About this role
Job summary
Community Independence Service Urgent Community Response
Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community?
Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurse's or Paramedic's with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).
This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways.
Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.
Main duties of the job
Urgent Community Response
Nursing / Paramedic
The main duty of an Urgent Community Response (UCR) nurse/paramedic is to provide, high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services
Shifts
The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.
About us
All gender identities, sexual orientations and/or BAME professionals are welcomed and encouraged to apply.
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
CNWL strives to support provision of a healthy work-life balance which in this role includes:
- Providing you with an opportunity to earn extra pay as CNWL automatically enrols new recruits onto the bank at a competitive pay rate.
- An individual training package of £300 per person, per year
- Creating an inclusive and supportive working environment and team dynamic who are receptive to the culture of change.
- Working closely with the multidisciplinary team, specialist services and the wider integrated care system
CNWL is recognized locally and nationally for providing high quality and innovative healthcare, frequently contributing to national health strategy and policy development.
Our nurses and paramedics enjoy their experience of visiting patients in their own home. They report feeling 'honoured to build such close professional relationships with their team and patients alike.' There is no typical day in RAS. Every visit requires a different set of skills and approach, the variety keeps the job interesting and the learning never stops.
Job description
Job responsibilities
Some of relevant skills
- Physical Assessment (Health Assessment course essential for RGNs)
- Venepuncture (with ability to identify the required blood tests)
- Cannulation
- Medication Administration (PO; PR; IV; IM; SC etc)
- Triage
- Autonomous Practice
- Confidence in knowledge and skills
- Awareness of the Mental Capacity Act and Mental Capacity Assessment
- Proficient at taking on a Nurse/Paramedic in Charge role and Clinician of the Day role
- Non-Medical Prescriber (Desirable)
- Teaching skills
- Mentor / Practice Assessor
Within the team, we have Registered Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles . We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.
Successful candidates will have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics.
Working in this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. Confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.
Ideally you will possess a Full UK Driving licence as we cover the entirety of the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.
We would like to wish any potential candidates the best of luck in the process.
These roles will be based in Kensington and Chelsea
Person Specification
Education and Qualifications
Essential
- Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
- Evidence of continued professional development
Desirable
- Accredited post-registration qualification in long-term condition management and/or physical assessment skills
- Qualification in teaching or practice-based learning
- Non-Medical Prescriber
Previous Experience
Essential
- Post-registration clinical experience in an acute setting - including medication management, complex care and end of life management
- Proven ability to prioritise and manage own workload with minimal supervision
- Experience of participating in Clinical supervision
- Evidence of innovation in practice
Desirable
- Experience of undertaking complex assessments and providing care to people with long-term conditions
- Working in community and MDT - Rapid Response experience
- Experience in managing, auditing and evaluating clinical nursing services
- Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries
Knowledge
Essential
- Knowledge across a range of patient conditions, including frailty, medical/surgical/cardiac - acute on chronic illness
- Knowledge of current NHS organisational structures and policy initiatives
- Knowledge of clinical governance processes, risk assessment and personal accountability
Desirable
- NHS Leadership Programme - or leadership development
- Knowledge of safeguarding and safeguarding concerns
- Able to articulate clinical care and clinical systems providing clinical leadership to a team.
Skills/ Aptitude
Essential
- Basic IT skills including use of Microsoft Office package and email
- Ability to communicate highly complex information both verbally and in writing
- Ability to adapt to changing needs of service
- Able to manage difficult situations
Desirable
- Advanced patient assessment skills or working on and developing these skills
- Full Driving Licence or willingness to learn to drive - ability to access and take alternative modes of transport such as bike ride/bus/underground.
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
Central and North West London NHS Foundation Trust
Address
Kensington Town Hall
Horton Street London
London
W87NX
United Kingdom
Employer's website
https://www.cnwl.nhs.uk/work (Opens in a new tab)