Band 7 - Nurse/Paramedic - Islington Urgent Response

Whittington Hospital NHS Trust; City Of London; On-site; GBP 56,000 - 64,000; Full time

Job summary

A healthcare organization in London is seeking a Band 7 Nurse/Paramedic to join their Islington Rapid Response and Virtual Ward team. This role involves monitoring patient care, leading clinical decisions, and facilitating discharges to ensure optimal patient recovery. Ideal candidates will possess strong assessment skills, a nursing or paramedic background, and a commitment to multidisciplinary care. The position offers a salary ranging from £56,276 to £63,176 per annum.

Qualifications

• Registered Nurse (NMC) or Paramedic (HCPC) with master's level knowledge.
• Proven expertise in Nursing assessments and care plans.
• Experience within a multidisciplinary team.

Responsibilities

• Facilitate patient discharges and ensure care continuity.
• Manage daily operations and support junior staff.
• Provide clinical guidance to complex patient cases.

Skills

Ability to manage stressful situations

Expert specialist skills

Excellent communication skills

Problem-solving abilities

Education

Registered Nurse(NMC)/Paramedic (HCPC)

Master's degree or equivalent experience

Mentorship course or equivalent

Job description

Band 7 - Nurse/Paramedic - Islington Urgent Response

The post holder will work in the Islington Rapid Response and Virtual Ward (RRVW) team which is part of the wider multi-agency Islington Urgent Care Response service which supports hospital discharges and admission avoidance.

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing and use these both in the community and ambulatory care Centre setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries. The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital settings also via Community referrals.

The post holder will be a senior nurse/Paramedic within the RRVW service and therefore act as a clinical leader and role model to staff within the service, offering clinical advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings. This post will also involve in reach into the hospital settings.

Main duties of the job

• Facilitate the early discharge of patients from the Whittington Health and UCLH inpatient wards and complete their recovery in the home environment by working collaboratively with the AEC Consultant.
• Be aware of and utilise appropriate resources within the RRVW team and in the provision of total patient care. To manage the team on a day to day basis, supporting junior staff with decision making and skills development.
• Act as a link nurse to AEC consultants, GPs, Community Nurses, LAS, Social Services and other relevant professional areas as necessary.
• Undertake a comprehensive baseline assessment for each identified patient in conjunction with the AEC consultant, patient, relatives, carers and patient care team.
• Use the assessment to agree and implement a patient held personalised plan of care to be agreed with the patient, relatives and carers and the patient care team.
• Ensure that there are effective communications with other agencies (including Out of Hours Services) about care plans and maximise the input of these agencies to support patients at home.
• Undertake prescribing as required and to ensure that medications are reviewed and highlight possible interactions and changes in line with Whittington Health Nurse Prescribing policy.

About us

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Job responsibilities

Assist in evaluating the effectiveness of the service in relation to patient outcomes.

Act as a role model in assisting to develop the practitioner role according to service demand and evolving models of care.

Provide senior clinical advice relating to patients with complex needs to the RRVW team.

Undertake duties as delegated by the Lead Matron; this may include standard setting, clinical audit and benchmarking in order to ensure the delivery of effective, evidence-based care.

Work with colleagues and users, to identify the changing needs of Whittington Health and the population it serves and promote practice that is dynamic, efficient, innovative and continuously improved in its relevance and responsiveness to the needs of clients and patients.

Assist in developing strategic initiatives to reduce and avoid unnecessary hospital admissions and move forward community long term conditions management and integrated working agendas

Use information technology and ensure that relevant and up to date information on clinical and service developments are provided to agreed timescales.

Participate in managing and co-ordinating the work of the junior staff, offering support and development as appropriate.

Assist in the recruitment and selection of staff for the team and to participate in induction and orientation programmes as appropriate.

Promote good communication, employment practices and relationships within the team.

Person Specification

Qualifications

• Registered Nurse(NMC)/ Paramedic (HCPC)
• Highly developed specialist knowledge obtained through a master's degree or equivalent experience/qualification.
• Mentorship course or equivalent

Skills

• Able to manage stressful situations and challenge decisions to ensure that patients' needs are met.
• Expert specialist skills for the post
• Knowledge of current practices and pathways relevant to specialty
• Excellent communication skills and ability to negotiate and influence.
• Ability to problem solve, priorities and work to a deadline.

Knowledge

• Experience in Nursing assessments, care plans and referrals
• Experience of negotiating and liaising within a multidisciplinary team
• Experience of working in collaboration

Personal Qualities

• Be a positive role model with the ability to demonstrate credible and professional approach.
• Ability to work as team and independently forming professional relationships with colleagues.
• Evidence of proven, ongoing professional development

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.

£56,276 to £63,176 a yearPer Annum Including HCAs