About this role
Job summary
The post holder will proactively manage a caseload of patients requiring complex case management in order to prevent hospital admissions and facilitate early discharge to improve patient health outcomes. Patients requiring case management in the H@H AND UCR Service will be identified by case-finding in the Ambulatory Emergency Care (AEC) unit, Accident and Emergency Department, Whittington Health wards, North Middlesex Hospital A&E, ULCH @home, LAS, Care Homes, Community Nurses and via GP referral.
Patients will be identified as not requiring hospital admission but need high acuity Community support to go home safely.
Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing and use these both in the community and ambulatory care centre setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries. The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital settings also via Community referral.
Main duties of the job
o Facilitate the early discharge of patients from the Whittington Health and NMUH inpatient wards and complete their recovery in the home environment by working collaboratively with the AEC Consultant.
o Be aware of and utilise appropriate resources within the H@H AND UCR team and in the provision of total patient care. Managing the team on a day-to-day basis, supporting junior staff with decision making and skills development.
o Undertake a comprehensive baseline assessment for each identified patient in conjunction with the AEC consultant, patient, relatives, carers and patient care team.
o Use the assessment to agree and implement a patient held personalised plan of care to be agreed with the patient, relatives and carers and the patient care team.
o Ensure that there are effective communications with other agencies about care plans to support patients at home.
o Undertake prescribing as required and to ensure that medications are reviewed and highlight possible interactions and changes
o Perform and document examinations to support proactive monitoring of chronic diseases and identification of early symptoms of exacerbation and liaise with the MDT
o Work with the AEC consultant, ward consultants and/ or General Practitioner and patient care team to facilitate this and reduce hospital admission.
o Lead by personal example of best infection control practice at all times.
About us
Whittington values
Our values underpin everything we do. Our staff are committed to delivering the following values in everything they do.
Our ICARE values have been created by our staff and are embedded in our appraisal and planning processes and form part of our staff excellence awards.
Read more about our values on our public website.
Carbon reduction
All staff have a responsibility to contribute to a reduction in the organisation's carbon footprint. You should actively encourage others through your own actionsto reduce their contribution to carbon emissions. Thisincludes switching off electrical appliances that are not in use, turning down heating, closing windows, switching off lights and reporting carbon waste.
Security
It is the responsibility of all employees to work within the security policies and procedures of the Whittington Health NHS Trust to protect the patients, staff and visitors and the property of the Trust. This duty applies to the specific work area of the individual and the Hospital in general. All staff are required to wear official identification badges.
No smoking
Whittington Health promotes a No Smoking Policy as part of employee's healthy living style. You will be required to work within the framework of this policy. Smoking is not permitted within Whittington Health premises.
Job description Job responsibilities
...........................................................See Job Description and Personal specification in attached documents....................................................................................
Person Specification
Qualifications Essential
RGN/RN (Adult) Physical / Systematic Assessment qualification or working towards
Desirable
Minor illness qualification Independent Prescribing
Skills Essential
Advanced physical Assessment qualification or willingness to work towards Diagnostic skills
Desirable
Community Nursing skills, or willingness to expand field of knowledge and practice
Experience Essential
Minimum of 2 years as Community Nurse/Nurse Practitioner, Emergency Nurse Practitioner Experience liaising/ referral to MDT and external health and social care agencies Line management experience Experience in either Acute medical ward, Emergency or Urgent Care setting
Personal Qualities Essential
Professional attitude Multi-disciplinary team working
Desirable
Able to lead and manage change Possess vision and commitment to the organisation
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 Whittington Hospital NHS Trust
Address Haringey Hospital at Home and Urgent Community Response Team
8 Stuart Crescent, Stuart Crescent Health Centre
London
N22 5NJ
United Kingdom
Employer's website https://www.whittington.nhs.uk/ (Opens in a new tab)