Community jobs in United Kingdom

We are recruiting for the SMART (Surgical Medical Acute Recovery Team) Service, Nurse Practitioner, who shares our ambition and vision to deliver the Best of Care by the Best People and has the drive to take the service and the Trust forward, by ensuring that we continue to be the first choice for patients.

This Nurse Practitioner role will allow a robust clinical decision to admit all adult patients, who would benefit in being treated at home in SMART virtual bed, as step up and and step down straight from all front doors to the hospital also from the community as admission avoidance.

The post holder will exercise complex levels of judgment, discretion and decision making in a clinical care. (s)he will monitor and improve standards of care through the health assessment, examination, conduct treatments , plan and evaluate care under the Supervision of the Virtual ward Acute medical Registrar, Acute Physician consultants and clinical nurse lead.

The aim to avoid hospital bed stays and encourage inpatient care at home.

This role ensures a patient-focussed programme of care, which addresses the complex and changing health and well-being needs of the client group.

The post holder must have skills and knowledge to identify, assess, diagnosis, treat and manage patients with Acute Medical and all surgical specialty needs who require treatment following optimization on a virtual ward.

The post holder

Our values are Bold, Every Person Counts, Sharing and Open and Together. It is important that you understand and to refer to our values when completing your application and always reflect our values throughout your employment with the Trust.

We are committed to endorsing diversity, multiculturalism, and inclusion; our policies / procedures ensure that all applicants are treated fairly at every stage of the recruitment process.

To contribute to our exciting future and become part of our team, apply today.

Do you have the ambition and vision to deliver our mission: the Best of Care by the Best of People providing excellent care, every time?

Here at Medway, we pride ourselves on working together as one to ensure that our shared vision is achieved for our patients.

As a key partner in the healthcare of our local population, we are keen to deliver this as an outcome of our Trust-wide strategy – Patient First. Using an Operational Excellence approach to align our priorities and operational management structures, we are just over a year and half into our Patient First deployment. We are looking for creative, skilled people to join our Transformation Team and further support us on this journey.

Our culture and values define us here at Medway NHS Foundation Trust and are the heartbeat of who we are as an organisation.

Our BEST values underpin Patient First and are at the core of the care we give to our patients, the support we offer to our staff and our overall leadership approach:

B - Bold

E - Every person counts

S - Sharing and open

T - Together

Our Trust is a great choice for people who want to develop their career in an ambitious and dynamic environment; our employees are able to choose the coverage and supplemental benefits that best fit their needs and those of their families. This includes the promotion of flexible working opportunities across the Trust.

You will triage, assess, plan and implement the care of patients who are transferred home under the care of the SMART service, into a virtual ward in the community. All our patients use Remote patient monitoring, hence a good clinical knowledge in analysing vital signs and escalating clinical concerns for urgent treatment via our virtual pathway is essential.

The SMART Service is nurse led, therefore the ability to work autonomously as well as effectively within a team is essential. The work will include driving to visit patients in the community therefore it is essential that you have a full driving license and a car.

Members of SMART work autonomously, therefore we are looking for someone with excellent evidence based experience in the care of acute patients. Specific training will be provided to facilitate the pathways covered by SMART in the community. Confidence, good communication skills and the ability to make sound decisions is also vital.

Be working in an acute sphere of practice and have current experience of assessing, plan investigations, discuss possible provisional diagnosis, instigate and execute treatment pathways for acutely unwell adult patients from all specialties. We are always very keen to expand the service further so any new ideas are welcomed.

To work as a clinically independent and autonomous practitioner, participate and manage a defined patient caseload, as an all rounded Surgical and Medical patient Care Nurse Practitioner in the SMART.

Works with ED/SDEC/Lister Assessment Centre/Hot clinics/SAU/ESAC/Theatre recovery/Interventional radiology and all speciality out patient departments/ inpatient wards and community Virtual wards, to initiate admissions onto SMART virtual ward encouraging early supportive discharge and admissions avoidance into acute beds.

Carries out patient assessment and plans, implements and evaluates the best course of action through the following activities:

To provide expert clinical nursing assessment, plan, implement and evaluate comprehensive programmers of professional development, providing highly specialist advice and maintaining associated records, utilizing the Nurse Practitioner knowledge and skills.

To provide specialized advise and care either via SMART remote patient technology or face to face in clinic/patients home.

Prescribes for patients within patient group directives (PGDS) according to local and national policies and procedures and agreed by SMART Acute physician Consultant who will be responsible for the patients.

• RN1 Nurse on the NMC register
• BSc in Emergency Care or Acute Medicine
• Mentorship / teaching qualification

• Clinical leadership skills
• Communication skills, both written, verbal and non-verbal
• Negotiation and conflict management skills

• Up to date knowledge of current clinical and professional issues.
• Knowledge of evidence based practice
• Ability to organise and plan own time and that of junior staff and learners.
• Clinical examination skills

• Nurse-led management of acute on chronic conditions.
• Able to manage immediate post operative surgical and orthopaedic procudres remotely using remote monitoring pathways.

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.

£47,810 to £54,710 a year per annum/pro rata