Job summary
Hospital at home supports patients, in conjunction with the Virtual Ward Hub at Gloucestershire Hospitals Foundation Trust (GHFT) who would otherwise be in hospital, to get the acute care, remote monitoring, and treatment they need in their place of residence.
The role of the Hospital at Home Team Practitioner is dynamic, and the post holder will be highly proactive in delivering treatments and ongoing monitoring for both step up and step down patients on the Virtual Ward.
As a community-based service the post holder will also work closely with the wider multi-disciplinary team including the IV Therapy Team to provide high quality, evidenced-based care.
As a countywide service, access to transport is essential. This band 5 post will have a requirement to participate in a shared rota to allow countywide service provision 7 days per week.
Main duties of the job
The post holder will be part of the Hospital at Home team providing advice and support to service users and members of the multidisciplinary team.This will include
- Supporting the development of the service
- Facilitating the provision of high quality care for patients treated within community hospital in-patient and out-patient settings as well as within their own home, clinic or other care facility
- Ensuring evidence based practice and innovative models of care are delivered at all times
- Assisting with the evaluation of clinical pathways, policies and procedures for managing IV Therapy in the community.
- Promoting a multi professional approach to care delivery within GHC and GHFT Virtual Ward clinical hub, and across organisational boundaries.
- Providing support and advice for nurses, other professionals, patients and their carer's.
- Developing close working partnerships with secondary care providers; local and regional specialists; other health professionals and voluntary services involved in the patients care will be paramount
- Assisting in the development and delivery of competency based training and education within the specialist field of IV therapy
- Actively participates in clinical audits and research within this specialist area
- Participate in the shared rota to enable 7 day per week service delivery.
About us
We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust.
Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:
- 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
- 76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
- 81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.
This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end, we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and Pulse surveys.
Job description
Job responsibilities
Clinical responsibilities
- Work as an autonomous practitioner, managing and prioritising sometimes a complex caseload with the support of the Hospital at Home and Virtual Ward Hub
- Attend daily MDT meeting with the Virtual Ward hub where possible
- To work with patients in order to support compliance with and adherence to prescribed treatments.
- Provide clinical examination and assessments of patients in order to advise and plan or insert the most appropriate venous access device for patients requiring short term IV therapy in a community setting.
- Be a visible and accessible throughout the organisation acting as a role model to other care professionals to support them in managing complex therapeutic interventions using a variety of approaches to decision making.
- Assist in the co-ordination and provision of hospital at home services to patients, both within the community setting and community hospitals, effectively liaising with multidisciplinary colleagues.
- Work closely with other members of the multidisciplinary teams to utilise and develop their skills to ensure the service is accessible and responsive to the needs of patients
- Participate in the promotion of the specialist service through dissemination of specialist knowledge both locally and nationally.
- Provide emotional support to patients and their carers by offering appropriate health education, information and advice
- Support the investigation and or analysis complaints or incidents relating to IV therapy given in the community. Help to Identify areas which require re-design or further development
- Attend relevant meetings
- Maintain a service database and accurate records of the service ensuring that confidentiality is respected and that the standards for record keeping are met.Professional and Leadership responsibilities
- Be aware of and act in accordance with national and local policies, procedures, legislation and Nursing , Midwifery Council (NMC) standards
- Be professionally and legally responsible and accountable for all aspects of own professional activities.
- Demonstrate a sound working knowledge of and adherence to existing organisation and service policies and standards.
- With other members of the IV Team, review, amend and improve organisation policies and standards as necessary.
- Be aware of own continuing professional development needs to ensure that up-to-date evidence based knowledge and competence in aspects of the role is maintained. Participate in the appraisal process and maintain an annual personal development plan and portfolio.
- Monitor the formulation of new policies, standards and guidelines for IV therapy and act as an expert to implement and disseminate any changes made
- Maintain confidentiality, personal integrity and professional credibilityEducation and trainingOf others:
- Identify and facilitate the educational needs of multi-disciplinary staff involved in the care of patients receiving IV therapy in the community and provide specialist education and training through both formal learning sessions and one to one skills training.
- Support patients and carers where safe, appropriate and suitable to self-administer IV therapyResearch and development
- Support healthcare professionals to adopt a flexible and evolving approach towards the provision of community IV therapy, which challenges the existing boundaries.
- Provide innovative nursing practice which is both effective and measurable in terms of clinical outcomes that are patient centred
- Work with the audit department to facilitate and develop local audit processes that promote evidence based practice including guidance issued by the National Institute for Clinical Excellence (NICE) with the aim of improving IV therapy managementEquipment and Machinery
- Delivery of IV therapy will include the use of needles, syringes, infusion bags, cannula, infusion pumps etc.SystemsHospital At Home Band 5 Final Draft JD_
- Good working knowledge of packages such as word, excel, PowerPoint
- Ensure all records are accurate, complete and permanent in line with practice policy and NMC guidance.
- Maintain a service database. Maintain accurate records of the service ensuring that confidentiality is respected and that the standards for record keeping are met.
Assist the Team leader to produce reports as required: on patient referrals and outcome, education delivery and programmes, and progress on implementing policies, procedures and standards to national and local objectives as appropriate.
