Hospital at Home Team Lead

+ The post holder will work as an autonomous expert practitioner with responsibility for leading a team of nurses and provide highly skilled & developed quality nursing care for children in their own homes and other community settings.
+ To develop, implement and evaluate a seamless Hospital@Home (H@H) Service, ensuring that patients receive the highest standard of clinical care.
+ To work as an autonomous practitioner with responsibility for facilitating early discharge, reduce length of stay and prevent hospital admissions
+ To provide high quality, specialist nursing care to children in their own homes
+ To provide continuing responsibility for the assessment, development, implementation and evaluation of nursing care for patients.
+ To work in partnership with members of the multi -disciplinary team to maintain high quality care & promote practice that is family centred.
+ To continue to develop and maintain close links between Community and Hospital based services.
+ .To be responsible for providing support to junior team members through developing their skills & completing staff appraisals. They will motivate staff to provide high standards of care by acting as a role model.
+ To undertake the organisation and support of student placements & mentorship through their practice placements.
+ To undertake and implement research and audit activities to ensure evidence-based practice and best practice guidelines are delivered within the service.

Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream, + To initiate appropriate work, accepting referrals and be able to work autonomously with the child and family in the community setting.
+ To regularly attend and liaise with acute hospital colleagues to enable timely and safe discharge from hospital and appropriate follow-up in the community setting
+ To collect and analyse daily reports from Paediatric Accident and Emergency (A&E)and follow up any children who need further support in the home setting
+ To establish contacts with GP's who regularly send children to A&E and promote the service offered in the community
+ Recognise and monitor acute exacerbations of illness and initiate appropriate nursing interventions.
+ To provide a holistic, autonomous and clinical nursing service as an expert practitioner using high levels of decision making and clinical judgement and evidence based practice. To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility. Act in partnership with the child and family when assessing a child's needs and planning. To provide advice contributing to the well-being of the patient and participate in health promotion. (eg burns advice). To provide high quality nursing care to meet agreed pathway standards of care.
+ To ensure medical needs and instructions are carried out in accordance with nursing and midwifery council guidelines and ensure accurate record keeping. To create reports for specific formal meetings such as child protection case conferences. Ensure confidentiality of information is adhered to at all times.
+ To liaise/make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes without direct supervision.
+ To carry out specialist procedures in the community settings
+ To use clinical judgement and expertise in assessing and implementing change during clinical visits eg assessment of respiratory condition and management of any changes
+ To use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters prescribed by medical colleagues
+ To be familiar with practices regarding the management of hazardous/biological substances and follow trust policies regarding their disposal.
+ To undertake individual risk assessments to support children and families within their own homes
+ To be familiar with safe manual handling practices and implement within the practice setting when both working with clients and service equipment.
+ To recognise and respond to safeguarding issues as they arise
· To be responsible for team members as their line manager including management of sickness absence, poor performance and recruitment and selection decisions. Must be able to manage a team of nurses including allocation, delegation & supervision of care given according to their knowledge & expertise. Provide training and organise professional development plans, appraisal & clinical supervision for junior team members/carers/other professionals.
· Participate in appraisals and objective setting for junior staff to enable them to achieve optimal effectiveness
· Direct, support, encourage and advise team members, by the provision of specialist knowledge and advice in the care of the patients.
· Act as a role model, demonstrating high standards of care and providing clinical leadership within the team.
· To participate in clinical supervision and personal development programmes
· Supervise & assess qualified staff members, nurse learners & post-basic students. Work within local and national policies and procedures to ensure that safe working practices are maintained for both patients and staff.
· Demonstrate the ability to adapt own behaviour and influence others to manage conflict and improve team dynamics.
· To be aware of health & safety issues at work and ensure implementation of health and safety regulations. Cascade to other team members. Implement risk assessment policies and quality assurance. Notify the Trust of any risks associated with H@H work and with the Lead Nurse ensure it is on the risk register for the service
