Job summary
Are you looking for a high performing role in an exciting and supportive team? Perhaps you are ready for your next challenge!
Home 1st Urgent Community Response (UCR) Team are looking to welcome new colleagues to our expanding team. The successful candidate will use enhanced skills to assess, diagnose and treat patients within 2 hours of referral in their own homes/care homes. Aiming to avoid further clinical deterioration and preventing unnecessary hospital admission.
We work collaboratively with members of the multidisciplinary team and stakeholders. Aiming to ensure crisis response is available to all people within their homes, providing a 24/7 service.
With new development opportunities within the service, it's an exciting time for our UCR team as we expand on emerging UCR initiatives which include building on our links with South Central Ambulance Service, urgently responding to people who have fallen at home, supporting patients in the new Virtual ward and providing acute community care.
As part of our expansion, we are looking forward to recruiting colleagues who are patient focused, dynamic and have the ability to work autonomously.
You will provide clinical triage for all referrals coming in to service to ensure the most appropriate care is provided.
Home 1st is based in Bletchley and the modern office is a central hub for multi-disciplinary working. You will be provided with ICT laptop, mobile phone, uniform and have mileage expenses paid for.
Main duties of the job
The Nurse Practitioner works in collaboration with Band 7s in providing and determining appropriate care pathways for acutely ill patients providing acute care to avoid unnecessary hospital admissions and support early discharge from acute settings. Including working with patients on the virtual ward.
Accept and triage telephone referrals from Consultants, GPs, Ambulance Service, 111, DN Team, Specialists, Home 1st, Care Homes and council services.
Respond to referrals within two-hour time frame.
Respond to patients who have fallen within 2 hours.
Work alongside MKUH colleagues in the Emergency Department to facilitate safe discharge and prevent admission.
Provide holistic assessment and clinical care including monitoring for short term acute care.
To work in partnership with stakeholders and provide advanced assessment for patients with an exacerbation of a chronic disease.
Provide information and education for people with chronic diseases that supports self-management.
To use non-medical prescribing skills and Patient Group Directives to support diagnosis and treatment
Provide nursing interventions to patients on the Home 1st Planned Care undergoing reablement on the Getting People Home Pathway.
Provide nursing assessment and interventions to support other services within Home 1st for example ICST, GPH, WICU and virtual ward.
Provide education to care home staff on recognizing the deteriorating patient and the importance of care roles.
About us
The NHS in Milton Keynes is committed to providing quality health & social care services, tailored to the needs of individuals, public & private organizations, delivered close to home.Our commitment as an employer & in accordance with the NHS constitution is to provide you with:
1. Clear roles and responsibilities and a rewarding job so that you can make a difference to patients and their families.
2. Personal development, access to training for your job and line management support.
3. Support opportunities to maintain health, well-being and safety.
4. A good working environment with flexible working opportunities,
And if you thought there was something more you were looking for, then CNWL can offer:
Buying and selling annual leave
An attractive pension scheme (including a tax-free lump sum on retirement and family benefits from dependents, ill health retirement benefits and life assurance cover of twice your annual pay)
Staying well at work service for tailored employment related support to staff
Physio Med: an education zone, advice line and treatment service for staff
Staff wellbeing zone for free and confidential online health and wellbeing programmes
A range of staff networks: The PRIDE@CNWL Lesbian, Gay, Bisexual, Transgender and other sexual and gender minorities (LGBT+) network
Disabled employee's network
Carers at Work network
Black, Asian and Minority Ethnic Network (BAME)
Job description
Job responsibilities
Clinical
To conduct patient telephone triage for new referrals prior to home visit.
Have the ability to make a clinical decision that the patient is appropriate to be assessed within the 2-hour response time. To have the clinical judgement to escalate the care of the patient or carer to dial 999 if the patient triage is highlighting red flags or you feel it is unsafe for the patient to wait two hours.
To have the clinical knowledge and confidence to discuss complex diagnosis with the team and wider multidisciplinary team.
To have the clinical awareness to understand these complexities and the impact for the team and patients care
To perform comprehensive, specialist, holistic assessment and physical examination for individuals with acute illness
To plan, implement and evaluate care delivery for short term acute care, using evidence based best practice
To provide clinical support, advice and guidance to other members of the team including Home 1st Reablement at Home Team Leaders.
