Job summary
The post holder will be joining an expert team of registered professionals working within the wider Intermediate Care Service. The role consists of clinical triage of referrals into CPFT for discharge pathways 1 (care and therapy at home) and 2 (health interim beds in private provider care homes), and management of patients in pathway 2.
The postholder will need clinical experience of patients following orthopaedic surgery and cognitive impairment / delirium / dementia. Excellent communication skills are paramount as the postholder will liaise with colleagues in Intermediate Care, wider internal colleagues and teams, private provider care homes, care agencies and system partners such as social care and Continuing Health Care teams. The role is undertaken partially working remotely using Microsoft Teams and face to face patient assessments, reviews, and interventions.
The position covers the Cambridgeshire and Peterborough areas, with bases in Cambourne, Ely, Huntingdon or Peterborough.
Main duties of the job
Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs. Please confirm in your application that you meet the specified criteria.
To act as a specialist registered professional in providing specialist assessment, rehabilitation and discharge planning support for the most complex group of patients with complex health needs on discharge from the acute hospital and community pathways. You will have managed flow into health interim beds and provide expert assessment, rehabilitation and discharge planning for patients on our discharge pathways in the community as part of the Intermediate Care Service across Cambridgeshire.
You will have a strong team work ethic, sense of accountability, and an ability to work under pressure.
If you are looking for a new challenge, are dynamic, flexible and enjoy variety in your work and wish to be part of a team making a difference in our community then you are the right person for us.
*DVLA have a number of reciprocal arrangements with overseas countries, for further information please visit the DVLA website
About us
Cambridgeshire & Peterborough NHS Foundation Trust is a health & social care organisation dedicated to providing high quality care with compassion to improve the health & wellbeing of the people we care for, as well as supporting & empowering them to lead a fulfilling life.
Our clinical teams deliver many NHS services not only via inpatient and primary care setting but also with the community. These services include Children, Adult & Older Peoples mental & physical health, Forensic & Specialist mental health, Learning Disabilities, Primary Care & Liaison psychiatry, Substance misuse, Social care, Research & Development.
To achieve our goal, we look to recruit high calibre candidates that share our vision & values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including disabled people & members of our ethnic minorities & LGBTQ+ communities.
Job description
Job responsibilities
Please refer to the attached job description and person specification for full details of responsibilities.
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To act as a link professional for complex patients discharged to the community Discharge To Assess Intermediate Care (D2A/ICT) services. This role includes clinical triage of patients referred into community services
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The identification, assessment, planning, implementing and evaluating care as a specialist practitioner. Including the completion of specialist discharge planning and specialist nursing or therapy assessments, trusted assessor assessments, equipment ordering in accordance with local and National guidelines
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Provide advice and clinical expertise to other colleagues including those from acute trusts, CPFT inpatient units, other CPFT services and nursing and residential homes to expedite discharge from patient pathways and where possible prevent admissions
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Make recommendations for health care packages for patients and assess the need for referral to other agencies and disciplines as appropriate
Job description
Job responsibilities
Please refer to the attached job description and person specification for full details of responsibilities.
-
To act as a link professional for complex patients discharged to the community Discharge To Assess Intermediate Care (D2A/ICT) services. This role includes clinical triage of patients referred into community services
-
The identification, assessment, planning, implementing and evaluating care as a specialist practitioner. Including the completion of specialist discharge planning and specialist nursing or therapy assessments, trusted assessor assessments, equipment ordering in accordance with local and National guidelines
-
Provide advice and clinical expertise to other colleagues including those from acute trusts, CPFT inpatient units, other CPFT services and nursing and residential homes to expedite discharge from patient pathways and where possible prevent admissions
-
Make recommendations for health care packages for patients and assess the need for referral to other agencies and disciplines as appropriate
Person Specification
Education / Qualifications
Essential
- 1 st Level Registered Nurse in Adult nursing/mental health or registered occupational therapist or registered physiotherapist
- Registered with the Nursing and Midwifery Council or HealthCare Professions Council
Desirable
- Supervision / mentorship qualification
Experience
Essential
- Discharge planning experience
- Community experience
- Ability to hold crucial conversations
- To have completed the Standards or Student Nurse Supervision and Assessments
Desirable
- Experience of working in an acute setting
- Experience of intermediate care setting
Physical Requirements
Essential
- Move and manoeuvre people and equipment
- Travel around work base locality
Other
Essential
- Manages strong emotions and responds constructively to the source of problems
- In highly stressful situations keeps own feelings in check, takes constructive action and calms others down
Knowledge & Understanding
Essential
- Accepts responsibility and accountability for own work and can define the responsibilities of others
- Recognises the limits of own authority within the role
- Seeks and uses professional support appropriately
- Understands the principle of confidentiality
- Responsible for maintaining registration with HCPC and/or other professional bodies
- Knowledge of relevant outcome measures and demonstration of reflective practice
Desirable
Skills & Abilities
Essential
- Able to demonstrate commitment to high quality care and service provision
- Ability to work flexibly as part of a team
- Able to assess plan and implement care
- Standard keyboard skills and ability to communicate through IT using packages such as Word
- Time Management and prioritisation skills
- Good communication skills
- Ability to problem solve in complex situations
- Good report writing
Desirable
Person Specification
Education / Qualifications
Essential
- 1 st Level Registered Nurse in Adult nursing/mental health or registered occupational therapist or registered physiotherapist
- Registered with the Nursing and Midwifery Council or HealthCare Professions Council
Desirable
- Supervision / mentorship qualification
Experience
Essential
- Discharge planning experience
- Community experience
- Ability to hold crucial conversations
- To have completed the Standards or Student Nurse Supervision and Assessments
Desirable
- Experience of working in an acute setting
- Experience of intermediate care setting
Physical Requirements
Essential
- Move and manoeuvre people and equipment
- Travel around work base locality
Other
Essential
- Manages strong emotions and responds constructively to the source of problems
- In highly stressful situations keeps own feelings in check, takes constructive action and calms others down
Knowledge & Understanding
Essential
- Accepts responsibility and accountability for own work and can define the responsibilities of others
- Recognises the limits of own authority within the role
- Seeks and uses professional support appropriately
- Understands the principle of confidentiality
- Responsible for maintaining registration with HCPC and/or other professional bodies
- Knowledge of relevant outcome measures and demonstration of reflective practice
Desirable
Skills & Abilities
Essential
- Able to demonstrate commitment to high quality care and service provision
- Ability to work flexibly as part of a team
- Able to assess plan and implement care
- Standard keyboard skills and ability to communicate through IT using packages such as Word
- Time Management and prioritisation skills
- Good communication skills
- Ability to problem solve in complex situations
- Good report writing
Desirable
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).
