Job summary
To be responsible and accountable for assessing, planning, implementing and evaluating patient care, demonstrating evidence based/best practice. To adhere to Walsall healthcare NHS Trust policies, procedures and protocols in order to promote the quality of the patient experience in the community, ensuring the highest standard is received
The post holder will be responsible for providing evidence based high quality palliative and end of life care to patients with life limiting illnesses and support for their families
To hold continuing responsibility and accountability for the quality of patient care demonstrating evidence based/best practice. To adhere to Walsall Healthcare NHS Trust policies, procedures and protocols in order to promote the quality of the patient experience in the community, ensuring the highest standard.
To provide professional support and mentoring to individual staff members and community place based teams, initiating continued professional development to help improve the care and management of palliative and end of life patients
To maintain effective channels of communication with the wider multi-professional team, to ensure co-ordinated patient care
To support implementation of the integrated care model within Walsall healthcare Trust and work in -partnership with key organisations, promoting patient care in the right place at the right time
Main duties of the job
To work as part of an integrated Community nursing team with a focus on case management for the frail elderly in their own home.
Using risk stratification identify patients who are vulnerable of hospital admission and implement a case management approach to maintain effective care and treatment in care environment
Work in partnership with home care staff, managers, Primary care, patients, relatives and the wider health and social care team to maintain high quality care, prevent avoidable patient harms, prevent avoidable hospital admission and reduce length of stay if acute intervention is required
About us
Walsall Healthcare NHS Trust is an integrated Trust and the only provider of NHS acute care in Walsall, serving a population of 284,300. It provides inpatient and outpatient services at the Manor Hospital as well as a wide range of services in the community. Walsall Manor houses the full range of district general hospital services under one roof. The £170 million development was completed in 2010, and ongoing upgrades ensure the Trust now has state-of-the-art facilities, including a Critical Care Unit, Neonatal Unit, Obstetric Theatre, and Integrated Assessment Unit. A new Urgent and Emergency Care Centre, opened in March 2023, has significantly improved emergency care facilities and capacity, providing almost 5,000 square metres of additional clinical space.
Job description
Job responsibilities
To deliver advanced skills and expert knowledge to assess the physical and psycho social needs of a defined client group with complex multiple long term conditions, instigating therapeutic treatments, including extended and supplementary prescribing, based on best available evidence in order to improve health outcomes
To deliver advanced skills and expert knowledge to identify subtle and unpredictable changes in condition.
To deliver advanced skills and expert knowledge to make both a comprehensive and focussed assessments
Work in partnership with GPs, consultants in Secondary care, Integrated community nursing team to ascertain diagnosis, develop care plans, interpret highly complex factors and situations and initiate follow up for people who are frail and elderly.
Negotiate and agree with Patient, Carers and other care professionals, individual roles and responsibilities with regard to actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate
Challenge professional and organisational boundaries, identifying areas for skill/ knowledge development and apply these to practices to provide continuity and high quality patient centred health care
Job description
Job responsibilities
To deliver advanced skills and expert knowledge to assess the physical and psycho social needs of a defined client group with complex multiple long term conditions, instigating therapeutic treatments, including extended and supplementary prescribing, based on best available evidence in order to improve health outcomes
To deliver advanced skills and expert knowledge to identify subtle and unpredictable changes in condition.
To deliver advanced skills and expert knowledge to make both a comprehensive and focussed assessments
Work in partnership with GPs, consultants in Secondary care, Integrated community nursing team to ascertain diagnosis, develop care plans, interpret highly complex factors and situations and initiate follow up for people who are frail and elderly.
Negotiate and agree with Patient, Carers and other care professionals, individual roles and responsibilities with regard to actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate
Challenge professional and organisational boundaries, identifying areas for skill/ knowledge development and apply these to practices to provide continuity and high quality patient centred health care
Person Specification
Qualifications
Essential
- oLevel 1 Registered Nurse
- Evidence of continuing professional development
- Extensive clinical experience /Case management experience
Desirable
- Willingness to undertake Extended & Supplementary Nurse Prescribing Course
Knowledge
Essential
- Evidence of up-to-date based knowledge and skills, particularly in long term condition issues
- Working knowledge of the roles and values of Case Management
- Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals
Desirable
- Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals
Experience
Essential
- Experience in embracing and implementing change to provide high quality health outcomes
- Ability to communicate both verbally and in writing at all levels in multidisciplinary forum and with users and carers
Desirable
- Ability to work in a changing, and stressful situations
Person Specification
Qualifications
Essential
- oLevel 1 Registered Nurse
- Evidence of continuing professional development
- Extensive clinical experience /Case management experience
Desirable
- Willingness to undertake Extended & Supplementary Nurse Prescribing Course
Knowledge
Essential
- Evidence of up-to-date based knowledge and skills, particularly in long term condition issues
- Working knowledge of the roles and values of Case Management
- Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals
Desirable
- Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals
Experience
Essential
- Experience in embracing and implementing change to provide high quality health outcomes
- Ability to communicate both verbally and in writing at all levels in multidisciplinary forum and with users and carers
Desirable
- Ability to work in a changing, and stressful situations
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).
