Job summary
The Urgent Community Response (UCR) Team aspires to provide a 24-hour/7-day responsive NHS community service. There is the flexibility within the multidisciplinary team to work across days, nights and to do internal rotation and you are able to work autonomously, managing patient assessments within the speciality whilst working as part of the larger multidisciplinary team, delivering individualised and personalised direct patient care to patients across Northwest Surrey in conjunction with the wider Integrated Care System.
The teams are commissioned to reflect the needs of the local community. Service aims include urgent case management and hospital admission avoidance, where the focus of the role is to lead the identification and clinical assessment of patients who will benefit from advanced complex hospital discharge care, or urgent responsive admission avoidance using the Virtual Ward if required, with care provided in their own home by the multi-disciplinary team.
Main duties of the job
To undertake assessments, clinical diagnosis and treatment of patients including telephone triage, multi-factorial falls assessments, and patients who may require crisis management and/or rehabilitation interventions to prevent acute hospital admissions and to support complex hospital discharges. These patients often have complex presentations.
To provide a fast reactive service for patients with decompensated frailty and ensure rapid delivery of treatment and care planning to support acute hospital admission avoidance where appropriate with a focus on the 9 Common Critical Conditions- Falls Decompensation of Frailty; Reduced Function/Decondition/reduced mobility, Urgent equipment provision, Confusion / Delirium, Palliative / EOL crisis support, Urgent Catheter Care, Urgent support for diabetes, Unpaid Carer breakdown.
The post holder will clinically manage and supervise Nurses, senior community rehab assistants, and students and support other clinical colleagues in the team as required. This will include supporting learning and other development activities.
About us
CSH
Surrey are part of the NHS and are Surreys longest established NHS community
services provider, so our employees get NHS pay and pensions, and also receive
the Fringe High-Cost Allowance of 5%.
Our staff enjoy excellent training and development opportunities, including the
care certificate, apprenticeships, numeracy and literacy courses, access to
the Nursing Associate programme, and a wide variety of management and
leadership courses and programmes.
We CARE about our staff though through our values of Compassion,
Accountability, Respect and Excellence. Our active employee council called
The Voice, elect employee representatives to ensure colleagues' voices are
heard at Board level.
CSH is a diverse organisation, if you are a passionate, person-focused
individual then apply to join CSH Surrey today!
We welcome candidates from
all backgrounds who meet the essential criteria of the job you are applying for
and if you require any reasonable adjustments, please contact the named
individual for this advert, or our recruitment team.
Please note we do NOT offer UKVI sponsorship, all applicants require right to work in the UK.
Job description
Job responsibilities
Clinical Practice
- To work autonomously, managing patient assessments within the speciality whilst working generically as part of the multidisciplinary team, delivering individualised and personalised direct patient care using enhanced assessment skills.
- Act as an advocate for patients within the team, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant NHSE guidelines.
- To be pivotal in encouraging and managing appropriate referrals, attending discharge planning meetings and representing Operational Lead at discharge action groups and meetings.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and well being of the individuals.
- Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues to include locality hubs.
- Direct, support, encourage and advise clinical, therapy and social care teams, by the provision of specialist knowledge and advice in the care of patients.
- Participate in the promotion of patient-centred care and establish and maintain a supportive relationship with the patient and their family during the period of assessment,treatment and transfer of care
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service,through the use of evidence-based practice, risk assessment and clinical standards.
- Provide professional and clinical leadership and expertise in the speciality and to act a as a resource for education and clinical expertise in the hospital and community settings.
- Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning implementation and evaluation of patient care.
- This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication.
- Promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.
- Act as a role model,demonstrating high standards of care and providing clinical leadership in the specialist areas.
- Establish,develop and maintain effective working relationship between clinicians,practitioners and managers within the speciality, across the Trust and (ASPH) Ashford & St Peters Foundation Trust.
- Actively participate in local,national and international networking to maintain and develop expert level of knowledge in the speciality.
- Provide a seamless,high quality service from referral through to assessment, diagnosis, treatment and review.
- Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care.
- Work in conjunction with the Operational Team lead to lead a patient focused service.
- Act as a patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.
- To be designated to take charge of an area within the UCR and Intermediate Care Team service in the absence of the person holding continuing responsibility.
Quality
- Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by CSH Surrey.
- Lead on and participate in key developments relating to the speciality so that high quality patient focused services are promoted.
- Enhance the interface between staff, patients, community staff and visitors.
- Attend and participate in clinical rounds and multi-professional team meetings
- Set,monitor and review standards of care on a regular basis and initiate corrective action plans.
