Enhanced Practitioner

NHS; Watford; On-site; GBP 48,000 - 55,000; Full time

Job description

We are currently looking for a motivated and committed Practitioner who would like to have experience in managing the team and service.

The Frailty Hospital at Home service supports both early discharge home of patients and admission avoidance. Patients are hospital level patients, who would otherwise be in a hospital bed and are receiving daily interventions at home for 1-14 days.

The Hospital @ Home ward operates from a base in Watford, but covers all 4 South and West Hertfordshire localities. You will need a full/valid UK driving licence and have the use of your own car daily to visit patients in their own homes.

We are a multi-disciplinary team consisting of a Nurse Consultant, GP, Advanced Clinical Practitioners, Enhanced Clinical Practitioners, Senior Nurses, Physiotherapist, and Technical Instructors with administrator support.

Main duties of the job

The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate.

The post holder will be responsible for:

1. Leading, motivating and supporting team members in the facilitation of professional and clinical development.
2. Undertaking comprehensive health assessments, physical examination and ordering tests for patients on the pathway.
3. Using advanced clinical decision making and assessment skills, coordinating care planning and initiating referrals to diagnostics for appropriate tests.
4. Establishing, delivering and leading a comprehensive service within community services.
5. Playing a leadership role within the team and working with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and increase the number of referrals from the acute and community.

Candidates should be an experienced nurse with sound clinical knowledge and proven experience in acute and community clinical environments.

You will need to be adaptable to operate in a fast-moving environment and have the clinical skills and ability to function as a lone worker in a larger team.

Candidates should have excellent communication skills and the ability to provide care as determined by the clinical assessments.

Candidates will have undertaken professional development and have extended nursing skills, with evidence to support.

About us

Just as we care about our patients' wellbeing, 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 *T&C's apply.
• 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

The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team 08:00-20:00 - 13 shifts in a 4 week period with one full weekend in 4.

Please refer to Job description and Person Specification for outline of skills, knowledge and experience required.

Person Specification

Education/Qualification

• Registered Nurse with current NMC registration or Registered Paramedic with HCPC.
• Evidence of continued professional development.
• Qualification in Top to Toe assessment.
• Independent Prescriber with an up to date relevant scope of practice.
• Qualification in teaching or practice-based learning.
• University accredited Minor illness Module.
• Qualification in prehospital care or community care.

Experience

• 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 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.
• Experience caring for frail patients.
• Experience of team/service/staff management.
• Experience of implementing evidence-based care and developing others to do so.
• Experience of conducting research projects and audits.
• Experience of change management and implementing change in practice.
• Evidence of innovation in practice.

Skills & Knowledge

• Evidence of comprehensive range of clinical skills and expertise relevant to the role.
• Able to work autonomously, planning and prioritising own workload and that of others.
• Able to delegate work effectively and safely.
• Able to deal with conflict and manage appropriately.
• Able to manage difficult situations and address poor practice.
• Ability to assess a situation and act appropriately.
• Ability to communicate effectively both verbally and in writing.
• Able to identify own and other's learning and development needs and actively seek ways to meet those needs.
• Basic IT skills including use of Microsoft Office package and email.
• Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
• Advanced knowledge and understanding of anatomy and physiology of body systems.
• Clinical knowledge across a range of long-term conditions.
• Knowledge of current NHS organisational structures and policy initiatives.
• Knowledge of recent developments in managing frail patients.
• Knowledge of monitoring service outcome measures.
• Knowledge of adult and children's safeguarding procedures.
• Knowledge of NMC/ HCPC Code of Professional Conduct.
• Knowledge of Personal Development Planning.
• Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services.
• Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services.
• Knowledge of the audit process and able to implement in practice.
• Knowledge of evidence-based practice and able to implement in practice.
• Knowledge of clinical governance processes, assessing and managing risk.
• Knowledge of clinical supervision.
• Knowledge of how to implement equal opportunities in practice.

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.

Contract

Permanent

Working pattern

Full-time

Reference number

824-HERTS-7111661

Job locations

Building Research establishment - building 16