Tameside and Glossop Integrated Care NHS Foundation Trust

Admission Avoidance Sister/Charge Nurse/HCP

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Job summary

Admission Avoidance Sister/Charge Nurse/HCP

Band 6Part time - 15 hoursPermanent contract

This is an exciting opportunity for a skilled nurse or health care professional to join the Admission Avoidance Team (AA). As a member of the AA Team, you will be expected to work as a senior clinician with a broad range of competencies who is able to adapt to a wide variety of clinical circumstances.

The Admission Avoidance team are based on the Acute hospital site and you will be expected to be able to complete an holistic assessment for patients who are medically optimised across the Emergency Department, Acute Medical Unit, Integrated Assessment Unit, Same Day Emergency Care and Urgent Treatment Centre for discharge using a range of pathways including the home first pathway, discharge to assess pathway and Stamford unit referrals to avoid admission to hospital. This post will allow the successful applicant to gain an outstanding skill set and help to provide a seamless patient journey across acute and community areas. You will also need to have knowledge of assessments and the Continuing Health Care (CHC) process and be able to complete fast-track and rapid discharges as well as supporting junior members of the team with complex discharges.

Main duties of the job

To conduct holistic assessments within the hospital setting to support discharges and avoid admission to hospital by using pathways such as the home first pathway and discharge to assess pathway. To work closely with other health and social care colleagues across the acute and community setting to support safe discharges and avoid admission to hospital. Refer onto appropriate services to avoid readmission to hospital. To attend unit board rounds daily, to identify patients who can be supported home with Admission Avoidance to facilitate earlier discharges.

Provide complex assessments and interventions and make high impact clinical decisions to support discharges and to support people to remain in their own homes. You will be expected to work autonomously whilst drawing assistance from other colleagues in primary and secondary care.

You will use evidence-based principles, current best practice and specialist skills to assess, plan, implement and evaluate interventions.

Your caseload management and communication skills will enable you to prioritise patient care. You will also work closely with senior clinicians, practitioners, social workers, and other health or social care professionals to establish and maintain a whole systems approach for patientsin the service.

You will complete rapid discharges to support palliative and end of life patients to their preferred place of care and also complete assessments to support patients into an appropriate placement.

About us

Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children.Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners.

We have a clear set of values & behaviours which we expect all of our staff to demonstrate:

Safety
Care
Respect
Communication
Learning

We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.

We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.

Benefits include; flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.

Date posted

26 September 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year pro rata per annum

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

245-NAM6AA-08-23-A

Job locations

Tameside & Glossop Integrated Care

Fountain Street

Ashton under Lyne

OL69RW

Job description

Job responsibilities

Address distressing and emotional needs of patients and carers in an exemplary manner. To communicate sensitively with patients and their families some of whom have high levels of distress caused by pain, dementia, long-term disability and terminal illness.

Provide specialist advice on patient care to other health, social and voluntary sector services. This may involve challenging or negotiating changes to treatment programmes or care plans set by other professionals.

To advise and train members of other agencies, health care professionals, carers and families in aspects of care.

To communicate effectively with all other health sector and outside agencies for information exchange or gathering along with problem solving.

Be professionally and legally accountable for all work undertaken. To work within the standards and guidelines of the team, the Trust, and the conduct and standards of your relevant professional bodies, NMC, HCPC

Deliver care to patients that is excellent, individualised and ensures patients and carers dignity is enhanced.

To undertake highly skilled and complex clinical activities directly related to the assessment, planning & evaluation of patient care and discharge planning.

To develop your skill set with advanced techniques and other skills not normally associated with your profession.

Make skilled clinical decisions and communicate rationale clearly

Clearly document to a high standard at all times.

Effective implementation of infection prevention & control policies

Management of complex patient care ensuring that risks are adequately assessed, minimised, appropriate care plans and reported across the organisation as appropriate

Manage the effective coordination and continuity of patient care working closely with external agencies and community colleagues

To ensure that clinical practice is contemporary to meeting the needs of patients and families

To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity

To participate in resource projects and health promotion programmes as requested

To work closely with the Acute, community, GPs, nursing, social care and therapy colleagues and the VCSE sector to prevent inappropriate hospital admissions and support safe discharges

Assess for, prescribe, and issue a range of equipment, mobility aids and aids for daily living.

To undertake other duties that may be allocated as per service development

Key Liaisons

- Integrated Urgent Care Team colleagues.
- Social Care Team
- Community nurses
- Other continuing care teams
- Hospital Doctors and GPs in community.
- Allied health professionals
- Specialist practitioners.
- Acute Frailty Service
- Digital Health/Virtual Ward
- Extensive Care Team
- NWAS
- Neighborhood teams

Prioritise workload or activities in order to meet the demands of the Urgent care team

Have a car and full UK driving license and Business insurance and be able to travel within the requirements of the post

To be responsible for the safety and welfare of patients, colleagues and self during the treatment period in accordance with professional standards and health and safety regulations.

To work at other sites in the Trust, specifically across IUCT and ITS, if required

Comply with Trust Standard Operating Procedures, Policies and processes, and other related guidelines.

Attend regular team meetings to ensure local and national, health and social service initiatives are implemented within the service; contributing ideas for improvement and sharing lessons learned.

Participate in regular clinical supervision and appraisals as per trust policy

Act as a positive role model, establishing and maintaining interpersonal relationships with team members, encouraging innovation.

Actively participate and support in service development.

To actively participate in clinical governance processes with a particular emphasis on identifying and handling risks that affect patient care

To ensure appropriate evaluation mechanisms are in place to check that the service continues to meet the required standard and quality

Maintain best practice and own fitness to practice through continual professional development

Comply with the incident reporting process and contribute to the resolution of complaints as required.

To participate in audit as required by the department and Trust.

To use audit results, current research and government guidelines to recommend changes to service delivery and to demonstrate evidence- based practice.

The post-holder will be expected to travel between different work locations frequently throughout the day. They will be expected to load, transport and unload necessary equipment between work locations.

Manage and prioritise workload which may be unpredictable.

Respond to changes in workflow being interrupted frequently during the working day.

The post will require a high level of concentration with the ability to be flexible to the needs of the service

Attend regular team meetings to disseminate information between senior staff and the team.

Lead MDT meetings which may require managing sensitive, emotive or conflicting views/opinions.

Manages conflict between agencies, challenging poor practice and none adherence to local and national policy.

Manages complaints and conflict with patients, carers and family members at times of major life changes where services are not available due to financial constraints or, expectations outside service provision criteria; or where there is a barrier to understanding.

Advocates for patients ensuring choice is respected whilst adhering to both social service and health eligibility.

Manages own time within expected response timescales having the ability to change direction at short notice.

Be accountable for completion, accuracy and presentation of content of assessments undertaken

The post-holder will be expected to kneel, sit on heels, move adult limbs during manual care delivery, support patients while walking, assist patients to transfer, position limbs whilst patient is sitting and standing, give tactile feedback to exercise, push wheelchairs and use hoists on a frequent basis.

The post-holder will be expected to concentrate during treatment sessions and ensure good communication with patients who have impaired understanding and communication difficulties e.g., impaired speech and hearing. Some patients will also not speak English as a first language, and use of an interpreter may be necessary.

The post-holder will be working in many environments over which they have no control. These will include environments where exposure to body fluids (blood, faeces, urine, vomit, and sputum), infestations, smoke and animals may occur. Spaces to work in are often confined, with variable temperatures, noise levels, ventilation and less than ideal work surfaces. There is a risk of exposure to physical/verbal aggression from patients, their families, and the general public