Job summary
PLEASE NOTE THIS IS NOT A MENTAL HEALTH TEAM
Community Treatment Team is an award winning hospital avoidance team.
The pressure is increasing on Emergency Departments all over the Country and it is recognised how bringing a hospital to home role plays a part in assisting with the assessment and treatment of patients in this area.
The post holder will have continuing responsibility for assessment and management of patients within the CTT and will use advanced and highly specialist skills and knowledge of community to assess, plan, implement and evaluate the management of care.
To provide onward referral to other community services including health and social care to ensure the safe management of the patient when completing their CTT episode of care.
CTT also work in collaboration with London Ambulance Service responding to 999 calls. Once training has been completed within the team you will have the opportunity to work with the CTT/LAS car to support the service aim.
Main duties of the job
Due to the crisis nature of the role the practitioner will be supported to extend their skills in order to recognise a deteriorating patient. The practitioner will be supported with continuing professional development. Close teamwork is paramount in order to manage complex patients in the rapid environment.
Key Responsibilities:
- To manage a specific specialised caseload of clients, within A&E, NHS 111, Frailty units and the community, using the nursing process of assessment, planning, implementation and evaluation.
- To provide professional and clinical support to staff working within the CTT and collaborative services such as Acute hospital trust, GPs, NHS 111 and Ambulance Services.
- To participate in the development of a high quality service clinical governance framework.
- Assist with the day to day management of the CTT and co-ordination of workload and development of the team.
- To participate in the implementation of NELFT & NEL service developments impacting on Community Services.
- Establish and maintain effective communication and relationships across all disciplines and services.
- To act as an autonomous practitioner to assess, plan, implement, review and evaluate care, including complex care assessments
- To ensure service delivery is of a high quality we provide quality care 365 days. NELFT operate a flexible working policy.
About us
Starting with NELFT
NELFT place a great deal of importance on new starters being properly welcomed and inducted into the Trust. All new starters will join the Trust on the first Monday of each month and will undertake a comprehensive induction of up to two weeks which will include mandatory training, systems training and the allocation of equipment. As part of the process new starters will have the opportunity to also meet the executive team, senior managers and attend a number of drop in sessions focussing in engagement, health and wellbeing and key processes. The induction will be held at our head office in Rainham, Essex.
Probationary Period
This post will be subject to a probationary period. Internal applicants are exempt from the probationary period (unless you are an internal applicant currently part way through a probationary period or currently a bank member of staff).
High Cost Area Supplement
This post also attracts payment for High Cost Area Supplement of 15% of the basic salary (with a minimum of £4,551 to a maximum of £5,735).
Job description
Job responsibilities
The practitioner will be supported to undertake training in order to competently assess an acutely unwell adult, ensuring their best interests are maintained to be treated in the most appropriate environment
The role will require the successful candidate to work as part of the team in the Emergency Department (ED). The candidate will assess patients determining their care needs in order to manage them through their crisis.
The candidate will need to work using current evidence based practice, providing thorough and rapid assessments, facilitating a quick and effective discharge outcome for the patient. The candidate will also need to engage with other MDT members internally and externally. CTT consists of Occupational Therapists, Physiotherapists, Health Care Assistants, Nurses, Doctors, Pharmacists and Social Workers.
The band 6 will be expected to supervise and manage junior members of staff and be supported to develop and deputise for senior members of staff in their absence. You will be supported to undertake clinical educators course and support students.
Clinical Skills
- To assess the needs of a defined client group, plan and implement client centred interventions, evaluate treatment in order to measure progress and ensure clinical effectiveness.
- Carry out a full holistic assessment of patients(to include wound care, administration of medication, injections, phlebotomy, IV cannulation and IV therapy, clinical observations including recording ECGs).
- To be able to undertake a comprehensive triage and recognise red flags requiring more urgent escalation and medical attention
- To use patient /client medical and social information as part of the nursing process.
- To practice and promote best evidence based practice and participate in specific clinical trials and audits in CTT.
- To allocate clinical and administrative work appropriately to support staff and monitor outcome.
- To maintain accurate contemporaneous records on all aspects of the treatment process and client / patient contact.
- To act as a resource for other team members, support staff and students, ensuring own actions promote quality.
- To participate in clinical meetings and patient /client case conferences, presenting detailed specific professional information.
- To apply a level of understanding of the effects of disability and its effect on the client / patient, carer and wider community.
- To be accountable for own professional actions adhering to the Nursing & Midwifery standards or HCPC and guidelines.
- Promote evidence-based practice within the service.
- Receive referrals and manage own caseload under the direction of the team leader. Ensure referrals are appropriate and patients meet with agreed criteria
Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application.
We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage.
Use of AI
Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used, then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability.
Job description
Job responsibilities
The practitioner will be supported to undertake training in order to competently assess an acutely unwell adult, ensuring their best interests are maintained to be treated in the most appropriate environment
The role will require the successful candidate to work as part of the team in the Emergency Department (ED). The candidate will assess patients determining their care needs in order to manage them through their crisis.
