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Job summary

Main area
Community Nursing
Grade
Band 4
Contract
Permanent
Hours
  • Full time
  • Part time
37.5 hours per week (Monday to Sunday 8:00am - 8:00pm Bank Holidays included)
Job ref
839-6209762-PG
Employer
Norfolk Community Health and Care NHS Trust
Employer type
NHS
Site
1 Mill Close
Town
Norfolk
Salary
£25,147 - £27,596 pro rata pa
Salary period
Yearly
Closing
05/05/2024 23:59

Employer heading

Norfolk Community Health and Care NHS Trust logo

Community Nursing Associate - Urgent Community Response Team

Band 4

NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an ‘Outstanding’ rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people and on improving access to that care, helping people to move seamlessly from one service to another. Praising NCH&C’s “compassionate, inclusive and effective leadership at all levels”, the CQC observed that our staff are well supported to make positive changes and innovations.

Norfolk Community Health & Care NHS Trust is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.

We welcome applications from people who share our values and can help us deliver outstanding care in our local community.

Job overview

This is an exciting opportunity to be part of a newly  developing  service utilising your skills and judgment in a multi-disciplinary team to provide an urgent community response to community patients, to avoid hospital admission.  The UCR team work together to support  colleagues across the system, working with other urgent care providers, working  as part of the wider NEAT admission avoidance pathway.  If you like working in a fast paced environment in an unplanned situation  and have community or emergency care experience,  this would be a great opportunity for development. 

Job Purpose
To provide and monitor high standards of safe, person centred health care to patients within their own places of residence, under the direction of a Registered Nurse, without direct supervision by following prescribed care pathways over a 12 hour period.
You will be fully supported by the wider Urgent Community Response (UCR) Team with all aspects of the delivery of care for this complex group of patients.

This is a 7 day a week service and some weekend working will be expected. Hours of service delivery are, 8am-8pm, 365 days per year.

You must hold a full and valid driving licence and have access to a vehicle.

Main duties of the job

As part of the Urgent Community Response Team, you will be required to:
• Contribute to the delivery of care pathways for patients with long term conditions, palliative care and rehabilitation needs for example, to achieve quality of life and independence where possible.
• Work within the Urgent Community Response Team to prevent unnecessary admission to hospital.
• Work within the Urgent Community Response Team to support early discharge from hospital.
• Work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
• Adhere to the Nursing and Midwifery (NMC) Code of Conduct and professional practice for Nurses, Midwives and Nursing Associates and work within the Policies, procedures and guidelines of Norfolk Community Health and Care (NCHC).

Working for our organisation

NCHC is forward thinking Community Trust and an important part of the health care system in providing outstanding holistic care for our patients and working together to keep patients safe at home and out of hospital. There are multiple learning and development opportunities for all staff with a comprehensive well-being support. 

Apply now to join an organisation that has been awarded an Outstanding rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.