· To act for the Community Children's Matron during absences as requested.
· There is a requirement to provide the service 365 days a year and team leaders are expected to take turns in being on call over weekends and public holidays being the named contact point via bleep during these times and supporting & directing staff who are working with them
· To manage client caseload and have the ability to practice autonomously.
· To raise the profile of H@H Team within other locations and with other professionals.
· Create and develop practice protocols locally according to best practice guidelines and in line with Trust Policies. Cascade knowledge to junior team members and act as a role model.
· With other senior staff, participate in planning for the future service provision of the service.
· Demonstrate effective leadership qualities .
· Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work. Implement findings to improve patient care and ensure compliance with agreed standards.
· Utilise research findings to develop new ways of working and disseminate relevant information to staff.
· To assist the lead nurse with updating or writing new care plans, policies, guidelines and competencies.
· Set, monitor and review standards of care on a regular basis and initiate corrective action plans.
· To contribute to service development
· To have studied or be working towards completing the Advanced Nurse Practitioner qualification
· To undertake mandatory training as outlined by Lewisham and Greenwich Healthcare Trust
· To implement induction programmes for new members of nursing staff. To supervise/assess nurse learners and student
· To plan, design & initiate, monitor & evaluate teaching & learning programmes for a variety of professional and voluntary workers including, clients, carers, junior team members, nurse learners and other professional staff when required.
· To be pro-active in promoting the health and welfare of clients and families through providing advice and resources that empower families towards a healthier/safer lifestyle.
+ To demonstrate accountability in the use and management of all resources including financial.
+ Implement new initiatives where possible to run a cost effective service.
+ To participate in working parties in order to propose changes to policy, procedure and guidelines within child health.
+ To liaise, make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes.
+ To assess care needs and liaise with other professionals in order to assist them to develop a package of care and to provide clinical/professional advice relating to this. To actively work together with other professionals by communicating within the extended multi-disciplinary teams within the community setting. To work alongside professionals from other government & non-government agencies including the voluntary sector.
+ To attend Children's Inpatient Ward and A&E on a daily basis to ensure all appropriate referrals are made and to provide seamless care from hospital to the community setting. To be involved in the providing and receiving of delicate and sometimes complex information during these visits. To negotiate communications with families and carers around complex issues regarding management of care in the community, including bereavement support and managing difficult situations.
+ To initiate and negotiate communications with families & carers frequently around complex, emotive and contentious issues regarding management of a child's care in the community. Respect the child and family's culture and diversity & communicate in a sensitive manner. Use appropriate resources as required such as use of interpreters.
+ Identify and intervene where circumstances contribute to an unsafe environment for patients and staff and bring to the attention of Lead Nurse.
+ To be responsible for the demonstrating of safe use of expensive and complex pieces of equipment. To be responsible for ensuring that medical supplies are ordered from an agreed list in order that the team remain within budget.
+ To assess patients' needs and initiate all requests for nursing aids or equipment. To be responsible for the training of their correct use.
+ There is a requirement for the post-holder to be flexible with their working hours and cover over a weekend or Public Holiday
+ To act as a resource and role model to junior staff members & other professional staff
+ Take an active role in risk assessment, supporting implementation of strategies to minimise risk. Ensure incidents and near misses are reported, through promoting a no blame culture.
+ There is a requirement for the post-holder to be IT literate as there is a regular requirement to use computer software to create reports. The team use RIO for all of their client notes.
+ To participate in teaching Nurse Learners and all other students as appropriate who visit.
+ To frequently market and update service with acute colleagues, attending and teaching at doctor/nurse training sessions on a regular basis
+ To provide a high standard of professional conduct and nursing care at all times in accordance with the NMC.
+ To attend relevant meetings, courses, seminars and keep professionally up-to-date.
+ Any other duties considered relevant to the post.
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note, not all roles will meet the criteria for a skilled worker visa.

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.