remote registered nurse jobs

Job Title: Urgent Emergency Care (UEC) Hub Trusted Assessor for referral and assessment

Hours : Shifts are 8am – 8pm 7 days per week

About Granta Medical Practices

We are pioneers in gaining the advantages of scale whilst maintaining the best of site based work in smaller teams. Our PCN was formed following the partnership-merger of several highly respected practices into a single practice. We aim to look after our population like ‘traditional’ general practice but with the resources of a fully integrated PCN consistently behind you. Our multidisciplinary cross site team helps guide the right issue to the right professional first time – enabling GPs to enjoy being GPs. We are just the right size and are committed to shaping and delivering excellence in primary care for our 57,000 patients whilst being sustainable and rewarding for our fantastic team.

We are proud to be one of a select percentage of practices nationally to hold a CQC ‘outstanding’ rating over sequential inspection cycles.

About the UEC Service

The UEC Hub operational team, oversees the delivery and function of the UEC Hub single point of access (SPoA) on behalf of the Cambridgeshire and Peterborough ICS. This includes the provision and management of the system UEC Hub Trusted Assessors.

The service operates 7 days per week from 8am – 8pm. The Hub is accessible to Healthcare Professionals and will accept urgent/same day response referrals for patients who are registered with a Cambridgeshire and Peterborough GP Practice, and aged 18 or over.

The UEC Hub is a partnership between community, ambulance, primary care, acute services and social care that brings together a multidisciplinary team (MDT), that can prevent avoidable ambulance dispatches and conveyances, emergency department (ED) attendances and hospital admissions. Ensures timely transfer of appropriate patients from ambulance stack into alternative receiving services by improving interoperability, for example implementing interoperability toolkit messaging as a minimum

This requires:

· visibility of patients waiting for an ambulance dispatch

· access to shared records

· ability to transfer a case between MDT members as required

· visibility of appropriate waiting lists and real-time capacity

· ability to book directly into and referral to key services

Job summary

The post holder will be an experienced Registered Nurse in Adult Nursing or HCPC Professional who will work within our Urgent Emergency Care (UEC) Hub, supporting the Cambridgeshire and Peterborough single point of access for our Urgent Community Response (UCR) and wider admission avoidance pathways. This is an integral part of the out of hospital care model designed to ensure that patients receive appropriate care and treatment as close to home as possible.

The hub receives referrals from a range of health and care professionals which require triages and assessment to determine the right care at the right time for the patient to ensure they can remain safely at home. As Clinical Trusted Assessor, you will provide community based responsive input to patients who are referred into the Hub to ensure holistic assessment and community care pathway planning is undertaken. You will be responsible for assessing and evaluating care for adults with the aim of preventing inappropriate hospital admission and facilitating onward referral to the most appropriate service, including our UCR 2-hour response teams who can provide up to five days of care in the community.

In a small number of cases, it will be appropriate for the Hub to lead the case management of a specific patient for a short period of time, for example, where a patient required support from more than one onward service.

You will work closely as part of an MDT to understand/support capacity, demand and referral priorities to ensure patients are seen in the right place at the right time in line with agreed Service Operating Procedures.

The UEC Hub operate 365 days per year, from 8am – 8pm seven days a week; as a result the post holder will be expected to work on a shift/rota basis to ensure adequate cover is provided.

Main duties of the job

· Undertake clinical assessment and triage of referrals coming into the hub, supporting the single point of access into our community admission avoidance pathways, which may include health, social care and voluntary sector services.

· Provide high level clinical expertise and decision-making regarding patient care, including prioritising factors involved in the presenting conditions through clinical reasoning based on knowledge of current professional opinion, client’s prognosis and other physical, social, emotional and mental health issues.

· Working as part of an MDT to hold responsibility for the day-to-day co-ordination of management of referrals and onward signposting to the relevant services.

· Support the case management of patients for up to two weeks, until the patient is fully discharged (either onto other services or where no further input is required)

· Working with providers to understand capacity and capabilities, to ensure patients are seen in the right place at the right time based on their clinical presentation/needs.

· Conduct regular clinical audit reviews of pathways, referrals and outcomes.

· Record accurate, up to date and evidence based clinical records in accordance with the legal framework, NMC/HCPC guidelines and local record keeping guidelines.

· Contribute to the service key performance indicators to sustain high standards of patient care and service delivery.

· Report incidents, manage incidents and complaints to reduce risk, in line with agreed protocols and in partnership with the hub Operational Lead.

· Act in accordance with local and organisational multi-agency safeguarding of vulnerable adults and safeguarding children’s policies.

· Keep up to date with evidence based clinical information and propose changes to local and organisational practice as appropriate; supporting the UEC Hub Operational Lead to develop, deliver and evaluate the service and assist in any further developments.

· Demonstrate excellent communication and interpersonal skills with the ability to be adaptable, reliable, resourceful, and approachable, evidencing high levels of personal and clinical credibility, being able to instantly establish effective working relationships with patients, staff and key stakeholders.

· Participate in continuing professional development activities to ensure that current, evidence-based knowledge and competency in all aspects of the role is maintained in line with the NMC/HCPC standards.

This service is 7 days a week 8am – 8pm

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.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carer’s, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

• Using personal security systems within the workplace according to Practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
• Work effectively with individuals in other agencies to meet patients’ needs.
• Effectively manage own time, workload and resources

Communication:

• The post-holder should recognise the importance of effective communication within the team and will strive to:
• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise people’s needs for alternative methods of communication and respond accordingly

Granta Medical Practices is committed to safer recruitment and safeguarding the welfare of children and vulnerable adults. We expect all staff to share this commitment. All appointments are subject to rigorous pre-employment checks, including verification of identity, right to work in the UK, employment history, references, and a Disclosure and Barring Service (DBS) check where appropriate.

Job Type: Full-time

Benefits:

• Company pension
• Sick pay
• Work from home

Licence/Certification:

• NMC or HCPC qualification (required)

Work Location: Remote