We have 2x posts available for the role 1x 30 hours per week 1x 32 hours per week
The Home First Team is an integrated multi-disciplinary team that provides short term, rehabilitation and health interventions to enable people to maximise their independence and meet their health and social care needs within South-east Staffordshire.
The service is responsive to individuals requiring health and social care assessments in the patient's own home following the national discharge to assess model of care. The team implements plans of care and interventions to maximise an individual's health and wellbeing.
We are looking for individuals who are passionate about achieving the best patient outcome to meet the patient's plans of care in their own homes. You will be responsible for a defined population of people within the local health economy across South-east Staffordshire
Due to the nature of the service it is essential that applicants have the ability to travel independently across a wide geographical area in South - east StaffordshireMain duties of the job
The post holder will be a Registered Nurse (RN12-NMC) responsible for patients allocated to them and will assess, manage, plan and deliver care, including being professionally and legally accountable. The post holder will support their peers and team leader and be an effective team member whilst working on their own initiative. They will supervise pre-registration students.
The Home First Team prides themselves on the delivery of quality care to community patients, many with complex needs. All staff promote the philosophy of self-care and the promotion of independence whilst offering the facilities of rehabilitation and assessment. The ethos of the team is to support people to remain in their own home and to avoid unnecessary hospital admissions. The team also work to facilitate safe hospital discharges for patients leaving acute care and to offer them nursing support in their own home environment.
The service operates as a multi-disciplinary team including Occupational Therapists, Physiotherapists and Rehabilitation Support Staff promoting independence workers and with close links to social care.
The South-east Home First Team covers the whole of the South-east Staffordshire area and provides clinical support for patients in the community to either avoid potential hospital admissions or to support people to return home through the discharge to assess pathway following a period of acute care in hospital.About us
Midlands Partnership NHS Foundation Trust is an award-winning organisation with over 9000 employees. We are one of the largest integrated Health and Social Care providers, covering services across North & South Staffordshire, Shropshire, Hampshire, Buckinghamshire, Isle of Wight and Essex.
We pride ourselves on the services provided to support with the well-being of all of our employees both physically and mentally and offer counselling support and lifestyle information. Opportunities for flexible working are also available depending on the role.
We encourage career development provided by in house training programs and coaching support.
Demonstrating our strong commitment to equality, diversity and inclusion, and in context of our objective aligned to the growth of diversity across the workforce we are particularly seeking applications from individuals who may be from under-represented groups, such as black, Asian or other ethnic groups, individuals with a disability, or LGBTQ+ individuals who meet the specific criteria.
We are embedding values based and inclusive recruitment practices to ensure that all applicants, from any backgrounds, have an equal chance of success in achieving a role with us.Job descriptionJob responsibilities
- To act as a role model and motivate team members in working towards innovative and high standard of practice.
- To participate in the development of an effective team and the development of productive working relationships throughout the Trust.
- To actively promote integrated health professional working internally and externally.
- To facilitate the development of a positive and supportive team culture by taking responsibility for dealing effectively with potential conflict.
- To take an active interest in working parties and groups within the Trust to develop and improve on service delivery, protocols and guidelines.
- Triage referrals for the discharge to assess pathway in line with the referral criteria.
- Holistic complex assessment, planning, implementation and evaluation of care. For example, Chronic Disease Management, Tissue Viability, Palliative Care.
- Providing public health, health promotional programmes to improve health and reduce inequalities.
- Further professional knowledge will have been gained through accredited courses workshops, study and in house training programmes.
- To be responsible, and accountable, for service delivery to clients/patients.
- To be able to assess, plan and implement rehabilitation plan of care in conjunction with, patients/carers and other agencies to meet the complex needs of patients with a variety of conditions. This includes chronic, acute and palliative care within own competencies, recognising own limitations and seeking advice when necessary. This will include continuously evaluating and acting on outcomes. Undertake regular monitoring and evaluation of outcomes.
- To be able to initiate referrals to other health professional specialist services and agencies. To establish and monitor good working relationships with other health and social care professionals, statutory and voluntary organisations.
- To provide patients and relatives with information and education thus ensuring they have meaningful choices that promote dignity, independence and quality of life
- Maintaining contemporaneous written and computerised records.
- To co-ordinate patients rehabilitation programmes.
- Provide advice, support and guidance to colleagues and other professionals on issues relating to the discharge to assess pathway.
- Liaise closely with all professionals to ensure safe and timely discharges from Home First Services.
- Maintain accurate and up to date patient documentation in line with NMC guidelines on records and record keeping ensuring that quality information is available.
- Advise Clinical Lead/ Team Leader of any issues that may affect the patient or the service.
- Delegate and supervise the activities of support workers to utilise the resources creatively and effectively.
- To provide mentorship and plan learning programmes as appropriate to the needs of students and others.
- Participate in the planned induction, training and support of other members of the multi-disciplinary team
- To teach and supervise junior staff members in performing clinical and technical procedures.
- Assist in the collection of the statistical data and provide accurate information to senior Trust managers and colleagues.
- Work collaboratively with all agencies to minimise delays and resolve difficulties in the service provision
- Attend Locality Lead meetings and professional meetings, feedback to your team and the organisation via the two way process in order to enhance communication.
- To manage clinical risk effectively and ensure that local health and safety policies are met, including the safe storage of supplies and equipment within the department and in patients homes.
- To identify and report clinical incidents and accidents, including near misses, following Organisation policies and procedures, taking any remedial action to prevent reoccurrence.
- To oversee the ordering and issuing of supplies and equipment, in line with eligibility criteria whilst being mindful of resource constraints.
- Participate in audit activities as requested
- Assist the Clinical Lead with any internal investigations in line with the Trust policy
- Support the team to demonstrate compliance to the national discharge to assess pathway in order to meet the national targets and timescales.
- Contribute to the development of quality standards and assist in the implementation of patients/carer satisfaction questionnaires, working within clinical governance frameworks.
- Assist in the recruitment and retention of staff.
- To ensure that confidentiality is maintained at all times in conjunction with the Trust policy.
- To assume responsibility and maintain own level of professional development and clinical competence and exercise awareness of professional responsibility by reading current relevant literature and by taking opportunities for personal and professional development in accordance with Continuing Professional development guidelines and changing requirements of the service.
- To use evidence based practice to develop and maintain high quality clinically effective and cost effective community nursing service.
- To exercise duties and responsibilities associated with the continuous improvement in quality and standards (the clinical governance agenda).
- To participate in clinical supervision and facilitate the same for other members of the North
- RGN Qualification
- Degree or Working Towards
- Experience of Working within a multi-disciplinary environment
- Clinical Experience in either an acute or community Setting
- Understanding of the aims and objectives of the national discharge to assess pathway and national reporting/timescales
- Working knowledge of professional practice across the LHE
- Clinical Skills
- Certificate in management studies
- Nurse prescribing
Employer detailsEmployer name
- Working knowledge of policies and procedures relating to health and safety and risk assessments
Midlands Partnership NHS Foundation TrustAddress
Second Avenue, Centrum One Hundred
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