Job summary
Are you looking for a high performing role in an exciting and supportive team? Perhaps you are ready for your next challenge!
Please explicitly state one of the following positions that you are applying for in your supporting statement:
- Full Time Permanent (37.5 hours per week) x1
- Permanent Part Time (22 hours per week) x1
- Full Time Fixed Term for 9 months (37.5 hours per week) x2
Home 1st Urgent Community Response (UCR) Team is looking to welcome new colleagues to our experienced 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.
As we continue to developthe UCR service, it's an exciting time as our team expands on emerging initiatives, constantly adapting to the changing needs of the community. This includes, building on our links with South Central Ambulance Service, urgently responding to people who have fallen at home, taking referrals directly from the Ambulance stack to prevent ambulance dispatch, supporting patients in the new Virtual ward and providing acute community care.
We are looking forward to recruiting colleagues who are patient focused, dynamic and can work autonomously. You will provide clinical triages for all referrals coming into service to ensure the most appropriate care is provided.
Main duties of the job
The Band 6 UCR practitioner will work within the multidisciplinary team and provide a high level of clinical care to prevent unnecessary hospital admissions. The UCR clinician will respond within a 2 hour time frame to patients whom are acutely unwell, undertake an advanced assessment and implement a safe and effective plan.
Referrals will be received via telephone and triaged to ensure UCR is the appropriate service.
To respond to patients who have fallen in their homes with members of the MDT to prevent hospital admission.
To use non-medical prescribing skills and Patient Group Directives (PGD) to support treatment.
Provide assessment and interventions to support other services within Home 1st for example ICST, GPH, Windsor Intermediate Care Unit (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:
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Clear roles and responsibilities and a rewarding job so that you can make a difference to patients, their families and those who care for them and communities.
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Personal development, access to appropriate training for your job and line management support to succeed.
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Support and opportunities to maintain your health, well-being and safety and an environment free from harassment, bullying or violence.
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A good working environment with flexible working opportunities, consistent with the needs of patients and with the way that people live their lives.
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Opportunities to engage in decisions that affect you and the services you provide, individually, through representative organisations and through local partnership working arrangements.
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
Job description
Job responsibilities
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 wider Home 1st team.
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 be competent, or willing to work towards, extended clinical skills including prescribing, phlebotomy, cannulation, female, 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 MKUH HSCN (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.
Job description
Job responsibilities
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 wider Home 1st team.
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 be competent, or willing to work towards, extended clinical skills including prescribing, phlebotomy, cannulation, female, 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 MKUH HSCN (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.
Person Specification
Qualifications
Essential
- NMC Registered/HCPC Registered
Desirable
- Non medical prescribing qualification or willingness to work towards
Experience
Essential
- Extensive post registration experience
- Advanced Assessment and History Taking modules or willingness to work towards
- Evidence of other post registration professional training
- Acute or community experience
- Knowledge of current UCR agenda
Desirable
- Comprehensive clinical skills i.e catheterisation and venepuncture
- Demonstrates leadership and management qualities
Person Specification
Qualifications
Essential
- NMC Registered/HCPC Registered
Desirable
- Non medical prescribing qualification or willingness to work towards
Experience
Essential
- Extensive post registration experience
- Advanced Assessment and History Taking modules or willingness to work towards
- Evidence of other post registration professional training
- Acute or community experience
- Knowledge of current UCR agenda
Desirable
- Comprehensive clinical skills i.e catheterisation and venepuncture
- Demonstrates leadership and management qualities
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
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).
