Barnet Unplanned Care integrated service works primarily as an admission avoidance service reducing the number of patients sent to hospital emergency departments. We receive referrals from GP, LAS, 111, Residential and Nursing Homes to prevent admission of patients and support immediate discharge home from the emergency departments.

To provide highly specialised clinical expertise for the Hospital at Home service within Barnet. The Consultant Practitioner (AHP/ Nurse) will be the clinical accountable lead for this new service and will drive the successful management of the service to provide care for acutely unwell patients within the community.

Main duties of the job

The Unplanned Care service also supports the early discharge home of patients from our acute partners from 1-14 days. Initially the service is for patients requiring IV antibiotics, however we will be stepping up to see patients who require monitoring of observation, COPD monitoring, heart failure, and blood taking in phase 2 commencing 2024. The Hospital at Home service operates in conjunction with BGH and RFH. The service will also be stepping patients up from the community via 111/ Silver triage/ LAS and step-up patients from the RR and D2A pathways.

We are a multi-disciplinary team consisting of Nurse Practitioners, Senior Community Nurses, Occupational Therapists, Physiotherapist, Rehabilitation Support Workers, and Technical Instructors with administrator support. This is an expanding admissions avoidance service working with both the primary care and the acute sectors to support and deliver treatment to patients in their own home.

The post holder will use advance assessment and diagnostic skills to assess and treat patients. The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate.

About us

Just as we care about our patients' wellbeing, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role
• Car lease scheme *T& C's apply
• Flexible working options
• Annual travel card loan
• Training, support and development in your career

To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits

Job description

Job responsibilities

• Be clinically and operationally responsible for the team act as a role model.
• Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients on the Hospital at Home pathway.
• Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population.
• Be involved in establishing delivering and leading a comprehensive service within community services.
• You will play a leadership role within the team and work with external stakeholders such as London Ambulance Service, Local Authority and Social Services to develop new ways of working and through networking increase the number of referrals from the acute and community.
• Lead on service development.

Please refer to Job description and personal Specification for outline of skills, knowledge and experience required.

Person Specification

Qualifications

Essential

• Registered Nurse with current UK NMC registration / Current AHP with UK HCPC registration
• Qualification in community or emergency Care
• Independent prescriber NMP
• Evidence of a significant CPD portfolio, related to Frailty
• Leadership training suited to clinical leaders.

Desirable

• Evidence of continuing professional education and training at master's Level
• Further desirable qualifications in Primary Care/ Accident & Emergency
• Qualification in teaching or practice-based learning
• Independent Nurse Prescriber
• Management or leadership qualification

Experience

Essential

• A minimum of 3 years working at band 8a level or equivalent within frailty
• Advanced clinical knowledge related to frailty.
• Highly effective Multidisciplinary working
• Evidence of service development with key stakeholders
• Evidence of implementing innovative practice
• Evidence of leading successful change management
• Participation in research studies
• Mentor/ Educator Significant experience of teaching and assessing clinical practice
• Track record of excellence in care
• Substantial line management experience, including providing clinical supervision and appraisals.
• Financial management of a service budget

Desirable

• Experience of working with national professional bodies within specialty area to implement change.
• Experience in recruitment, retention, and staff performance
• Publication of research

Skills and Knowledge

Essential

• Advanced clinical skills and competency in clinical speciality in both acute and community settings
• Advanced decision making and critical analysis skills
• Demonstrate the ability to work in a highly demanding environment
• Forward thinking, dynamic, self-directed leadership qualities, with the ability to lead and develop teams and be an effective motivator
• Highly effective communicator and confident presenter
• Ability to organise and prioritise workload of self and others and able to delegate work effectively and safely
• Self-motivated and resilient
• The ability to demonstrate the compassionate values and behaviours needed for dignified care.
• Well-developed IT skills with the ability to produce reports and presentations using Word, Excel, PowerPoint etc.
• Able to deal with conflict and manage appropriately.
• Ability to assess a situation and act appropriately
• Advanced communication and report writing skills, in both verbal and written format
• Able to identify own and other's learning and development needs and actively seek ways to meeting those needs
• Knowledge of the national priorities relating to provision of adult nursing services including current health care policy and legislation and relevance to the delivery of healthcare services
• Knowledge of current health care policy and the relevance to the delivery of healthcare AF, IV, P
• Knowledge of recent developments in Primary Care
• Knowledge of adult protection and safeguarding children's issues
• Knowledge of NMC Code of Professional Conduct.
• Knowledge of Personal Development Planning.
• Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services
• Knowledge of the audit process and able to implement in practice.
• Knowledge of evidence-based practice and able to implement in practice.
• Knowledge of outcome measures and evidence-based practice associated with community nursing
• Knowledge and understanding of clinical governance and its application to clinical practice, plus knowledge and application of clinical supervision
• Knowledge of how to implement equal opportunities in practice.
• Able to work autonomously, planning and prioritising own workload and that of others.
• Ability to prioritise and manage workload to meet competing demands and priorities

Desirable

• Competent in core nursing skills, for example medication administration including intravenous medications, wound care, and catheter management.

Other

Essential

• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

Employer details

Employer name

Central London Community Health Trust

Address

Edgware Community Hospital

London

HA8 0AD

Any attachments will be accessible after you click to apply.

824-NORTH-8355-A