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The clinical frailty specialist will be responsible for providing the delivery of evidence based and clinically effective practice within the community to facilitate step down from the acute hospitals and step up from the community. To promote effective self-management of patients preventing unnecessary hospital admissions and improving quality of life and to actively identify patients who would benefit from an admission to the virtual ward.
The post holder should be an experienced community nurse, with diagnostic and consultation skills and non-medical prescriber, who will act within their professional boundaries, providing care for the presenting patient, from initial history taking through to treatment. They will work collaboratively with the multi-disciplinary team to meet the needs of the patients.
Key responsibilities of the post holder are to consolidate skills of critical analysis and evaluation, to enable knowledge pertaining to complex contemporary community practice. The post holder will use innovative practices to manage complex community situations in challenging environments. Take responsibility for developing and changing practices within the community.
The post holder will need to be willing to undertake any further training required of them within the role.
Main duties of the job
To be responsible for the efficient management of the Mid Essex Frailty Virtual Ward (hub) when allocated to this role.
To undertake comprehensive geriatric assessments for patients under the care of the Frailty Virtual Ward and formulate personalised management plans in collaboration with the MDT. This includes chronic, acute and palliative care within own competencies, recognising own limitations and seeking advice when necessary. This will include continuously evaluating and acting on outcomes.
To work with others in setting up guidelines for all clinical practice within own professional scope. To assist medical staff by ensuring patients' conditions are reported on as necessary and medical instructions are conveyed to patients, carers and staff as appropriate.
To assist in the continued implementation of a multidisciplinary service, whilst working as part of the virtual frailty ward.
Undertake risk assessments to manage risk appropriately, ensure that the team follows recommendations accordingly.
Undertake Mental Capacity Assessments as required.
About us
Provide is a Community Interest Company (social enterprise). We deliver a broad range of health and social care services in the community, and are committed to making sure that they are safe, responsive and of high quality. Provide is owned by its employees and has primarily social objectives. Any profits we make are reinvested into the local community or back into delivering services.
We work from a variety of community settings, such as community hospitals, community clinics, schools, nursing homes and primary care settings, as well as within people's homes to provide more than 40 services to children, families and adults across Essex, Dorset, East Anglia and the North of England.
A highly respected, award winning health and social care provider. We expect our staff to demonstrate and uphold our values at all times:
Vision:
Transforming Lives Values:
Care, Innovation and Compassion Mission:
An ambitious, employee owned social enterprise, growing in size and influence. We transform lives by treating, caring and educating people. Provide is an equal opportunity employer committed to building a team that represents a variety of backgrounds, perspectives and skills, proud to have LGBT+ and Ethnic Minority Networks. We welcome applicants from underrepresented groups. If you have the skills and experience for the job, please apply regardless of your background. Eligible for NHS Pension Job responsibilities If you are interested in applying to this role, please refer to the attached detailed job description and person specification to ensure you meet the criteria. Qualifications & Education Essential Current NMC registration Evidence of ongoing continuing professional development Evidence of achievement of Advanced Skills in Clinical Assessment Module Management education development, including in supervision/ teaching/team management Desirable Studied at Masters level or equivalent Qualified Independent Prescriber / willingness to attend training Relevant nursing degree or equivalent community qualification ACP accredited course Work Related Knowledge & Experience Essential At least 3 years community experience Minimum 5 years post registration experience Extensive experience of working with people with complex frailty Commitment to working as part of a multi-disciplinary team Experience of inter-agency working Experience of effective multi-professional collaborative working Ability to manage staff, conflict and difficult situations and to challenge and support others appropriately and assertively. Skills and Aptitudes Essential Excellent interpersonal and organisational skills Good time management skills Able to deliver clinical supervision to junior staff. The ability to innovate and motivate The ability to lead, manage and work as a team member The ability to undertake mentorship / preceptorship Able to demonstrate empathy with staff, clients, carers, families and other colleagues - ensuring that effective communication is achieved, particularly where barriers to understanding exist Excellent communication skills both verbal and written including an ability to write patient and service reports Ability to analyse and interpret information and data and make swift and sound judgements and decisions Competent in use of IT systems Excel, Word, Citrex, System 1 Personal Attributes Essential Value service users as partners in health care provision Commitment to the provision of high-quality care Commitment to the future development of primary care Circumstances Essential This role will require the post holder to work in the community and provide care in people's homes Full driving licence and access to a car that can be used for work
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Transforming Lives Values:
Care, Innovation and Compassion Mission:
An ambitious, employee owned social enterprise, growing in size and influence. We transform lives by treating, caring and educating people. Provide is an equal opportunity employer committed to building a team that represents a variety of backgrounds, perspectives and skills, proud to have LGBT+ and Ethnic Minority Networks. We welcome applicants from underrepresented groups. If you have the skills and experience for the job, please apply regardless of your background. Eligible for NHS Pension Job responsibilities If you are interested in applying to this role, please refer to the attached detailed job description and person specification to ensure you meet the criteria. Qualifications & Education Essential Current NMC registration Evidence of ongoing continuing professional development Evidence of achievement of Advanced Skills in Clinical Assessment Module Management education development, including in supervision/ teaching/team management Desirable Studied at Masters level or equivalent Qualified Independent Prescriber / willingness to attend training Relevant nursing degree or equivalent community qualification ACP accredited course Work Related Knowledge & Experience Essential At least 3 years community experience Minimum 5 years post registration experience Extensive experience of working with people with complex frailty Commitment to working as part of a multi-disciplinary team Experience of inter-agency working Experience of effective multi-professional collaborative working Ability to manage staff, conflict and difficult situations and to challenge and support others appropriately and assertively. Skills and Aptitudes Essential Excellent interpersonal and organisational skills Good time management skills Able to deliver clinical supervision to junior staff. The ability to innovate and motivate The ability to lead, manage and work as a team member The ability to undertake mentorship / preceptorship Able to demonstrate empathy with staff, clients, carers, families and other colleagues - ensuring that effective communication is achieved, particularly where barriers to understanding exist Excellent communication skills both verbal and written including an ability to write patient and service reports Ability to analyse and interpret information and data and make swift and sound judgements and decisions Competent in use of IT systems Excel, Word, Citrex, System 1 Personal Attributes Essential Value service users as partners in health care provision Commitment to the provision of high-quality care Commitment to the future development of primary care Circumstances Essential This role will require the post holder to work in the community and provide care in people's homes Full driving licence and access to a car that can be used for work
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