This is an opportunity for a shared post between two teams – The Integrated Discharge Team and Rapid Response Team who areexpanding to meet the new Urgent Community Response & Virtual Ward requirements.
You will have experience of undertaking comprehensive nursing assessment and treatment planning, preferably with community experience and knowledge of discharge planning.
Working autonomously with both our Integrated Discharge Team based at the Luton and Dunstable Hospital and our community based Rapid Response Team, will allow you to experience two different environments.
These teams play a vital role in preventing hospital admissions or facilitating early and complex discharges .
This is the role for you if you have passion for nursing, drive to put patients at the centre of their care, enjoy working as part of a team and in a fast-paced environment .
The successful applicantwill be in an exciting position to contribute to:
· service development by developing new ways of working (e.g. clinical triage, patient assessment, discharge planning )
· additional resilience in both servicesby supporting periods of high demand
· strengthening collaborative working, both across the teams and with system partners (e.g. GPs, social care and voluntary organisations)
Join us and be part of transforming and providing high quality health care within an integrated team model. In return we will actively encourage and support to develop.
· To be responsible for, as part of the integrated team, providing safe, effective and efficient discharge for patients as they return to the community from any point in their hospital pathway including admission aversion.
· To assess patients and work with families and the multidisciplinary team to ensure full understanding of the community options when organising health funded packages of care.
· Support the provision of community nursing care within the Integrated Community Nursing Team, providing scheduled and unscheduled care, to the population of Luton with a Luton GP.
· Respond to urgent / unplanned care within the Community Nursing Service i.e. supporting the single point of access by prioritising, visiting or allocating patient visits as required using clinical skills and knowledge, supporting community nursing teams when required.
· Work in partnership with other colleagues across primary and secondary care and other related services in order to provide a holistic care package designed to meet the specific needs of the individual, to facilitate hospital discharge and or prevent unnecessary hospital admission.
· Work with the team lead in providing clinical leadership within the Community Nursing Service, providing line management and team support when required.
Work with other agencies to deliver strategic national and local health priorities
Rated ‘Outstanding’ by the Care Quality Commission, we are proud to provide high quality innovative services across most of the east of England that enable people to receive care closer to home and live healthier lives.
There’s one reason why our services are outstanding – and that’s our amazing staff who, for the seventh year running, rated us incredibly highly in the national staff survey.
If you share our passion for innovative and high-quality care delivery, then please submit your application and join us on our exciting journey as a leading-edge specialist community provider. All are welcome to apply and our promise to you is a culture which prioritises staff engagement and development.
· Prevent avoidable hospital admissions by providing a holistic assessment, care planning, implementation, treatment and evaluation of patientcare packages to meet the individual needs of the patientin accordance with Trust guidelines.
· Support the aversion of hospital admission by assessing, organising and delivering specialised care packages for patients discharged into the care of the team.
· Undertake core nursing procedures as required whilst attending the patient e.g. wound dressing, observations, pressure area care, risk assessments e.g. Purpose T, MUST.
· Undertake highly developed physical skills e.g. delivery of intravenous therapy, cannulation, syringe driver, catheterisation.
· Undertake diagnostic procedures/tests as requiredand to, when competent to do so, gain a full insight into patients’ condition, e.g. ECGs, phlebotomy, spirometry, blood glucose testing, Point of Care Testing.
· Undertake responsibility for prescribing medication where applicable in line with independent nurse prescribing guidelines following accredited training and competence.
· To be confident in using these skills & nursing knowledge to work autonomously to plan and implement episodes of care, referring appropriately to other services to support the plan of care as required.
· To facilitate clear and effective communication channels between patients, relatives, carers and professional community colleagues to ensure seamless patient care.
· Respond to urgent calls from health and social care professionals and utilise sound clinical decision making and triage processes to assess, plan and implement evidence-based treatment plans in response to clinical assessment.
· To obtain and analyse information gathered from GP’s via the telephone making judgements and advising the GP as to the most appropriate outcome for the patient
· Assess and prioritise unscheduled requests for nursing intervention and allocation to the appropriately skilled clinician.
· Ensure at all times patients are treated with care and compassion.
· To be accountable for the holistic assessment, care planning, implementation and evaluation of patient care packages related to Care Interventions, treatment plans.
· Assess and identify any complications surrounding patient care and to act accordingly to enable the patient to remain at home where appropriate.Assess and implement care interventions to meet identified health needs of individuals, families andcommunities. Maintain associated records.
· Refer patients to other services / agencies as appropriate e.g., Social Services, specialist services
· Identify unpredicted crisis situations and manage accordingly i.e., staff, caseload, support network and supervision. Identify to senior managers the situation, risk, action and outcome.
· Manage team members and own workload to support the delivery of care in the community and prevent inappropriate hospital admissions
· Organise and coordinate the overall care to meet clients’ care needs, which may be complex involving other professionals and agencies. Provide individuals and their families with specialist advice for them to make informed choices about their health
· Take responsibility for identifying and developing a range of clinical skills/knowledge appropriate to necessitate safe discharge or prevention of admission.
· Take a lead in the setting of standards of care amongst the team members and to teach, deploy, co-ordinate and supervise the team, recognising their knowledge/skills and development potential. Plan and co-ordinate for self and others; off duty, covering annual leave, sickness and study leave in the most cost-effective way when required to do so.
· To be accountable and responsible for the management of work priorities for self and team members. Develop patient’s personalised care plans, which use evidence-based care and ensure that the most appropriate member of the team delivers the care required.
· Provide education to patients on nature of their condition, treatment, side effects and expected outcome.Enable patients and carers to participate in their care, thus encouraging independence and self-reliance.
This advert closes on Sunday 23 Mar 2025
Proud member of the Disability Confident employer scheme
Disability Confident
About Disability Confident
A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. It is important to note that in certain recruitment situations such as high-volume, seasonal and high-peak times, the employer may wish to limit the overall numbers of interviews offered to both disabled people and non-disabled people. For more details please go to Disability Confident .