Job overview
Community Independence Service Urgent Community Response and adjunct pathways for admission avoidance.
CNWL and West London are working together in a Tri-Borough Capacity and this recruitment is a joint campaign to mobilise new service pathways and the development of a hospital at home adjunct to our current UCR services. We work together across the Inner London Borough and our teams work closely together to provide intermediate care services to our populations.
The staff employed to work in H&F team will be employed by West London Trust – please refer to the West London Candidate pack.
Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community?
Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurse's or Paramedic's with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).
This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways.
Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.
Main duties of the job
Urgent Community Response
Nursing / Paramedic
The main duty of an Urgent Community Response (UCR) nurse/paramedic is to provide, high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services
Shifts
The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.
Working for our organisation
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.
Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ 4,500 staff, of whom 56% are BME. Our turnover for 2023-24 is £426m.
The Trust is rated as ‘Good’ overall by the Care Quality Commission. Forensic services are rated as ‘Outstanding’.
The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.
*Please note: This advertisement is for a joint recruitment campaign with West London Trust based in Hammersmith and Fulham and CNWL Trust Kensington and Chelsea CIS teams. This will be discussed at interview with successful candidates.
Detailed job description and main responsibilities
Some of relevant skills:
1. Physical Assessment (Health Assessment course essential for RGNs)
2. Venepuncture (with ability to identify the required blood tests)
3. Cannulation
4. Medication Administration (PO; PR; IV; IM; SC etc)
5. Triage
6. Autonomous Practice
7. Confidence in knowledge and skills
8. Awareness of the Mental Capacity Act and Mental Capacity Assessment
9. Proficient at taking on a Nurse/Paramedic in Charge role and Clinician of the Day role
10. Non-Medical Prescriber (Desirable)
11. Teaching skills
12. Mentor / Practice Assessor
Within the team, we have Registered Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles. We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.
Successful candidates will have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics.
Working in this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. Confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.
Ideally you will possess a Full UK Driving licence as we cover the entirety of the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.
To ensure you 'market' yourself as best you can, we highly recommend having an informal discussion with the services and this can be arranged via email with Alasdair Tootle - alasdair.tootle.nhs.net as well ensuring you include the elements of the person specification that are outlined as being assessed in your application.
We would like to wish any potential candidates the best of luck in the process.
These roles will be based in Hammersmith and Fulham and Kensington and Chelsea