Rapid Response Practitioner Band 7

Job responsibilities

2. Job Purpose

Your Healthcare (YH) Rapid Response Team is an integral part of the multi-disciplinary

Urgent Community Response Service. The team responds within 2 hours to adults in their

own home, who are experiencing an acute or sudden deterioration in their health and

wellbeing, with the aim of preventing an unnecessary hospital admission. The team

provides advanced clinical assessment, diagnosis, management plans and integrated

working with health and social care services to support people at home.

This is an opportunity for an experienced and motivated autonomous practitioner to join an independently led supportive team which is highly valued by health and social care partners across the borough of Kingston.

The post holder will demonstrate safe, competent, advanced clinical assessment and decision-making skills and apply a broad range of clinical knowledge and interventions. They will provide leadership support, contribute to service delivery and supervise junior members of the team.

3. Key Result Areas

3.1. Clinical

Assess and triage referrals to ensure they meet the criteria for urgent community response (UCR) intervention

Use clinical reasoning and physical assessment to assess, diagnose and treat the needs of patients, presenting with a deterioration in health and wellbeing who may be at risk of a hospital admission

Formulate and implement a comprehensive evidence-based plan of care with the patient/relative/carers, promoting choice and empowerment of the patient

Provide expert clinical knowledge, skills, advice and health promotion to patients/ carers/relatives to support them in their own home

To provide/facilitate a range of appropriate care at home including but not limited to acute respiratory exacerbations, urinary tract infections, pain management and bowel management as required

Act where appropriate as a Non- Medical Prescriber, taking responsibility for prescribing based on efficacy, safety and cost

Evaluate treatments plans for patients with acute and/or complex needs and amend plans in response to patient treatment.

Use appropriate assessment tools such as NEWS2 to assess for deterioration,

prioritise health problems and escalate effective emergency care or urgent care as appropriate

Initiate appropriate and timely consultation and/or referral with appropriate medical professional when the problem exceeds own professional scope and practice

Work collaboratively with UCR therapists, community nursing services, allied health professionals, General Practitioners, adult social care, 111, ambulance service and relevant health and social care partners

3.2. Service Delivery

To contribute to day to day delivery of the Rapid Response team including appropriate delegation and organisation of workload within the team, absence and performance management.

To practice within the framework provided by the YHC Policies, Procedures and Guidelines and those laid down by professional regulatory body

To contribute to the delivery of the Rapid Response service

Participate in the development and integration of care pathways, policies and procedures, which will influence service delivery and practice.

To record accurate legible health records

To accurately record, review and report on service performance

3.3. Management

To have an awareness of budgetary constraints and resource issues when delivering care.

To support safe and efficient staffing levels through the planning of appropriate and flexible duty rotas.

To undertake supervision and performance development reviews with team members

To participate in the recruitment and induction of new staff.

To plan, coordinate and contribute to the induction, training and education of staff.

To teach, mentor and assess pre and post registration nursing and allied health professional students

To provide expert clinical advice and support to team members

3.4. Quality

To accept professional responsibility for own work and work delegated to others.

To practice within the professional bodys codes of conduct at all times

To be up to date with current practices and procedures and promote evidence-based practice.

To participate in a supervision and appraisal process and ensure the development and maintenance of a personal development plan which contributes to team and organisational objectives

To provide fair and equitable opportunities for all staff promoting a culture of equality, diversity and inclusivity

To practise and promote safe service effectiveness and clinical governance

To undertake the review and investigation of incidents as delegated by the line manager per the organisations internal process and policy

To promote and deliver the CQC quality framework in practice

To actively participate in audit and standard setting

To support the evaluation of the effectiveness of care within the team.

To contribute to policy development and changes in practice including those that may impact on other areas

To keep up to date with current research and national guidelines to recommend changes to service delivery and/or clinical practice

Qualifications

Essential

• Registered first level nurse or allied health professional
• Evidence of post registration study and professional development
• Advanced assessment and clinical decision- making modules
• V300/Independent Prescribing qualification or willingness to apply for this within 3 months of commencing post

Desirable

• Minor illness/ailments module

Experience

Essential

• Significant post registration experience
• Minimum 12 months working in a community environment.
• Lone working, autonomous -practice and clinical decision making
• Management of patients with complex acute and chronic needs
• Clinical leadership, service delivery
• Multi-disciplinary/multi-agency working
• Managing and working effectively as part of a team

Desirable

• Governance/risk management and implications for practice

Knowledge

Essential

• Common acute and chronic presentations in the older person
• Evidence based clinical practice.
• Local and national health policy including Urgent Community Response
• Wider health economy and impact on organisational change
• Organisational objectives
• Audit and research
• Service Effectiveness and clinical governance

Desirable

• Understanding of finance and resource management

Skills and abilities

Essential

• Work with minimal supervision in a community setting
• Advanced clinical assessment and examination skills.
• Developing management plans for patients with complex acute and chronic needs
• Effective verbal and written communication skills
• Organisation and time management
• IT skills
• Venepuncture
• Administration of IV antibiotic therapy

Desirable

• Ability to influence and effect change through a range of skills
• Ability to lead projects

Personal qualities

Essential

• Highly motivated
• Innovative
• Enthusiastic
• Good interpersonal skills
• Able to work alone
• Flexibility

Other factors

Essential

• Car driver/owner with current driving licence
• Ability to work a flexible shift pattern to include early, late, weekends and bank holidays

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).