We provide a Multi-professional preceptorship programme that is aligned to the National Preceptorship Framework for Nursing and have been awarded the Interim quality mark from NHS England. Our programme is provided to all Newly Qualified; Nurses, Nursing Associates, Internationally Educated Practitioners, Allied Health Professionals and Return to Practice Practitioners. In addition to the programme we also offer all preceptees the opportunity of enrolling and completing the level 7 (Masters) 15 credit validated module Preceptorship for Healthcare (AP7026).
Newly qualified Social Workers are offered the Assessed and Supported Year in Employment programme (ASYE) which is similar to a preceptorship programme.
Job description
Job responsibilities
Clinical responsibilities
- Work as an autonomous practitioner, managing and prioritising sometimes a complex caseload with the support of the Hospital at Home and Virtual Ward Hub
- Attend daily MDT meeting with the Virtual Ward hub where possible
- To work with patients in order to support compliance with and adherence to prescribed treatments.
- Provide clinical examination and assessments of patients in order to advise and plan or insert the most appropriate venous access device for patients requiring short term IV therapy in a community setting.
- Be a visible and accessible throughout the organisation acting as a role model to other care professionals to support them in managing complex therapeutic interventions using a variety of approaches to decision making.
- Assist in the co-ordination and provision of hospital at home services to patients, both within the community setting and community hospitals, effectively liaising with multidisciplinary colleagues.
- Work closely with other members of the multidisciplinary teams to utilise and develop their skills to ensure the service is accessible and responsive to the needs of patients
- Participate in the promotion of the specialist service through dissemination of specialist knowledge both locally and nationally.
- Provide emotional support to patients and their carers by offering appropriate health education, information and advice
- Support the investigation and or analysis complaints or incidents relating to IV therapy given in the community. Help to Identify areas which require re-design or further development
- Attend relevant meetings
- Maintain a service database and accurate records of the service ensuring that confidentiality is respected and that the standards for record keeping are met.Professional and Leadership responsibilities
- Be aware of and act in accordance with national and local policies, procedures, legislation and Nursing , Midwifery Council (NMC) standards
- Be professionally and legally responsible and accountable for all aspects of own professional activities.
- Demonstrate a sound working knowledge of and adherence to existing organisation and service policies and standards.
- With other members of the IV Team, review, amend and improve organisation policies and standards as necessary.
- Be aware of own continuing professional development needs to ensure that up-to-date evidence based knowledge and competence in aspects of the role is maintained. Participate in the appraisal process and maintain an annual personal development plan and portfolio.
- Monitor the formulation of new policies, standards and guidelines for IV therapy and act as an expert to implement and disseminate any changes made
- Maintain confidentiality, personal integrity and professional credibilityEducation and trainingOf others:
- Identify and facilitate the educational needs of multi-disciplinary staff involved in the care of patients receiving IV therapy in the community and provide specialist education and training through both formal learning sessions and one to one skills training.
- Support patients and carers where safe, appropriate and suitable to self-administer IV therapyResearch and development
- Support healthcare professionals to adopt a flexible and evolving approach towards the provision of community IV therapy, which challenges the existing boundaries.
- Provide innovative nursing practice which is both effective and measurable in terms of clinical outcomes that are patient centred
- Work with the audit department to facilitate and develop local audit processes that promote evidence based practice including guidance issued by the National Institute for Clinical Excellence (NICE) with the aim of improving IV therapy managementEquipment and Machinery
- Delivery of IV therapy will include the use of needles, syringes, infusion bags, cannula, infusion pumps etc.SystemsHospital At Home Band 5 Final Draft JD_
- Good working knowledge of packages such as word, excel, PowerPoint
- Ensure all records are accurate, complete and permanent in line with practice policy and NMC guidance.
- Maintain a service database. Maintain accurate records of the service ensuring that confidentiality is respected and that the standards for record keeping are met.
Assist the Team leader to produce reports as required: on patient referrals and outcome, education delivery and programmes, and progress on implementing policies, procedures and standards to national and local objectives as appropriate.
We provide a Multi-professional preceptorship programme that is aligned to the National Preceptorship Framework for Nursing and have been awarded the Interim quality mark from NHS England. Our programme is provided to all Newly Qualified; Nurses, Nursing Associates, Internationally Educated Practitioners, Allied Health Professionals and Return to Practice Practitioners. In addition to the programme we also offer all preceptees the opportunity of enrolling and completing the level 7 (Masters) 15 credit validated module Preceptorship for Healthcare (AP7026).
Newly qualified Social Workers are offered the Assessed and Supported Year in Employment programme (ASYE) which is similar to a preceptorship programme.
Person Specification
Skills for the job
Essential
- Must be able to drive and have own car with business insurance
Desirable
- Experience of working autonomously within a specialist area
Qualifications, skills and knowledge
Essential
- Registered Nurse and current registration with the NMC
- Educated to diploma level and or evidence of significant ongoing continuing professional development
Desirable
- Significant number of year experience in a clinical role in a variety of hospital and community settings
Person Specification
Skills for the job
Essential
- Must be able to drive and have own car with business insurance
Desirable
- Experience of working autonomously within a specialist area
Qualifications, skills and knowledge
Essential
- Registered Nurse and current registration with the NMC
- Educated to diploma level and or evidence of significant ongoing continuing professional development
Desirable
- Significant number of year experience in a clinical role in a variety of hospital and community settings
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).
