Job summary
We are seeking a dynamic,
highly motivated individual to become part of our Enhanced Care Home Support
Service. The advanced practitioner is an integral part of the team, who will be
able to clinically assess, diagnose and prescribe treatment for people within
the nursing and residential homes of Warrington, as well as provide guidance
and support for other staff within the team.
The role will involve visiting
nursing and residential homes to clinically assess patients, making autonomous
clinical decisions based on a history and the clinical presentation of the
person. Enabling a diagnosis and treatment plan to be provided to care home
staff.
The role will include
telephone triage, assessing the patients needs with health care professionals,
social workers, and care home staff, when a patient is unwell, or they are
requiring advice, many of whom are frail, elderly with long term conditions and
complex health needs.
The successful candidate will
work with the multidisciplinary team to deliver the Enhanced Health in Care
Homes Framework in collaboration with the Primary Care Networks.
The post creates an
ideal opportunity for an experienced nurse wishing to expand their skills and
knowledge within this area of expertise. They must be able to demonstrate
excellent communication skills, flexibility, and a commitment to caring for
frail, older people, whilst contributing to the development of the service.
Main duties of the job
The
successful candidate will be a senior clinical nurse within the Enhanced Care
Home Support Service, leading a team and providing both an urgent, reactive
response to people cared for within the nursing and residential homes in
Warrington. To ensure a timely clinical assessment, diagnosis and treatment as
required, as well as proactive, planned holistic assessments, aimed at
optimising management of medical conditions, including frailty, and supporting
with Advance Care Planning. The aim is to support people to remain within the
care home setting rather than admit to hospital, where appropriate.
The role will require
the postholder to act as an independent autonomous practitioner to provide
treatment and advice to patients and care home staff, both face to face and
overthe
telephone, which will contribute to the assessment, diagnosis, care and
treatment of patients, preventing unnecessary hospital admissions.
The postholder must possess and demonstrate extended
clinical skills in the assessment, diagnosis, treatment and management of a
wide range of patient care needs, enabling professional autonomy and clinical
judgement in managing and referring patients on to wider services, whilst
maintaining close working relationships with GPs / Primary Care Networks to
support the Enhanced Health in Care Homes Framework and Multi-Disciplinary Team
(MDT) meetings.
About us
Flexible working will be considered for all roles.
Unfortunately, we do not hold a sponsor licence for working Visas.
At Bridgewater, our PEOPLE values shape how we deliver our
NHS services in your local community.
They help us deliver our mission to improve local health and
promote wellbeing in the communities we serve.
After all, values are about people and they were
created in partnership with our staff to reflect what they felt was important
to them
Here at Bridgewater our shared values flow through the organisation.
P- Person-centred-We are passionate about individual needs and
promote independence in the healthcare we provide..
E- Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.
O- Open and Honest -We behave in a way that develops relationships
based on trust, openness, honesty and respect.
P- Professional-We support our people, so everyone has the right
skills and training to deliver outstanding patient care.
L- Locally Lead -We are always learning about our communities and
show great pride in being a local provider of health and care.
E- Efficient -We use our resources wisely to provide
sustainable and value for money healthcare for our patients.
Job description
Job responsibilities
Clinical
Participate in and undertake
telephone triage.
Comprehensively assess
patients with complex physical and/or mental health care needs using advanced
clinical examination skills, detailed history taking, biometric monitoring and
evaluation skills.
Receive patients with
undifferentiated and undiagnosed health care problems and initiate and conduct
clinical investigations as appropriate.
Analyse signs and symptoms,
laboratory tests and other measures of function, in formulating a diagnosis.
Perform a medication review
and prescribe and change medications as required in accordance with national
and local guidance, including de-prescribing.
Prescribe following a full
holistic assessment and diagnosis for an acute condition.
Exercise independent and
delegated prescribing rights in accordance with Trust and local criteria, and
within the clinical situation.
Understand the combined
impact of all patients' conditions on their health and care needs in order to
improve health outcomes and quality of life.
Provide individualised
treatment and management plans using evidence-based practice to care home staff.
Exercise a high degree of
clinical autonomy and professional judgement, treating patients independently
within the service.
Identify and plan
preventative measures and anticipatory care needs.
