Job summary
Kernow Health CIC is looking to develop and expand its clinical team within Cornwall. We have multiple exciting opportunities within our areas of work which will see the successful candidate working as part of a multi-disciplinary team within the Integrated Urgent Care Service, delivering high quality advice and care to patients. At present, we are looking for candidates who are able to work clinically on telephone triage and within treatment centres (clinics) as autonomous practitioners with a very advanced scope of practice to include assessment and management of patients presenting from birth to the later stages of life.
Main duties of the job
This role will see the post holder, as a developing practitioner, working as a frontline clinician within the Integrated Urgent Care Service alongside other colleagues to provide excellent patient care.
Within professional boundaries, the post holder will undertake advanced history taking, assessment, diagnosis, management and referral (where appropriate) via telephone triage and video consultation. The colleague will also develop towards assessment and management of patients through face-to-face consultations in home visits and treatment centres.
The scope of this role involves the assessment and management of acute, undiagnosed/ undifferentiated illness alongside management of long-term conditions whether in a chronic or acute on chronic manifestation.
About us
Why work with us?
Kernow Health CIC is owned and managed by the general practices of Cornwall and is therefore uniquely positioned to deliver a coherent Integrated Urgent Care Service in and out of hours. Our organisation has built a reputation over the last six years of delivering one of the best Integrated Urgent Care Services in the country and as a valued system partner we are committed to driving innovation, best practice, staff welfare and excellent patient care.
There are many benefits to working for Kernow Health, including:
- Being part of a friendly, agile and innovative team, providing a great support network.
- Competitive pay rates with access to a company pension scheme, sickness, maternity and paternity pay.
- Whilst we are currently recruiting to fill evening shifts, night shifts and weekend shifts, we also offer flexible shift availability with weekday, weekend, evening and night shifts month to month depending on shift cover, annual leave etc.
- 6.6 weeks holiday entitlement inclusive of bank holidays (pro-rata if working part-time) with the ability to buy and sell annual leave.
- Access to employee assistance schemes.
- Access to training, continued professional development, study leave and funding to complete courses and modules.
- A great opportunity to start or enhance a portfolio career!
- An amazing part of the country to work!
Apply today to be part of our fantastic, dedicated team.
Job description
Job responsibilities
General:
- Act as an urgent care practitioner, demonstrating enhanced clinical competence and a knowledge base beyond those associated with conventional paramedic and nursing roles.
- Clinically examine, assess, diagnose, plan, implement and evaluate efficacy of treatment/interventions for patients presenting within a pre-defined range of clinical conditions in the urgent care setting.
- Assess clinical conditions and supply medicines using a suite of patient group directions and other agreed guidelines to initiate or support the management of patients in the urgent care setting.
- Rapidly recognise deteriorating patients who require emergency intervention and arrange appropriate treatment accordingly.
- Assist in the development of an integrated approach to the delivery of urgent care involving all relevant stakeholders including health and social care organisations.
- Deliver evidence based, contemporary clinical practice by utilising applied knowledge of clinical audit, critical appraisal of research, research methodology, ethical review and research governance.
- Undertake assessment of patients within the community, using appropriate diagnostic skills and initiation of investigations where appropriate.
- Supply and administer medicines in accordance with national and local guidelines, or relevant guidance issued by the organisation.
- Communicate effectively with patients, carers and families
- Communicate effectively and work collaboratively with clinicians and operational staff to ensure delivery of a co-ordinated service.
- Any other reasonable duties as requested by a manager of NHS Cornwall 111 (Kernow Health CIC).
- Exhibit standards of personal and professional conduct and performance to maintain professional registration by the Health and Care Professions Council (HCPC) or the Nursing and Midwifery Council (NMC).
- Maintain accurate, contemporaneous patient healthcare records appropriate to the consultation.
- Adhere to organisational, national and regulatory codes of confidentiality in regard to all patient information.
Communication:
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
- Anticipate barriers to communication and take action to improve communication.
- Maintain effective communication within the organisation and with external stakeholders.
- Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Delivering a Quality Service:
- Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
- Ensure professional revalidation requirements are met.
- Deliver care according to NSF, NICE guidelines and evidence-based care.
- Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
- In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
- Support and participate in shared learning across the organisation and wider organisation.
- Understand and apply guidance that supports the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patient’ health procedures and local guidance.
- Conform to IP&C guidelines.
Leadership – Personal and People Development
- Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
- Support staff development in order to maximise potential.
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
- Critically evaluate and review innovations and developments that are relevant areas of work.
- Take a lead role in planning and implementing changes within the area of care and responsibility.
- Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
- Contribute to the development of local guidelines, protocols and standards.
- Maintain effective communication with those responsible for the overall commissioning and procurement process.
- To attend and be proactively involved in professional meetings at base and corporately.
- Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.
Management of Risk
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
- Apply infection-control measures within the organisation according to local and national guidelines.
Managing Information
- Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
- Review and process data in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Learning and Development
- Undertake mentorship where appropriate.
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
- Assess own learning needs and undertake learning as appropriate.
- Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
Please find the full job description attached for more details on the role.
Job description
Job responsibilities
General:
- Act as an urgent care practitioner, demonstrating enhanced clinical competence and a knowledge base beyond those associated with conventional paramedic and nursing roles.
- Clinically examine, assess, diagnose, plan, implement and evaluate efficacy of treatment/interventions for patients presenting within a pre-defined range of clinical conditions in the urgent care setting.
- Assess clinical conditions and supply medicines using a suite of patient group directions and other agreed guidelines to initiate or support the management of patients in the urgent care setting.
- Rapidly recognise deteriorating patients who require emergency intervention and arrange appropriate treatment accordingly.
- Assist in the development of an integrated approach to the delivery of urgent care involving all relevant stakeholders including health and social care organisations.
- Deliver evidence based, contemporary clinical practice by utilising applied knowledge of clinical audit, critical appraisal of research, research methodology, ethical review and research governance.
- Undertake assessment of patients within the community, using appropriate diagnostic skills and initiation of investigations where appropriate.
- Supply and administer medicines in accordance with national and local guidelines, or relevant guidance issued by the organisation.
- Communicate effectively with patients, carers and families
- Communicate effectively and work collaboratively with clinicians and operational staff to ensure delivery of a co-ordinated service.
- Any other reasonable duties as requested by a manager of NHS Cornwall 111 (Kernow Health CIC).
- Exhibit standards of personal and professional conduct and performance to maintain professional registration by the Health and Care Professions Council (HCPC) or the Nursing and Midwifery Council (NMC).
- Maintain accurate, contemporaneous patient healthcare records appropriate to the consultation.
- Adhere to organisational, national and regulatory codes of confidentiality in regard to all patient information.
Communication:
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
- Anticipate barriers to communication and take action to improve communication.
- Maintain effective communication within the organisation and with external stakeholders.
- Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Delivering a Quality Service:
- Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.
- Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
- Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
- Ensure professional revalidation requirements are met.
- Deliver care according to NSF, NICE guidelines and evidence-based care.
- Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
- Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
- In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
- Support and participate in shared learning across the organisation and wider organisation.
- Understand and apply guidance that supports the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patient’ health procedures and local guidance.
- Conform to IP&C guidelines.
Leadership – Personal and People Development
- Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
- Support staff development in order to maximise potential.
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
- Critically evaluate and review innovations and developments that are relevant areas of work.
- Take a lead role in planning and implementing changes within the area of care and responsibility.
- Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
- Contribute to the development of local guidelines, protocols and standards.
- Maintain effective communication with those responsible for the overall commissioning and procurement process.
- To attend and be proactively involved in professional meetings at base and corporately.
- Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.
Management of Risk
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
- Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
- Apply infection-control measures within the organisation according to local and national guidelines.
Managing Information
- Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
- Review and process data in order to ensure easy and accurate information retrieval for monitoring and audit processes.
Learning and Development
- Undertake mentorship where appropriate.
- Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
- Assess own learning needs and undertake learning as appropriate.
- Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
Please find the full job description attached for more details on the role.
Person Specification
Qualifications
Essential
- HCPC or NMC registration
- University qualification in autonomous practice/ clinical skills (e.g. BSc Hons Urgent or Emergency Care)
Desirable
- Dip UMC
- RCGP Specialist Practice Cert
Skills and Abilities
Essential
- Effective communication skills with a variety of media and all levels of staff with the company as well as external agencies.
- Ability to present information in different learning styles to different audiences in an engaging manner.
- Excellent and accurate record keeping.
- Negotiation and conflict management skills.
- Problem-solving skills
- Change management experience and evidence Effective time management strong organisational skills.
- Ability to maintain strict levels of confidentiality.
Additional Requirements
Essential
- Able to pass pre-employment checks
Experience
Essential
- 2 years post-registration experience
- Experience of specialist level practice working in urgent care setting (e.g. primary care, ambulance service, MIU, UCC, WIC, ED)
Desirable
- Experience in leading/managing a team of nurses, paramedics, etc.
- Experience of having worked in primary care.
Person Specification
Qualifications
Essential
- HCPC or NMC registration
- University qualification in autonomous practice/ clinical skills (e.g. BSc Hons Urgent or Emergency Care)
Desirable
- Dip UMC
- RCGP Specialist Practice Cert
Skills and Abilities
Essential
- Effective communication skills with a variety of media and all levels of staff with the company as well as external agencies.
- Ability to present information in different learning styles to different audiences in an engaging manner.
- Excellent and accurate record keeping.
- Negotiation and conflict management skills.
- Problem-solving skills
- Change management experience and evidence Effective time management strong organisational skills.
- Ability to maintain strict levels of confidentiality.
Additional Requirements
Essential
- Able to pass pre-employment checks
Experience
Essential
- 2 years post-registration experience
- Experience of specialist level practice working in urgent care setting (e.g. primary care, ambulance service, MIU, UCC, WIC, ED)
Desirable
- Experience in leading/managing a team of nurses, paramedics, etc.
- Experience of having worked in primary care.
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).