Main area: Adult Community Physical Health Services (L3)
Grade Band: 6
Contract: Permanent
Hours: Full time - 37.5 hours per week (Shift pattern to cover 8.00 to 20.30 including some weekends)
Job ref: 277-6989153-CPH
Employer: Oxleas NHS Foundation Trust
Employer type: NHS
Site: Woolwich Centre
Town: London
Salary: £42,939 - £50,697 pa inc
Salary period: Yearly
Closing: 06/03/2025 23:59
Senior Staff Nurse
Band 6
Job overview
We are looking for an experienced, enthusiastic, and highly motivated individual to join the Joint Emergency Team, which is a multidisciplinary crisis intervention team.
The team provides urgent community response within 2 hours to those in crisis, undertaking risk reduction within 24 hours. You will also be pivotal in supporting the virtual ward and falls pick up service, supporting and monitoring patients to remain in their own home or leave hospital earlier.
This post is suited to a senior nurse with community experience who embraces the transdisciplinary model of working, having skills in holistic assessments, symptom recognition and management, with advanced communication skills.
You will be a key member of the Joint Emergency Team and the wider multidisciplinary team, working with the Royal Borough of Greenwich and Lewisham and Greenwich Trust, working towards preventing attendance or admission to hospitals and care homes.
This post is for someone who has experience and an interest in working with older people and has an understanding of frailty.
We can offer strong support for development within our expert team, with help to develop your skills and knowledge, as well as opportunities to take part in shaping the Joint Emergency Team to expand and deliver great out of hospital care.
Main duties of the job
The post holder will support in the leadership of the Joint Emergency Team and will assist with and directly triage urgent patient referrals with varied and complex needs, ensuring holistic assessment and community care pathway planning is undertaken to directly prevent unnecessary acute hospital admission.
The post holder will conduct holistic assessments as well as enhanced nursing assessments for patients in care homes and patients in the community who require assessment for crisis intervention, with a strong emphasis on frailty and falls. As appropriate, the post holder will be expected to undertake community practitioner nurse prescribing / independent nurse prescribing dependent on qualification, under the supervision of the B7/8 Clinical leads.
The post holder will act as an expert clinical resource to Joint Emergency Team members, facilitating high quality evidence-based practice and ensuring patients from a variety of acute and community settings appropriately access out of hospital community health and social care services and receive effective rehabilitation.
The post holder will be required to work across hospital sites on a planned basis and in the community when responding to urgent community referrals. The post holder will undertake delegated line management of junior staff, both informal and formal basis. The post holder will assist the Team Leader to provide clinical support and coordination for the team and participate in undertaking rota duties.
Working for our organisation
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities, and mental health care such as psychiatry, nursing, and therapies. Our multidisciplinary teams look after people of all ages, and we work in close partnership with other parts of the NHS, local councils, and the voluntary sector through our new provider collaboratives.
Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools, and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London, we operate within the Boroughs of Bexley, Bromley, Greenwich, and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup, and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire, Gloucestershire, Kent, and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
* We Listen
* We Care
Detailed job description and main responsibilities
KEY RESPONSIBILITIES:
* To provide nurse leadership and management support to the team(s)
* To provide leadership in assessing; and undertake physical assessment and treatment of patients and support nursing team members to achieve this goal.
* To assess, plan, implement, and provide evaluation of health care needs in conjunction with patients, their carers and other appropriate members of the multi-professional team.
* To be responsible for keeping up to date with current issues and events in Primary and Secondary Health Care.
* Liaising with community services partners.
* To take a supportive lead role in the development of the Joint Emergency Team and integrated team working with out of hospital services.
* To provide support and health education for patients and carers through effective interpersonal skills.
* To support team members, comply with professional codes of conduct and trust organisational policies and procedures and the implementation of performance management when required.
* To arrange transfer of the patient’s care to the appropriate health care setting for further ongoing assessment, rehabilitation treatment, and care.
* To be able to work flexibly and relieve colleagues/rotate within the trust as required and requested by the line manager to meet the needs of the service.
* To ensure that own mandatory training and junior nurses’ mandatory training is kept up to date in line with Trust policies.
Management responsibilities
* To assist in the management of the Joint Emergency Team and appropriate delegation of the workload (clinical and non-clinical).
* To report all clinical and non-clinical incidents or near misses promptly and when required, to co-operate with any investigation undertaken.
* To ensure efficient and effective use of resources within own practice.
* To undertake formal and informal supervision of junior staff and actively participate in own clinical supervision.
* To understand and adhere to all Trust policies, procedures, and guidelines and ensure other team members adhere to policies.
* To understand the implication of and work in conjunction with Social Care policy within the Health and Social Care Team, e.g., Approved Social Work, Safeguarding Adults process.
* To promote the local and national priorities of health care delivery e.g., Long Term Conditions and National Services Frameworks.
* To independently analyse and manage complex changing clinical situations in conjunction with supporting the nursing team.
* To assist in the development and monitoring the quality of the Joint Emergency Team service and contribute to the development of quality measures, including the full audit process.
* To work in full partnership with other disciplines and organisations to influence and shape service delivery.