Identify at risk patients and
manage appropriately in accordance with national and local policy and
procedures.
Act as an advocate for the
patient at all times to ensure their individual needs, preferences and choices
are taken into consideration.
Professional
Utilising own professional
knowledge and skills, act as a resource for other members of the team.
Empower colleagues and
patients and demonstrate the ability to facilitate effective clinical practice
based on best evidence.
Possess a clear
understanding of legal and ethical issues, professional accountability, and
responsibility.
Work and maintain high
standards of professional care in accordance with current NMC Code of
Professional Conduct, Scope of Professional Practice and ethical
considerations.
Take personal responsibility
for keeping professionally updated and registered with the NMC.
Keep accurate,
contemporaneous documentation and care plans in accordance with NMC Information
Governance, local and national standards.
Collaborate with the clinical
Lead and promote the development and effectiveness of the service.
Maintain effective channels
of communication both within the service and across the wider health and social
care economy.
Promote and maintain the
quality and standards of the services in accordance with organisational and
Trust clinical governance requirements.
Facilitate a culture, which
promotes and maintains best practice utilising current and best evidence.
Participate in and initiate
clinical audit as required.
Participate in the
development, implementation and monitoring of policies, procedures, and
clinical guidelines as appropriate.
Delegate activity where
appropriate and encourage a culture where flexibility and adaptability are
positively encouraged.
Adopt and promote a positive
approach to change.
Actively participate in and
promote the development of professional nursing practice.
Participate and engage in
the identification of education and training needs of the team.
Demonstrate a positive
commitment to the training and education of pre/post registration students, and
colleagues.
Job description
Job responsibilities
Clinical
Participate in and undertake
telephone triage.
Comprehensively assess
patients with complex physical and/or mental health care needs using advanced
clinical examination skills, detailed history taking, biometric monitoring and
evaluation skills.
Receive patients with
undifferentiated and undiagnosed health care problems and initiate and conduct
clinical investigations as appropriate.
Analyse signs and symptoms,
laboratory tests and other measures of function, in formulating a diagnosis.
Perform a medication review
and prescribe and change medications as required in accordance with national
and local guidance, including de-prescribing.
Prescribe following a full
holistic assessment and diagnosis for an acute condition.
Exercise independent and
delegated prescribing rights in accordance with Trust and local criteria, and
within the clinical situation.
Understand the combined
impact of all patients' conditions on their health and care needs in order to
improve health outcomes and quality of life.
Provide individualised
treatment and management plans using evidence-based practice to care home staff.
Exercise a high degree of
clinical autonomy and professional judgement, treating patients independently
within the service.
Identify and plan
preventative measures and anticipatory care needs.
Identify at risk patients and
manage appropriately in accordance with national and local policy and
procedures.
Act as an advocate for the
patient at all times to ensure their individual needs, preferences and choices
are taken into consideration.
Professional
Utilising own professional
knowledge and skills, act as a resource for other members of the team.
Empower colleagues and
patients and demonstrate the ability to facilitate effective clinical practice
based on best evidence.
Possess a clear
understanding of legal and ethical issues, professional accountability, and
responsibility.
Work and maintain high
standards of professional care in accordance with current NMC Code of
Professional Conduct, Scope of Professional Practice and ethical
considerations.
Take personal responsibility
for keeping professionally updated and registered with the NMC.
Keep accurate,
contemporaneous documentation and care plans in accordance with NMC Information
Governance, local and national standards.
Collaborate with the clinical
Lead and promote the development and effectiveness of the service.
Maintain effective channels
of communication both within the service and across the wider health and social
care economy.
Promote and maintain the
quality and standards of the services in accordance with organisational and
Trust clinical governance requirements.
Facilitate a culture, which
promotes and maintains best practice utilising current and best evidence.
Participate in and initiate
clinical audit as required.
Participate in the
development, implementation and monitoring of policies, procedures, and
clinical guidelines as appropriate.
Delegate activity where
appropriate and encourage a culture where flexibility and adaptability are
positively encouraged.
Adopt and promote a positive
approach to change.
Actively participate in and
promote the development of professional nursing practice.
Participate and engage in
the identification of education and training needs of the team.
Demonstrate a positive
commitment to the training and education of pre/post registration students, and
colleagues.
