About this role
Job summary
37.5 hours per week.
An exciting opportunity has arisen for an experienced clinician (Paramedic, Nurse or Therapist) to join our expanding team.
The position is part of a dynamic Urgent Community Response (UCR) service, covering the South Hams and West Devon locality. The team deliver 2-hour community response to vulnerable patients inline with the NHSE UCR directive.
The service provides 8am - 8pm cover 7 days a week and takes a patient-focused, multi-disciplinary approach in supporting patients to remain at home, avoiding unnecessary hospital admissions.
We welcome applicants who are looking for a development opportunity into an Acute Response Practitioner role. You would be recruited into a band 6 role and on completion of recognised qualification (PACR module, level 7) and competences achieve a band 7 Acute Response Practitioner post.
Training and development opportunities will be provided to successful applicants.
We welcome enquiries prior to applying, do call to find out more.
This role may not be eligible for sponsorship under the Skilled Worker route.
Please note that Livewell may close the job advertisement earlier than the specified deadline.
All staff are expected to be able and willing to work across a 7 day service.
Main duties of the job
The team work across South Hams and West Devon taking in a large rural geography. Pool cars, remote working as well as office bases across the patch are available to support responsive working.
You need to have excellent communication skills and experience working with clinically vulnerable people. You will be adept at finding practical solutions and utilising a strengths-based approach alongside available local resources to support patients in the community. Candidates will need to demonstrate that they can gather and extract essential information to triage and respond appropriately, linking in with the wider MDT resources to ensure the patient receives the right care in a timely manner.
As an Urgent Community Response clinician you will be expected to:
- Support the UCR single point of access offering a clinician to clinician point of contact.
- Provide an excellent level of triage to quickly assimilate and hold risk.
- Be confident to assume responsibility for individuals & facilitate the handover of care from a referring clinician.
- Respond within 2hrs to an individual in crisis offering a comprehensive face to face assessment.
- Liaise & co-ordinate care with the wider MDT & stakeholders in a timely and effective manner.
- Play a key role in service development of both UCR and wider services in SH&WD.
- Work closely with stakeholders such as primary care, SWASFT & emergency departments to ensure UCR is promoted and developed in the most effective way possible.
About us
Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.
Job description
Job responsibilities
To provide reactive and proactive assessment, treatment and onward referral for people who are frail or have complex needs. This will be provided as part of Urgent Community Response Directive providing 2hr responses 8am 8pm 7/7 in patients homes or in their usual residence. To prevent hospital admission and patient deterioration for people with an acute episode or exacerbation of a long term condition.
This is a community post, working closely with primary care.
To provide high quality person centred care which always considers peoples safety, privacy and dignity using advanced clinical know ledge that is evidence based.
To undertake independent assessment and management of service users to incorporate pharmacological considerations, where appropriate making complex clinical decisions regarding service user management and clinical outcomes.
To provide advanced clinical advice, leadership and support ensuring the needs of the service are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision making skills.
To manage change, to monitor and improve standards through supervision, evidence based practice, clinical audit, research and education. To promote and demonstrate best practice by integrating evidence into practice
MAIN DUTIES/RESPONSIBILITIES
Provide high quality innovative clinical practice 8am 8pm over 7 days. Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical know ledge and be able to demonstrate improved patient care outcomes as part of an acute visiting service for frail older people, based and coordinated by the Rapid Response Team and Community Therapy Teams.
Undertake comprehensive specialist holistic assessment of patients and carers where needs are highly complex. This will involve planning, implementing and evaluating the care delivery according to changing healthcare needs.
To work autonomously using advanced levels of history taking and examination skills within multidisciplinary team, guidelines and protocols.
Utilize advanced clinical skills in assessment and/or formulate a diagnosis and/or treatment plan.
Demonstrate a high level of knowledge in relation to pattern of disease or disorder, markers of condition progression and range of treatment available at each stage of disorder or condition.
Be able to assess critically and re-evaluate the clinical situation as the patients condition changes.
Anticipate likely potential physical and psychological problems caused either by the condition or by treatment.
Where appropriate to profession, Independent Non-Medical /Supplementary prescriber, able to take a history, assess, examine, diagnose and prescribe and develop a management plan including medication and monitor response to medication.
Advise and communicate as appropriate with acute hospitals, primary and social care and community teams thus ensuring seamless continuity and transfer (if appropriate) of care f or patients between other relevant health, social and third sector agencies, professionals and other care settings.
Facilitate learning for patients and their carers in relation to their identified health needs.
To act at all times as an advocate for service users, carers and relatives.
Promote the principles and philosophy of Care Closer to Home, rehabilitation and optimal self -care as appropriate.
Establish, maintain and effectively manage barriers to advanced, highly skilled and effective communication with service users, carers and professionals across health and social car e, and education services as appropriate in order to develop a therapeutic relationship within which highly sensitive, distressing health conditions and complex issues are often addressed. This includes imparting information regarding diagnosis, prognosis and treatment and referring to other teams as appropriate to promote integrated working and to improve patient outcomes.
