An exciting opportunity has arisen to join a new, innovative and dynamic team within our expanding Urgent Community Response, Same Day Response and Virtual Wards Team. Working into this dynamic team in the community, we are looking for experienced and motivated Band 7 Advanced Nurse Practitioner who is passionate about service development and providing high standard of patient centred care. You will be working closely within a multidisciplinary team of staff including Doctors, Nurses, Occupational Therapists, and Physiotherapists, all of whom are committed to maintaining independence, promoting self-care and assisting patients in their usual place of residence. Oftentimes, this post therefore requires you to work autonomously, when working across the city into patients own homes.

• Interview Date Thursday, 17 October 2024
• 37 Hours 30 Minutes/Week
• You will be redirected to Trac to apply for the vacancy. Please expand the job details section and read all of the information before applying for the vacancy

Main duties of the job

The Team is comprised of three distinct teams urgent community response, same day response team and frailty virtual ward The aim of our team is to prevent avoidable hospital admissions for all house bound/Care Home residents in Newcastle and there is an expectation that the successful candidates would work across these teams.

The urgent community response element provides urgent care to people in their homes which helps to avoid hospital admissions and enable people to live independently for longer. Through this teams, older people and adults with complex health needs who urgently need care, 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. Same Day Response operates in a similar way, responding to additional district nursing calls that come in throughout the day, visiting a wide variety of patients citywide.

About us

Newcastle Hospitals NHS Foundation Trust is one of the busiest, largest and most successful teaching NHS foundation trusts in the country, with around 16,000 staff and an annual income of �1 billion.

We have a long history of providing high quality care, clinical excellence, and innovation in medical research regionally, nationally and internationally.

We're also proud to be the second largest provider of specialised services in the country. This means we support people with a range of rare and complex medical, surgical and neurological conditions, cancers and genetic orders.

Our staff oversee around 2 million patients 'contacts' each year, delivering high standards of healthcare.

Please see attached information on what Staff Benefits we have to offer at our Trust.

We are committed to promoting equality and diversity and recognise the benefit in providing an inclusive environment. We value and respect the diversity of our employees and aim to recruit a workforce which reflects the communities we serve, and is equipped to deliver the best service to our patients. We welcome all applications irrespective of people's race, disability, gender, sexual orientation, religion or belief, age, gender identity, marriage and civil partnership, pregnancy and maternity and in particular those from under- represented groups.

Job description

Job responsibilities

As an Advanced Nurse Practitioner, you will use your expert levels of clinical decision making through specialist assessment and interpretation of clinical information to support frail and elderly patients having an acute exacerbation of a frailty related condition or patients with an urgent care need. The role will therefore include proactively case managing patients requiring specialist frailty advice, addressing their unique unmet needs and improving their care coordination and well-being, as well as preventing an unplanned hospital admission with a short term intervention. In this role, you will be providing strong, professional leadership to enhance professional standards of care across the service, providing specialist advice and education on the specialty to support patients with complex health needs.

The successful candidate will be hardworking, reliable, able to use their initiative, and work flexibly to respond to the service needs, this includes working evenings, weekends and bank holidays. Leadership qualities are necessary to support both the service delivery, and staff support and work allocation.

The services which enable people to live independently for longer are operational 24 hours a day, 7 days a week, 365 days a year. As a member of our multi-disciplinary team, you will work to meet the needs of a complex community patients, delivering care supporting early discharge and avoiding admissions to the acute hospital sites.

The following experience is desirable, though support will be given as our commitment to upskilling your professional development:

• To provide an enhanced multidisciplinary specialist service, to manage patients with complex and acute needs in the community
• To efficiently meet the needs of patients and help maintain the patients in their preferred place of care
• To help prevent admissions to acute services
• To coordinate procedures for patients either in their own place of residence
• To provide ongoing multi-disciplinary input for patients being discharged from the IPU but still requiring a higher level of intervention
• The ability to take blood tests

The Newcastle Frailty Virtual Ward (FVW) plays a vital role in supporting patients with acute frailty syndromes at their usual place of residence, both supporting early discharge and preventing hospital admission. Patients will be referred to the FVW from Front of House (Emergency Department (ED), Assessment Suite (AS)), Back of House ward step-down, (initially from Older Peoples Medicine (OPM)) and Community step-up locations. Following initial assessment to confirm diagnoses, eligibility and both acute and long-term care needs, patients will be admitted to the FVW and a multidisciplinary management plan devised and communicated to patient and carers. While on the FVW, patients will have access to most of the medical treatments available in hospital, therefore in working in partnership with the patient to achieve optimum levels of self-care, you will ensure the patient has the appropriate follow up in place. Home visits will be conducted as indicated by patient status, with regular face to face visits likely to be established initially, but later reviews may be conducted by telephone or video.

The successful candidate will have awareness of current evidence based approaches to patient care in the community and be confident in evaluating care plans and assessing ongoing needs within own level of competency, documenting changes accordingly thus maintaining accurate nursing records in accordance with NMC and Trust Policy. The successful candidate will also have excellent communication skills both with patients and their relatives and/or carers including in advising service users on prevention of illness and accidents, but also with the wider MDT.

The successful candidate will ideally have experience in managing the acutely unwell patient and knowledge of the escalation process should a patient become too unwell to be managed safely in the community. Clinical skills such as history taking, auscultation and medication management is desirable.

Lone working is a significant part of the role and the candidate should be familiar with the Trust lone working policy. Lone working safety devices will be available to staff. The candidate will need to hold a valid drivers license and have a vehicle suitable to be able to perform home visits in.

The following dimensions are some of the requirements of in the Advanced Nurse Practitioner role, please see the job description for further essential criteria:

• Ensure professional practices in line with the requirements of the Nursing and Midwifery Council (NMC) and the Trust
• Ensure the provision of safe and effective patient care in the Community
• Support and contribute to the development of patient care and nursing practice, contributing to the development and expansion of the Urgent Community Response and Frailty Virtual Ward projects where required
• Ensure junior staff have appropriate supervision and support and are appropriately assessed

As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement. If it works for the service, we will do our best to make it work for you.

Please note it is a requirement of The Newcastle upon Tyne Hospitals NHS Foundation Trust that all successful candidates who require a DBS for the post they have been offered pay for their DBS certificate. The method of payment is a salary deduction from your first months pay.

Person Specification

Qualifications & Education

Essential

• Registered Nurse (appropriate to branch)
• Current NMC registration
• Degree/Masters level study, or equivalent specialist study / experience, for example
• Nurse Practitioner Qualification or equivalent
• Clinical Skills Course
• Meets Nursing and Midwifery Council requirements for mentorship if relevant to role
• The post holder must hold a full UK driving licence

Desirable

• Master's degree
• Management experience/qualification
• Non-Medical Prescribing if relevant to role

Knowledge & Experience

Essential

• Recent experience of extended clinical practice in a senior role underpinned by training and assessment e.g. venepuncture, cannulation skills and intravenous drug administration
• Audit / research experience
• Evidence of on-going continuous professional development
• Knowledge and understanding of relevant NHS policy or project specific policy context
• Has understanding / experience of adult / child safeguarding

Desirable

• Evidence of leading programme/programmes of education and/or training

Skills & Abilities

Essential

• Good IT skills
• Able to work independently and across disciplines as a member of a multi-disciplinary team
• Evidence of good communication and interpersonal skills including effective report writing
• Effective organisation and time management skills

Employer details

Employer name

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Address

Regent Point

317 Regent Point

NE3 3HD

Any attachments will be accessible after you click to apply.

317-2024-37-003