- Identify and intervene where circumstances contribute to an unsafe environment for patients and staff.
- To bring instances to the attention of the Operational Lead for UCR and the Intermediate Care Team.
Education
- Act as a facilitator/mentor/preceptor to student nurses and others
- Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.
- Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
- Work closely with the Matrons and the Learning and Development team ensuring that relevant clinical based teaching programmes are in place for all staff.
- Contribute to CSH Surreys clinical supervision programme for staff.
- Teach on relevant courses and training programmes provided by CSH Surrey.
- Lecture on external courses as required.
- Lead and participate in education and training programmes within the speciality service,and develop training packages as required.
- Co-ordinate the development and delivery of a patient focused education and information giving strategy within UCR and Intermediate Care.
- Motivate,develop,support and identify training needs for department staff and work with the Practice Development Team to meet these.
- Participate in appraisals and the setting of objectives for junior staff in the Service to enable them to achieve optimal effectiveness and to understand their contribution to the Business Unit and to CSH Surrey.
- Ensure that appropriate written induction programmes are available and utilised for all new staff within the department.
Research and Development
- Promote and undertake nursing research and to publish the outcome, updating own knowledge to promote excellent in clinical practice.
- Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
- Lead and contribute to audit and research within the speciality in collaboration with colleagues, developing action plans and disseminating information.
- To be familiar with current clinical research protocol issues and relevant treatment and procedures employed in the diagnosis and treatment within their speciality.
- Management and Leadership. Provide a leadership role model and demonstrate expert knowledge and high standards of clinical practice.
- To be responsible for the operational management of the UCR and the Intermediate Care Team over a 7-day 8-8 service. This may include planning effectively the daily case load for oneself and / or the team, responding to urgent referrals and occasionally unpredictable working patterns and working collaboratively with other team leads within UCR and Intermediate Care.
- To be able to prioritise clinical and managerial work and balance patient related and professional activity as the team requires.
- Develop the role according to patients changing needs and research findings, within the resources available.
- Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice,identifying and maintaining supportive networks for self and other staff members.
- Implement new initiatives where possible to run a cost effective,timely service. In conjunction with other multidisciplinary colleagues, provide monthly reports of case mix,work load and education activity.
- Provide cover for Service Lead as appropriate.
- Develop policies,protocols and clinical guidelines in support of the specialist service.
- Participate in the promotion of the speciality by publishing and presenting innovations and research findings locally and nationally.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- Implement and work within the Trusts HR policies on all staffing matters.
- Work with the Service Lead and Human Resources Dept in the recruitment, selection and appointment and retention of staff.
- Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same. In conjunction with the Manager and Team Leaders ensure optimised skill mix for any assigned area.
- Organise any relevant team meetings at an appropriate frequency, recording and circulating minutes of these.
- To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
- Assist the Manager and Team Leaders with planning for the service as an expert practitioner.
- Represent UCR as an expert practitioner in the speciality in external situations, e.g conferences.
General
- Act in accordance with the Nursing & Midwifery Council Code of Professional Conduct and Scope of Professional Practice and be accountable for his/her actions at all times.
- Maintain up-to-date records.Ensuring that confidentiality is respected and that the standards for Record Keeping are met.
This job description is not exhaustive and the post holder maybe required to undertake such other duties from time to time as are consistent with the responsibility of the grade.
This job description is subject to review and development from time to time in liaison with the post holder. As an employee of Central Surrey Health Ltd you will be required to adhere to all the organisations policies and procedures.
Job description
Job responsibilities
Clinical Practice
- To work autonomously, managing patient assessments within the speciality whilst working generically as part of the multidisciplinary team, delivering individualised and personalised direct patient care using enhanced assessment skills.
- Act as an advocate for patients within the team, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant NHSE guidelines.
- To be pivotal in encouraging and managing appropriate referrals, attending discharge planning meetings and representing Operational Lead at discharge action groups and meetings.
- Ensure that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines.
- Recognise and avoid situations that may be detrimental to the health and well being of the individuals.
- Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues to include locality hubs.
- Direct, support, encourage and advise clinical, therapy and social care teams, by the provision of specialist knowledge and advice in the care of patients.
- Participate in the promotion of patient-centred care and establish and maintain a supportive relationship with the patient and their family during the period of assessment,treatment and transfer of care
- Support and enable patients and carers to make informed decisions relating to their treatment and management.
- Promote high quality clinical care, and assist in the development of the specialist service,through the use of evidence-based practice, risk assessment and clinical standards.
