An exciting opportunity has arisen to join the team in our Unscheduled Community Care Hubs (UCCH), the locations of which are stated in the advert. The hubs operate seven days a week, 0800-2000 (this post will attract a 17% unsocial hours payment for those AfC annexe 5 contracts), for a passionate, appropriately qualified clinician to work in adynamic and fast-paced environment as part of a multi-disciplinary team ensuring an appropriate healthcare system response to East of England Ambulance Service NHS Trust (EEAST) low acuity 999 calls which EEAST pioneered and is leading the way on within the ambulance sector.
You will build on trusted partnerships and relationships with key internal and external stakeholders, working collaboratively as part of multi-disciplinary health professionals within the hub to effectively coordinate an appropriate healthcare response to the patient’s care needs identified by their 999 calls and by taking a system-based approach to the needs identified.
This will be achieved by the UCCH clinician identifying a suitable low-acuity call through discussion with the multi-disciplinary team in the hub that is in line with the standard operating procedure (SOP) and passing it over to a local system partner/healthcare provider to respond to. The 999 call will be passed to the partner using the Cleric portal, ensuring it meets the patient’s care requirements and they can accept or reject it. If it is rejected, it’ll be returned to the pending dispatch list, and if the healthcare provider attends and the incident requires an ambulance response, this will be arranged.
The UCCH clinician will need to have an combination of clinical expertise and effective decision-making skills to ensure the patient’s needs are met. Taking a collaborative system-based approach as part of a multi-disciplinary team to the patient’s care needs will ensure the delivery of the right care, right place, right time from the right service to our patients.
Additionally, you will have the opportunity to work closely with the Integrated Care Systems (ICS) to identify gaps in service and improve pathway access. By analysing data and collaborating with the ICS, you will contribute to enhancing healthcare services, ensuring patients have seamless access to the care they require.
We currently have the following locations available:
• Bedfordshire & Luton (Location TBC)
• Hertfordshire & West Essex Hub (Robertson House, Stevenage)
• Mid and South East Essex (Rochford Community Hospital)
• Cambridgeshire & Peterborough ICS (Location TBC)
The role follows the standard UCCH rota pattern across 7 days a week.
• To take clinical accountability for EEAST patient cases being sent to the UCCH, supporting the acceptance of cases or early rejection, pending local arrangements
• To work as an autonomous practitioner and provide high-quality complex clinical support and advice using knowledge, skills, critical thinking, and professional judgement to ensure patients are referred to correct services, alternative to ambulance dispatch
• To ensure any patients awaiting onward care are managed with regard to welfare to ensure an appropriate response or referral to an alternative care pathway, to urgently manage the patient needs
• Collaborate and engage with other external agencies to increase successful Hear and Treat outcomes, understand local pathways for patients, and inform the directory of services
• To liaise and communicate essential UCCH information back to the EEAST CAS (Clinical Assessment Service) Clinician managing the locality to ensure seamless service delivery and improvement in regional Hear and Treat performance
• To ensure the safety of vulnerable adults and/or children by ensuring these calls are referred to external agencies for further intervention, in conjunction with EEAST (East of England Ambulance Service NHS Trust) processes for managing high-intensity users, safeguarding, care home interventions, and end of life care
• To work towards service delivery targets, clinical indicators, and national and locally negotiated targets, being the Trust Lead in the UCCH to ensure evidence-based health care delivery to the local community
• Provide clinical assessment and support to patients during high 999 demand, in line with EEAST Clinical Safety Plan actions for escalation
• Utilise EOC (Emergency Operating Centre) software systems such as CAD (Computer Aided Dispatch), LowCode and MIDOS, and process information as required to ensure accurate information received from callers/patients with a predominantly C3-5 category into the computer systems, ensuring the veracity of data at the point of input. Ensure all consultation details are accurately recorded and cross-referenced information can be accessed
• To provide clinical and professional expertise as required to all colleagues. To be a central resource for clinical expertise and knowledge providing information on evidence-based health care to other EEAST professionals
• To be trained and perform clinical assessment using the Trust’s clinical decision support software system of choice and utilising the approved care pathways
• To work with other EEAST staff such as LOC (Locality Operational Cell) in the SCC (System Control Centre), and the HALO (Hospital Liaison Officer), and internally with the TOC (Tactical Operations Cell) to ensure risks and demand are predicted to ensure appropriate system-wide action is take
• Ensure that the Nursing Midwifery Council (NMC)/Health Care Professional Council (HCPC) registration is in place and maintained. Continued Professional Development will be maintained through an annual Personal Development Plan and professional codes of conduct/standards of practice at all times.
Excellent communication and listening skills are essential within this role. You will need to have good keyboard skills, be able to work autonomously or as a member of a team and effectively manage your time whilst under conflicting demands.
To take Clinical accountability for patients calling 999, working as an autonomous practitioner and provide high quality complex clinical triage using knowledge, skills, critical thinking and professional judgement supported by clinical assessment software.
To consult on caller symptoms to ensure the appropriate emergency response or referral to an alternative care pathway is made. To work with other external agencies to increase successful Heat & Treat outcomes.
This advert closes on Tuesday 27 Aug 2024