Job summary
Rapid Response Staff Nurse, Band 5
Permanent; Full Time: 37.5 Hours per week
Mixed Shift Pattern: 8am-4pm, 12pm-8pm & 8am-8pm
Bexley Integrated Rapid Response Team
Adult Community Physical Health Services
We are looking to appoint a committed, highly motivated, enthusiastic, and skilled Band 5 Staff Nurse to join our dynamic, integrated multi- disciplinary Rapid Response Service (RRT).
RRT was one of the 7 accelerator sites involved in the introduction and successful roll out, of the NHSE's Urgent Community Response initiative. RRT is a multi- professional team consisting of Nurses, Physiotherapists, Occupational Therapists and Social Workers. The team aims to respond to crisis referrals within 2 hours and avoid unnecessary presentation to hospital and residential care, by supporting community patients who are in crisis and prevent direct hospital admissions.
The team provide holistic health and social care assessments for people over the age 18 years, who are registered with a Bexley GP and live in the Borough of Bexley. The team are based at Queen Elizabeth Hospital Woolwich and operates 7 days a week, on an 8am-8pm basis, providing an urgent community response to vulnerable people in the community.
Currently based at QEH but outreach to other acute hospital/community sites respond to urgent referrals from A&E, UTC, LAS 111, Acute Medical Unit, Short Stay Unit, Clinical Decision Unit, Day Care Unit GP's and other community partners.
Main duties of the job
The post holder will work as a part of the multi-disciplinary UCR - Rapid Response Team including Consultant Geriatrician, Senior Nurses, Occupational Therapists and Social Services colleagues to meet the needs of patients referred to the team, ensuring the highest possible standards of practice with a strong emphasis on Falls, Frailty, Breast drain care and outpatient parenteral antimicrobial therapy, OPAT allows patients requiring intravenous antibiotics to be treated outside hospital.
The post holder will conduct comprehensive assessment nursing assessments for patients within acute and community settings. They will need to demonstrate sound clinical reasoning and risk assessment skills to guide appropriate nursing intervention and when appropriate avoid unnecessary A and E presentation. The post holder will also have the opportunity to work closely with our Community Consultant Geriatrician.
The team work directly with (LAS) and act as a liaison between Emergency Departments, Community and Care home settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and the instigation of on- going case management of long term condition management. The Rapid Response Team provides community follow up and support and review for up to 5 days.
Post holder will undertake delegated line management of junior staff, both informal and formal basis.
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
The RRT operates Mon- Sunday 8.00 - 20.00 365 days per year, the service aims to avoid both unnecessary admission from Emergency Departments and presentation to ED from community for people in their own home and Care Homes.
- To be responsible for receiving urgent referrals from acute and community settings, including London / Kent Ambulance Service, locality teams, community team, primary care services, local voluntary organisations and take appropriate action.
- Partnership working with acute setting in assisting with 4hour breech times.
- Identification of specific and appropriate patient care pathways, to maximise holistic patient care and prevent unnecessary admission to acute setting.
- Breast drain care, Wound Care, cannulation, IV Therapy
- Daily liaison between acute setting and community services aiming to facilitate seamless multi-disciplinary care provision.
- Undertaking timely and appropriate referrals to existing community services to ensure ongoing care intervention and effective case management.
- Undertake when appropriate urgent community visits/follow up visits after discussion with senior practitioner(s)
- Direct communication and joint working with GPs to ensure transparency of information, prevention of unnecessary admission and ongoing patient community case management.
- Responsible for keeping up to date with current issues and events in Primary HealthCare.
- As appropriate participate in nursing developments and project work and take an active role in new developments within Primary Care.
- To participate in multidisciplinary activities such as integrated team meetings To liaise with other agencies and refer patients, their families and carers as appropriate.
- To actively participate in the development of the service working collaboratively with other care providers.
- To work flexibly and relieve colleagues/rotate within the team as required and requested by the team leader to meet the needs of the service.
Job description
Job responsibilities
The RRT operates Mon- Sunday 8.00 - 20.00 365 days per year, the service aims to avoid both unnecessary admission from Emergency Departments and presentation to ED from community for people in their own home and Care Homes.
- To be responsible for receiving urgent referrals from acute and community settings, including London / Kent Ambulance Service, locality teams, community team, primary care services, local voluntary organisations and take appropriate action.
- Partnership working with acute setting in assisting with 4hour breech times.
- Identification of specific and appropriate patient care pathways, to maximise holistic patient care and prevent unnecessary admission to acute setting.
- Breast drain care, Wound Care, cannulation, IV Therapy
- Daily liaison between acute setting and community services aiming to facilitate seamless multi-disciplinary care provision.
- Undertaking timely and appropriate referrals to existing community services to ensure ongoing care intervention and effective case management.
- Undertake when appropriate urgent community visits/follow up visits after discussion with senior practitioner(s)
- Direct communication and joint working with GPs to ensure transparency of information, prevention of unnecessary admission and ongoing patient community case management.
- Responsible for keeping up to date with current issues and events in Primary HealthCare.
- As appropriate participate in nursing developments and project work and take an active role in new developments within Primary Care.
- To participate in multidisciplinary activities such as integrated team meetings To liaise with other agencies and refer patients, their families and carers as appropriate.
- To actively participate in the development of the service working collaboratively with other care providers.
- To work flexibly and relieve colleagues/rotate within the team as required and requested by the team leader to meet the needs of the service.
Person Specification
Meet all Job Spec Requirements
Essential
- Meet all elements of the JD
NMC Registration Adult Nursing
Essential
- Current registration with professional body.at least 1 yaer post qulification
Car Driver
Essential
- must be a car driver and have access to a car for work
Desirable
- Mentorship Development or equivalent
IV additives Qualification
Essential
- Intravenous additives Qualification
Desirable
- completed competencies in Picc Hickmanline care
Breast Drain Care
Essential
- Competencies in the care of the breast drains
Experience of working in the N
Essential
- 1 yaer experience within the NHS
Car Driver
Essential
Person Specification
Meet all Job Spec Requirements
Essential
- Meet all elements of the JD
NMC Registration Adult Nursing
Essential
- Current registration with professional body.at least 1 yaer post qulification
Car Driver
Essential
- must be a car driver and have access to a car for work
Desirable
- Mentorship Development or equivalent
IV additives Qualification
Essential
- Intravenous additives Qualification
Desirable
- completed competencies in Picc Hickmanline care
Breast Drain Care
Essential
- Competencies in the care of the breast drains
Experience of working in the N
Essential
- 1 yaer experience within the NHS
Car Driver
Essential
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
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).
