Job summary
To work as part of the Community Integrated Locality team and alongside staff in Identified Care Homes to provide a high quality, clinically robust, personalised assessment of all residents identified as high risk of conveyance to Hospital. Working in partnership with key staff members in both the homes and community teams to ensure each identified resident has implemented a clear care plan to manage their health needs, to include a clear pathway of how to contact Sutton Community Health services (SCHS) to prevent avoidable conveyance to hospital
Main duties of the job
- To support the home staff in the liaising with the any required community health teams, primary care and social services to ensure the most effective outcomes for their residents.
- To provide effective and efficient high quality nursing assessment of residents that will enhance and support the processes of ensuring the resident remains in the appropriate care setting.
- To provide the staff with resident pathway advice to support the ongoing care needs provision within the residents home setting
- To act as key health liaison for the home to ensure the most effective outcomes for residents.
To assist and support SCHS in achieving the key result areas of this service.
About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).
After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.
Job description
Job responsibilities
Responsible for the daily operational line management of the Community Liaison Team.
Work collaboratively with staff in the acute setting, developing processes to support safe, timely discharge to the community environment
Responsible for ensuring each team member carries out effective and efficient high quality nursing assessment of patients, that will enhance and support the discharge processes.
- Act as a practitioner with special interest in Older People and Long-Term Conditions Management.
- To act as an expert resource to secondary care colleagues in relation to access to Community Services and Patient Pathway Management.
- Act as key liaison with internal and external partners and stakeholders to ensure the most effective outcomes for patients, service users and carers.
Ensure the successful delivery of services key performance indicators.
- Be pro-active in supporting the acute trust to reduce the level of Delayed Transfer of Care (TDC).
- To work collaboratively with the hospital teams, social service departments and primary and secondary health care providers to promote SCHS in line with the strategic direction of the Trust.
Job description
Job responsibilities
Responsible for the daily operational line management of the Community Liaison Team.
Work collaboratively with staff in the acute setting, developing processes to support safe, timely discharge to the community environment
Responsible for ensuring each team member carries out effective and efficient high quality nursing assessment of patients, that will enhance and support the discharge processes.
- Act as a practitioner with special interest in Older People and Long-Term Conditions Management.
- To act as an expert resource to secondary care colleagues in relation to access to Community Services and Patient Pathway Management.
- Act as key liaison with internal and external partners and stakeholders to ensure the most effective outcomes for patients, service users and carers.
Ensure the successful delivery of services key performance indicators.
- Be pro-active in supporting the acute trust to reduce the level of Delayed Transfer of Care (TDC).
- To work collaboratively with the hospital teams, social service departments and primary and secondary health care providers to promote SCHS in line with the strategic direction of the Trust.
Person Specification
Essential and Desirable
Essential
- Driving Licence
- Car & insured for business use
- Valid NMC Registration
- Care Home Experience
- Able to use EMIS
- Work as one team - communicate, collaborate and share
- Ability to manage own time effectively & manage work load with good time management and organisational skills
- Significant experience working as an Adult registered Nurse specially with older people, dementia, end of life care
- Excellent communication skills, both written and verbal
- Ability to remain calm when working under pressure
- Willingness to ask for and take advice
- Ability to make decisions, using available evidence where necessary
- Fit and able to undertake duties as assessed by Occupational Health
- Commitment to high standard of care
Desirable
- Independent Prescribing qualification
- Experience in teaching and assessing in clinical practice
- Physical Assessment and Clinical Reasoning Skills Course
- Experience in managing the needs of complex patients
- Undertaking holistic assessments
- Experience in managing the needs of complex patients
- Flexible and innovative
- Knowledge of Safeguarding and incident reporting systems (Datix)
Essential and Desirable
Essential
- Driving Licence / Car & insurance
- Able to use EMIS / Datix
- Ability to remain calm when working under pressure
Desirable
- Independent Prescribing qualification
- Experience in managing the needs of complex patients
- Knowledge of Safeguarding and incident reporting systems
Person Specification
Essential and Desirable
Essential
- Driving Licence
- Car & insured for business use
- Valid NMC Registration
- Care Home Experience
- Able to use EMIS
- Work as one team - communicate, collaborate and share
- Ability to manage own time effectively & manage work load with good time management and organisational skills
- Significant experience working as an Adult registered Nurse specially with older people, dementia, end of life care
- Excellent communication skills, both written and verbal
- Ability to remain calm when working under pressure
- Willingness to ask for and take advice
- Ability to make decisions, using available evidence where necessary
- Fit and able to undertake duties as assessed by Occupational Health
- Commitment to high standard of care
Desirable
- Independent Prescribing qualification
- Experience in teaching and assessing in clinical practice
- Physical Assessment and Clinical Reasoning Skills Course
- Experience in managing the needs of complex patients
- Undertaking holistic assessments
- Experience in managing the needs of complex patients
- Flexible and innovative
- Knowledge of Safeguarding and incident reporting systems (Datix)
Essential and Desirable
Essential
- Driving Licence / Car & insurance
- Able to use EMIS / Datix
- Ability to remain calm when working under pressure
Desirable
- Independent Prescribing qualification
- Experience in managing the needs of complex patients
- Knowledge of Safeguarding and incident reporting systems
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).
