Job overview

The post holder is identified as a Hospital at Home Team Nurse, working in conjunction with the current H@H teams, providing skilled nursing services for patients who are suitable for discharge and to continue their treatment at home. The Hospital at Home service offers a seamless patient journey across Primary and Secondary Care. The post holder will provide education and training for patients/ carers and members of the multidisciplinary team across boundaries; share nursing knowledge and skills to support and advice as needed. The post holder will develop effective working relationships within Primary and Secondary Care 
colleagues, GP’s and other Primary Health Care Teams to facilitate integrated care and enable early supported discharge, prevent inappropriate re-admission to hospital. Support and participate in the development of integrated pathways and care packages which enable patients to be safely cared for outside of the acute hospital setting. 

Main duties of the job

1. To be responsible for the assessment of care needs, delivery and implementation of management plans for individual patients using a problem solving approach and evidence based care.  
2. To work with colleagues, or independently, to provide the highest possible standard of care for patients assessed as safe and medically suitable to remain at home  
3. To work with specific groups of patients within agreed pathways in Primary and Secondary Care, and taking responsibility for their ongoing management and safety. 
4. To effectively assess identified or referred patients on to the Navigation or Hospital at Home Service as part of the admission avoidance scheme, and act on findings as per protocols.  
5. To participate in effective and safe discharge planning of all identified inpatients/ outpatients and to promote smooth transition to the Hospital at Home Team or other community based services and teams.  
6. To support patients in their home environment as part of Hospital at Home Virtual Ward, ensuring safe and uncomplicated recovery.  
7. To develop effective working relationships with the all relevant community services enabling good integrated care with seamless handover as appropriate.  
8. To receive and act on referrals direct from all areas within the Acute and Emergency Settings, for assessment, agreed tests and management of patients’ condition.  
9. Develop competence of professional practice to advice and support patients, using appropriate protocols.  

Working for our organisation

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton.  Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Paediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Our values

We not only recruit based on qualifications and experience - we recruit individuals who demonstrate the behaviours which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity, and creating a culture that values differences.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job

It is an exciting time to join Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.

 

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.