Job summary
East Coast Community Healthcare are currently looking to recruit an additional enthusiastic and motivated senior nurse to provide shared leadership to a team of community nursing staff providing care overnight to patients registered within the Great Yarmouth and Waveney area.

The successful applicant will be an experienced registered nurse, with significant community experience and a passion for delivering high standards of clinical care. The service responds to urgent and unplanned care needs out of hours, including people who have fallen. The successful applicant will be skilled in providing advice to patients remotely where appropriate and making clinical prioritisation decisions to support coordination of the team's face to face visits. The right candidate will have experience caring for palliative patients and their families, often in highly emotive circumstances. Competence in urethral and supra-pubic catheters is essential. The successful candidate will be able to demonstrate how they embody our values, and a desire for personal and professional development.

Out of Hours Nursing is challenging, varied and rewarding; the service has to be flexible to meet the needs of our patients. East Coast Community Healthcare is committed to the development of integrated multi professional working to meet the changing health needs of the local population. Knowledge of local and national initiatives and evidence of lifelong learning and personal development are essential.

Main duties of the job
The out of hours team form part of the Primary Care Homes 24/7 urgent response, which aims to support people at home and avoid unwarranted admissions. The PCH works closely with GP's and other members of the multidisciplinary team 24/7 to provide an excellent standard of person centered nursing care to adult patients in their own homes and residential care, supporting patients to self manage whenever possible. The senior nurse plays a key role in supporting the transition of care within 24/7 PCH care and/or partner organisations, ensuring unplanned needs are managed out of hours and an appropriate follow up plan is in place. In addition to clinical work, the senior nurse will have supervisory and line management responsibility, supporting the development of a highly experienced and well-embedded out of hours team. The senior nurse is accountable for the effective delivery of high standards of evidence based nursing care, including through the use of audits and supervision. The service uses SystmOne as a clinical IT system to support mobile working.

Applicants will be required to participate in working weekend and bank holidays on a rotational basis.

A mobile phone, laptop and pool car are provided for use when on duty.

About us
ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.

The PCH out of hours service comprises of experienced registered nurses and health care assistants, working in teams of two. The teams work by geographical area, but also flex to support each other, prioritising patient need. The out of hours team have a proven record of consistently achieving 2 hour urgent community response out of hours and are actively exploring further quality improvement opportunities. If you share the ECCH values and are interesting in supporting our out of hours work, we would welcome your application.

Job responsibilities
We Listen, We Learn, We Lead:

• Contribute to, support and promote ECCH's, strategic direction, values and culture in relation to proactive and reactive services.
• Discuss all treatment options with sensitivity, knowledge and expertise, and to act as a patient advocate when appropriate, respecting patient confidentiality with privacy and respect for diverse cultural backgrounds and requirements.
• Provide leadership and ensure effective management of the team through identified lines of responsibility within Primary Care Homes.
• Act as a resource for other health and social care professionals on matters relating to community nursing.
• Contribute to the management, coordination, development and audit of delegated caseloads in partnership with members of the team, to ensure the provision of high quality service to families, individuals, and groups within the community for the provision of their physical, social and psychological well-being.
• Participate in clinical supervision within Primary Care Home as required.
• Participate and maintain a learning environment and maximise opportunities for education and development in the clinical area to enhance individual development and performance in the delivery of high standards of care.
• Develop excellent internal and external networks in order to promote Primary Care Network.
• Contribute to the clinical governance agenda through participation in clinical risk assessment and management and clinical audit.
• Critically evaluate research findings, national guidelines and implement changes in clinical practice as appropriate.
• Create an environment conducive to effective working, respecting and supporting staff to deliver high quality clinical services.
• Actively manage, change and foster innovation within proactive and reactive care.
• To deputise for the Lead Nurse or Integrated Care Lead if required.

Work Together, Achieve Together:

• Work as part of the multidisciplinary Primary Care Home to deliver proactive and reactive services.
• Work in collaboration with colleagues to develop care pathways for patients requiring a range of healthcare needs and reablement.
• Work collaboratively with residential care homes and community colleagues to promote high standards of care.
• Contribute to the review of current policies/ protocols/guidelines and the development of clinical pathways and outcomes for people requiring proactive and reactive services.
• Work collaboratively with the Primary Care Home Team and the training department to assess the clinical training needs of staff.
• To formulate an individualised management and/or treatment plan, using clinical reasoning skills and utilizing a wide range of treatment skills in order to formulate a specialised programme of care. This will ensure patients meet their re-ablement goals and promote independence.
• To communicate effectively and work collaboratively with medical, nursing and therapy colleagues to ensure delivery of a coordinated multidisciplinary service. This will include discussion of patient care and case management.
• To work collaboratively with colleagues in partner organisations towards a shared objective of seamless, patient-focussed service provision