The candidate will need to work using current evidence based practice, providing thorough and rapid assessments, facilitating a quick and effective discharge outcome for the patient. The candidate will also need to engage with other MDT members internally and externally. CTT consists of Occupational Therapists, Physiotherapists, Health Care Assistants, Nurses, Doctors, Pharmacists and Social Workers.
The band 6 will be expected to supervise and manage junior members of staff and be supported to develop and deputise for senior members of staff in their absence. You will be supported to undertake clinical educators course and support students.
Clinical Skills
- To assess the needs of a defined client group, plan and implement client centred interventions, evaluate treatment in order to measure progress and ensure clinical effectiveness.
- Carry out a full holistic assessment of patients(to include wound care, administration of medication, injections, phlebotomy, IV cannulation and IV therapy, clinical observations including recording ECGs).
- To be able to undertake a comprehensive triage and recognise red flags requiring more urgent escalation and medical attention
- To use patient /client medical and social information as part of the nursing process.
- To practice and promote best evidence based practice and participate in specific clinical trials and audits in CTT.
- To allocate clinical and administrative work appropriately to support staff and monitor outcome.
- To maintain accurate contemporaneous records on all aspects of the treatment process and client / patient contact.
- To act as a resource for other team members, support staff and students, ensuring own actions promote quality.
- To participate in clinical meetings and patient /client case conferences, presenting detailed specific professional information.
- To apply a level of understanding of the effects of disability and its effect on the client / patient, carer and wider community.
- To be accountable for own professional actions adhering to the Nursing & Midwifery standards or HCPC and guidelines.
- Promote evidence-based practice within the service.
- Receive referrals and manage own caseload under the direction of the team leader. Ensure referrals are appropriate and patients meet with agreed criteria
Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application.
We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage.
Use of AI
Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used, then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability.
Person Specification
education and training
Essential
- First level Registered Nurse currently registered with the Nursing & midwifery Council/BSc (Hons) Paramedic Science/Dip HE in Paramedic Science registered with the HCPC
- Practice educator or other teaching qualification or equivalent experience
Desirable
- Physical Clinical Assessment Skills Course or willingness to undertake the course.
- Qualification in minor illness Management
- Experience of working in Primary Care/Accident & Emergency or/and Qualifications in Community and/or Accident & Emergency Nursing.
- Non-Medical Prescriber (NMP) or willingness to undertake the course
experience, skills and knowledge
Essential
- Previous experience as a RN/Paramedic in a band 6 post or equivalent, working as an autonomous practitioner for at least 1 year
- Portfolio evidence of professional development and commitment to CPD and commitment to ongoing training, education and mentoring to develop clinical skills.
- Knowledge and skills to assess patients with complex presentations to arrive at a clinical decision.
- Excellent communication skills including influencing, negotiation and empathic.
Desirable
- Current experience of managing adults with a long-term condition/s (LTC)
- Experience of undertaking advanced practitioner level physical examination and assessments.
- Extensive range of clinical skills and experience including IV therapy, venepuncture, wound care.
personal qualities
Essential
- Sufficient personal resilience to cope with challenging emotional situations.
- Commitment towards own personal and professional development
- Excellent interpersonal and negotiating skills
- Able to work flexible shifts
Trust Value
Essential
- putting people 1st
- prioritising quality
- Being progressive, innovative, and continually improve
- Being professional and honest
- Promoting what is possible, independence, opportunity, and choice
Person Specification
education and training
Essential
- First level Registered Nurse currently registered with the Nursing & midwifery Council/BSc (Hons) Paramedic Science/Dip HE in Paramedic Science registered with the HCPC
- Practice educator or other teaching qualification or equivalent experience
Desirable
- Physical Clinical Assessment Skills Course or willingness to undertake the course.
- Qualification in minor illness Management
- Experience of working in Primary Care/Accident & Emergency or/and Qualifications in Community and/or Accident & Emergency Nursing.
- Non-Medical Prescriber (NMP) or willingness to undertake the course
experience, skills and knowledge
Essential
- Previous experience as a RN/Paramedic in a band 6 post or equivalent, working as an autonomous practitioner for at least 1 year
- Portfolio evidence of professional development and commitment to CPD and commitment to ongoing training, education and mentoring to develop clinical skills.
- Knowledge and skills to assess patients with complex presentations to arrive at a clinical decision.
- Excellent communication skills including influencing, negotiation and empathic.
Desirable
- Current experience of managing adults with a long-term condition/s (LTC)
- Experience of undertaking advanced practitioner level physical examination and assessments.
- Extensive range of clinical skills and experience including IV therapy, venepuncture, wound care.
personal qualities
Essential
- Sufficient personal resilience to cope with challenging emotional situations.
- Commitment towards own personal and professional development
- Excellent interpersonal and negotiating skills
- Able to work flexible shifts
Trust Value
Essential
- putting people 1st
- prioritising quality
- Being progressive, innovative, and continually improve
- Being professional and honest
- Promoting what is possible, independence, opportunity, and choice
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).
