Job summary The remit of the Rapid Response Team is to provide 'hospital at home' to people during periods of acute illness and or Reablement in order to prevent hospital admission or to facilitate early discharge. The team works as a partner within a wider multi-disciplinary team which includes General Practitioners, Consultants, District Nurses, Physiotherapists, Occupational Therapists, Community Psychiatric Nurses, Social Workers, Support and Wellbeing Workers and the Voluntary sector. The post holder will work collaboratively with and support members of the multidisciplinary team in the delivery, development and management of complex health and social care issues. In particular they will be responsible for ensuring the timely provision of a high standard of nursing assessment, advice, planning, implementation, training support and evaluation of care taking into account the social context in which a person lives. They will therefore be engaged in the planning and delivery of collaborative care packages that cross the health and social care boundaries. The post holder is expected to hold organisational skills, demonstrate and apply a broad range of nursing knowledge, interventions and skills.Knowledge of the principles of health promotion and preventing illness will be fundamental as will having a comprehensive understanding of the roles of others in health and social care. Main duties of the job To work collaboratively with health and social care professionals. To carry out health and social care assessments. To work as an autonomous practitioner and be professionally and legally accountable for all aspects of their professional and clinical work, within agreed national local and professional standards and guidelines. To accept referrals from other disciplines unsupervised and co-ordinate intensive and complex packages of care with other multi-disciplinary agencies. To use enhanced clinical skills and knowledge to assess the physical and psychosocial needs and develop a comprehensive and concordant plan of care with the patient, their carers and the wider MDT as needed. The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply. About us Aneurin Bevan University Health Board is a multi-award-winning NHS organisation with a passion for caring. The Health Board provides an exceptional workplace where you can feel trusted and valued. Whatever your specialty or stage in your career, we have opportunities for everyone to start, grow and build your career. The health board provides integrated acute, primary and community care serving a population of 650,000 and employing over 16,000 staff. We offer a fantastic benefits package and extensive training and development opportunities with paid mandatory training, excellent in-house programmes, opportunities to complete recognised qualifications and professional career pathways including a range of management development programmes. We offer flexible working and promote a healthy work life balance, provide occupational health support and an ambitious plan for a Wellbeing Centre of Excellence to support you at work. Our Clinical Futures strategy continues to enhance and promote care closer to home as well as high quality hospital care when needed. Join us on our journey to pioneer new ways of working and deliver a world-class healthcare service fit for the future. Date posted 06 February 2025 Pay scheme Agenda for change Band Band 6 Salary £37,898 to £45,637 a year Per annum, pro rata Contract Permanent Working pattern Part-time Reference number 040-NMR059-0225 Job locations Glyn Ebwy James Street Ebbw Vale NP23 6JG Job description Job responsibilities You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac Support students Undertake risk assessments, establishing the safety or otherwise of the patients ability to stay at home, or return home safely from another care setting, providing and arranging necessary and supportive packages of care. Develop and implement evidenced based clinical/therapeutic interventions based on best practice, specialist knowledge, experience and specific training to improve health outcomes and promote choice. Ensure that nursing and rehabilitation models of care are used when assessing, planning, implementing and evaluating specialist programmes of prescribed patient care. To work in close collaboration with all other community agencies including District Nursing Services, community based therapists, social workers and health and wellbeing workers. To be accountable as the named nurse/key worker for individual patient care, according to CRT Borough practice.Undertake detailed risk assessments on every visit, to ensure the safety of both staff and patients.Undertake clinical observations using own clinical judgement and to interpret, record and accurately report to the team and responsible clinician. To adapt treatment programmes to suit the patients home environment, requiring creative thinking and problem solving skills. To undertake specialist nursing wound care with patients. To facilitate pain management To facilitate continence and bowel management To provide care to the elderly in the context of their complex needs including associated confusion and dementia, difficulty in understanding, and challenging behaviour. To perform nursing procedures in the patients own home. To assess and supervise medication, give patient advice and liaise with local pharmacist, GP, hospice or clinician to discuss appropriate medication and self-administration methods. To identify toxicity, overdoses and contra-indications. To implement or arrange unplanned procedures such as cannulation, venepuncture, monitoring of vital signs, oxygen saturations and adjusting medications. To select and administer appropriate medication for symptom control or take an appropriate course of action e.g. contacting out of hours GP, hospice referral, bereavement counselling. (non - prescribers can only work from existing prescription) To arrange the dispensing, safe acquisition and delivery of drugs to the patients home. To undertake diabetes management newly diagnosed, advising, supporting, health promotion and requesting appropriate investigations e.g. HbA1c, fasting glucose etc. also ongoing management, monitoring blood sugars. Job description Job responsibilities You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac Support students Undertake risk assessments, establishing the safety or otherwise of the patients ability to stay at home, or return home safely from another care setting, providing and arranging necessary and supportive packages of care. Develop and implement evidenced based clinical/therapeutic interventions based on best practice, specialist knowledge, experience and specific training to improve health outcomes and promote choice. Ensure that