To use advanced clinical skills to determine if symptoms warrant further investigation and/or treatment.
To liaise closely with Out of Hours Services, General Practitioners and other professionals involved in the patients care and provide updates
To continually have awareness of the need to respect peoples privacy, dignity and individuality and aim to provide care in an environment which is appropriate to the wishes of the person and to their current physical and emotional needs
To act in accordance with the extended role of a nurse and be competent, or working towards, extended clinical skills including nurse prescribing, phlebotomy, cannulation, male and suprapubic catheterisation. Physical manual handling of patient and the care of mechanical aids
To provide empowerment and support and act as an advocate where appropriate to help people to actively engage in agreed treatment programs or goals, to maximise their independence, reviewing and evaluating efficacy of intervention.
To provide medicines management support and advise in accordance with national and local guidance.
If appropriate refer to the Senior Medicines Optimisation Technician for support with
medication issues.
Collect, collate and evaluate a range of information to support clinical and service audit
Following training, use SystmOne to document care record activity. Obtain patients information using available electronic database from CNWL and MKUFTH (eCare and EDM).
Maintain accurate and up to date patients records, databases and specialist reporting in accordance with CNWL MK Health Records Policy and professional guidance
To work with the Team Leads and other colleagues in continually developing and reviewing acute illness pathways and practices to ensure that services are delivered efficiently and effectively providing best value to people and organisations.
Ability to work remotely away from office while maintaining confidentiality of information.
Work as part of the Home 1st UCR Team to provide 24 hours service delivery 365 days a year.
PROFESSIONAL
Provide a key link between the acute hospital, Home 1st Team and other community services in the management of acute illness and deterioration associated with chronic diseases, with particular emphasis upon those people identified as needing to frequently attend hospital to avoid admission.
To communicate in a professional and sensitive manner with people, their relatives and carers taking into consideration their need for dignity, privacy and independence as well as their cultural and spiritual values.
Lone working in the community. Completing risk assessment of visits to ensure staff safety
To work flexibly to meet the needs of people, their relatives and carers and the service
Promote collaborative practice across community services, acute hospital and MK council preventing duplication and promoting seamless care in the best interests of people using the services.
The post holder must ensure that they maintain current NMC registration, follows the Codes of Professional Conduct and other requirements of the NMC.
To participate in regular supervision and Appraisal in line with CNWL/MKCHS policy.
Provide supervision for junior members of staff as agreed by the Band 7 role modelling trust values.
To maintain own personal/professional profile (PREP)
Deals professionally with sensitive and confidential information
To facilitate the development of others by acting as a role model, clinical supervisor, mentor for Pre-registration students and newly employed staff.
Allocates time for professional development to maintain knowledge and skills
Participates in Clinical Governance activities (e.g. Audit, CQC, Quality Improvement Projects)
MANAGERIAL
To support and work collaboratively with the Band 7 Nurse Practitioners, Nursing Leads, Manager and other Home 1st Service Managers
To actively participate in clinical supervision, staff appraisals, performance monitoring, professional development plans within the CNWL MK clinical governance framework
Represent the team/service at meetings as appropriate in the absence of a Band 7 nurse practitioner.
Able to respond to non-routine situations in the absence of a Band 7 cover sickness absence and ensure cover in all aspects of the service where possible.
Liaise with Acute Hospital (MKUH) in times of bed crisis, prioritising available bed capacity within Intermediate Care inpatient bed facilities.
Job description
Job responsibilities
Clinical
To conduct patient telephone triage for new referrals prior to home visit.
Have the ability to make a clinical decision that the patient is appropriate to be assessed within the 2-hour response time. To have the clinical judgement to escalate the care of the patient or carer to dial 999 if the patient triage is highlighting red flags or you feel it is unsafe for the patient to wait two hours.
To have the clinical knowledge and confidence to discuss complex diagnosis with the team and wider multidisciplinary team.
To have the clinical awareness to understand these complexities and the impact for the team and patients care
To perform comprehensive, specialist, holistic assessment and physical examination for individuals with acute illness
To plan, implement and evaluate care delivery for short term acute care, using evidence based best practice
To provide clinical support, advice and guidance to other members of the team including Home 1st Reablement at Home Team Leaders.