My Accountability, My Responsibility:

• Plan and organise a range of complex clinical activities in a wide range of community settings to ensure best practice is delivered across your designated area of responsibility.
• To undertake a holistic assessment of patients, including those with a complex presentation, using investigative and analytical skills.
• Consistently identify deteriorating patients and evidence ability to escalate
• To oversee the coordination and case management of patients requiring out of hours support, and ensure appropriate follow up is arranged where needed
• To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of the service and to ensure a consistent approach to patient care.
• To assess mental capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack this capacity to consent to treatment.
• To assess for environmental aids and arrange for provision or provide advice on where aids can be obtained.
• Take responsibility for own personal and professional development; maintain competence, knowledge and skills commensurate with role.
• Be wholly accountable for practice taking every reasonable opportunity to sustain and improve knowledge and professional competence and, ensure all aspects of professional behaviour as required within professional code are followed at all times.
• Maintain legible, accurate and contemporaneous patient records in accordance with ECCH Policy and professional standards for record keeping.
• To communicate assessment and treatment results to the appropriate disciplines in the form of reports or letters.
• Take responsibility to ensure compliance with Health and Safety Policy, Fire and Environmental Waste Regulations.
• Be responsible for understanding, following and implementing ECCH policies and procedures.
• Manage individual performance, reporting areas of concern and non--compliance to the Integrated Care Lead.
• Ensure staff compliance with ECCH risk management systems, proactively identifying risk, reporting and managing risk within area of responsibility.

Be Cost Conscious, Respect Or Resources:

• Take responsibility for the cost effective management and safe use of expensive clinical equipment and to ensure the safe use of equipment by others through teaching, training and supervision of practice.
• Contribute to the effective use of resources.
• Contribute to the evaluation of training programmes to support patients and carers gain the necessary knowledge and skills to maintain independence.
• All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders and colleagues. All members of staff should consider these as an essential part of their job role.
• Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word 'CARE'. These stand for: Compassion, Action, Respect and Everyone.
• Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.

Person Specification
Qualifications
Essential

• Professional Registration with Nursing and Midwifery Council (NMC) Registered Nurse Level 1 (Adult)
• BSc in Nursing Practice or equivalent
• Evidence of continued professional development and a professional portfolio.
• Leadership/ management qualification or willing to undertake
• Health Coaching programme or willing to undertake

Desirable

• Specialist Practitioner Qualification in District Nursing
• Community Nurse Prescriber v100 /v150
• Independent non- medical prescriber
• Mentorship / Teaching and Assessing Course (ENB 998) or equivalent

Experience
Essential

• Experience working within a similar field of nursing/healthcare
• Experience of working as part of a multi-disciplinary team
• Experience of working with frail older adults and awareness of the complex issues relating to this client group.

Desirable

• Previous experience at band 6 level.
• Clinical experience gained in a community/intermediate care setting.
• Student supervision/clinical education
• Experience of clinical audit
• Experience of successful change management
• Experience of facilitating clinical supervision

Additional Criteria
Essential
SKILLS AND KNOWLEDGE

• Knowledge and understanding of the National Standards Framework for the Elderly (March 2001)
• Ability to deal sensitively with patients who may have high levels of anxiety.
• Capacity to concentrate for considerable periods of time during assessment and management of patients and be expected to respond immediately to interruptions.
• Must have an understanding of the legal and ethical issues pertaining to nursing.
• Leadership skills
• Assessment and patient management skills
• Excellent communication and interpersonal skills
• Negotiating and influencing skills
• Good IT skills
• Effective organisation and time management skills

PERSONAL ATTRIBUTES

• Able to work both collaboratively within a team and independently.
• Able to contribute to team, service and organisational development.
• Commitment to person centred, non-discriminatory practice.
• Aware of requirements for confidentiality.
• Forward thinking with excellent interpersonal skills.
• Able to maintain judgment under pressure.
• Able to maintain motivation, drive, enthusiasm.
• Flexible approach to work and participate in various shift patterns.
• Full UK driving licence
• Due to the variety of community working, the ability will be needed to access a diverse range of properties to carry out assessments.
• Ability to embrace our Culture, Values and Signature Behaviours:
• (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together).
• Willingness and ability to work across different sites and travel to alternative sites and across the community as required.

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.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.