Job summary
Barnet Unplanned Integrated service works primarily as an admission avoidance service reducing the number of patients sent to hospital Emergency departments. We receive referrals from GP, LAS, 111, Residential and Nursing Homes to prevent admission of patients and support immediate discharge home from the emergency departments.
The Unplanned service also supports the early discharge home of patients on the Hospital at Home pathway for 1-14 days. Initially the service is for patients requiring IV antibiotic, however we will be stepping up to see patients who require monitoring of observation, COPD monitoring, heart failure, and blood taking. The Hospital@Home ward operates from BGH and RFH. We envisage long term we will also receive patients from 111/999 and step-up patients from the RR and D2A pathway and other hospitals
Main duties of the job
We are a multi-disciplinary team consisting of Nurse Practitioners, Senior Community Nurses, Occupational Therapists, Physiotherapist, Rehabilitation Support Workers, and Technical Instructors with administrator support. This is an expanding admissions avoidance service working with both the primary care and the acute sectors to support and deliver treatment to patients in their own home. We are currently looking for a motivated and committed Band 7 Nurse Practitioner who would like to have experience in managing the team and service.
The post holder will use advance assessment and diagnostic skills to assess and treat patients. The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate.
The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team is 8am -4pm and 2pm - 10pm.
About us
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
- Be clinically and operationally responsible for the team Act as a role model.
- Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients on the RR, H@H pathways.
- Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population.
- Be involved in establishing delivering and leading a comprehensive service within community services.
- You will play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and through networking increase the number of referrals from the acute and community.
Please refer to Job description and personal Specification for outline of skills, knowledge and experience required.
Job description
Job responsibilities
- Be clinically and operationally responsible for the team Act as a role model.
- Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients on the RR, H@H pathways.
- Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population.
- Be involved in establishing delivering and leading a comprehensive service within community services.
- You will play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and through networking increase the number of referrals from the acute and community.
Please refer to Job description and personal Specification for outline of skills, knowledge and experience required.
Person Specification
Qualifications
Essential
- Registered Nurse with current UK NMC registration
- BSc / PgDip Nurse Practitioner Primary Health Care/ Minor injuries / Minor Illnesses
- Qualification in Community and/ or Accident and Emergency Nursing
- Evidence of continuing personal and professional development with up-to-date CPD portfolio
- Community or Independent Nurse Prescribing qualification or prepared to work towards
Desirable
- Evidence of continuing professional education and training at master's Level
- Further desirable qualifications in Primary Care/ Accident & Emergency
- Qualification in teaching or practice-based learning
- Independent Nurse Prescriber
- Management or leadership qualification
Experience
Essential
- Extensive senior experience within adult nursing services especially Primary Care and/ or Accident & Emergency.
- Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled nursing care and management of patients presenting with undifferentiated and undiagnosed conditions.
- Experience of undertaking comprehensive health needs assessment and developing complex care plans
- Experience of assessing and providing quality care to people with complex needs and long-term conditions.
- Track record of practice excellence
- Experience of effectively working in collaboration, negotiating, and liaising within a multi-disciplinary team and across organisational boundaries.
- Experience in monitoring clinical standards
- Experience of working in a changing and uncertain environment
- Proven ability to prioritise and manage own workload with minimal supervision.
Desirable
- Experience of team / service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice
- Evidence of innovation in practice
Skills and Knowledge
Essential
- Evidence of comprehensive range of clinical skills and expertise relevant to the role
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills, and prescribing/treatment.
- Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management
- Clinical knowledge across a range of long term and enduring conditions
- Able to work autonomously, planning and prioritising own workload and that of others.
- Able to delegate work effectively and safely.
- Able to deal with conflict and manage appropriately.
- Advanced communication and report writing skills, in both verbal and written format.
- Able to identify own and other's learning and development needs and actively seek ways to meeting those needs.
- Basic IT skills including use of Microsoft Office package, clinical systems and email
- Knowledge of the national priorities relating to provision of adult nursing services including current health care policy and legislation and relevance to the delivery of healthcare services
- Knowledge of current health care policy and relevance to the delivery of healthcare services.
- Knowledge of recent developments in Primary Care
- Knowledge of adult protection and safeguarding children's issues
- Knowledge of NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services
- Knowledge of the audit process and able to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of outcome measures and evidence-based practice associated with community nursing.
