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High Impact User Coordinator (Nursing/AHP)

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Weston Super Mare
£43,742 to £50,056 a year pa pro rata
Closing date
28 Jul 2024

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Other Health Profession
Band 7
Full Time
We are excited to offer this new opportunity for an experienced nurse or AHP to join the team in Weston. This post is a key role within the wider multidisciplinary team, comprising of ED Consultant, Senior Nurse, and colleagues from specialist areas including the Homeless support team, Drug and alcohol services, Safeguarding, and Liaison Psychiatry. High Impact Users can be frequent attenders to the Emergency Department, those whose presentations are difficult to manage or those with complex medical, psychological or social needs. The post holder will be based within the Emergency Department.

The post was created to provide co-ordination and management of High Impact Users to the Adult Emergency Department, ensuring that this group of patients are identified, safely and effectively managed, and given the best and most appropriate care.

The post holder will use their expert knowledge, skills and initiative to ensure that existing systems and protocols are used for the early identification and coordination of care for High Impact users, and that these systems are maintained and updated as required.

They will participate in meeting the health and clinical advocacy needs of this group of patients , using their high quality Nursing knowledge and experience, ensuring that patients receive the best possible ongoing care, and that ED staff are supported in meeting sometimes complex care needs.

Main duties of the job

  • Provide clinical advice based on expert knowledge and skills and support locally in the ED for nursing and medical staff in the management of High Impact users.
  • Coordinate the gathering of information from multi-disciplinary team members to assist in and writing Patient support plans- pulling on specialist advice from the required health professionals.
  • Liaise with external agencies and Trusts in gathering information about High impact users to coordinate accurate Patient support plans
  • Arrange follow up multi-disciplinary team meetings to discuss individuals, this will include meetings across other Trusts to discuss high impact users and share and develop information and patient support plans.
  • Monitor previous High impact users' attendances to monitor increases in activity, to review the impact the support plans and work has made on individuals attendance. Review any changes to the service and its impact.
  • Participate with the review within division of Weston to evaluate the role with regard to cost-effectiveness of role in reducing readmission rates and in-patient length of stay.
  • Write up annual report- include numbers seen, reductions in attendances

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

For a more detailed job description, main responsibilities, and person specification, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications and Training


  • Registered 1st level Nurse (RGN) /registered Mental Health Nurse or registered AHP
  • Current NMC registration or AHP equivilent


  • Qualification in teaching and assessing
  • Post registration study in Health Promotion or related subject
  • 1st Degree In nursing or health related subject, willing to undertake/ working towards

Skills and abilities


  • Organisation and management skills
  • Excellent interpersonal and communication skills
  • Act as a role model and as a mentor/assessor
  • Able to work in partnership with and negotiate with a wide variety of partnership agencies, and other NHS providers
  • Ability to manage conflict and cope with emotional issues presented in the course of work, and to support others
  • Able to work effectively and constructively within a multi-disciplinary team
  • Flexibility, adaptability to meet needs of a changing service
  • IT skills including use of email and Microsoft Office packages
  • Able to construct and deliver teaching sessions
  • Ability to work effectively under pressure
  • Ability to problem solve
  • Ability to work unsupervised and use own initiative
  • Knowledge of national and local specialty specific issues
  • Innovative and participates with practice and policy change
  • Awareness of current national changes in nursing/ NHS


  • Able to design and run audits

Knowledge and Experience


  • Experience working directly with patients presenting to emergency care with physical and/ or mental health needs
  • Experience of independent / autonomous practice
  • Experience of undertaking holistic health assessments and assessing complex mental health needs and social care needs as well as physical care health needs
  • Experience of dealing with very complex issues


  • Proven team management experience
  • Case Management Experience
  • Experience of working in partnership with voluntary / statutory agencies
  • Experience of managing, supervising and monitoring Junior Members of staff and students 1:1
  • Project management experience
  • Experience of undertaking research or audit projects

Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)


Weston General Hospital

Grange Road

Weston Super Mare

BS20 4TQ

Any attachments will be accessible after you click to apply.


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