Job summary
This is an exciting time to join the team as we are recruiting to expand the service.
The Nottingham CityCare Urgent Treatment Centreis a Clinician-led service that provides assessment and treatment to peoplewith urgent but not life-threatening health problems.
This post will suit an enthusiastic, driven,motivated and flexible Registered Health Care Professional with demonstrableexperience from working as an independent prescriber (V300) in anunplanned/urgent care environment.
Applications are also encouraged from EmergencyCare/Nurse Practitioners with V300 prescribing who are keen to gain additionalexperience with patients presenting with illnesses whilst working in anenvironment that also cares for patients presenting with minor injuries.
The post holder will be required to engage in CPD including a mix ofself-directed learning and mentored practice supported by internally andexternally taught training appropriate to their role. There is a requirementfor flexible 365 day working with shift works covering 06:45am to 10pm daily. Full time and part time hours will be considered.
The Urgent Treatment Centre is a training environment where employedpractitioners will support the development of all disciplines of health careprofessionals including student nurses, pharmacists, GP SpR, medical studentsand paramedics.
The service is located at Seaton House which has recentlyundergone modernisation and has X ray facilities on site.
Recent applicants should not apply.
Main duties of the job
Informal visits to the Urgent Treatment Centre are most welcome.
As an autonomous practitioner/prescriber, youwill assess patients who present with urgent but not life-threatening illnessand injury, plan their care, administer treatment on site and dischargesupporting junior colleagues where required. Where on site treatment is notappropriate you will refer to other healthcare professionals / external agencies.You will be a line manager for a small clinical team.
Applications will be considered from thoselooking for a full or part time position.
About us
We are a provider of NHS Community Health Services, NottinghamCityCare Partnership CIC exists to support the health and wellbeing of alllocal people, working alongside other health and care partners to achieve this.We are a values driven, people business with a passion for excellence. Ourvision and social purpose is to build healthier communities and our values ofintegrity, expertise, unity and enterprise lie at the heart of everything wedo, guiding how we work together with partners and each other to consistentlydeliver high quality compassionate care. As a social enterprise we aim to addsocial value by investing in the future of our local communities and helping tomake a difference in peoples lives.
CityCare value the benefits of a diverse and inclusiveworkforce. Our primary objective during the recruitment process is to ensure werecruit the best candidate for the position and we strive to reflect thecommunity we serve. Therefore, we encourage applications from candidates whoidentify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME)background, as they are currently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positiveabout employing people with disabilities. If you require your application in adifferent format please contact Human Resources on 0115 8839418. CityCare iscommitted to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
The post holder will manage an Urgent Care Caseload in a clinician-led environment, dealing with a wide range of presenting undifferentiated conditions. The post holder will work alongside a multi-disciplinary team of clinicians with acute and primary care first contact experience, Nurses, Paramedics, Health Care Support Workers, Emergency Care Practitioners and Radiographers to make up the team of the day working collectively in the assessment of undifferentiated urgent care patient presentations.
The post holder will,
Provide clinical assessment and deliver treatments to service users who have undifferentiated health care requirements in order to support the services delivered by the primary care team and prevent unnecessary acute hospital attendances.
Utilise advanced clinical skills and competencies in health assessment, medicines management, leadership and case management.
Maximise patients health and reduce risks that contribute to ill health, thereby reducing unnecessary admissions to acute services.
Lead the development of a specific clinical area Paediatrics, Sexual health, Safeguarding and be an autonomous practitioner who is open to the flexibility required for the role.
Participate in training opportunities for self and others within the UTC.
Support and deliver training to UTC staff, staff within CityCare and the wider healthcare community.
Provide mentorship and support to UTC staff, staff within CityCare and the wider healthcare community.
Provider mentorship, support and training to students (including medical, nursing and allied health professionals) Will take operational charge of a shift on a planned rota basis in the absence of the UTC Coordinator.
To provide line management to Clinical practitioners and non-registered staff.
Dimensions
To work with the CityCare multidisciplinary team in provision of primary healthcare to residents and visitors to Nottinghamshire.
To represent Nottingham City Care Partnership locally, regionally and nationally if required to do so.
Key Responsibilities
Clinical Responsibilities
Comprehensively assess, review and evaluate the needs of service users with undifferentiated healthcare needs to improve their physical, psychological and mental health wellbeing to promote self-care and reduce the need for hospitalisation.
Accurately prioritise patients within the service, undertaking clinical assessment and providing the necessary treatment including the use of Non-Medical Prescribing and/or Patient Group Directions in line with local/national policies, procedures and guidelines as appropriate.
