Job summary
The Urgent Community Response Practitioner for Out of Hours could be a Nurse or Paramedic. Although we cover overnight, there can be flexibility to work accross both days and nights as internal rotation, if desired. We have night shifts avalible 22:00 - 08:00, however we have a flexible work pattern which can include a variety of shifts providing cover from 18:00, which can be discussed at interview.
The Urgent Community Response team aspires to provide a 24-hour/7day responsive NHS community service. The Team is commissioned to reflect the needs of the local community. Service aims include urgent case management and hospital admission avoidance, where the focus of the role is to lead the identification and clinical assessment patients who will benefit from advanced complex hospital discharge care, or urgent responsive admission avoidance using the Virtual Ward if required, with care provided at home by the multidisaplinary team.
UKVisa and Immigration Sponsorship: Please note that we do not offer UKVIsponsorship for these posts, and so all applicants require a current right towork in the UK.
Main duties of the job
We provide fast reactive services for patients with decompensated frailty and ensure rapid delivery of treatment, care planning to support acute hospital admission avoidance where appropriate. The focus is on 9 Common Critical Conditions - Falls; Decompensation of Frailty; Reduced Function/Deconditioning/Reduced Mobility; Urgent Equipment Provision; Confusion//Delirium; Palliative/EOL Crisis Support; Urgent Catheter Care, Urgnet Support for diabetes; Unpaid Carer Breakdown.
Overnight we also cover the patients of the District Nursing caseload.
Please see Job description for further details.
About us
CSH Surrey are part of the NHS and are Surreys largest and longest established NHS community services provider, so our 1500+ employees get NHS pay and pensions, and also receive the Fringe High-Cost Allowance of 5%.
Our staff enjoy excellent training and development opportunities, including the care certificate, apprenticeships, numeracy and literacy courses, access to the Nursing Associate programme, and a wide variety of management and leadership courses and programmes.
We CARE about our staff though through our values of Compassion, Accountability, Respect and Excellence. Our active employee council called The Voice, elect employee representatives to ensure colleagues' voices are heard at Board level.CSH is a diverse organisation, if you are a passionate, person-focused individual then apply to join CSH Surrey today!
We welcome candidates from all backgrounds who meet the essential criteria of the job you are applying for and if you require any reasonable adjustments, please contact the named individual for this advert, or our recruitment team.
Job description
Job responsibilities
Post Title: Band 6 Urgent Community Response(UCR) Practitioner
Department: Urgent Community Response, Virtual Wards or Frailty Hubs
Pay Band: TBC
Locations UCR & Frailty Hubs:
UCR/Virtual Ward- Woking Community Hospital, Heath Side Road, Woking
Bedser Hub-Woking Community Hospital, Heath Side Road, Woking
Ashford Hub, Ashford Hospital, London Road, Stanwell
Thames Medical Frailty Hub, Walton Community Hospital. Rodney Road, Walton
Responsible to: UCR Band 7 Clinicians (Days/Out Of Hours (OOH))
Accountable to: Director of Adult Services
Responsible for: Band 5 Clinicians/Senior Community Rehabilitation Assistants / Health Care Assistants
Department structure:
Introduction
The Urgent Community Response(UCR) and Frailty Teams aspire to provide a 24-hour/7-day responsive NHS community service. The Band 6 UCR Practitioner can be a Nurse or Paramedic. There is the flexibility within the multidisciplinary team to work across days, nights and to do internal rotation and you are able to work autonomously, managing patient assessments within the specialty whilst working as part of the larger multidisciplinary team, delivering individualised and personalised direct patient care to patients across North West Surrey in conjunction with the wider Integrated Care System.
The teams are commissioned to reflect the needs of the local community. Service aims include urgent case management and hospital admission avoidance, where the focus of the role is to lead the identification and clinical assessment of patients who will benefit from advanced complex hospital discharge care, or urgent responsive admission avoidance using the Virtual Ward if required, with care provided in their own home by the multi-disciplinary team.
The Frailty Team provides proactive case management, promotes self-management and adoption of a co-produced approach with patients and service users ensuring early intervention and provision of care in or as close to the patients own home as possible.
Whilst operating from a local community hub, the Frailty Team delivers a joined-up approach across NW Surrey, to deliver excellence in care and engages with all practices, community teams and wider stakeholders within NWS Alliance.
CSH Culture and Values
CSH Surrey is a values-driven business.
