Job summary
The Integrated Community Team model aspires to provide a responsive, safe effective caring service that is well led. The team is commissioned to reflect the needs of the local community. Service aims include providing a local point of access, proactive case management and adoption of a co-produced approach with patients and service users. The Integrated Community Team, whilst operating from a local hub, delivers a joined-up approach across a specific locality, to deliver excellence in care and engages with all practices and wider stakeholders in the locality.
This role will be based in Basingstoke & surrounding areas.
Main duties of the job
Working within Professional guidelines and accountability, the post-holder will have responsibility for the management of a defined community caseload (via Nursing, mental health, Physiotherapy or Occupational Therapy interventions) for a group of GP Practices as part of the Integrated Care Team.
The post holder will have responsibility for managing, co-ordinating and delegating work ensuring referrals are dealt with according to clinical need, holistic assessments and care plans are recorded in line with Trust and Professional record keeping standards and clinical care at all times meets acceptable standards of patient safety and quality outcomes.
The post holder will be required to work with a high degree of autonomy and professional accountability. A primary aim of the role is to prevent unnecessary admission of patients to an acute hospital and support timely discharge into the community. The post holder will also have a responsibility for re-enablement, rehabilitation, health protection and promotion programmes that improve and reduce inequalities.
About us
Hampshire and Isle of Wight Healthcare NHS Foundation Trust provides joined-up mental and physical healthcare for around two million people across our communities. With over 13,000 staff working in the community and local hospitals, we deliver care at every stage of life, helping people live their best and healthiest lives.
Our mental health services include community-based support and early intervention in psychosis (EIP) for both adults and young people, alongside a network of specialist inpatient wards covering forensic, learning disability, eating disorder and older person's care.
We deliver extensive physical health services too, from urgent community response teams helping frail and older patients remain safely at home, to hospitals at home teams providing acute-level care in familiar surroundings. Our neurological services offer rehabilitation and treatment for conditions including Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease, Head Injury, Cerebral Palsy and Stroke. Across Hampshire, our community hospitals provide inpatient rehabilitation as a step down from acute care, and our dedicated teams also staff Treetops Sexual Assault Referral Centre in Portsmouth, offering expert, compassionate support.
Everything we do is underpinned by our CARE values of compassion, accountability, respect and excellence
Job description
Job responsibilities
Act at all times with compassion, to be committed to delivering high quality care, use effective communication, be competent and have courage when needed.
Participate in the holistic assessment, implementation and evaluation of programmes of care and therapy for patients in the home, without direct supervision. This includes those with chronic disease, terminal illness who wish to die at home and complex care needs. Other settings include residential homes, nursing homes, clinics, and community centres.
Recognise and respond to the need of appropriate referral to offer members of the community care team or external organisations including appropriate escalation of potential Safeguarding risks.
Provide safe medicines management in your area, according to professional and organisational guidelines to ensure safety and efficacy.
Inform the Integrated Clinical Lead, or Integrated Senior Clinical Lead, of any concerns with patients, relatives, visitors or staff that may compromise patient care.
Develop and maintain constructive working relationships and liaise effectively with all members of the multidisciplinary team so that patients' needs are met.
Communicate effectively with colleagues, patients and carers so that information is shared in order to meet patients' needs.
Act as a role model in the promotion of person-centred practice, and challenge practice, which is not person-centred, so that a person-centred culture is maintained.
Keep updated with relevant clinical developments and use knowledge to enhance standards of care.
Contribute to proactive interdisciplinary discharge and transfer planning for patients.
Practice and promote safe and effective skills in all aspects of clinical practice.
Practice and promote safe and effective record keeping in line with trust policies and professional standards.
Encourage a culture of patient wellness and coproduction.
Ensure that patients with palliative care needs (and their families) have those needs met.
Demonstrate competence and confidence in clinical practice: this includes all clinical procedures that are relevant/specialist to the area.
Recognises own limitations in the provision of clinical care and urgency of patient's needs, referring to other healthcare professionals accordingly and is accountable for his/her own action.
Manage conflicts and the reactions of patients, families and carers seeking the support of seniors.
Job description
Job responsibilities
Act at all times with compassion, to be committed to delivering high quality care, use effective communication, be competent and have courage when needed.
Participate in the holistic assessment, implementation and evaluation of programmes of care and therapy for patients in the home, without direct supervision. This includes those with chronic disease, terminal illness who wish to die at home and complex care needs. Other settings include residential homes, nursing homes, clinics, and community centres.
Recognise and respond to the need of appropriate referral to offer members of the community care team or external organisations including appropriate escalation of potential Safeguarding risks.
Provide safe medicines management in your area, according to professional and organisational guidelines to ensure safety and efficacy.
Inform the Integrated Clinical Lead, or Integrated Senior Clinical Lead, of any concerns with patients, relatives, visitors or staff that may compromise patient care.
Develop and maintain constructive working relationships and liaise effectively with all members of the multidisciplinary team so that patients' needs are met.
Communicate effectively with colleagues, patients and carers so that information is shared in order to meet patients' needs.
Act as a role model in the promotion of person-centred practice, and challenge practice, which is not person-centred, so that a person-centred culture is maintained.
Keep updated with relevant clinical developments and use knowledge to enhance standards of care.
Contribute to proactive interdisciplinary discharge and transfer planning for patients.
Practice and promote safe and effective skills in all aspects of clinical practice.
Practice and promote safe and effective record keeping in line with trust policies and professional standards.
Encourage a culture of patient wellness and coproduction.
Ensure that patients with palliative care needs (and their families) have those needs met.
Demonstrate competence and confidence in clinical practice: this includes all clinical procedures that are relevant/specialist to the area.
Recognises own limitations in the provision of clinical care and urgency of patient's needs, referring to other healthcare professionals accordingly and is accountable for his/her own action.
Manage conflicts and the reactions of patients, families and carers seeking the support of seniors.
Person Specification
Qualifications
Essential
- Registered Qualification (RGN)
- Current (UK/EU) Driving Licence
Desirable
- post registration qualifications
Experience
Essential
- Experience of planning person centred needs
- Experience of organising resources relating to patient needs (e.g. equipment, dressings, etc.)
- Experience of multi-professional working
- Ability to manage and prioritise workload.
- Demonstrate initiative in resolving issues and problems.
- Enthusiastic and well-motivated
- Car driver and own transport
Desirable
- Post Registration experience.
- Ability to work on own initiative.
- Knowledge of working with Students
Person Specification
Qualifications
Essential
- Registered Qualification (RGN)
- Current (UK/EU) Driving Licence
Desirable
- post registration qualifications
Experience
Essential
- Experience of planning person centred needs
- Experience of organising resources relating to patient needs (e.g. equipment, dressings, etc.)
- Experience of multi-professional working
- Ability to manage and prioritise workload.
- Demonstrate initiative in resolving issues and problems.
- Enthusiastic and well-motivated
- Car driver and own transport
Desirable
- Post Registration experience.
- Ability to work on own initiative.
- Knowledge of working with Students
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).