Person Specification
Sponsorship
Essential
- Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)
Relationships
Essential
- If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship.
Skills & Knowledge
Essential
- Able to prioritise workload
- IT competent
- Motivation and team building
- Excellent communication skills
- Ability to manage and prioritise own workload
- Ability to prioritises balance of work to support flow of patients through the Trust
- Ability to performance advanced clinical procedures
- Advanced clinical assessment and diagnostic skills
- Telephone triage
- Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
- Evidence of effective leadership, practice development, expertise and innovation in clinical practice
- Advanced ability to disseminate sensitive information
- Ability to influence and work across professional boundaries
- Highly motivated and experienced practitioner
- Flexibility
- Ability to work as an independent practitioner
- Ability to manage complex and competing issues remaining calm under pressure
Employment Restrictions
Essential
- This is an internal only vacancy for staff employed at Bridgewater Community Healthcare NHS Foundation Trust and Warrington and Halton Teaching Hospitals NHS Foundation Trust, or, Please confirm that you are currently employed by one of these Trusts
Job Specific Requirements
Essential
- Demonstrate an ability to lead and motivate individuals and teams
- Ability to present all work in a clear and concise manner appropriate to the target audience
- Ability to manage conflict, effective negotiation skills
- Commitment to own professional development acknowledging own limitations
- Ability to work flexibly according to service needs
- Ability to travel independently throughout the Trust
Experience
Essential
- Clinical expert with significantly demonstrable frailty experience within elderly complex needs.
- Experience of clinical risk management and governance experience
- Audit and research experience
- Experience of leading a team/leadership
- Awareness of local and national targets and policies/guidelines
- Change management experience
- Experience and evidence of working collaboratively in a multidisciplinary environment.
- Experience of clinical practice benchmarking
Qualifications
Essential
- Registered Nurse with current NMC registration.
- Portfolio of evidence
- demonstrating up to date achievement of required competencies for advanced practitioner practice
- Non-medical prescribing qualification
- Evidence of on-going professional study and personal development
Desirable
- Leadership qualification
- Teaching / mentoring / assessing qualification
- Community experience
Person Specification
Sponsorship
Essential
- Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable)
Relationships
Essential
- If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship.
Skills & Knowledge
Essential
- Able to prioritise workload
- IT competent
- Motivation and team building
- Excellent communication skills
- Ability to manage and prioritise own workload
- Ability to prioritises balance of work to support flow of patients through the Trust
- Ability to performance advanced clinical procedures
- Advanced clinical assessment and diagnostic skills
- Telephone triage
- Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
- Evidence of effective leadership, practice development, expertise and innovation in clinical practice
- Advanced ability to disseminate sensitive information
- Ability to influence and work across professional boundaries
- Highly motivated and experienced practitioner
- Flexibility
- Ability to work as an independent practitioner
- Ability to manage complex and competing issues remaining calm under pressure
Employment Restrictions
Essential
- This is an internal only vacancy for staff employed at Bridgewater Community Healthcare NHS Foundation Trust and Warrington and Halton Teaching Hospitals NHS Foundation Trust, or, Please confirm that you are currently employed by one of these Trusts
Job Specific Requirements
Essential
- Demonstrate an ability to lead and motivate individuals and teams
- Ability to present all work in a clear and concise manner appropriate to the target audience
- Ability to manage conflict, effective negotiation skills
- Commitment to own professional development acknowledging own limitations
- Ability to work flexibly according to service needs
- Ability to travel independently throughout the Trust
Experience
Essential
- Clinical expert with significantly demonstrable frailty experience within elderly complex needs.
- Experience of clinical risk management and governance experience
- Audit and research experience
- Experience of leading a team/leadership
- Awareness of local and national targets and policies/guidelines
- Change management experience
- Experience and evidence of working collaboratively in a multidisciplinary environment.
- Experience of clinical practice benchmarking
Qualifications
Essential
- Registered Nurse with current NMC registration.
- Portfolio of evidence
- demonstrating up to date achievement of required competencies for advanced practitioner practice
- Non-medical prescribing qualification
- Evidence of on-going professional study and personal development
Desirable
- Leadership qualification
- Teaching / mentoring / assessing qualification
- Community experience
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).
