Digital Health Nurse

East Berkshire Primary Care; Bracknell; On-site; GBP 35,000 - 45,000; Full time

Job summary

A reputable healthcare provider in Bracknell seeks an experienced Digital Health Nurse to join their expanding team. The role involves providing expert clinical case management for patients using virtual technologies, monitoring health conditions, and collaborating with various healthcare professionals. Candidates should be registered nurses with experience in remote triage assessment and a commitment to delivering high-quality patient care.

Qualifications

• Registered nurse with further clinical education to Masters level.
• Experience in community nursing and remote triage assessment.
• Ability to work flexibly and communicate sensitively with diverse groups.

Responsibilities

• Provide expert clinical case management using virtual technologies.
• Monitor and escalate patient health concerns effectively.
• Work collaboratively with multidisciplinary teams to ensure high-quality care.

Skills

Remote triage assessment

Communication skills

Nursing skills

IT literacy

Interpersonal skills

Education

Registered nurse or AHP

Postgraduate community qualification

Teaching qualification

Tools

Adastra

EMIS

Connected Care

Luscii patient management platform

Job description

Are you an experienced clinician with remote triage experience? Do you enjoy working in a varied and fast paced environment providing the highest quality patient carewithin a multi professional team?If the answer is Yes, then we would like to hear from You!EBPC are expanding and recruiting into our Digital health team and looking for a Nurse to work weekdays and weekends included between the hours of 0800-1800, fully based at our headquarters in Bracknell.

Main duties of the job

The Digital Health Nurse will provide expert clinical case management, using virtual technologies,for patients living with short- and long-term conditions. Patients with short- or long-term conditions maybe at risk of deteriorating health that may result in declining quality of life or avoidable hospital admission.Hospital admission often results in increased length of stay. The Digital Health Nurse is a pivotal rolefor monitoring and responding to markers of declining patient health. Enacting timely escalation ofconcerns ensures intervention is delivered in the community setting; consequently, helping the patientregain stability, and preventing in-patient hospital admission.

About us

EBPC is a well-respected enabler of high-quality NHSservices. Established 28 years ago as an Out of Hours GP service, we have grownsignificantly and deliver a full range of services, 24/7, to support 111,Primary Care Networks, Digital Health, Integrated Care Systems, Acute andCommunity NHS Trusts.

Job responsibilities

The post holder will:

1. Be able to combine high level remote monitoring with telephone assessment for patients with short and long-term conditions. Intervene when markers for deterioration are evident. Subsequently,initiating medical and/or nursing/therapy treatments, by alerting and referring to primary caremultidisciplinary teams and professionals. These actions will ensure that interventions for patientson the caseload are delivered in the community setting and prevent unnecessary hospital admission.
2. Work with partners in nursing and residential care to ensure optimum health outcomes for theirresidents.
3. Develop shared caseloads with Integrated Care System (ICS) Network by acting as an integralmember of the community team, working with a shared vision, and developing caseloads inpartnership with Integrated Care System partners.
4. Possess well developed clinical and professional leadership ability and use this proactively for thebenefit of the Digital Health team. Support the Digital Health Team Leader in their management rolewhen required. Leadership skills will also be utilised to support the wider community includingPrimary Care, Social Care, and all other provider organisations todeliver high standards of care to patients.
5. Supervise other health and social care professionals in the delivery of health promotion activities viathe Digital health model, e.g. chronic disease management self-help signposting.
6. Work in alignment with Primary Care, for established practice populations, toward a shared vision ofseamless management for patients with short- and long-term conditions within the Primary Care andthe Community setting.
7. Work with ICSc partners in Primary and Social Care to further develop the Digital Health model forcohorts of patients managed within local populations.
8. Maintain accountability for practice following the Nursing and Midwifery Council Code ofProfessional Conduct or the Health Care Professions Council and compliance with EBPC Policies andProcedures.
9. Maintain legible, accurate and up to date records that are dated and signed in accordance with EBPCPolicies and the Nursing and Midwifery Council / Health and Care Professions Council standards onrecord keeping.
10. Work autonomously with patients, their families and carers managing referrals according to needand priority.
11. Negotiate and agree with the patient, carers and other care professionals, individual roles, andresponsibilities with actions to be taken and outcomes to be achieved, referring on to other servicesor professionals as appropriate.
12. Critically analyse complex clinical data and information to inform diagnosis. Where appropriate, referwithin Primary Care to improve health outcomes for patients on the Remote Monitoring caseload.
13. Understand and support the achievement of EBPCs business plan objectives and performancetargets; participating, in screening and needs assessment as required.
14. Identify the potential for service developments, risks and deficits and inform as appropriate to theRemote Monitor Service Manager making recommendations based on specialist knowledge.
15. Be wholly accountable for practice taking every reasonable opportunity to sustain and improveknowledge and professional competence and, ensure that all aspects of professional behaviour asrequired within the NMC or HCPC Codes of Professional Conduct are followed at all times.
16. Assist the Team Leader to manage the effective use of resources within the Remote Monitoring teamand participate in regular review meetings with the Team Leader/Nurse Lead.
17. Develop and sustain an effective and positive working relationship with a wide range ofmultidisciplinary teams and individual professionals including Specialist Nursing Services, CommunityNursing services, Therapy services, GPs, Practice Nurses and Primary Care staff.
18. Have experience of Luscii patient management platform or similar.
19. Have experience with other clinical patient management systems: Adastra, EMIS, Connected Care.