Our core Value is CARE, because we care about our patients and clients, our colleagues and our partners. Everything we do, we do withCARE:
1. We care withCompassion: we look after each other, speak kindly and work collaboratively
2. We takeAccountability: we take responsibility, act with integrity and speak with honesty
3. We showRespect: we listen, value, trust and empower people and treat them with dignity
4. We deliverExcellence: we are professional, aim high, value challenge and never stop learning or innovating.
1. ROLE PURPOSE
To work closely with the UCR Advanced Clinical Practitioners(ACPs) & Clinical Leads for frailty, Community Nursing, Frailty GPs, Adult Social Care, community services and the third sector to provide fast reactive services for patients with decompensated frailty and ensure rapid delivery of treatment, care planning to support acute hospital admission avoidance where appropriate with a focus on the 9 Common Critical Conditions- Falls; Decompensation of Frailty; Reduced Function/Decondition/reduced mobility; Urgent equipment provision, Confusion / Delirium, Palliative / EOL crisis support; Urgent Catheter Care, Urgent support for diabetes; Unpaid Carer breakdown. [ ]
To provide advanced assessment and care planning, including history taking and physical assessment for patients with frailty.
To work closely with the frailty GPs, Advanced Clinical practitioners & Clinical Leads for UCR & Frailty, adult social care and the third sector carers and patients to assist in proactively identifying and managing patients with frailty and supporting them and their carers in the development and delivery of personalised care plans.
To provide strong holistic assessment and treatment planning of patients with frailty, without direct supervision.
To work in conjunction with a wide range of clinical colleagues and specifically, primary care and community teams and Social Care professionals, leading and facilitating a patient or client focused, co-ordinated case management approach across primary and secondary care for people who are most vulnerable to, and at high risk of repeat admission to hospital.
To participate in and influence efforts across health and social services to shape multi-disciplinary pathways designed to support patient choice, improve quality of life, promote self-management and assure early intervention through the proactive provision of care in or as close to the patients own home as possible.
The UCR clinician will work across the caseload and the single point of access or (equivalent), using their clinical skills to identify the needs of patients and the correct services to liaise with.
The UCR clinician will provide expertise within their professional discipline, to the wider team.
Provide professional leadership within the team, supporting the Clinical leads for UCR & Frailty, and the Band 7 Team Leads in managing the team and ensuring safe and effective staffing levels and provision of resources to ensure continuous service delivery and enhancing clinical practice.
Advise on the promotion of health and prevention of illness and provide information to individuals and groups to prevent disease, where possible. Recognise situations that may be detrimental to health for example housing, social and economic factors and refer to an appropriate agency and liaise with members of the Community Care Team.
To provide case management using extended skills where appropriately trained to avoid hospital admission and manage sometimes complex clinical needs in the community setting.
To provide assessment of patients, using analytical and judgment skills. To provide appropriate patient centred treatment using evidence-based practice where-ever possible. Patients will present with acute or chronic conditions and complex multi-system pathologies neuro, respiratory conditions, orthopaedic rehabilitation and age related deterioration.
To devise effective, personalised plans of care for each patient with specific therapeutic knowledge, recognizing him or her as an individual. The plan of care, which has been developed in conjunction with the patient, carer, and relevant others, should be outcome based and ensure appropriate pathways of care and communication via liaison and referral to other agencies as required.
The goals and objectives of any intervention are clearly established and negotiated, and where appropriate can be assessed through use of outcome measures/ objective markers.
To provide a holistic and therapeutic treatment programme or where appropriate direct the intervention as necessary through UCR Band 5 Clinicians, Community Rehab Assistants, HCAs or other members of the multi-disciplinary team.
Person Specification
Qualifications
Essential
5. Registered General Nurse/ Registered Mental Health Nurse/Practitioner or BSc/Diploma leading to inclusion on the Health and Care Professions Council Register as an Occupational Therapist, Physiotherapist or Paramedic
6. Post registration qualification or University Degree
7. Teaching and assessing qualification Mentorship or equivalent mentorship qualification
Desirable
8. Masters degree or equivalent experience gained by undertaking on-going personal development and training
9. Management/Leadership Qualification/ development programme
Experience
Essential
10. A minimum of two years post registration experience
11. Experience of caseload management including responsibility for complex care packages for vulnerable people
12. Experience, underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting
13. Involved in the implementation and management of change
14. Evidence of innovative practice
15. Experience of initiating or participating in clinical audit/research relating to clinical practice
16. Participates in regular clinical supervision
17. Experience of working with long-term conditions and frailty