Home, community, hospital

Kingston and Richmond NHS Foundation Trust offers a range of fantastic opportunities to grow your career across both hospital and community settings in south London. Whether you're looking to build new skills or take your experience to the next level, we are uniquely placed to provide the right environment to support your professional development. With colleagues working in people’s homes, in community clinics, and in our two hospitals, we have an outstanding breadth of knowledge and experience to draw from.

Our commitment to exceptional care is reflected in being the first trust of our kind in London to achieve an ‘Outstanding’ rating from the CQC for both overall quality and leadership. We exist to provide the best possible care for our patients and we do that by giving our colleagues what they need to be their best at work. We have won numerous awards from the HSJ and Nursing Times for the way we support our colleagues across all our services.

We are proud to be recognised for our outstanding cancer care, children's services, pioneering surgical teams, and exceptional rehabilitation services. Our maternity services have been rated the "Best in London" by women surveyed by the Care Quality Commission (CQC), with parents travelling to Kingston to take advantage of our considerable experience and expertise.

Our Trust values

These words are important reminders, but it’s our behaviours that tell people who we are. We expect all colleagues to bring our values to life in their work.

Job overview

Richmond Response and Reablement Team (RRRT) are excited to be recruiting for a passionate individual to work on the Urgent Community Response pathway.  Regardless of Nursing, Paramedic or Therapy background, we are looking for a registered healthcare professional with assessment skills and a key interest in avoiding unnecessary admissions to hospital.

RRRT is a seven-day integrated health and social care service for adults, primarily older people, working in partnership with HRCH and the London Borough of Richmond upon Thames Council.

As a development role, it is expected that the post holder will, with support from the MDT, develop their skills to an advanced practice level.  We recognise that potential post holders come from a variety of backgrounds and are prepared to support gaps in knowledge and scope.  We are keen to encourage and nurture careers and will actively support staff development.

The post holder will use enhanced skills, being supported to complete thorough clinical assessments, to diagnose and treat patients within 2 hours of referral in their own homes / care homes.  Our aim is to avoid further clinical deterioration and preventing unnecessary hospital admission and to relieve pressures from GPs, London Ambulance Service and Acute Hospitals.

Main duties of the job

KEY RESPONSIBILITIES

·       To undertake Rapid Responses within the Community

·       Carry out a range of interventions, working within the scope of professional practice.

·       Provide expert management for patients, often with a range of complex long-term conditions, as part of the Richmond Response & Rehabilitation Service case co-ordination structure.

·       Working autonomously with advanced assessment decision-making and problem-solving skills, identifying and sign-posting patients to appropriate services.

·       Improve outcomes for people with long term conditions and reduce the need for these people to attend or be admitted into hospital or long-term residential care.

·       Work in a multi-disciplinary team and supporting the RRRT service and in close liaison with general practitioners, community health care staff, Virtual ward, social care staff, acute hospitals, voluntary and private sector, and patients and their relatives and carers.

CLINICAL RESPONSIBILITIES

·       Assess and provide skilled advice and/or care to all appropriate individuals receiving a service. 

·       Use advanced skills and knowledge to assess, diagnose, plan care, initiate/ change treatment and discharge individuals and be able to determine if symptoms warrant further investigation and/or treatment.

Working for our organisation

We have four core values that all colleagues are expected to demonstrate in the way they work. Shaped by staff, patients and partners, our values are the guiding principles that together define who we are, what we do and what’s most important to us.

 ·      Compassionate: We treat everyone with kindness, understanding and empathy

·      Inclusive: We are respectful, fair and open, embracing everyone’s unique contribution

·      Collaborative: We work together across our teams and with our partners and are helpful, positive and supportive

·       Inspiring: We strive for the best for patients, staff and partners and are always learning and improving