D2A Nurse Clinician James Paget University Hospital
NHS Norfolk and Waveney Integrated Care Board
An exciting opportunity has arisen for an experienced and highly motivated Nurse to work as NHS Continuing Healthcare Nurse/Practitioner for Discharge to Assess Pathway 3. This post offers the opportunity to enhance assessment, decision-making skills and complex case management skills in a challenging but supportive environment. You will also be a member of the Integrated Discharge Hub. You will be responsible for assisting with the discharge planning, assessment and commissioning of care for individuals from the acute hospital. We are looking for a registered nurse who is keen on integrated working. An understanding of hospital discharges would be desirable, but support and guidance will be on hand. You will be adaptable, have good communication skills and enjoy working with other professionals. This post is based at James Paget University Hospital, working with the Integrated Discharge Team in the hospital, to complete assessments, with attendance on wards required at times. Traveling to visit patients and attend meetings will also be involved as required. You will offer a person-centred approach to individuals and their families, working in partnership with other agencies and having a strong commitment to improving the outcomes for those on your caseload. You will have proven skills in working with people who have complex health needs and be able to demonstrate that your practice is evidence-based and innovative. Main duties of the job
To jointly assess with other health and social care colleagues, patients ready for discharge from hospital to identify who will be accountable for case managing whilst on the Discharge to Assess Pathway. The post holder will take responsibility for collaborative working practices to deliver the D2A3 (complex discharge) Pathway supported by the Band 8a Senior Nurse. The post holder will work collaboratively with the acute hospital patient-facing services to support successful discharge on a personalised patient pathway. Where required, will review with the Senior Nurse to establish an effective interface between D2A3 and existing hospital discharge pathways. Ensure high quality, safe and timely patient flow from the hospital through to discharge within the community. Ensure the accurate application and quality assurance of decision making, ensuring patients have access to the full range of available and appropriate discharge pathways. Provide effective communication with patients and their families to ensure engagement and understanding of the D2A3 Pathway and potential onward transfer and support. About us
Here at NHS Norfolk and Waveney Continuing Healthcare, we are passionate about people. Working with our partners across the Integrated Care System to help the people of Norfolk and Waveney have access to, and get, the very best possible health care and support when they need it is at the heart of everything we do. It's an exciting time for us and we're looking for people who enjoy working in a fast-paced, vibrant environment that can help us achieve our aim. So, if you share our passion for people and want to make a positive change to their health and health services, then we want to hear from you. Job responsibilities
Proactively manage a delegated caseload and have the ability to function autonomously. Demonstrate timely forward planning and an ability to organise self. Complete Care Plans within three months of eligibility for all patients in receipt of NHS Continuing Healthcare or joint funding when necessary. To complete relevant specific core reviews/assessments for NHS funded individuals e.g. Deprivation of Liberty Safeguards/Liberty Protection Safeguards reviews of Clinically Assisted Nutrition and Hydration for individuals that lack capacity to consent to this. Ensure continuity of care by appropriate transfer of information to ensure high standards of care. Be proactive in Quality Assurance and identifying deficits in patient care, liaising closely with associated Quality Improvement Nurses for Care Homes and Medicines Optimisation Team. Participate in professional/multi-professional meetings and conferences as required. Monitor the standards of care received by patients receiving NHS Continuing Healthcare, NHS-funded Nursing Care and Personal Health Budgets, alerting other stakeholders when appropriate. Direct patients and next of kin/Power of Attorney to appropriate Advocacy Support Services. Provide specialist knowledge and expertise to ensure that equipment requirements are met, including the authorisation of equipment. Escalate appropriately to relevant Lead Nurse for NHS Continuing Healthcare. Regular attendance at Primary Care Network meetings as these evolve across Norfolk and Waveney. Occasional travel outside of the Norfolk and Waveney area. For further information on this role, please see the attached detailed Job Description and Person Specification. Person Specification
Essential and Desirable
2 years post-registration experience Community Nursing experience or hospital experience Further training evidence Experience of communicating in challenging situations Knowledge of safeguarding adults Good understanding of Health and Social Care environments 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. NHS Norfolk and Waveney Integrated Care Board