Provide appropriate support and advice to carers and refer for carers assessment if appropriate.
Collect, collate, evaluate and report information, maintaining accurate confidential patient records. Contribute to the development, implementation and audit of protocols, guidelines and policies for the service. These will be shared with the multi-professional teams in all care settings.
Maintain a professional portfolio and demonstrate that practice is up to date and evidence based. Ensure own compliance with mandatory training, revalidation requirements and lifelong learning.
Ensure the safety of self and others at all times and promote a safety culture through the effective management of risk in the working area.
Participate in maintaining systems f or risk assessment and minimisation including promoting a f air blame culture in order that near misses and incidents are reported and investigated
Contribute to investigation of incidents and complaints when required; participate in identifying lessons learnt and the sharing of learning across the organisation.
Promote peoples equality, diversity and rights. Provide high quality innovative clinical practice. Be proactive in clinical decision making, underpinned by an advanced level of theoretical and practical know ledge and be able to demonstrate improved patient care outcomes.
Person Specification
Qualifications
Essential
- Degree or equivalent in Nursing / Occupational Therapy/Physiotherapy/Paramedicine
- HCPC Registration
- Evidence of on-going education and professional development
- Relevant post-graduate education
- Computer literate
- Recognised qualification in written and spoken English if this is not first language
- Membership of the relevant Professional Body
Desirable
- Clinical Educator
- Membership of relevant Special Interest Group
- ECDL or equivalent
- Management training
- Current valid UK driving license
Other requirements
Essential
- Evidence of proactive involvement in the supervision and development of members of the multi-disciplinary team.
- Evidence of delivering education and training in practice.
- Willing to act as a clinical supervisor and/or facilitate peer groups.
- Able to effectively manage available resources in the pursuit of quality service provision ensuring a safe environment
- Able to analyse data and produce reports using Microsoft Excel and
- Word.
- Confident in the use of computer systems, spreadsheets, databases, data collection and co-ordination, word processing and report writing.
- Experience of using electronic patient / service user record systems.
- Evidence of demonstrating the Livewells values and behaviours.
- Able to communicate effectively at different levels of the organisation and with staff , patient/service users, visitors or external organisations both verbally and in writing in the exchange of highly complex, sensitive or contentious information which may require the use of negotiating and/or persuasive skills.
- Able to overcome barriers to understanding where there are physical or mental disabilities.
- Able to analyse and assess situations and to interpret potentially conflicting situations and determine appropriate action, where there is a range of options and judgement is required.
- Experience of planning and organising complex activities requiring the formulation and adjustment of plans .e.g. organising own time, co-ordination with other agencies and plans for sudden, unforeseen circumstances.
- Able to work independently within sphere of authority.
- Evidence of skills in diplomacy, negotiation and influencing.
- Confidentiality.
- Inquisitive and eager to learn, asks questions and responds positively to change in practice/procedure. Seeks ways to improve self and others.
- Ability to evaluate care leading to improvement in quality standards and service improvement.
- Able to adapt to a changing environment and changing priorities.
- Subject to the provisions of the Equality Act, able to travel using own vehicle on Livewell business
- Demonstrable skills in written and spoken English to a standard which enables the post holder to carry out the full range of duties and responsibilities of the role effectively.
- Able to support an 8am 8pm 7/7 service
- Able to support 8am -8pm shifts and weekend on-calls
Experience
Essential
- Relevant Band 6 clinical experience,
- Autonomous practitioner with experience of managing a caseload
- Experience of supervision of junior staff and/or assistants
- Evidence of CPD
- Experience in rehabilitation
Desirable
- Experience of working with staff from other agencies
- Experienced clinical educator of students
- Experience of audit projects
- Experience of triaging and prioritizing case load
- Previous working at senior level
- Experience of teaching other professions
- Management experience
- Post graduate experience in a broad based rotational post across a range of clinical areas
Skills
Essential
- Highly specialised skills in clinical assessment, intervention and evaluation
- Excellent communication skills
- Excellent time management and organisational skills
- Ability to be creative and transpose established treatment methods into a home rehab setting
- Leadership qualities
- Skilled in working in teams
- Innovative
Desirable
- Experience in applying research to practice
Knowledge
Essential
- Relevant post graduate clinical experience at Band 6 level
- History of employment in community-based post
- Autonomous practitioner with an experience of managing a caseload
- Experience of supervision of junior staff / or assistants
- Experience of teaching
- Evidence of CPD
Desirable
- Experience of triaging and prioritizing caseload/referrals
- Experience of working with staff from other agencies
- Experience of audit projects
- Experience of hospital avoidance work
- Previous working at senior level
- Experience of teaching other professions
- Management experience
- Post graduate experience in a broad based rotational post across a range of clinical setting
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
Livewell Southwest
Address
The Hayloft
Plymouth
PL8 2NN
United Kingdom
Employer's website
https://www.livewellsouthwest.co.uk/ (Opens in a new tab)