Detailed job description and main responsibilities

Clinical.
The post holder will:
1. Support the Registered Nurse in the contribution of on-going assessment, treatment, care planning and management of patients.
2. Prepare for, carry out and monitor assessments and treatments in specified clinical areas, and discharge in line with predetermined department protocols.
3. Develop understanding of all elements of the Nursing process and apply competency based treatment techniques/care to patients with specific conditions under the in-direct supervision of a qualified practitioner.
4. Modify and progress intervention / treatment using own clinical reasoning, notifying a qualified practitioner accordingly.
5. Monitor the condition and health needs of patients and promptly alert a Registered Nurse or other Registered health care professionals when there are unexpected changes.
6. Demonstrate problem solving, and contribute to the solution, working with colleagues.
7. Make basic judgements on patients’ response to prescribed treatment, and report findings to a qualified practitioner.
8. Plan and prioritise own visits to delegated patients, and ensure these are documented on SystmOne.
9. Ensure that SystmOne inputting is completed on a daily basis.
10. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
11. Establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building to enable patients to engage in their treatment/care/management plan.
12. Liaise with the wider Urgent Community Response (UCR) Multi-disciplinary Team (MDT) and regularly communicate with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector as
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required to ensure identified needs are met and care co-ordinated appropriately.
13. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
14. Communicate with patients/carers by exchanging factual information, reassurance, tact and empathy.
15. Establish and maintain appropriate working relationships with colleagues, patients, carers and other health care professionals.
16. Demonstrate dexterity and coordination when undertaking treatment of patients where accuracy is important, e.g. taking blood sugars, venepuncture, supervising transfers, passive exercises.
17. Be responsible for ensuring equipment is used safely, following appropriate training, and that it is maintained appropriately.
18. Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
19. Work predominantly independently on specified tasks, with regular clinical support and supervision by a qualified practitioner.
20. Demonstrate an awareness and understanding of consent, and gain consent as appropriate following department policy.
21. Share responsibility for maintaining store cupboards, pool cars, cleaning specialist equipment and general house keeping tasks.
22. Share responsibility for indirect patient contact tasks, such as, answering telephones, arranging appointments, processing referrals and inputting activity data.
23. Be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.
24. Demonstrate the proficiency to administer medications within local policy and procedure and in line with the NMC Standards of Proficiency.
25. Demonstrate good IT and standard keyboard skills.
26. Undertake the Trust Preceptorship Programme as appropriate.
Professional
The post holder will:
1. Attend and contribute to staff meetings and multidisciplinary team meetings plus other meetings where appropriate.
2. Be an active member of the in-service training programme by attendance at and participation in, training sessions, courses and reflective practice as required to develop current job role.
3. Be able to make own travel arrangements to patients, clinics, base and meetings as required.
4. Demonstrate own duties and provide support and supervision to newly qualified staff and students, new starters and/or less experienced staff; and be involved in induction programmes for new staff / students whilst encouraging an effective learning environment
5. Be aware of limitations of own scope of practice, and when to involve a more senior practitioner, both in daily practice and in emergency situations.
6. Acknowledge and recognise peoples’ expressed beliefs, preferences and choices.
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7. Demonstrate an awareness of clinical governance and risk management, and apply to work situation.
8. Provide peer support to other practitioners, demonstrating leadership skills as required.
9. Identify and explore own contribution to team working, and reflect on own practice.
10. Actively contribute to the working of the team and express ideas on improving services for users and the team.
11. Develop competencies to enhance practice to meet the needs of the patient and the service
Organisational
The post holder will:
1.Undertake mandatory training as required.
2.Participate in the Personal Development Review process
3.Follow Trust policies, and local procedures.
4.Ensure absence reporting is undertaken as determined by Team Leader and
Trust Policy.
5.Contribute to clinical audit as required.
6.Complete the staff survey as required.
7.Complete risk assessments and incident forms as required.
8. Take part in clinical supervision as per Trust Policy.

Person specification

Qualifications

Essential criteria
  • Nursing Associate Foundation Degree Qualification
  • Registered Nursing associate on the NMC register
Desirable criteria
  • NVQ Level 3 in Health and Social Care

Knowledge, skills and ability

Essential criteria
  • Evidence of a higher level of skills and knowledge of practice
  • Experience of working in a health or social care setting
  • Good communication skills
  • Good interpersonal skills
  • A team player
  • Highly motivated
  • Able to provide high standards of care
  • Tact & diplomacy
  • Empathy & sensitivity
  • Ability to use own initiative
  • Good observational & reporting skills
  • Ability to manage stressful situations
  • Leadership skills
  • Work flexibly to accommodate patient/service needs
Desirable criteria
  • Experience of working in teams under appropriate supervision as part of the multi-disciplinary team

Personal Qualities

Essential criteria
  • Professional appearance
  • The ability to kneel, bend & stoop, and work in cramped environments
  • Manoeuvre limbs of around 5-6 kg
  • Manoeuvre patients using handling aids
  • Be reliable

Personal Attributes / Behaviours

Essential criteria
  • Able to identify with the Trust’s commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults

Other

Essential criteria
  • The post holder will need to be passed fit to perform full duties of the post through occupational health with any reasonable aids and adaptations if necessary. Some roles require additional level of checks as part of the employment process, i.e. roles which come into contact with children, vulnerable adults or their families.
  • Must hold full and valid driving licence and have access to a vehicle
  • Be able to make own travel arrangements to patients, clinics, base and meetings as required.
  • This is a 7 day a week service and some weekend working will be expected. Hours of service delivery, 8am-8pm, 365 days per year

Employer certification / accreditation badges

Carers Friendly Tick award EmployersSunflower Hidden DisabilitiesApprenticeships logoNo smoking policyPositive about disabled peopleAge positiveDisability confident leaderMindful employer.  Being positive about mental health.Care quality commission - OutstandingStep into healthArmed Forces Covenant Bronze AwardArmed Forces Covenant

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Nicola Samuels
Job title
Service Lead North Urgent Community Response Teams
Email address
[email protected]
Telephone number
07880183126
Additional information

Rosy Watson 

01263 710542

[email protected]

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