Job summary
Do you want to be part of a team making Hammersmith & Fulham a great place to grow old? The Community Independence Service (CIS) provides planned and unplanned nursing and therapy interventions for older residents who have had a recent deterioration in their physical health and is run jointly between West London NHS Trust and CNWL Foundation Trust across the three inner London Boroughs. We are looking to recruit an enthusiastic and self-motivated clinician, who will be an integral member of the team.
You will have excellent communication skills, experience completing person-centred holistic physical and cognitive assessments and care for people with moderate to severe frailty. You will delegate work to the team coordinators and be supported by local geriatric consultants. You will have good organisational skills and be able to manage your own workload to meet competing priorities. The role involves collaboration with internal and external stakeholders across the system.
Main duties of the job
Working as a member of the Community Independence Service you will be skilled in completing physical observations such as top to toe, NEWS2 and mental capacity assessments, identifying whether the person has deteriorated and taking appropriate action. You will organise and chair Best Interest meetings for those who require support expressing their wishes.
You will liaise with the Rapid Response team regarding capacity and stepping down cases to Case management where appropriate. You will attend local Primary Care Network (PCN) meetings to contribute to the health and social care needs of local residents, identifying cases suitable to support through the CIS Case Management caseloads.
You will provide clinical and operational supervision to the health and social care coordinators in case management and deputise for the pathway leads at meetings or in their absence alongside your rapid and rehab colleagues.
About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.
Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m.
The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.
The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.
Job description
Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Job description
Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Person Specification
Qualifications
Essential
- Degree / Diploma in Nursing, Paramedic, Physiotherapist or Occupational Therapist
- Registration with NMC as a nurse or HCPC as an allied health professional
- Attained at least Level 2 Maths and English (equivalent to GCSE grade 9-4 (A*-C))
Desirable
- Non-Medical Prescribing
- Cannulation/ IV Therapy
- Leadership Training
Experience
Essential
- Working in MDT
- Substantive experience working at Band 6 level
- Teaching and mentoring students
- Managing sub -acute episodes of care or long term conditions.
- Medicines reconciliation
- Experience of advance care planning and End of Life care identifying and managing clinical situations working with Coordinate My Care (or similar system) requirements.
- Experience of undertaking complex assessments and to manage short term episodes of care.
- Experience of participating in Clinical Supervision.
- Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries.
Desirable
- Experience in managing, auditing, and evaluating services, discharge process
- Quality Improvement Projects
- Community experience
- NHS Leadership Programme
Knowledge & Skills
Essential
- Significant knowledge across a range of patient conditions, including frailty, dementia, delirium, falls, COPD, Hypertension, heart failure, UTI - acute on chronic illness.
- Knowledge, understanding and awareness of memory impairment, cognition and the effects on health and wellbeing.
- Knowledge and ability to use NEWS2/SBAR.
- Knowledge of clinical governance processes, risk assessment and personal accountability. Datix Incident reporting and reviews
Desirable
- Knowledge of current NHS and policy initiatives
- Skilled decision maker with sensitivity to political and organisational issues.
Skills
Essential
- Ability to perform in depth Clinical History taking and clinical examination skills
- Ability to lead and present in MDT and handovers
- Competent across a range of IT packages incl Microsoft Office and Patient Records Systems
- Considers consequences and impacts of decisions and is decisive in times of change, challenge and ambiguity.
- High level communication skills, confident and open style of communication; routinely tests for understanding of own message.
- Ability to work alongside partner organisations and collaborate on joint care planning.
Desirable
- Experience of managing acute episodes of care, cellulitis, urinary tract infection (UTI), falls, functional, mobility, cognitive impairment.
- Experience of venepuncture.
- Experience of working in an acute setting with high acuity patients i.e. London Ambulance Service, A&E, Intensive Therapy Unit
- Experience of delivering short term episodes of care i.e. from 3 - 7 days
- Experience of prioritising and managing own workload.
- Evidence of own Clinical Supervision/ Reflective Practice
- Experience of safe patient handling
Other Requirements
Essential
- Self awareness - knows own strengths and weaknesses. Empowers others to achieve goals, adopts a" can do" approach.
- Contributes towards improving quality in own work area and encourage others to do so.