Carries out diagnostic tests only where clinically indicated in line with organisational, local and national guidelines and appropriate to the Urgent Treatment Centre setting.
Develop plan of care in conjunction with the service user through: application of clinical knowledge and, analysis of symptoms and data, identification of risk factors associated with those conditions, recognition of early signs of acute illness, involving the patients and the carers in the care plan and ensuring it is understood, documenting safety netting plans and processes.
To utilise effective communication to aid onward referrals to specialists as appropriate. Facilitating a coordinated primary healthcare response to service users needs.
To work in an autonomous manner without direct supervision whilst recognising limitation of the practitioner role.
To carry out enhanced clinical skills as required- this may include, suturing and fracture management.
To keep accurate and immediate records of all interventions fully utilising software systems in place
To encourage clients to carry out self-care as appropriate through effective communication of health care using written information as appropriate.
To advise client on the most appropriate use of Primary, Secondary and Emergency services.
To maintain patient confidentiality as per Urgent Treatment Centre and CityCares clinical guidelines.
Professional
To work within the relevant Professional Conduct of conduct.
To act in accordance with and promote the CityCare values at all times.
To act as an ambassador for the Urgent Treatment Centre at all times.
To be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service.
To promote and facilitate evidence-based practice
To be committed to providing a high level of customer service and patient experience.
Maintain professional awareness and attend appropriate training as necessary.
To participate in the appraisal process and development of own Personal Development Plan to include clinical supervision (and revalidation where appropriate).
To develop a culture within the Urgent Treatment Centre team of continuing professional development, supporting staff in meeting the requirements for Post registration Education and Training.
To provide clinical support and mentorship to others to meet the requirements of their own personal/professional development plans. This may include, where appropriate, mentoring clinicians through work-based learning programmes.
To support/facilitate the provision of Clinical Supervision in accordance with organisational policy.
To liaise with other Agencies as appropriate to ensure comprehensive and collaborative care for service users.
Continuous Personal Development
To maintain current professional registration and to ensure that all personal responsibilities in relation to this and to the revalidation process are met, including maintenance of a professional portfolio, evidence of practice hours, professional development planning and reflective writing.
To meet the organisational requirements for mandatory training appropriate to the role.
To recognise own professional limitations, practice accordingly, seeking advice and support as appropriate.
To take an active role in the organisational appraisal process and develop an appropriate and relevant personal development plan and work based objectives.
To have awareness of the relevant organisational and professional Safeguarding policies and guidance and to act in accordance with their direction, attending update training as required.
Management
To participate and assist in evaluation, audit and research as required.
To participate in the investigation of any complaints, incidents and accidents.
To participate in the training and induction of new members of staff to the Urgent Treatment Centre team.
To participate in the mentorship, support and training of individuals on recognised training programmes such as Student Nurses, Practice Nurses and other pre and post registration students (this may include those on work experience).
Person Specification
Experience
Essential
1. Advanced practitioner with experience of first contact nursing, with patients presenting with undifferentiated illness and injury some of which should be in Primary care or Emergency Care.
2. Knowledge and experience of multi-agency working.
3. Understanding of legislation relating to nursing practice, and relevant Standards and Codes.
Desirable
4. Experience of policy development and implementation.
5. Management experience and skills.
Special Requirements
Essential
6. Ability to be flexible over hours worked within contracted hours to meet the needs of the service.
7. Ability to travel between CityCare locations and bases.
8. Proof of vaccination & immunisation status in accordance to Department of Health guidelines.
Qualifications
Essential
9. Registered healthcare professional, Nurse, part 1 of current NMC register, Paramedic, ECP, Clinical Pharmacist, Physiotherapist.
10. Minimum first level degree.
11. Qualified Non-Medical Prescriber (V300).
12. Recognised teaching/mentorship qualification or willingness to work towards.
Desirable
13. Chronic Disease Management Qualifications.
14. Management qualification or demonstrable relevant experience.
15. Experience/Qualification as Emergency Care/Nurse Practitioner.
Skills and Attributes
Essential
16. Up to date knowledge of contemporary clinical issues in primary and urgent care.
17. Understanding of the principles and practice of clinical governance
18. Familiarity with accredited clinical systems for recording patient data SystmOne.
19. IT skills, including use of MS Word and Excel.
20. Able to use internet as an information resource, including searching databases.
Desirable
21. Suturing.
22. Fracture management skills.
23. Requesting plain film X-Rays.
24. ECG recording.
25. Advanced physical examination skills.