Will utilise their clinical knowledge within the Transfer of Care Hub. The Post Holder will assess the individual's care needs and coordinate any required support between other services. To be competent in the use of system one, Meditech, and Sepia and to utilise these systems as an integral part of the daily workload. Act as an advocate for the patient and family, liaising with other professionals in primary and acute care as necessary. To promote good team working and an environment to enhance job satisfaction and ensure team members feel valued and empowered. Complete effective clinical triage for admissions avoidance and urgent response services including the virtual ward, 2 hour urgent response, and step up and step down discharge to assess pathways. Be involved in complex decision making and problem solving relating to clinical care and risk assessment on an ongoing basis e.g. patients with multiple and unusual care needs, complex discharge plans, resolution of complaints, first visit assessments. About us
The Rotherham NHS Foundation Trust (TRFT) is a combined acute and community Trust serving our local population of around 270,000 people. Our vision is to always act the right way and be proud to provide exceptional healthcare to the communities of Rotherham. As a Trust, we are on a journey to excellence and our people and culture are at the heart of everything we do for patients. In the latest NHS Staff Survey, we are the second most improved Trust in England for would you recommend the Trust as a place to work?, and were one of the most improved for staff engagement overall. But don’t just take our word for it: each year, hundreds of colleagues receive nominations for our Excellence and Proud awards, showcasing our brilliant people and recognising their achievements. Our people make a difference to the lives of patients every day and we are proud of the improvements we are making. All of our 5,100 colleagues are key to our improvement journey, and we are continuing to improve our services by upholding the Trust's values of Ambitious, Caring, and Together. If you are passionate about making a difference, then please apply to join us on our journey to excellence. Job responsibilities
Please see the attached Job Description and Person Specification for full details of the role and responsibilities. Person Specification
Knowledge
Demonstrate a clear understanding of community nursing, primary and social care. Policies, practices and procedures e.g. NHS national policies, standards, requirements and directions that relate to measuring and improving the quality and safety of patient care. Understanding of community and or multi-disciplinary working and inter-professional relationships. Keeps up to date with evidence-based practice and research related to nursing and health care in the community. Knowledge of recent developments in Health and Social Care. Some experience working in a community setting having had exposure to chronic conditions and acutely unwell patients. Knowledge of Long Term Conditions or willingness to complete appropriate learning modules. Qualifications
Evidence of continuous professional development. Relevant degree or is willing to work towards obtaining one. Experience
Experience of the development of individualised care plans and associated processes. Experience of working in a multi-disciplinary team. Demonstrates personal and professional maturity. Demonstrates responsibility and an awareness of service user needs. Experience of community Nursing. Registration
Registered Nurse with Nursing and Midwifery Council registration. 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. £37,338 to £44,962 a year per annum, pro rata.
#J-18808-Ljbffr