Job summary
The
ICT completes holistic assessment and coordinates care input for patients with
multiple health and social care needs and complex circumstances, who may be at
increased risk of unplanned admission to hospital.
The
integrated approach ensures patients who require a bespoke level of care and
support in the community are looked after by the right team and will only need
to tell their story once. Patients under the care of the ICT have the peace of
mind that the teams supporting them do so with a joined-up and patient centred
approach.
The
ICT Nurse will assess patients in the community setting and work among wider
multidisciplinary team colleagues to form proactive and innovative care plans
to support identified needs. In addition, the Nurse will participate in a rota
of clinical triage in our Community Services Referral Hub, providing variety and balance to the working
week.
Main duties of the job
Undertaking of the triaging of referrals into
the Integrated Care Team via the
Community Single Point of Access.
The post holder will undertake Integrated Care
Team assessments within the community setting focusing specifically on those
patients proactively identified as requiring Proactive Care/Frailty.
The post holder will demonstrate the ability
to complete a comprehensive assessment and understand frailty as a recognised
syndrome.
The postholder will partake in both the
Integrated Care Team Meetings and Proactive Care Meeting and demonstrate an
ability to communicate effectively with wider members of the Multidisciplinary
Team and service users.
The post holder will hold responsibility for
the day-to-day management of the ICT caseload alongside other members of the
Integrated Care Team.
Liaise with relatives, carers, and health care
professionals to prevent and minimise the risk of acute hospital admission
where appropriate, working in partnership with secondary care discharge
co-ordinating services.
Ensure all professional/clinical practices are
in line with Salus policies
Ensure appropriate and accurate records are
maintained
Be accountable for own professional actions
according to NMC Code of Professional Code
Maintain
your Continuous Professional Development according to NMC Code of Professional
Code and Revalidation requirements
About us
Salus
is a GP Federation which was formed by the local GP practices within North East
Hampshire and Farnham. This Includes
practices located in Aldershot, Farnborough, Fleet, Farnham & Yateley. We hold several contracts supporting primary
care to deliver services on behalf of those practices, helping them work better
together and with other healthcare providers leading to improved patient
services and developing new ones due to constant changes in the Primary Care
environment.
Salus
also assist practices with admin, operational and HR support and facilitates
shared learning across localities. By
engaging with the public, we also help ensure that services are designed and
developed with patient and public involvement.
The
staff at Salus Medical Services have a wealth of experience working in general
practice and therefore a good understanding of the opportunities and challenges
faced.
Job description
Job responsibilities
The following are the core
responsibilities of the ICT
Nurse. There may be, on occasion, a requirement to carry out other
tasks; this will be dependent upon factors such as workload and staffing levels.
This role will be split across two divisions
of our service:
Undertaking of the triaging of referrals into
the Integrated
Care Team via the
Community Single Point of Access.
The post holder will work as part of the
Integrated Care Team which will involve separate aspects as below
The post holder will undertake Integrated Care
Team assessments within the community setting focusing specifically on those
patients proactively identified as requiring Proactive Care/Frailty.
The post holder will demonstrate the ability
to complete a comprehensive assessment and understand frailty as a recognised
syndrome.
The postholder will partake in both the
Integrated Care Team Meetings and Proactive Care Meeting and demonstrate an
ability to communicate effectively with wider members of the Multidisciplinary
Team and service users.
The
post holder will be responsible for completing onward referrals within both
health and social care settings and liaising as required with services.
The post holder will hold responsibility for
the day-to-day management of the ICT caseload alongside other members of the
Integrated Care Team.
Liaise with relatives, carers, and health care
professionals to prevent and minimise the risk of acute hospital admission
where appropriate, working in partnership with secondary care discharge
coordinating services.
Must be autonomous in practice
Ensure resources are utilised in a
cost-effective manner
Ensure all professional/clinical practices are
in line with Salus policies
Ensure appropriate and accurate records are
maintained
Be accountable for own professional actions
according to NMC Code of Professional Code
Maintain your Continuous Professional
Development according to NMC Code of Professional Code and Revalidation
requirements
Job description
Job responsibilities
The following are the core
responsibilities of the ICT
Nurse. There may be, on occasion, a requirement to carry out other
tasks; this will be dependent upon factors such as workload and staffing levels.
This role will be split across two divisions
of our service:
Undertaking of the triaging of referrals into
the Integrated
Care Team via the
Community Single Point of Access.
The post holder will work as part of the
Integrated Care Team which will involve separate aspects as below
The post holder will undertake Integrated Care
Team assessments within the community setting focusing specifically on those
patients proactively identified as requiring Proactive Care/Frailty.
The post holder will demonstrate the ability
to complete a comprehensive assessment and understand frailty as a recognised
syndrome.
The postholder will partake in both the
Integrated Care Team Meetings and Proactive Care Meeting and demonstrate an
ability to communicate effectively with wider members of the Multidisciplinary
Team and service users.
The
post holder will be responsible for completing onward referrals within both
health and social care settings and liaising as required with services.
The post holder will hold responsibility for
the day-to-day management of the ICT caseload alongside other members of the
Integrated Care Team.
Liaise with relatives, carers, and health care
professionals to prevent and minimise the risk of acute hospital admission
where appropriate, working in partnership with secondary care discharge
coordinating services.
Must be autonomous in practice
Ensure resources are utilised in a
cost-effective manner
Ensure all professional/clinical practices are
in line with Salus policies
Ensure appropriate and accurate records are
maintained
Be accountable for own professional actions
according to NMC Code of Professional Code
Maintain your Continuous Professional
Development according to NMC Code of Professional Code and Revalidation
requirements
Person Specification
Qualifications
Essential
- Qualified Nurse with wider experience to include a Community or Secondary Care role
Desirable
- Experience of community care coordination within a Primary Care Setting, is preferable, but not essential.
Experience
Essential
- Experience of working within a nursing team
- Experience of dealing with vulnerable patients
Desirable
- Experience of working in primary care
- Experience of working in a GP practice
Person Specification
Qualifications
Essential
- Qualified Nurse with wider experience to include a Community or Secondary Care role
Desirable
- Experience of community care coordination within a Primary Care Setting, is preferable, but not essential.
Experience
Essential
- Experience of working within a nursing team
- Experience of dealing with vulnerable patients
Desirable
- Experience of working in primary care
- Experience of working in a GP practice
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).