To use advanced clinical skills to determine if symptoms warrant further investigation and/or treatment.
To liaise closely with Out of Hours Services, General Practitioners and other professionals involved in the patients care and provide updates
To continually have awareness of the need to respect peoples privacy, dignity and individuality and aim to provide care in an environment which is appropriate to the wishes of the person and to their current physical and emotional needs
To act in accordance with the extended role of a nurse and be competent, or working towards, extended clinical skills including nurse prescribing, phlebotomy, cannulation, male and suprapubic catheterisation. Physical manual handling of patient and the care of mechanical aids
To provide empowerment and support and act as an advocate where appropriate to help people to actively engage in agreed treatment programs or goals, to maximise their independence, reviewing and evaluating efficacy of intervention.
To provide medicines management support and advise in accordance with national and local guidance.
If appropriate refer to the Senior Medicines Optimisation Technician for support with
medication issues.
Collect, collate and evaluate a range of information to support clinical and service audit
Following training, use SystmOne to document care record activity. Obtain patients information using available electronic database from CNWL and MKUFTH (eCare and EDM).
Maintain accurate and up to date patients records, databases and specialist reporting in accordance with CNWL MK Health Records Policy and professional guidance
To work with the Team Leads and other colleagues in continually developing and reviewing acute illness pathways and practices to ensure that services are delivered efficiently and effectively providing best value to people and organisations.
Ability to work remotely away from office while maintaining confidentiality of information.
Work as part of the Home 1st UCR Team to provide 24 hours service delivery 365 days a year.
PROFESSIONAL
Provide a key link between the acute hospital, Home 1st Team and other community services in the management of acute illness and deterioration associated with chronic diseases, with particular emphasis upon those people identified as needing to frequently attend hospital to avoid admission.
To communicate in a professional and sensitive manner with people, their relatives and carers taking into consideration their need for dignity, privacy and independence as well as their cultural and spiritual values.
Lone working in the community. Completing risk assessment of visits to ensure staff safety
To work flexibly to meet the needs of people, their relatives and carers and the service
Promote collaborative practice across community services, acute hospital and MK council preventing duplication and promoting seamless care in the best interests of people using the services.
The post holder must ensure that they maintain current NMC registration, follows the Codes of Professional Conduct and other requirements of the NMC.
To participate in regular supervision and Appraisal in line with CNWL/MKCHS policy.
Provide supervision for junior members of staff as agreed by the Band 7 role modelling trust values.
To maintain own personal/professional profile (PREP)
Deals professionally with sensitive and confidential information
To facilitate the development of others by acting as a role model, clinical supervisor, mentor for Pre-registration students and newly employed staff.
Allocates time for professional development to maintain knowledge and skills
Participates in Clinical Governance activities (e.g. Audit, CQC, Quality Improvement Projects)
MANAGERIAL
To support and work collaboratively with the Band 7 Nurse Practitioners, Nursing Leads, Manager and other Home 1st Service Managers
To actively participate in clinical supervision, staff appraisals, performance monitoring, professional development plans within the CNWL MK clinical governance framework
Represent the team/service at meetings as appropriate in the absence of a Band 7 nurse practitioner.
Able to respond to non-routine situations in the absence of a Band 7 cover sickness absence and ensure cover in all aspects of the service where possible.
Liaise with Acute Hospital (MKUH) in times of bed crisis, prioritising available bed capacity within Intermediate Care inpatient bed facilities.
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- Evidence of other professional training, CPD and PDP
- Advanced Assessment Skills or willingness to work towards
Desirable
- Independent Nurse Prescribing or willingness to complete required training
Experience
Essential
- Evidence of post qualification professional experience
- Involvement in practice development activities
Desirable
- Understanding and experience of current community/hospital nursing issues
- Experience relevant to Intermediate Care
- Involvement in discharge planning processes
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- Evidence of other professional training, CPD and PDP
- Advanced Assessment Skills or willingness to work towards
Desirable
- Independent Nurse Prescribing or willingness to complete required training
Experience
Essential
- Evidence of post qualification professional experience
- Involvement in practice development activities
Desirable
- Understanding and experience of current community/hospital nursing issues
- Experience relevant to Intermediate Care
- Involvement in discharge planning processes
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).