- Knowledge of the audit process
- Knowledge and understanding of clinical governance and its application to clinical practice, plus knowledge and application of clinical supervision.
- Knowledge of how to implement equal opportunities in practice
- Able to work autonomously, planning and prioritising own workload and that of others.
- Ability to prioritise and manage workload to meet competing demands and priorities.
- Ability to thrive in a changing environment and to focus on opportunities to generate new ideas.
Desirable
- Supervision of Students
- Able to lead and motivate a team and implement change
- Knowledge of resource management
- Knowledge and understanding of NICE and other relevant guidelines
- Knowledge and understanding of the role of MDT members within an integrated locality team.
Other
Essential
- Able to carry out the duties of the post with or without adaptations.
- Able to travel around the district (car/bike/public transport/foot)
- Able to work flexible shifts
- Able to provide evidence of where you have demonstrated the Trust's Values and Behaviours
- Able to demonstrate excellence in Customer Service
- Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
Person Specification
Qualifications
Essential
- Registered Nurse with current UK NMC registration
- BSc / PgDip Nurse Practitioner Primary Health Care/ Minor injuries / Minor Illnesses
- Qualification in Community and/ or Accident and Emergency Nursing
- Evidence of continuing personal and professional development with up-to-date CPD portfolio
- Community or Independent Nurse Prescribing qualification or prepared to work towards
Desirable
- Evidence of continuing professional education and training at master's Level
- Further desirable qualifications in Primary Care/ Accident & Emergency
- Qualification in teaching or practice-based learning
- Independent Nurse Prescriber
- Management or leadership qualification
Experience
Essential
- Extensive senior experience within adult nursing services especially Primary Care and/ or Accident & Emergency.
- Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled nursing care and management of patients presenting with undifferentiated and undiagnosed conditions.
- Experience of undertaking comprehensive health needs assessment and developing complex care plans
- Experience of assessing and providing quality care to people with complex needs and long-term conditions.
- Track record of practice excellence
- Experience of effectively working in collaboration, negotiating, and liaising within a multi-disciplinary team and across organisational boundaries.
- Experience in monitoring clinical standards
- Experience of working in a changing and uncertain environment
- Proven ability to prioritise and manage own workload with minimal supervision.
Desirable
- Experience of team / service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice
- Evidence of innovation in practice
Skills and Knowledge
Essential
- Evidence of comprehensive range of clinical skills and expertise relevant to the role
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills, and prescribing/treatment.
- Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management
- Clinical knowledge across a range of long term and enduring conditions
- Able to work autonomously, planning and prioritising own workload and that of others.
- Able to delegate work effectively and safely.
- Able to deal with conflict and manage appropriately.
- Advanced communication and report writing skills, in both verbal and written format.
- Able to identify own and other's learning and development needs and actively seek ways to meeting those needs.
- Basic IT skills including use of Microsoft Office package, clinical systems and email
- Knowledge of the national priorities relating to provision of adult nursing services including current health care policy and legislation and relevance to the delivery of healthcare services
- Knowledge of current health care policy and relevance to the delivery of healthcare services.
- Knowledge of recent developments in Primary Care
- Knowledge of adult protection and safeguarding children's issues
- Knowledge of NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services
- Knowledge of the audit process and able to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of outcome measures and evidence-based practice associated with community nursing.
- Knowledge of the audit process
- Knowledge and understanding of clinical governance and its application to clinical practice, plus knowledge and application of clinical supervision.
- Knowledge of how to implement equal opportunities in practice
- Able to work autonomously, planning and prioritising own workload and that of others.
- Ability to prioritise and manage workload to meet competing demands and priorities.
- Ability to thrive in a changing environment and to focus on opportunities to generate new ideas.
Desirable
- Supervision of Students
- Able to lead and motivate a team and implement change
- Knowledge of resource management
- Knowledge and understanding of NICE and other relevant guidelines
- Knowledge and understanding of the role of MDT members within an integrated locality team.
Other
Essential
- Able to carry out the duties of the post with or without adaptations.
- Able to travel around the district (car/bike/public transport/foot)
- Able to work flexible shifts
- Able to provide evidence of where you have demonstrated the Trust's Values and Behaviours
- Able to demonstrate excellence in Customer Service
- Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
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).
