Integrated Care Nurse - Maternity Cover - (Fixed Term - 6 months)

NHS; Aldershot; On-site; GBP 30,000 - 39,000; Full time

Job summary

A leading healthcare provider is seeking an Integrated Care Nurse for a fixed-term position. The successful candidate will carry out community assessments and triaging referrals, focusing on proactive patient care to minimize hospital admissions and coordinate complex healthcare needs. Join a dedicated multidisciplinary team to enhance patient services and provide quality care.

Qualifications

• Qualified Nurse with community or secondary care experience.
• Experience working within a nursing team and primary care is preferred.
• Ability to manage caseload and communicate effectively.

Responsibilities

• Conduct triage and assessments in community settings.
• Manage a caseload and ensure effective communication with team members.
• Liaise with healthcare professionals to minimize hospital admissions.

Skills

Community Care Coordination

Patient Assessment

Triaging Referrals

Communication

Education

Qualified Nurse

Job description

Integrated Care Nurse - Maternity Cover - (Fixed Term - 6 months)

TheICT completes holistic assessment and coordinates care input for patients withmultiple health and social care needs and complex circumstances, who may be atincreased risk of unplanned admission to hospital.

Theintegrated approach ensures patients who require a bespoke level of care andsupport in the community are looked after by the right team and will only needto tell their story once. Patients under the care of the ICT have the peace ofmind that the teams supporting them do so with a joined-up and patient centredapproach.

TheICT Nurse will assess patients in the community setting and work among widermultidisciplinary team colleagues to form proactive and innovative care plansto support identified needs. In addition, the Nurse will participate in a rotaof clinical triage in our Community Services Referral Hub, providing variety and balance to the workingweek.

Main duties of the job

Undertaking of the triaging of referrals intothe Integrated Care Team via theCommunity Single Point of Access.

The post holder will undertake Integrated CareTeam assessments within the community setting focusing specifically on thosepatients proactively identified as requiring Proactive Care/Frailty.

The post holder will demonstrate the abilityto complete a comprehensive assessment and understand frailty as a recognisedsyndrome.

The postholder will partake in both theIntegrated Care Team Meetings and Proactive Care Meeting and demonstrate anability to communicate effectively with wider members of the MultidisciplinaryTeam and service users.

The post holder will hold responsibility forthe day-to-day management of the ICT caseload alongside other members of theIntegrated Care Team.

Liaise with relatives, carers, and health careprofessionals to prevent and minimise the risk of acute hospital admissionwhere appropriate, working in partnership with secondary care dischargeco-ordinating services.

Ensure all professional/clinical practices arein line with Salus policies

Ensure appropriate and accurate records aremaintained

Be accountable for own professional actionsaccording to NMC Code of Professional Code

Maintainyour Continuous Professional Development according to NMC Code of ProfessionalCode and Revalidation requirements

About us

Salusis a GP Federation which was formed by the local GP practices within North EastHampshire and Farnham. This Includespractices located in Aldershot, Farnborough, Fleet, Farnham & Yateley. We hold several contracts supporting primarycare to deliver services on behalf of those practices, helping them work bettertogether and with other healthcare providers leading to improved patientservices and developing new ones due to constant changes in the Primary Careenvironment.

Salusalso assist practices with admin, operational and HR support and facilitatesshared learning across localities. Byengaging with the public, we also help ensure that services are designed anddeveloped with patient and public involvement.

Thestaff at Salus Medical Services have a wealth of experience working in generalpractice and therefore a good understanding of the opportunities and challengesfaced.

Job responsibilities

The following are the coreresponsibilities of the ICTNurse. There may be, on occasion, a requirement to carry out othertasks; this will be dependent upon factors such as workload and staffing levels.

This role will be split across two divisionsof our service:

Undertaking of the triaging of referrals intothe Integrated

Care Team via theCommunity Single Point of Access.

The post holder will work as part of theIntegrated Care Team which will involve separate aspects as below

The post holder will undertake Integrated CareTeam assessments within the community setting focusing specifically on thosepatients proactively identified as requiring Proactive Care/Frailty.

The post holder will demonstrate the abilityto complete a comprehensive assessment and understand frailty as a recognisedsyndrome.

The postholder will partake in both theIntegrated Care Team Meetings and Proactive Care Meeting and demonstrate anability to communicate effectively with wider members of the MultidisciplinaryTeam and service users.

Thepost holder will be responsible for completing onward referrals within bothhealth and social care settings and liaising as required with services.

The post holder will hold responsibility forthe day-to-day management of the ICT caseload alongside other members of theIntegrated Care Team.

Liaise with relatives, carers, and health careprofessionals to prevent and minimise the risk of acute hospital admissionwhere appropriate, working in partnership with secondary care dischargecoordinating services.

Must be autonomous in practice

Ensure resources are utilised in acost-effective manner

Ensure all professional/clinical practices arein line with Salus policies

Ensure appropriate and accurate records aremaintained

Be accountable for own professional actionsaccording to NMC Code of Professional Code

Maintain your Continuous ProfessionalDevelopment according to NMC Code of Professional Code and Revalidationrequirements

Person Specification

Qualifications

• Qualified Nurse with wider experience to include a Community or Secondary Care role
• Experience of community care coordination within a Primary Care Setting, is preferable, but not essential.

Experience

• Experience of working within a nursing team
• Experience of dealing with vulnerable patients
• Experience of working in primary care
• Experience of working in a GP practice

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.