NHS Band 6
NHS Norfolk and Waveney Integrated Care Board (ICB) plans and buys healthcare services for our local population. We are accountable for the performance and finances of the NHS across Norfolk and Waveney – a total budget of £2 billion a year. Known as NHS Norfolk and Waveney, the organisation works with local people, health and care professionals, and partner organisations to improve the health and wellbeing of our population. The organisation is part of the Norfolk and Waveney Integrated Care System. A system dedicated to working with partners in local government, the voluntary sector and others and helping the NHS to support broader social and economic development and to tackle inequalities in health outcomes. We believe strongly in creating a workplace built on teamwork, whilst allowing individuals to grow and develop in their own roles. Our main offices are based at 8th Floor of Norfolk County Hall, Martineau Lane, Norwich, NR1 2UE; however, we have a local office for the East of the region based in Beccles and another in the West of the region based in King’s Lynn. Therefore, travel across the Norfolk and Waveney footprint as well as out of county is required according to where our stakeholders are situated. Our three ICS goals are: To make sure that people can live as healthy a life as possible. To make sure that you only have to tell your story once. To make Norfolk and Waveney the best place to work in health and care. If you are someone who enjoys making a difference and would like to help people in Norfolk and Waveney live longer, healthier, and happier lives, then we would love to hear from you. Job Overview
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; attendance on wards is 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 have 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. You will also 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. Working for Our Organisation
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. Detailed Job Description and Main Responsibilities
Proactively manage a delegated caseload and have the ability to function autonomously. Demonstrate timely forward planning and an ability to organise self. This includes three month/annual quality of care and eligibility reviews for NHS Continuing Healthcare as per the National Framework when necessary. 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 the 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 Hybrid Working
The ICB operates a flexible approach to working. It is expected the majority of our staff will work from a combination of home and office (where possible). For staff designated in a hybrid role, they should have a safe and suitable place to work with Broadband access and space for a desk, chair, and monitors. At interview, a discussion will take place between the recruiting manager and the candidate to ensure they are clear on what is expected. Your Application
Please submit your application form without delay to avoid disappointment; we will close vacancies prior to the published closing date if we receive a sufficient number of completed application forms. We are unable to accept CVs as part of an application. Only those candidates who clearly demonstrate how they meet the person specification on their application will be shortlisted for this job. Be mindful that any offer of employment will be subject to pre-employment checks e.g. health, identity, right to work, qualifications, registration, and references. Please provide up-to-date referee details to avoid delay. A start date will not be confirmed until clearance from all the checks has been obtained. To ensure diverse representation at all levels across the workforce and to understand the differing needs of our stakeholders, Norfolk and Waveney ICB is committed to equality, diversity, and inclusion and to addressing any imbalance of opportunity or disadvantage that an individual with a protected characteristic could face. We would strongly encourage applications from candidates from under-represented backgrounds. Applicants with a disability need only meet the essential criteria to be invited to interview. We will also make any reasonable adjustments to the recruitment process providing that you inform us of any special requirements. Further Information
Please check the email account (including your junk mail) that you supplied as part of your application on a regular basis following the closing date and throughout the recruitment process, as this is how we will communicate with you. Arden & GEM CSU administer this account on behalf of the ICB, you may receive communications from both the CSU and the ICB during your recruitment. Employer Certification / Accreditation Badges
You must have appropriate UK professional registration. This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020, and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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