principles and utilising the freedom to speak up guardian when appropriate.
- Demonstrate the ability to keep up to date with current practice, using available evidence and contributing to developments.
- Actively participate in clinical supervision and the appraisal process.
- Be accountable for own professional actions and recognise own professional boundaries.
- Ensure all clinical incidents are reported to the line manager.
- Promote and maintain high standards relating to health, safety, infection control and welfare of self and others.
- Display behaviours that demonstrate the organisation vision and values
Responsibility for Finance
- To identify and actively participate in any cost improvement measures as required.
- To be responsible and support the appropriate use and management of clinical and non-clinical resources within field of practice e.g consumables, travel.
Responsibility for Human Resources
- Involvement in staff engagement and patient feedback.
- Participate in personal development review.
- Undertake clinical audit and audit the evaluation of practice of self and others.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Work Circumstances & on-call
37.5 hours Monday to Sunday between service hours of 0800-2000. No on call duties.
Person Specification
Qualifications
Essential
- Current professional registration
- Relevant MSc (or soon to qualify)
Desirable
Experience
Essential
- Significant clinical experience where a degree of autonomous working has been required.
- Experience of undertaking expanded roles within the speciality
- Evidence of working on own initiative, managing time effectively and prioritising appropriately.
- NHS experience
Skills
Essential
- Excellent interpersonal, written and verbal communication.
- Able to motivate and lead others.
- Excellent team working skills.
- Advanced clinical skills relevant to the speciality
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
- Clinical judgement and decision making skills
Knowledge
Essential
- Knowledge of local and national healthcare agendas, strategy and policies and how they relate to the service.
- Understand the impact of advanced practice roles on service delivery and their contribution to the multi-professional team.
- Knowledge of WWL Behaviours
Additional
Essential
- Demonstrate enthusiasm
- Flexible approach to working hours
- Evidence of recent CPD activities
- Speaks English to appropriate level
- Willing to continue to professional develop and support the development of others
- Willingness and commitment to study towards MSc in Advanced Practice as determined through Individual Performance Review and Personal Development Plans.
- Willing to work towards Non-Medical Prescribing qualification.
- Able to travel across Trust independently
Person Specification
Qualifications
Essential
- Current professional registration
- Relevant MSc (or soon to qualify)
Desirable
Experience
Essential
- Significant clinical experience where a degree of autonomous working has been required.
- Experience of undertaking expanded roles within the speciality
- Evidence of working on own initiative, managing time effectively and prioritising appropriately.
- NHS experience
Skills
Essential
- Excellent interpersonal, written and verbal communication.
- Able to motivate and lead others.
- Excellent team working skills.
- Advanced clinical skills relevant to the speciality
- Computer literate in IT systems and programs, Word, Excel and PowerPoint.
- Clinical judgement and decision making skills
Knowledge
Essential
- Knowledge of local and national healthcare agendas, strategy and policies and how they relate to the service.
- Understand the impact of advanced practice roles on service delivery and their contribution to the multi-professional team.
- Knowledge of WWL Behaviours
Additional
Essential
- Demonstrate enthusiasm
- Flexible approach to working hours
- Evidence of recent CPD activities
- Speaks English to appropriate level
- Willing to continue to professional develop and support the development of others
- Willingness and commitment to study towards MSc in Advanced Practice as determined through Individual Performance Review and Personal Development Plans.
- Willing to work towards Non-Medical Prescribing qualification.
- Able to travel across Trust independently
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).
Employer details
Employer name
Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
Address
Community Response Team
Phoenix Way
Ince in Makerfield
WN3 4NW
Employer's website
http://www.wwl.nhs.uk/ (Opens in a new tab)
