Working within the Urgent Community response team you will be part of developing and shaping the future of the service-based service in Warrington. The service provides urgent care to people in their homes which helps to avoid hospital admissions and enable people to live independently for longer. Through this Urgent Community Response team, older people and adults with complex health needs who urgently need support, can get fast access to a range of health and social care professionals within two hours. This includes access to physiotherapy and occupational therapy, medication prescribing and reviews, and support with nutrition and hydration. Working as part of the integrated multi-disciplinary team you will provide, advice and support in the management of patients.

Main duties of the job

Urgent Community response is a service delivered in collaboration with our local authority partner. Working in partnership with the Team manager and Urgent crisis response matron, the post holder will:

To act as a senior clinical professional within the Rapid Response service, as an integrated health and social care team providing an urgent rapid response to Warrington residents, experiencing a health crisis. The aim is to support people to remain at home rather than be admitted to hospital. Liaising with patients the team and colleagues across the wider health and social care environment including NWAS the postholder will promote, maintain and enhance effective multidisciplinary patient care.

To act as an independent autonomous practitioner to provide specialist treatment and advice to patients and staff which will contribute to the assessment, diagnosis, care and treatment of patients at home preventing unnecessary hospital admission. All referrals will triaged immediately and responded to within two hours, with referrals from NWAS prioritised.

Possess and demonstrate extended clinical skills in the assessment, diagnosis, treatment and management of a wide range of patient care needs. Professional autonomy and clinical judgement will be exercised in managing, referring and signposting patients on to wider community services and assets.

About us

We will consider flexible working for all roles.

Our organisation is driven by our strategic objectives and organisational values and we look for people who are strongly aligned with them.

Here at Bridgewater our shared values flow through the organisation.

P- Person-centred not only in respect to our patients but our leaders follow a person centred approach to staff members allowing empowerment and well-being throughout our service.

E- Encouraging innovation allows all our staff to be creative, you will be joining a team that can help you achieve your goals whilst providing high standards of individualised care

O- Open - We are part of an NHS organisation who wants to be open and honest with our patients and also our staff members.

P- Professionalism in nursing / Healthcare requires a Healthcare Worker to adopt a holistic and optimistic (yet still pragmatic) view on any situation, and always aim to help others above all else

L- Location - Our bases are in the heart of the community we serve allowing a greater understanding of the health inequalities our residents face

E- Efficient and tight knit our teams work well together we have a productive atmosphere which creates a positive working environment

Job description

Job responsibilities

Duties and Responsibilities

Clinical

- Participate in and undertake triage to ensure smooth progress of patients through the system.

- Comprehensively assess patients with complex physical, mental and social care needs using advanced clinical examination skills, detailed history taking and 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.

- Prescribe following a full holistic assessment and diagnosis for an acute condition.

- Exercise independent and delegated prescribing rights in accordance with current and legal and CCG criteria, and within the clinical situation.

- Have an understanding of the combined impact of all patients' conditions on their health and social care needs in order to improve health outcomes and quality of life.

- Develop short-term individualised treatment and management plans using evidence based practice and proactively monitor patients and review care plans for up to 72 hours.

- Use advanced skills and expert knowledge to identify subtle changes in condition during this period and take appropriate action.

- Exercise a high degree of clinical autonomy and professional judgement, treating patients independently within the service, taking an asset based approach in supporting and managing the handover of patient care to other community based services.

- 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 Team Manager and promote the development and effectiveness of the service utilising a multi-skilled team approach.

- 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.

Training & Education

- 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, Allied Health Professionals and colleagues.

- Identify and disseminate best practice through evidence, clinical guidelines, benchmarking.

- Maintain and develop own clinical and professional expertise by participation in clinical supervision and My Plan, in accordance with NMC and scope of professional practice.

- Provide supervision and mentoring opportunities for team members and students.

- Participate in formal and informal teaching sessions to promote clinical excellence within the team.

Research & Audit

- Promote a research culture within the service, and actively promote the use, publication and dissemination of research evidence.

- Initiate and actively participate in audit and evaluation of the service.

Communication

- Engage in collaborative working with colleagues in primary, secondary and social care.

- Maintain and promote effective communication and working relationships with colleagues across the local health and social care economy.

- Maintain effective systems of communication and referral both within the service and across primary and secondary care as well as the Third sector.

- Maintain confidentiality at all times in accordance with local and national requirements.

- Demonstrate professional skills in facilitating effective and clear communication in dealing with sensitive or volatile situations/issues i.e. child protection, alcohol/drug abuse, sexual orientation, racial and ethnic diversity, mental illness, domestic violence, physical deformity and others.

- Possess and demonstrate cultural competence by interacting effectively with people from different backgrounds.

- Utilise the Trust e-mail communication system.

- Utilise a variety of systems to communicate clinical information in accordance with the requirements of the Data Protection Act 2018/GDPR (telephone, letter and email).

- Provide high quality written reports an any other written documentation as necessary.

- Utilise personal skills to facilitate effective and clear communication with clients to ensure collaborative health care concordance with recommended advice and treatment.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation.

Person Specification

Skills and Attributes

Essential

• Advanced Clinical skills/specialist knowledge.
• Able to work as an autonomous practitioner
• Advanced clinical judgement
• Effective communication
• Risk management
• Ability to Self-manage
• Legal and ethical issues
• Cultural and diversity issues

Desirable

• Presentation skills
• Project work

Qualifications

Essential

• Registered nurse
• Current registration
• Mentorship Qualification
• First Level Degree
• Advanced Clinical Skills Module at Post Grad/Masters Level i.e. diagnostics or examination or working towards

Desirable

• Independent nurse prescribing qualification or willingness to work towards

Experience

Essential

• Relevant and current experience in Urgent care and/or primary care with extensive clinical skills and knowledge
• Experience of working in an emergency/first contact role and/or crisis management
• Evidence of continuing professional development
• Proficient IT Skills

Desirable

• A variety of settings i.e. hospital and community with extensive knowledge of chronic and long-term conditions
• Integrated team working across health and social care

Other

Essential

• Ability to Problem solving
• Effective time management and prioritisation
• Personal resilience
• Commitment
• Enthusiasm
• Assertiveness
• Ability to work under pressure
• Ability to multi-task
• Ability to travel independently across the borough
• The ability to work flexibly in accordance with service needs
• Ability to undertake physical care

Job Specific Requirements

Essential

• The ability to travel independently across the Trust
• The ability to work
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