Surrey Downs Health & Care
Working across organisational boundaries and as an integral part of the Surrey Downs Health and Care system, the integrated health and care team is responsible for providing rapid access, enhanced, short-term health and care support for people who would otherwise need emergency hospital admission as well for as those medically stable to return home from an acute hospital but requiring enhanced short-term support as one stage in their ongoing care pathway.
The Home First service operates a 7 day/week service from 8am to 8pm working across both the community and hospital settings. Staff are required to work flexibly over the week covering, on average, one weekend within a four-week roster period.
Responsibilities: To work as a key member of the multidisciplinary team in the assessment and management of a caseload of clients. To plan, deliver and evaluate the treatment needs of clients with a variety of complex social and health care needs. To participate as an active member of the multidisciplinary team in developing and delivering high quality and innovative services to the local population. To promote effective teamwork within the wider Surrey Downs Health and Care, delegating activities appropriately, to the benefit of the patient and service delivery. To be responsible for a clinical caseload working within the multi-disciplinary team (MDT), ensuring patients and carers receive optimum level of therapy and holistic care within available resources. To undertake timely, holistic assessments of patients, involving functional and environmental factors. To be able undertake assessments autonomously as well as working with other members of the MDT. To undertake assessment and interventions within a community unit as well as at home, either supporting people to remain in their own home safely or supporting discharge from the acute setting/hospital. To work with a person/friends and family to identify person-centered SMART goals (care plan), using clinical reasoning and evidence-based practice. To make rapid decisions where required, using clinical reasoning skills, knowledge and experience, with support as appropriate. To monitor a person’s progress and adapt treatment plans and intervention/recommendations as appropriate, using outcome measures and reflective practice. To have an awareness of local community services and be able to refer to these appropriately and in a timely manner. Communication/Relationship Skills: To gain a person’s consent to engage with assessment and intervention as required. To assess and identify those who lack the capacity to consent to treatment and work with them within a legal framework. To adopt a range of communication methods as appropriate in view of educational, social or identified barriers to effective communication. To communicate effectively with other Surrey Downs Health and Care / Sutton Health and Care team members, as well as others involved in the person’s care. Health/Safety and Security Responsibilities: To undertake and advise on safe moving and handling of a person and apply manual handling techniques to assessment and treatment. To carry out risk assessments when necessary, formulating and carrying out action plans to reduce risk. To comply and promote safe working practices with the Health and Safety at Work Act 1974 and Manual Handling Operations Regulations 1992. Planning and Organisational Duties: To prioritise effectively and be flexible to the demands of the service. To demonstrate flexibility according to the needs of the service and the clinical area as directed by senior staff. To contribute to and participate in team objectives and service developments. Quality and Service Development Responsibilities: To abide by the HCPC / COT rules of professional conduct and local professional and quality standards. To contribute towards joint assessment processes. To collaborate with other colleagues on ways to maintain, monitor and improve services provided. To develop and maintain discipline-specific skills, whilst adopting a cross-competency approach, with support as required.
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Working across organisational boundaries and as an integral part of the Surrey Downs Health and Care system, the integrated health and care team is responsible for providing rapid access, enhanced, short-term health and care support for people who would otherwise need emergency hospital admission as well for as those medically stable to return home from an acute hospital but requiring enhanced short-term support as one stage in their ongoing care pathway.
The Home First service operates a 7 day/week service from 8am to 8pm working across both the community and hospital settings. Staff are required to work flexibly over the week covering, on average, one weekend within a four-week roster period.
Responsibilities: To work as a key member of the multidisciplinary team in the assessment and management of a caseload of clients. To plan, deliver and evaluate the treatment needs of clients with a variety of complex social and health care needs. To participate as an active member of the multidisciplinary team in developing and delivering high quality and innovative services to the local population. To promote effective teamwork within the wider Surrey Downs Health and Care, delegating activities appropriately, to the benefit of the patient and service delivery. To be responsible for a clinical caseload working within the multi-disciplinary team (MDT), ensuring patients and carers receive optimum level of therapy and holistic care within available resources. To undertake timely, holistic assessments of patients, involving functional and environmental factors. To be able undertake assessments autonomously as well as working with other members of the MDT. To undertake assessment and interventions within a community unit as well as at home, either supporting people to remain in their own home safely or supporting discharge from the acute setting/hospital. To work with a person/friends and family to identify person-centered SMART goals (care plan), using clinical reasoning and evidence-based practice. To make rapid decisions where required, using clinical reasoning skills, knowledge and experience, with support as appropriate. To monitor a person’s progress and adapt treatment plans and intervention/recommendations as appropriate, using outcome measures and reflective practice. To have an awareness of local community services and be able to refer to these appropriately and in a timely manner. Communication/Relationship Skills: To gain a person’s consent to engage with assessment and intervention as required. To assess and identify those who lack the capacity to consent to treatment and work with them within a legal framework. To adopt a range of communication methods as appropriate in view of educational, social or identified barriers to effective communication. To communicate effectively with other Surrey Downs Health and Care / Sutton Health and Care team members, as well as others involved in the person’s care. Health/Safety and Security Responsibilities: To undertake and advise on safe moving and handling of a person and apply manual handling techniques to assessment and treatment. To carry out risk assessments when necessary, formulating and carrying out action plans to reduce risk. To comply and promote safe working practices with the Health and Safety at Work Act 1974 and Manual Handling Operations Regulations 1992. Planning and Organisational Duties: To prioritise effectively and be flexible to the demands of the service. To demonstrate flexibility according to the needs of the service and the clinical area as directed by senior staff. To contribute to and participate in team objectives and service developments. Quality and Service Development Responsibilities: To abide by the HCPC / COT rules of professional conduct and local professional and quality standards. To contribute towards joint assessment processes. To collaborate with other colleagues on ways to maintain, monitor and improve services provided. To develop and maintain discipline-specific skills, whilst adopting a cross-competency approach, with support as required.
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