- Provide professional and clinical leadership and expertise in the speciality and to act a as a resource for education and clinical expertise in the hospital and community settings.
- Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning implementation and evaluation of patient care.
- This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
- Responsible for the correct administration of prescribed medication.
- Promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.
- Act as a role model,demonstrating high standards of care and providing clinical leadership in the specialist areas.
- Establish,develop and maintain effective working relationship between clinicians,practitioners and managers within the speciality, across the Trust and (ASPH) Ashford & St Peters Foundation Trust.
- Actively participate in local,national and international networking to maintain and develop expert level of knowledge in the speciality.
- Provide a seamless,high quality service from referral through to assessment, diagnosis, treatment and review.
- Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care.
- Work in conjunction with the Operational Team lead to lead a patient focused service.
- Act as a patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.
- To be designated to take charge of an area within the UCR and Intermediate Care Team service in the absence of the person holding continuing responsibility.
Quality
- Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by CSH Surrey.
- Lead on and participate in key developments relating to the speciality so that high quality patient focused services are promoted.
- Enhance the interface between staff, patients, community staff and visitors.
- Attend and participate in clinical rounds and multi-professional team meetings
- Set,monitor and review standards of care on a regular basis and initiate corrective action plans.
- Identify and intervene where circumstances contribute to an unsafe environment for patients and staff.
- To bring instances to the attention of the Operational Lead for UCR and the Intermediate Care Team.
Education
- Act as a facilitator/mentor/preceptor to student nurses and others
- Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.
- Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
- Work closely with the Matrons and the Learning and Development team ensuring that relevant clinical based teaching programmes are in place for all staff.
- Contribute to CSH Surreys clinical supervision programme for staff.
- Teach on relevant courses and training programmes provided by CSH Surrey.
- Lecture on external courses as required.
- Lead and participate in education and training programmes within the speciality service,and develop training packages as required.
- Co-ordinate the development and delivery of a patient focused education and information giving strategy within UCR and Intermediate Care.
- Motivate,develop,support and identify training needs for department staff and work with the Practice Development Team to meet these.
- Participate in appraisals and the setting of objectives for junior staff in the Service to enable them to achieve optimal effectiveness and to understand their contribution to the Business Unit and to CSH Surrey.
- Ensure that appropriate written induction programmes are available and utilised for all new staff within the department.
Research and Development
- Promote and undertake nursing research and to publish the outcome, updating own knowledge to promote excellent in clinical practice.
- Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
- Lead and contribute to audit and research within the speciality in collaboration with colleagues, developing action plans and disseminating information.
- To be familiar with current clinical research protocol issues and relevant treatment and procedures employed in the diagnosis and treatment within their speciality.
- Management and Leadership. Provide a leadership role model and demonstrate expert knowledge and high standards of clinical practice.
- To be responsible for the operational management of the UCR and the Intermediate Care Team over a 7-day 8-8 service. This may include planning effectively the daily case load for oneself and / or the team, responding to urgent referrals and occasionally unpredictable working patterns and working collaboratively with other team leads within UCR and Intermediate Care.
- To be able to prioritise clinical and managerial work and balance patient related and professional activity as the team requires.
- Develop the role according to patients changing needs and research findings, within the resources available.
- Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to.
- Organise own work and manage own caseload and practice,identifying and maintaining supportive networks for self and other staff members.
- Implement new initiatives where possible to run a cost effective,timely service. In conjunction with other multidisciplinary colleagues, provide monthly reports of case mix,work load and education activity.
- Provide cover for Service Lead as appropriate.
- Develop policies,protocols and clinical guidelines in support of the specialist service.
- Participate in the promotion of the speciality by publishing and presenting innovations and research findings locally and nationally.
- Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
- Implement and work within the Trusts HR policies on all staffing matters.
- Work with the Service Lead and Human Resources Dept in the recruitment, selection and appointment and retention of staff.
- Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same. In conjunction with the Manager and Team Leaders ensure optimised skill mix for any assigned area.
- Organise any relevant team meetings at an appropriate frequency, recording and circulating minutes of these.
- To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
- Assist the Manager and Team Leaders with planning for the service as an expert practitioner.
- Represent UCR as an expert practitioner in the speciality in external situations, e.g conferences.
General
- Act in accordance with the Nursing & Midwifery Council Code of Professional Conduct and Scope of Professional Practice and be accountable for his/her actions at all times.
- Maintain up-to-date records.Ensuring that confidentiality is respected and that the standards for Record Keeping are met.
