Virtual Care @ Home Nurse / AHP

Job description

Job responsibilities

Job Title: Virtual Care @ Home Nurse / AHP

Reporting To: Director of Nursing & Clinical Lead GP for Virtual Care

Hours: 30 per week working every Monday, Tuesday and alternate Thursdays and Fridays, with the additional availability of two hours working on a Saturday and/or Sunday.

This is a role that may be undertaken remotely on agreement.

Job Summary:

This is an exciting, innovative role for a Nurse or AHP to work within the VirtualCare@Home service across North & Mid Hampshire, and help to design future pathways within this service with our system partners at Hampshire Hospitals Foundation Trust. The VirtualCare@Home service has been running since 2nd November 2020 and we have already managed and supported over 5000 patients with COVID on our COVID Oximetry@Home pathway.

The VirtualCare@Home Service currently cares for high- risk patients who are positive for COVID-19 and suffering with Acute Respiratory Infections to support and monitor them at home and has developed a pathway to care for patients with COPD. Additionally, we are supporting small number of patients with exacerbations of Asthma.

This is a rapidly expanding area of clinical care and the service is developing quickly alongside our colleagues in Hampshire Hospitals Foundation Trust, Southern Health Foundation Trust and Primary Care across North and Mid Place, alongside colleagues in HIOW ICS. We work closely as one Integrated Team in our area, providing seamless care for our patient population and over the coming year we plan to integrate fully with our colleagues at Hampshire Hospitals Foundation Trust.

The post holder will oversee the VirtualCare@Home service, accepting new admissions, using digital technology including InHealthcare to ensure patients are contacted daily or at a clinically appropriate time. They will monitor the RAG-rated dashboard to identify any patient deterioration and act appropriately.

There will be clinical oversight for the role from the Director of Nursing, Lead Nurse and Clinical Lead GP for the VirtualCare@Home service across North and Mid Hampshire.

Job Responsibilities:

This role encompasses the skills of leadership and oversight of the VirtualCare@Home Service, using telephone triage to carry out assessment and monitoring within an agreed scope of practice. The role requires specialist knowledge across the range of work procedures and practices, underpinned by theoretical knowledge and relevant practical experience.

To work collaboratively with the Lead Nurse, Operations Manager other Nurses / Nurse Practitioners or ACPs. This may include covering each other, and in some cases working closely together and sharing a role.

To use advanced clinical skills to provide education to patients, promoting self-care, and empower them to make informed choices about their treatment. To participate in service development in conjunction with local colleagues and specialist practitioners as required

To prioritise health problems and intervene appropriately, including initiation of effective emergency care via the most appropriate services.

Promote health and well-being using health promotion, health education, screening and therapeutic communication skills.

To clearly communicate the health status of the patient using appropriate terminology and technology

To work collaboratively with the patients own GP & multidisciplinary team responsible for their care where required

To maintain accurate and contemporaneous records, utilising electronic systems and consider theCaldicottPrinciples in relation to all data handling.

To provide professional advice to multidisciplinary colleagues in relation to specialist area of practice.

To ensure adherence to the professional rules of conduct as laid down by the NMC (Nursing & Midwifery Council) or equivalent professional body.

The VirtualCare@Home Service will be run by North Hampshire Urgent Care working alongside a number of PCNs and working closely with Hampshire Hospitals Foundation Trust & Southern Health Foundation Trust. Governance Structures will be determined by North Hampshire Urgent Care. Within this structure, this role will be expected:

To understand and comply with patient confidentiality as per Caldicott Guardianship Guidelines

To undertake and comply with Data Protection Issues

To undertake and comply with mandatory training as required

To have a working knowledge of and comply with all practice policies, procedures, and guidelines

Administrative and professional responsibilities:

Day to day management of the VirtualCare@Home service including liaison with clinicians, advance planning and communication.

Participation in weekly MDT meeting / clinical huddle to discuss patients on the VirtualCare@Home service as required

Ensure accurate notes of all consultations and treatments are recorded in the patients notes on the clinical computer systems as appropriate.

Ensure accurate completion of all necessary documentation associated with patient health care including EMIS

Ensure collection and maintenance of statistical information required for regular and ad hoc reports.

Liaison:

Maintain effective liaison with other agencies and staff concerned with patient care and with all other disciplines with appropriate regard to confidentiality.

Confidentiality:

While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, staff and other healthcare workers. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers may only be divulged to authorised persons in accordance with policies and procedures relating to confidentiality and the protection of personal and sensitive data

Adhere to the NMC (or equivalent body) Code of Conduct

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Health & Safety Policy, to include:

Using personal security systems within the workplace

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Service procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Quality:

The post-holder will strive to maintain quality within the service, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the Implementation of Services:

The post-holder will:

• Apply policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Participate in audit where appropriate

The nature of our business and the changing needs of the National Health Service mean that you must be flexible in your approach to your work to provide service to our patients, and that the obligations upon you will inevitably vary and develop.

Person Specification

Qualifications

Essential

• Relevant clinical professional registration with NMC (Nursing & Midwifery Council) or equivalent professional body
• Proven, current ability as a clinical specialist in area of advanced practice post
• Degree or equivalent level of experience
• Proven clinical leadership skills

Desirable

• Leadership qualification
• Teaching qualification
• Advanced Practice Qualification or working towards this ( MSc Level)

Skills & Ability

Essential

• Advanced knowledge of specialist area
• Understanding of and desire to lead on quality issues
• To be able to monitor patient and carer satisfaction and evaluate outcomes.
• Understanding of effective clinical governance, audit, performance and quality indicators

Other

Essential

• Ability to establish and evaluate new services
• Ability to work with all professions to develop future services
• Excellent communication skills
• Demonstrate good diplomatic and negotiating skills
• To be flexible in terms of work pattern and geographical location to respond to the needs of the service at all times

Desirable

• Excellent Clinical Leadership Skills

Experience

Essential

• Evidence of experience of recent post - advanced practitioner in the field
• Evidence of using advanced practice knowledge skills
• Previous experience of audit and research and development
• Expert in managing workload and that of others in a fast paced and unpredictable environment
• Experience of staff supervision and mentorship including management of performance, conduct, sickness absence and training needs analysis

Desirable

• Experience of project management
• Ability to demonstrate service improvement skills and delivering on change management projects
• Ability to use IT packages to their full effect to analyse data and produce management reports
• To undertake Root Cause Analysis and investigations

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).

Employer details

Employer name

North Hampshire Urgent Care

Address

North Hampshire Urgent Care

19 Kingsmead

Farnborough

Hampshire

GU147SR

Employer's website

https://www.nhuc.co.uk/ (Opens in a new tab)