Leadership
* To demonstrate and utilise a variety of leadership and influencing skills and be able to work with health and social care colleagues in many local organisations.
* To provide leadership and line management to delegated members of the team.
* To comply with NMC code of conduct and PREP requirements.
* To act as a mentor/preceptor to new staff, junior staff, students (both health and social care) and other nonqualified team members and support them to achieve their learning objectives. To participate in the Personal Development Review (PDR) process and in so doing identify training needs for self and delegated members of the team and encourage access to professional development opportunities.
Clinical
* To manage clinical situations effectively in a variety of settings making sound judgements from own observations to enable safe, timely transfer of care to community services.
* To be a role model to team members to ensure that they are motivated, and all their practices are clinically effective and that plans of care are carried out to the agreed standard.
* To undertake comprehensive holistic nursing assessment and documentation of physical, psychological, social and spiritual needs of patient/client care plan accordingly. To be a competent practitioner able to assess at first point of contact.
* Through specialist holistic assessment to implement packages of nursing and social care in conjunction with locality colleagues (day and night services) and private providers to ensure that patients and clients ongoing care needs are met by community services.
* When appropriate undertake evidence-based Community Practitioner Nurse Prescribing/independent nurse prescribing (under supervision) when required in line with clinical assessment and reasoning.
* To undertake Cannulation, Management of intravenous devices i.e., cannulas Picc Hickman lines, and Undertake administration of Intravenous additives.
* To manage wound care.
* To work within the clinical effectiveness framework using the best available evidence, research, and audit to plan, implement and evaluate care.
* To promote good practice in order to improve standards of care.
* To participate in the development and evaluation of teaching programmes for students on community programmes and junior members of staff.
* To be competent in additional clinical skills for example, wound care, palliative care management and be willing to develop advanced nursing skills.
* To be able to delegate appropriately, ensuring that staff are competent to undertake and perform delegated duties and tasks.
* To be able to recognise own limitations and seek help/guidance when appropriate.
* To prevent unnecessary hospital admissions by responding to LAS, GP’s, community colleagues and actively identifying patients in conjunction with medical teams from Emergency Department, Adult medical unit, Clinical decision unit, short stay unit, that would benefit from Joint Emergency Team intervention and out of hospital services.
Research
* To keep up to date, implement and monitor current research-based practice.
* To support in any audit or quality assurance projects.
* Promote current research and evidenced based care within the team.
Communication
* To ensure effective communication with patients/clients and their carers, including the provision of patient education, health promotion and emotional support where appropriate.
* To ensure effective communication with all members of the multidisciplinary team at all levels.
* To ensure daily communication is maintained with the bed-based unit to ensure safe, appropriate and effective patient transfer.
* To record treatment and care carried out in a variety of settings on appropriate documentation. Records must be kept up to date and accurate in accordance with Trust policies.
* Ensure all relevant information regarding patients/clients is documented in keeping with the Trust policy and where appropriate to be reported and acted upon immediately.
* To provide accurate written and verbal reports as and when required.
* To keep a diary for the purpose of planning work and recording all visits, both effective and non-effective.
* To maintain confidentiality of information relating to patients, staff and organisation.
* To have the ability to interpret and communicate, complex, contentious, and sensitive information to patients, carers and members of the multi-disciplinary team.
* Demonstrate ability to appropriately work with barriers to communication and communicate with a sympathetic and empathetic approach to patients and carers.
* To ensure team members adhere to record keeping policies and provide accurate documentation.
Health and Safety
* To develop a working environment and culture that promotes health, safety and security.
* To be conversant and adhere to trust policies.
* To ensure the correct use of equipment and supplies and report any deficiencies.
* To have responsibility for the health, safety and welfare of self and team members and to comply at times with the Health and Safety regulations.
* To minimise the risk of cross infection and be conversant with the Trust’s infection control policy.
Person specification
Education / Qualification
* Registered Nurse
* Evidence of recent Continuing Professional and Personal Development
Experience
* Post qualified for a minimum of three years
* Community Experience
* Experience of MDT working
Knowledge skills and Abilities
* Knowledge and understanding of care act, safeguarding adults and children
* Experience of undertaking supervision and personal development plans
We are committed to creating an inclusive workplace that welcomes and supports individuals of all abilities. Remember, if you meet the minimum criteria for this role and you have a disability, you can be guaranteed an interview under the Disability Confident Scheme - Please ensure you select this on your application form. We would encourage you to be open about your needs so we can work with you to design a comfortable and accessible interview experience. Any information you provide regarding a disability or a need for adjustments will be treated in confidence and will only be shared with colleagues who are supporting this request.
If you require any adjustments to participate fully in the interview process, please let us know by adding the relevant details when scheduling your preferred interview date and time. Please feel free to contact the appointing manager to discuss your needs.
We encourage applicants to contact the hiring manager before their interview, if they have any questions about the role or the process. This is a great way to get clarity and prepare effectively for the interview.
Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process. We also discourage overuse of AI during the application process because this can negatively impact the quality of your application and may hinder your chances of being shortlisted. Thank you.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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