This job description is not exhaustive and the post holder maybe required to undertake such other duties from time to time as are consistent with the responsibility of the grade.
This job description is subject to review and development from time to time in liaison with the post holder. As an employee of Central Surrey Health Ltd you will be required to adhere to all the organisations policies and procedures.
Person Specification
Qualifications
Essential
- RN1 on the NMC register
- BSC/1st degree (health related) or equivalent qualification/training and experience
- Your professional knowledge acquired at degree level will be supplemented by specialist training, experience and short courses to
- Masters level equivalent.
- Advanced Clinical Assessment
- Teaching/Mentorship courses
Desirable
- To have or be working towards a Masters degree.
- Understanding of current and evolving community and primary care services.
- Nurse prescriber/ willingness to undertake
Other
Essential
- Presentation skills
- Ability to be decisive, hold a considered opinion and to be assertive in the interest of patients and the service.
- Creative, lateral thinker
- Sensitivity based on knowledge
- Diplomatic and persuasive.
- Flexible and positive approach to work.
- Ability to do home visits and supervise complex clinical situations/attend community based meetings and MDTs.
- Good health/attendance record
Experience
Essential
- Experience of working autonomously at an advanced level within relevant service (eg. Intermediate Care/ UCR/ acute/emergency or urgent care) delivering effective patient focused care.
- Experience of working autonomously assessing diagnosing and treating patients.
- Proven evidence of advanced organisational/leadership skills and autonomous practice.
- Experience of audit, research & evidence based care.
- Experience of delivering change management both personally and as a facilitator
Desirable
- Community/primary care experience
Skills
Essential
- Advanced clinical assessment and leadership skills in speciality.
- Decisive, able to make decisions quickly and be assertive.
- Proven listening/counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes.
- Evidence of teaching skills including teaching patients in how to manage their conditions.
- Ability to clinically lead and influence staff
- Up to date knowledge or current clinical and professional issues (incl. long term, complex or other conditions encompassing the care of older people).
- Sound knowledge of current issues in the profession and practice of nursing.
- Excellent verbal, written, interpersonal, communication skills
- Able to use skills of history taking and physical and holistic assessment to direct patient care
- Time management and organisational skills
- Ability to conduct and evaluate own projects successfully.
- Demonstrate an understanding of National agenda for speciality.
- Knowledge of quality standards and NICE recommendations/NSF/CQC
- Ability to carry out audit/ research.
- IT Skills
Person Specification
Qualifications
Essential
- RN1 on the NMC register
- BSC/1st degree (health related) or equivalent qualification/training and experience
- Your professional knowledge acquired at degree level will be supplemented by specialist training, experience and short courses to
- Masters level equivalent.
- Advanced Clinical Assessment
- Teaching/Mentorship courses
Desirable
- To have or be working towards a Masters degree.
- Understanding of current and evolving community and primary care services.
- Nurse prescriber/ willingness to undertake
Other
Essential
- Presentation skills
- Ability to be decisive, hold a considered opinion and to be assertive in the interest of patients and the service.
- Creative, lateral thinker
- Sensitivity based on knowledge
- Diplomatic and persuasive.
- Flexible and positive approach to work.
- Ability to do home visits and supervise complex clinical situations/attend community based meetings and MDTs.
- Good health/attendance record
Experience
Essential
- Experience of working autonomously at an advanced level within relevant service (eg. Intermediate Care/ UCR/ acute/emergency or urgent care) delivering effective patient focused care.
- Experience of working autonomously assessing diagnosing and treating patients.
- Proven evidence of advanced organisational/leadership skills and autonomous practice.
- Experience of audit, research & evidence based care.
- Experience of delivering change management both personally and as a facilitator
Desirable
- Community/primary care experience
Skills
Essential
- Advanced clinical assessment and leadership skills in speciality.
- Decisive, able to make decisions quickly and be assertive.
- Proven listening/counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes.
- Evidence of teaching skills including teaching patients in how to manage their conditions.
- Ability to clinically lead and influence staff
- Up to date knowledge or current clinical and professional issues (incl. long term, complex or other conditions encompassing the care of older people).
- Sound knowledge of current issues in the profession and practice of nursing.
- Excellent verbal, written, interpersonal, communication skills
- Able to use skills of history taking and physical and holistic assessment to direct patient care
- Time management and organisational skills
- Ability to conduct and evaluate own projects successfully.
- Demonstrate an understanding of National agenda for speciality.
- Knowledge of quality standards and NICE recommendations/NSF/CQC
- Ability to carry out audit/ research.
- IT Skills
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