- Self management - demonstrates personal resilience, recognises the anxieties of others and helps them manage appropriately.
- Deals with criticism constructively and recognises how issues relate to the "greater good of patient care"
- Personal Integrity - Has a strong commitment to openness, honesty, inclusiveness and high standards.
- Promotes partnership and collaboration and demonstrates respect to manager and team colleagues.
- Has the ability to harness the views and contributions of others
- Have insight into own strengths and development areas with respect to the trusts values and behaviours
- Shows flexibility and adaptability to changing situations and team circumstances. Able to provide evidence of where you have demonstrated the Trust's Values and behaviours
- Able to demonstrate excellence in Customer Service.
- Used to working in a busy environment, ready and willing to work long days and weekends.
Person Specification
Qualifications
Essential
- Degree / Diploma in Nursing, Paramedic, Physiotherapist or Occupational Therapist
- Registration with NMC as a nurse or HCPC as an allied health professional
- Attained at least Level 2 Maths and English (equivalent to GCSE grade 9-4 (A*-C))
Desirable
- Non-Medical Prescribing
- Cannulation/ IV Therapy
- Leadership Training
Experience
Essential
- Working in MDT
- Substantive experience working at Band 6 level
- Teaching and mentoring students
- Managing sub -acute episodes of care or long term conditions.
- Medicines reconciliation
- Experience of advance care planning and End of Life care identifying and managing clinical situations working with Coordinate My Care (or similar system) requirements.
- Experience of undertaking complex assessments and to manage short term episodes of care.
- Experience of participating in Clinical Supervision.
- Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries.
Desirable
- Experience in managing, auditing, and evaluating services, discharge process
- Quality Improvement Projects
- Community experience
- NHS Leadership Programme
Knowledge & Skills
Essential
- Significant knowledge across a range of patient conditions, including frailty, dementia, delirium, falls, COPD, Hypertension, heart failure, UTI - acute on chronic illness.
- Knowledge, understanding and awareness of memory impairment, cognition and the effects on health and wellbeing.
- Knowledge and ability to use NEWS2/SBAR.
- Knowledge of clinical governance processes, risk assessment and personal accountability. Datix Incident reporting and reviews
Desirable
- Knowledge of current NHS and policy initiatives
- Skilled decision maker with sensitivity to political and organisational issues.
Skills
Essential
- Ability to perform in depth Clinical History taking and clinical examination skills
- Ability to lead and present in MDT and handovers
- Competent across a range of IT packages incl Microsoft Office and Patient Records Systems
- Considers consequences and impacts of decisions and is decisive in times of change, challenge and ambiguity.
- High level communication skills, confident and open style of communication; routinely tests for understanding of own message.
- Ability to work alongside partner organisations and collaborate on joint care planning.
Desirable
- Experience of managing acute episodes of care, cellulitis, urinary tract infection (UTI), falls, functional, mobility, cognitive impairment.
- Experience of venepuncture.
- Experience of working in an acute setting with high acuity patients i.e. London Ambulance Service, A&E, Intensive Therapy Unit
- Experience of delivering short term episodes of care i.e. from 3 - 7 days
- Experience of prioritising and managing own workload.
- Evidence of own Clinical Supervision/ Reflective Practice
- Experience of safe patient handling
Other Requirements
Essential
- Self awareness - knows own strengths and weaknesses. Empowers others to achieve goals, adopts a" can do" approach.
- Contributes towards improving quality in own work area and encourage others to do so.
- Self management - demonstrates personal resilience, recognises the anxieties of others and helps them manage appropriately.
- Deals with criticism constructively and recognises how issues relate to the "greater good of patient care"
- Personal Integrity - Has a strong commitment to openness, honesty, inclusiveness and high standards.
- Promotes partnership and collaboration and demonstrates respect to manager and team colleagues.
- Has the ability to harness the views and contributions of others
- Have insight into own strengths and development areas with respect to the trusts values and behaviours
- Shows flexibility and adaptability to changing situations and team circumstances. Able to provide evidence of where you have demonstrated the Trust's Values and behaviours
- Able to demonstrate excellence in Customer Service.
- Used to working in a busy environment, ready and willing to work long days and weekends.
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).
