We are seeking a talented, dynamic and experienced clinical lead to join our enhanced clinical triage and case coordination function in our established Single Point of Access. Initially, this function will support community nursing, urgent care services, and end of life care with consideration of expanding over time as the model develops. The aim is to maximize access and response to patient need within these services 24 hours a day; seven days a week. This opportunity is open to all clinicians such as nurses, occupational therapists, physiotherapists, and paramedics with the right skills and experience. You will work across multiple sites in Hounslow, so the ability to travel efficiently between sites is crucial. You will possess excellent organizational and people management skills and be experienced in clinical risk management and collaboration/negotiation.
In your supporting statement, please relate your skills, experience, and knowledge to the person specification and in particular to your abilities in clinical triage and decision making in the services within scope for the Clinical SPA.
Main duties of the job
Provide a 24-hour clinical interface service for referrers to urgent care response, community nursing, and end of life care (EOLC) services of Hounslow Community Healthcare (HCH) across Hounslow borough. Provide initial triage of urgent, complex, and end of life care referrals at the Single Point of Access (SPA), identifying the most appropriate service to be the primary responder, using evidence-based collaborative principles to make clinical decisions and to negotiate handover to services, feeding back to referrers as appropriate. Act as a source of advice and guidance to the Single Point of Access administrative staff and others on a day-to-day basis. Work with other healthcare professionals and agencies in the development and delivery of services to prevent hospital admission, support timely and safe discharge, and establish effective personalized care and treatment plans to support people to remain at home. Provide monitoring and oversight of all known end of life (EOLC) patients being managed across caseloads and external specialist services to optimize the case management of these vulnerable patients to reduce unnecessary hospital admissions. Participate in the ongoing development of the service, its processes, scope of deployment, roles, and its people. About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation. Our high secure services care for patients from the South of England, and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow, and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m. The Trust is rated as 'Good' overall by the Care Quality Commission. Forensic services are rated as 'Outstanding'. The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative. Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. Please view as attached. Person Specification
Experience
Post qualification experience of working within community nursing, end of life care, or community urgent care services. Experience in triage and identification of urgent and/or complex conditions and identifying the appropriate clinical service response. Appropriate clinical experience providing interventions for community nursing, end of life care, and/or urgent care within a community setting in line with evidence-based guidelines. Collaborative working with a range of multi-disciplinary/agency and inter-professional resources. Ability to influence and enhance patient care in highly complex circumstances and where information on life-changing or limiting conditions/impacts are involved. Experience of developing and implementing care pathways and protocols, policies, and procedures. Facilitating collaborative links between clinical services. Experience of leading/managing a team. Experience in problem solving and supporting other team members. Experience of appraisal and clinical supervision and objective setting. Experience of investigating complaints and incidents with recommendations for improvement. Skills
Holistic assessment, core clinical, and clinical reasoning skills to proactively manage patient care. Ability to implement and maintain good standards of professional practice to ensure a quality and efficient service. Able to produce well-written and timely clinical records and service reports. Ability to negotiate and communicate across professional and organizational boundaries. Ability to organize, prioritize, and monitor own workload and that of others. Effective leadership skills and ability to delegate tasks to appropriately trained staff. Development of own professional skills and those of others. Ability to manage change and contribute to the development of services. IT literate with the ability to use technology and digital solutions with patients and in the operation of the service. Other Requirements
Committed to lifelong learning and achieving full compliance with the competencies and standards of this role and for career progression. Has a positive attitude to change and is prepared to work flexibly to meet the needs of people and the service. Reliable, empathetic, approachable, understanding, non-judgmental, and tolerant. Ability to undertake shifts across the 24 hours of service operation. Ability to travel to multiple sites; car driver or competent cyclist. Qualifications
Diploma or Degree in relevant health profession. Postgraduate education relevant to delivery of acute out of hospital care, community nursing, and/or end of life care. Evidence of Continued Professional Development in relevant specialist areas. Supervision / Coaching / Mentoring. Qualities
Knowledge of frailty, dementia, medical, long-term conditions, and their effect on people's lives. Demonstrate an understanding of the structure of community health services. Demonstrate understanding of the treatment of frailty, medical, and end of life care in line with relevant NICE guidelines. Understanding of the principles and practice of effective assessment and care management in the context of prioritizing need and risk assessment. Professional standards including confidentiality, clinical governance, and NMC guidelines. Risk assessment and management. Safeguarding Adults & Children. 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.
