Advanced Nurse/Paramedic

The Unplanned Care Team is a multi-professional team providing responsive, holistic patient assessments and care, designed to avoid acute hospital admissions and support patients in their usual place of residence 365 days a year and in addition, facilitating discharges from the acute for urgent therapy assessments at home.

The service covers 4 pathways - Rapid response (POA), Discharge to Assess (Therapy facilitated discharge), Unscheduled Planned Care and The Early Intervention Vehicle (EIV - crisis management and assessment). You may be required to see patients on all 4 pathways. Interventions will typically last up to 5 days.

Main duties of the job

The successful candidate will be a registered Nurse or Paramedic with advanced clinical skills, significant knowledge and experience in the clinical care of adults and older people in a range of healthcare settings.

As a senior member of the team, you will be working in collaboration with other band 7s and will be responsible for leading and managing the unplanned care team and ensuring seamless delivery of care to a diverse population of patients with changing needs.

You will be self-motivated with strong organisational skills and able to make complex clinical decisions autonomously as required. As a senior clinician, you will use your advanced clinical expertise, levels of judgement, discretion and decision making to support patients at home, improve patient outcomes and reduce the likelihood of unnecessary admissions to hospital. You will be required to complete holistic, advanced assessments, giving appropriate interventions as required and have knowledge of community services to plan the ongoing care of patients on the pathway.

Possession of a valid UK driving license and use of a car for work purposes is essential.

About us

Just as we care about our patients' well-being, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role.
• Car lease scheme (only available for Band 5 and up).
• Flexible working options.
• Training, support and development in your career.

To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits.

Job responsibilities

**Please refer to job description, person specification and trust values, for outline of skills, knowledge and experience required.**

Person Specification

Education/Qualifications

• Registered Nurse / Paramedic with current NMC / HCPC registration.
• Evidence of continuing professional education and training at Masters Level.
• Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment.
• Qualification in teaching or practice-based learning.

Experience

• Extensive experience in Primary Care and / or Accident & Emergency.
• Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions.
• Experience of assessing and providing quality care to people with Long Term Conditions.
• Track record of practice excellence.
• Effectively working in collaboration, negotiating, and liaising across organisational boundaries.
• Experience in monitoring clinical standards.
• Proven ability to prioritise and manage own workload with minimal supervision.
• Determining best ongoing care for patient.
• Team / service/ staff management.
• Experience of implementing evidence-based care and developing others to do so.
• Conducting research projects and audit.
• Change management and implementing change in practice.
• Evidence of innovation in practice.

Skills and Knowledge

• Evidence of comprehensive range of clinical skills and expertise relevant to the role.
• Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
• Confident in assessing acute MSK presentations.
• Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
• Ability to communicate effectively both verbally and in writing.
• Basic IT skills including use of Microsoft Office package, and email.
• In-depth knowledge of pharmacology.
• Knowledge of clinical governance processes, assessing and managing risk.

Key Attributes

• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£48,270 to £54,931 a year Per Annum, inclusive of HCAS.