Urgent Care Practitioner

The pressure is increasing on Emergency Departments all over the Country and it is recognised how bringing a hospital to home role plays a part in assisting with the assessment and treatment of patients in this area. The post holder will have continuing responsibility for assessment and management of patients within the CTT and will use advanced and highly specialist skills and knowledge of community to assess, plan, implement and evaluate the management of care. To provide onward referral to other community services including health and social care to ensure the safe management of the patient when completing their CTT episode of care. CTT also work in collaboration with London Ambulance Service responding to 999 calls. Once training has been completed within the team you will have the opportunity to work with the CTT / LAS car to support the service aim. Main duties of the job Due to the crisis nature of the role the practitioner will be supported to extend their skills in order to recognise a deteriorating patient. The practitioner will be supported with continuing professional development. Close teamwork is paramount in order to manage complex patients in the rapid environment.,

• To manage a specific specialised caseload of clients, within A&E, NHS 111, Frailty units and the community, using the nursing process of assessment, planning, implementation and evaluation.
• To provide professional and clinical support to staff working within the CTT and collaborative services such as Acute hospital trust, GPs, NHS 111 and Ambulance Services.
• To participate in the development of a high quality service clinical governance framework.
• Assist with the day to day management of the CTT and co-ordination of workload and development of the team.
• To participate in the implementation of NELFT & NEL service developments impacting on Community Services.
• Establish and maintain effective communication and relationships across all disciplines and services.
• To act as an autonomous practitioner to assess, plan, implement, review and evaluate care, including complex care assessments
• To ensure service delivery is of a high quality we provide quality care 365 days. NELFT operate a flexible working policy.
Working for our organisation Probationary Period This post will be subject to a probationary period. Internal applicants are exempt from the probationary period (unless you are an internal applicant currently part way through a probationary period or currently a bank member of staff)., The practitioner will be supported to undertake training in order to competently assess an acutely unwell adult, ensuring their best interests are maintained to be treated in the most appriopriate environment The role will require the successful candidate to work as part of the team in the Emergency Department (ED). The candidate will assess patients determining their care needs in order to manage them through their crisis. The candidate will need to work using current evidence based practice, providing thorough and rapid assessments, facilitating a quick and effective discharge outcoem for the patient. The candidate will also need to engage with other MDT members internally and externally. CTT consists of Occupational Therapists, Physiotherapists, Health Care Assistants, Nurses, Doctors, Pharmacists and Social Workers. The band 6 will be expected to supervise and manage junior members of staff and be supported to develop and deputise for senior members of staff in their absence. You will be supported to undertake clinical educator's course and support students. Clinical Skills
• To assess the needs of a defined client group, plan and implement client centred interventions, evaluate treatment in order to measure progress and ensure clinical effectiveness.
• Carry out a full holistic assessment of patients(to include wound care, administration of medication, injections, phlebotomy, IV cannulation and IV therapy, clinical observations including recording ECG's).
• To be able to undertake a comprehensive triage and recognise red flags requiring more urgent escalation and medical attention
• To use patient / client medical and social information as part of the nursing process.
• To practice and promote best evidence based practice and participate in specific clinical trials and audits in CTT.
• To allocate clinical and administrative work appropriately to support staff and monitor outcome.
• To maintain accurate contemporaneous records on all aspects of the treatment process and client / patient contact.
• To act as a resource for other team members, support staff and students, ensuring own actions promote quality.
• To participate in clinical meetings and patient / client case conferences, presenting detailed specific professional information.
• To apply a level of understanding of the effects of disability and its effect on the client / patient, carer and wider community.
• To be accountable for own professional actions adhering to the Nursing & Midwifery standards or HCPC and guidelines.
• Promote evidence-based practice within the service.
• Receive referrals and manage own caseload under the direction of the team leader. Ensure referrals are appropriate and patients meet with agreed criteria
  
  First level Registered Nurse currently registered with the Nursing & midwifery Council / BSc (Hons) Paramedic Science / Dip HE in Paramedic Science registered with the HCPC
• Practice educator or other teaching qualification or equivalent experience
Desirable criteria
• Physical Clinical Assessment Skills Course or willingness to undertake the course.
• Qualification in minor illness Management
• Experience of working in Primary Care / Accident & Emergency or / and Qualifications in Community and / or Accident & Emergency Nursing.
• Non-Medical Prescriber (NMP) or willingness to undertake the course, Previous experience as a RN / Paramedic in a band 6 post or equivalent, working as an autonomous practitioner for at least 1 year
• Portfolio evidence of professional development and commitment to CPD and commitment to ongoing training, education and mentoring to develop clinical skills.
• Knowledge and skills to assess patients with complex presentations to arrive at a clinical decision.
• Excellent communication skills including influencing, negotiation and empathic.
Desirable criteria
• Current experience of managing adults with a long-term condition / s (LTC)
• Experience of undertaking advanced practitioner level physical examination and assessments.
• Extensive range of clinical skills and experience including IV therapy, venepuncture, wound care.
personal qualities,
• Sufficient personal resilience to cope with challenging emotional situations.
• Commitment towards own personal and professional development
• Excellent interpersonal and negotiating skills
• Able to work flexible shifts, putting people 1st
• prioritising quality
• Being progressive, innovative, and continually improve
• Being professional and honest
• Promoting what is possible, independence, opportunity, and choice
  
  Joining #TeamNELFT means you'll become part of a welcoming and supportive working environment. We're CQC rated Good, and we want you to join us on the journey towards an Outstanding rating.
NELFT has sites across North East London, Essex, Kent and Medway. We provide community and mental healthcare services to adults and children within these areas. The Trust has award winning equality and diversity initiatives and staff health and wellbeing activities. We invest heavily in your development, because when you are valued and supported, we provide the best care to our patients. We are a Level 3 Disability Confident Leader, have been featured in the Working Families Top 10 Employers benchmark for three consecutive years, and we have achieved a Carers UK Level 1 Accreditation. Along with our staff networks and training opportunities, we work hard to embed a just and compassionate culture here at NELFT. Find out more about NELFT careers and what makes our Trust a great place to work, in this video

This post also attracts payment for High-Cost Area Supplement of 15% of the basic salary (minimum payment of £4,551 and a maximum payment of £5,735)., We believe in bringing your authentic and best self to work, in order to deliver the best care to our patients. We are committed to supporting our employees holistically. Here is a snapshot of what is on offer at NELFT :
• A long-standing and award-winning approach to equality and diversity with supportive networks for ethnic minority staff, staff with disabilities or long term / chronic conditions and LGBT staff.
• A commitment to supporting colleagues to achieve a work life balance, through flexible working opportunities and our effortsto support our working parents and carers.
This has resulted in us being recognised as a Top 10 Family Friendly Employer' from the Working Families Charity.
• Proactive health and wellbeing support, including access to our employee assistance programme, staff psychological support, individual wellbeing conversations and a network of health and wellbeing ambassadors.
• Detailed information about our wellbeing and benefits offer can be found in this link.
As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that's a job share, part time hours or another flexible pattern.