nursing and rehabilitation models of care are used when assessing, planning, implementing and evaluating specialist programmes of prescribed patient care. To work in close collaboration with all other community agencies including District Nursing Services, community based therapists, social workers and health and wellbeing workers. To be accountable as the named nurse/key worker for individual patient care, according to CRT Borough practice.Undertake detailed risk assessments on every visit, to ensure the safety of both staff and patients.Undertake clinical observations using own clinical judgement and to interpret, record and accurately report to the team and responsible clinician. To adapt treatment programmes to suit the patients home environment, requiring creative thinking and problem solving skills. To undertake specialist nursing wound care with patients. To facilitate pain management To facilitate continence and bowel management To provide care to the elderly in the context of their complex needs including associated confusion and dementia, difficulty in understanding, and challenging behaviour. To perform nursing procedures in the patients own home. To assess and supervise medication, give patient advice and liaise with local pharmacist, GP, hospice or clinician to discuss appropriate medication and self-administration methods. To identify toxicity, overdoses and contra-indications. To implement or arrange unplanned procedures such as cannulation, venepuncture, monitoring of vital signs, oxygen saturations and adjusting medications. To select and administer appropriate medication for symptom control or take an appropriate course of action e.g. contacting out of hours GP, hospice referral, bereavement counselling. (non - prescribers can only work from existing prescription) To arrange the dispensing, safe acquisition and delivery of drugs to the patients home. To undertake diabetes management newly diagnosed, advising, supporting, health promotion and requesting appropriate investigations e.g. HbA1c, fasting glucose etc. also ongoing management, monitoring blood sugars. Person Specification Qualifications Essential Registered Level 1 Nurse, Degree Level Education Evidence of most recent post registration, professional and portfolio development Assessor/Mentorship competency or willing to undertake Clinical Patient Assessor trained Desirable Post Graduate Qualification Experience Essential Significant experience working as a qualified RN Assessment and provision of care to people with complex needs Staff supervision/leading a team Working as part of a multi disciplinary team Caseload Management Mentoring students and other health care professionals Desirable Involvement of undertaking a training needs assessment and analysis Staff caseload supervision Team Leading Supervision and development of junior staff Staff reviews/appraisals, working with staff to identify development needs Community experience Skills Essential Able to perform extended clinical skills; Intravenous therapy, cannulation, phlebotomy, syringe drivers, male and female catheterisation, removal of sutures An understanding of the structure for the delivery for primary health care services. Able to communicate succinctly and effectively verbally, in writing and electronically. Able to present information effectively to individuals and groups Desirable ECDL or equivalent Counselling skills Able to lead a team of nurses and support workers Demonstrates ability to research, critique and change practices Knowledge Essential Legislation affecting service area Clinical Governance and how it affects practice Knowledge and compliance with NMC Codes of Practice An up to date working knowledge of :- Acute, chronic and terminal illness, wound management, care of the elderly, drug interactions, aetiology and physiology of pain, pain assessment, and strategies for effective pain and associated symptom contro An understanding of provision of appropriate, accessable and sensitive primary health care services Desirable Clinical Supervision Continuing care Knowledge and understanding of audit and research. Personal Attributes Essential Work autonomously under own initiative Able to act as a catalyst to promote change Able to make purposeful decisions in stressful or pressurised situations Desirable Able to demonstrate innovative practice Person Specification Qualifications Essential Registered Level 1 Nurse, Degree Level Education Evidence of most recent post registration, professional and portfolio development Assessor/Mentorship competency or willing to undertake Clinical Patient Assessor trained Desirable Post Graduate Qualification Experience Essential Significant experience working as a qualified RN Assessment and provision of care to people with complex needs Staff supervision/leading a team Working as part of a multi disciplinary team Caseload Management Mentoring students and other health care professionals Desirable Involvement of undertaking a training needs assessment and analysis Staff caseload supervision Team Leading Supervision and development of junior staff Staff reviews/appraisals, working with staff to identify development needs Community experience Skills Essential Able to perform extended clinical skills; Intravenous therapy, cannulation, phlebotomy, syringe drivers, male and female catheterisation, removal of sutures An understanding of the structure for the delivery for primary health care services. Able to communicate succinctly and effectively verbally, in writing and electronically. Able to present information effectively to individuals and groups Desirable ECDL or equivalent Counselling skills Able to lead a team of nurses and support workers Demonstrates ability to research, critique and change practices Knowledge Essential Legislation affecting service area Clinical Governance and how it affects practice Knowledge and compliance with NMC Codes of Practice An up to date working knowledge of :- Acute, chronic and terminal illness, wound management, care of the elderly, drug interactions, aetiology and physiology of pain, pain assessment, and strategies for effective pain and associated symptom contro An understanding of provision of appropriate, accessable and sensitive primary health care services Desirable Clinical Supervision Continuing care Knowledge and understanding of audit and research. Personal Attributes Essential Work autonomously under own initiative Able to act as a catalyst to promote change Able to make purposeful decisions in stressful or pressurised situations Desirable Able to demonstrate innovative practice Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Aneurin Bevan University Health Board Address Glyn Ebwy James Street Ebbw Vale NP23 6JG Employer's website https://abuhb.nhs.wales/ (Opens in a new tab)