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NHS Norfolk and Waveney Integrated Care Board
An exciting opportunity has arisen for an experienced and highly motivated Nurse to work as NHS Continuing Healthcare Nurse/Practitioner for Discharge to Assess Pathway 3. This post offers the opportunity to enhance assessment, decision-making skills and complex case management skills in a challenging but supportive environment. You will also be a member of the Integrated Discharge Hub. You will be responsible for assisting with the discharge planning, assessment and commissioning of care for individuals from the acute hospital. We are looking for a registered nurse who is keen on integrated working. An understanding of hospital discharges would be desirable, but support and guidance will be on hand. You will be adaptable, have good communication skills and enjoy working with other professionals. This post is based at James Paget University Hospital, working with the Integrated Discharge Team in the hospital, to complete assessments, with attendance on wards required at times. Traveling to visit patients and attend meetings will also be involved as required. You will offer a person-centred approach to individuals and their families, working in partnership with other agencies and having a strong commitment to improving the outcomes for those on your caseload. You will have proven skills in working with people who have complex health needs and be able to demonstrate that your practice is evidence-based and innovative. Main duties of the job
To jointly assess with other health and social care colleagues, patients ready for discharge from hospital to identify who will be accountable for case managing whilst on the Discharge to Assess Pathway. The post holder will take responsibility for collaborative working practices to deliver the D2A3 (complex discharge) Pathway supported by the Band 8a Senior Nurse. The post holder will work collaboratively with the acute hospital patient-facing services to support successful discharge on a personalised patient pathway. Where required, will review with the Senior Nurse to establish an effective interface between D2A3 and existing hospital discharge pathways. Ensure high quality, safe and timely patient flow from the hospital through to discharge within the community. Ensure the accurate application and quality assurance of decision making, ensuring patients have access to the full range of available and appropriate discharge pathways. Provide effective communication with patients and their families to ensure engagement and understanding of the D2A3 Pathway and potential onward transfer and support. About us
Here at NHS Norfolk and Waveney Continuing Healthcare, we are passionate about people. Working with our partners across the Integrated Care System to help the people of Norfolk and Waveney have access to, and get, the very best possible health care and support when they need it is at the heart of everything we do. It's an exciting time for us and we're looking for people who enjoy working in a fast-paced, vibrant environment that can help us achieve our aim. So, if you share our passion for people and want to make a positive change to their health and health services, then we want to hear from you. Job responsibilities
Proactively manage a delegated caseload and have the ability to function autonomously. Demonstrate timely forward planning and an ability to organise self. Complete Care Plans within three months of eligibility for all patients in receipt of NHS Continuing Healthcare or joint funding when necessary. To complete relevant specific core reviews/assessments for NHS funded individuals e.g. Deprivation of Liberty Safeguards/Liberty Protection Safeguards reviews of Clinically Assisted Nutrition and Hydration for individuals that lack capacity to consent to this. Ensure continuity of care by appropriate transfer of information to ensure high standards of care. Be proactive in Quality Assurance and identifying deficits in patient care, liaising closely with associated Quality Improvement Nurses for Care Homes and Medicines Optimisation Team. Participate in professional/multi-professional meetings and conferences as required. Monitor the standards of care received by patients receiving NHS Continuing Healthcare, NHS-funded Nursing Care and Personal Health Budgets, alerting other stakeholders when appropriate. Direct patients and next of kin/Power of Attorney to appropriate Advocacy Support Services. Provide specialist knowledge and expertise to ensure that equipment requirements are met, including the authorisation of equipment. Escalate appropriately to relevant Lead Nurse for NHS Continuing Healthcare. Regular attendance at Primary Care Network meetings as these evolve across Norfolk and Waveney. Occasional travel outside of the Norfolk and Waveney area. For further information on this role, please see the attached detailed Job Description and Person Specification. Person Specification
Essential and Desirable
2 years post-registration experience Community Nursing experience or hospital experience Further training evidence Experience of communicating in challenging situations Knowledge of safeguarding adults Good understanding of Health and Social Care environments 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. NHS Norfolk and Waveney Integrated Care Board
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