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Main area: Unplanned care Service
Grade: Band 7
Contract: 12 months (Fixed Term for one Year)
Hours: Full time - 37.5 hours per week (8am - 10pm, 8am -8pm, 10am -10pm, 8am - 4pm)
Job ref: 824-NORTH-7003593-A
Site: Finchley Memorial Hospital
Town: London
Salary: £51,883 - £58,544 per annum inclusive of HCAS
Salary period: Yearly
Closing: 22/04/2025 23:59
Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.
We are rated Good by the Care Quality Commission and are ranked among top NHS employers. Community healthcare is our focus and our passion. We champion the role of community health professionals to make sure our patients get great care closer to home.
Job overview
We are currently looking for a motivated and committed B7 Nurse Practitioner who would like to have experience in managing the team and service.
Barnet Unplanned Integrated service works primarily as an admission avoidance service reducing the number of patients sent to hospital Emergency departments.
The Unplanned service also supports the early discharge home of patients on the Hospital at Home pathway for 1-14 days. Initially the service is for patients requiring IV antibiotic; however, we will be stepping up to see patients who require monitoring of observation, COPD monitoring, heart failure, and blood taking.
The Hospital@Home ward operates from BGH and RFH. We envisage long term we will also receive patients from 111/999 and step-up patients from the RR and D2A pathway and other hospitals.
We are a multi-disciplinary team consisting of Nurse Practitioners, Senior Community Nurses, Occupational Therapists, Physiotherapists, Rehabilitation Support Workers, and Technical Instructors with administrator support.
This is an expanding admissions avoidance service working with both the primary care and the acute sectors to support and deliver treatment to patients in their own home.
Main duties of the job
The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate.
The post holder will be responsible for:
* Be clinically and operationally responsible for the team and act as a role model.
* Be responsible for undertaking comprehensive health assessments, physical examination, and ordering tests for patients on the RR, H@H pathways.
* Use advanced clinical decision making and assessment skills, coordinate care planning, and initiate referrals to diagnostics for appropriate tests for this population.
* Be involved in establishing, delivering, and leading a comprehensive service within community services.
* Play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and increase the number of referrals from the acute and community.
* Candidates should be an experienced nurse with sound clinical knowledge and proven experience in acute and community clinical environments.
* Be adaptable to operate in a fast-moving environment and have the clinical skills and ability to function as a lone worker in a larger team.
* Candidates should have excellent communication skills and the ability to provide care as determined by clinical assessments.
* Candidates will have undertaken professional development and have extended nursing skills, with evidence to support this.
Working for our organisation
Just as we care about our patients’ well-being, we care about yours!
We can offer you:
* A comprehensive induction into the community service followed by a local induction to introduce you to the role.
* Car lease scheme (only available for Band 5 and up).
* Flexible working options.
* Training, support, and development in your career.
Detailed job description and main responsibilities
The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team are 8am -4pm and 2pm – 10pm. We also offer long days 8am -8pm and 10am – 10pm.
Please refer to Job description and Person Specification for outline of skills, knowledge, and experience required.
Person specification
Education/Qualification
* Registered Nurse with current NMC registration.
* BSc / PgDip Nurse Practitioner Primary Health Care/ Minor injuries / Minor Illnesses.
* Qualification in Community and/or Accident and Emergency Nursing.
* Evidence of continuing personal and professional development with up-to-date CPD portfolio.
* Community or Independent Nurse Prescribing qualification or prepared to work towards.
* Evidence of continuing professional education and training at master’s Level.
* Further desirable qualifications in Primary Care/ Accident & Emergency.
* Qualification in teaching or practice-based learning.
* Management or leadership qualification.
Experience
* Extensive senior experience within adult nursing services especially Primary Care and/or Accident & Emergency.
* Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled nursing care and management of patients presenting with undifferentiated and undiagnosed conditions.
* Experience of undertaking comprehensive health needs assessment and developing complex care plans.
* Experience of assessing and providing quality care to people with complex needs and long-term conditions.
* Track record of practice excellence.
* Experience of effectively working in collaboration, negotiating, and liaising within a multi-disciplinary team and across organisational boundaries.
* Experience in monitoring clinical standards.
* Experience of working in a changing and uncertain environment.
* Proven ability to prioritise and manage own workload with minimal supervision.
* Experience of team/service/staff management.
* Experience of implementing evidence-based care and developing others to do so.
* Experience of conducting research projects and audit.
* Experience of change management and implementing change in practice.
* Evidence of innovation in practice.
Skills & Knowledge
* Evidence of comprehensive range of clinical skills and expertise relevant to the role.
* Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills, and prescribing/treatment.
* Advanced knowledge and in-depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
* Clinical knowledge across a range of long-term and enduring conditions.
* Basic IT skills including use of Microsoft Office package, clinical systems, and email.
* Knowledge of the national priorities relating to the provision of adult nursing services including current health care policy and legislation and relevance to the delivery of healthcare services.
* Knowledge of recent developments in Primary Care.
* Knowledge of adult protection and safeguarding children’s issues.
* Knowledge of NMC Code of Professional Conduct.
* Knowledge of Personal Development Planning.
* Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g., social care and voluntary services.
* Knowledge of the audit process and able to implement in practice.
* Knowledge and understanding of clinical governance and its application to clinical practice.
* Knowledge of how to implement equal opportunities in practice.
* Supervision of Students.
* Knowledge of resource management.
* Knowledge and understanding of NICE and other relevant guidelines.
* Knowledge and understanding of the role of MDT members within an integrated locality team.
Key Attributes
* Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).
Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification.
Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
Interview arrangements will be communicated via email so please check your email regularly following the closing date.
At CLCH we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, gender identity and expression, ethnicity, religion, and disability.
We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks:
Disability and Wellbeing Network (DAWN)
Race Equality Network
Rainbow Network which supports LGBTQI staff.
Each network has a champion who is an executive director at the Trust and they hold regular meetings to discuss issues and make plans to improve CLCH.
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.
Application numbers
This vacancy may close early if it receives a high number of applications. Please complete and submit your applications on time to avoid disappointment.
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