PATIENTS CARE

The post holder will:

1. Use advanced clinical skills to remotely monitor and assess the physical and psychosocial needs ofa defined client group.
2. Use advanced generalist clinical skills to identify subtlechanging health care needs of patients. Subsequently, being able to competently discuss treatmentoptions with other generalists and specialists.
3. Demonstrate responsibility and accountability for the Digital Health clinical caseload and elevate care needs across the whole patient pathway when this is required. This includes ensuring a robustrelationship and constant interface with Primary Care and Community Multidisciplinary teams.
4. Review individualised care plans for patients with short- and long-term conditions on admission toRemote Monitoring, so that their condition remains as stable as possible and, where appropriate,hospital admission is prevented.
5. Work with partners in nursing and residential care to improve the health outcomes of the residentsand so prevent unnecessary hospital admissions or extended in-patient care episodes.
6. Analyse complex patient situations establishing a therapeutic relationship to assist the individualpatient to adjust to their illness and care with the Digital health service.
7. Use assessment tools/skills that will ensure an appropriate level of nursing or therapeuticintervention so that patients who present with complex needs are referred/escalated via theappropriate care pathway.
8. Discuss all treatment options with sensitivity, knowledge, and expertise. and to act as patientadvocate and maintain patient confidentiality.
9. Deliver care that is patient centred, respecting diverse cultural backgrounds, and requirements.
10. Work in partnership with the patients to empower them to make informed choices about theirhealthcare and support choices.
11. Offer a supportive service to patients and their carers from diagnosis through all stages of thedisease process, in conjunction with other healthcare professionals using a range of communicationskills to manage care and information empathetically.

RESPONSIBILITIES FOR PEOPLE AND TRAINING

1. Provide patients, families and carers with tailored advice and support to increase understanding ofsigns and potential causes for acute exacerbation of underlying conditions. This may aid patient,family and carers engagement with lifestyle changes that would be advantageous to health.
2. Be responsible for providing and maintaining a learning environment and maximise opportunities foreducation and development in the clinical area to enhance individual development and performancein the delivery of high standards of care.
3. Act as expert resource and assist in teaching advanced clinical skills for other health care professionalsin the Digital Health environment. Take part in the process of clinical supervision and participate inclinical supervision and mentorship of others.
4. Take responsibility for your own personal and professional development; maintain competence,knowledge, and skills commensurate with role.
5. To be actively involved in clinical staff recruitment in the Digital Health Team when required by EBPC.

OTHER FACTORS

1. Maintain personal knowledge, skills, and competency through appropriate CPD, training anddevelopment opportunities.
2. Keep up to date with new developments and legislation.
3. Using IM&T support systems.
4. It may be necessary to change the days worked as the service develops and grows; therefore,flexibility is essential.
5. You will be dealing with complex problems and circumstances with patients and their familieswhich will at times be challenging.

GENERAL

This post is one of continual development. The job description is intended as a guide to the principalduties and responsibilities of the post and complements individual objectives set in line with EBPC annualbusiness objectives. Responsibilities will be reviewed periodically in line with service priorities and dutiesmay change or new duties be introduced after consultation with the post holder.

CRIMINAL RECORDS BUREAU DISCLOSURE

This post may require you to hold a current CRB Certificate which EBPC make application for every threeyears. Under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1075, applicants for this postare among those who are not entitled to withhold information about any previous criminal conviction.

FLEXIBILITY

The EBPC is currently working in a climate of great change within the healthcare sector. It is thereforeexpected that all staff will develop flexible working practices within EBPC and across the health networkand at other organisation levels as appropriate, to be able to meet the challenges and opportunities ofworking within the new healthcare environment.

MOBILITY

The post holder will be expected to work at any establishment at any time throughout the duration oftheir contract, within the location of EBPC as agreed with the post holder.

HEALTH AND SAFETY

EBPC attach the greatest importance to the health and safety of its employees. You are expected to makeyourself aware of and comply with EBPCs and local Health and Safety policies, a copy of which is retainedby your manager.

CLINICAL GOVERNANCE

EBPC aim to provide the highest standards of care. To further this aim you are expected to adhere toacceptable working practice as defined in EBPC policies and guidelines. You also have a personalresponsibility and accountability to your team and service to keep yourself up to date and, if youencounter unacceptable practice, to raise it or deal with it through accepted channels.

Person Specification

Qualifications

• Registered nurse or AHP
• Further clinical education to Masters level (level 7) in relevant discipline or equivalent training and experience or working towards
• Remote triage assessment
• Further qualifications relevant to community nursing
• Frailty, long term conditions or additional Module attained at level 7
• Awareness of recent Government initiatives that may affect future clinical practice
• To be knowledgeable of the clinical governance agenda and have an awareness of commissioning
• Post graduate community qualification e.g. community specialist practitioner
• Teaching qualification
• Experience with Adastra, EMIS and Connected Care systems

Knowledge and Skills

• To be able to communicate with people from a wide range of backgrounds
• To be able to work flexibly and sensitively
• Wide range of interpersonal and communication skills
• Competence in a wide range of nursing skills
• IT literate
• Undertake specific nursing tasks requiring precision and/or intense concentration. Undertaking complex nursing skills
• Ability to sensitively inform service users on complex and distressing issues. Able to support and facilitate staff in dealing with these situations
• To be flexible and adaptable
• Further training in dealing with difficult situations.
• Specific speciality area
• Teaching experience

Experience

• Significant experience of working with a multi-disciplinary team
• Setting and monitoring standards of care
• Experience within a wide range of patient/client care groups
• Community services experience
• Profiling community needs and targeting identified health needs of population
• Evidence of innovative and flexible approach to care and the organisation of care
• Teaching experience

Other Job-Related Requirements

• Willing to work in other areas of the EBPC as and when required to do so
• Driven to achieve
• Self-motivated
• Good time management

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.