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Provide a 24-hour clinical interface service for referrers to urgent care response, community nursing, and end of life care (EOLC) services of Hounslow Community Healthcare (HCH) across Hounslow borough. Provide initial triage of urgent, complex, and end of life care referrals at the Single Point of Access (SPA), identifying the most appropriate service to be the primary responder, using evidence-based collaborative principles to make clinical decisions and to negotiate handover to services, feeding back to referrers as appropriate. Act as a source of advice and guidance to the Single Point of Access administrative staff and others on a day-to-day basis. Work with other healthcare professionals and agencies in the development and delivery of services to prevent hospital admission, support timely and safe discharge, and establish effective personalized care and treatment plans to support people to remain at home. Provide monitoring and oversight of all known end of life (EOLC) patients being managed across caseloads and external specialist services to optimize the case management of these vulnerable patients to reduce unnecessary hospital admissions. Participate in the ongoing development of the service, its processes, scope of deployment, roles, and its people. About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation. Our high secure services care for patients from the South of England, and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow, and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m. The Trust is rated as 'Good' overall by the Care Quality Commission. Forensic services are rated as 'Outstanding'. The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative. Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. Please view as attached. Person Specification
Experience
Post qualification experience of working within community nursing, end of life care, or community urgent care services. Experience in triage and identification of urgent and/or complex conditions and identifying the appropriate clinical service response. Appropriate clinical experience providing interventions for community nursing, end of life care, and/or urgent care within a community setting in line with evidence-based guidelines. Collaborative working with a range of multi-disciplinary/agency and inter-professional resources. Ability to influence and enhance patient care in highly complex circumstances and where information on life-changing or limiting conditions/impacts are involved. Experience of developing and implementing care pathways and protocols, policies, and procedures. Facilitating collaborative links between clinical services. Experience of leading/managing a team. Experience in problem solving and supporting other team members. Experience of appraisal and clinical supervision and objective setting. Experience of investigating complaints and incidents with recommendations for improvement. Skills
Holistic assessment, core clinical, and clinical reasoning skills to proactively manage patient care. Ability to implement and maintain good standards of professional practice to ensure a quality and efficient service. Able to produce well-written and timely clinical records and service reports. Ability to negotiate and communicate across professional and organizational boundaries. Ability to organize, prioritize, and monitor own workload and that of others. Effective leadership skills and ability to delegate tasks to appropriately trained staff. Development of own professional skills and those of others. Ability to manage change and contribute to the development of services. IT literate with the ability to use technology and digital solutions with patients and in the operation of the service. Other Requirements
Committed to lifelong learning and achieving full compliance with the competencies and standards of this role and for career progression. Has a positive attitude to change and is prepared to work flexibly to meet the needs of people and the service. Reliable, empathetic, approachable, understanding, non-judgmental, and tolerant. Ability to undertake shifts across the 24 hours of service operation. Ability to travel to multiple sites; car driver or competent cyclist. Qualifications
Diploma or Degree in relevant health profession. Postgraduate education relevant to delivery of acute out of hospital care, community nursing, and/or end of life care. Evidence of Continued Professional Development in relevant specialist areas. Supervision / Coaching / Mentoring. Qualities
Knowledge of frailty, dementia, medical, long-term conditions, and their effect on people's lives. Demonstrate an understanding of the structure of community health services. Demonstrate understanding of the treatment of frailty, medical, and end of life care in line with relevant NICE guidelines. Understanding of the principles and practice of effective assessment and care management in the context of prioritizing need and risk assessment. Professional standards including confidentiality, clinical governance, and NMC guidelines. Risk assessment and management. Safeguarding Adults & Children. 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.
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