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Community Assistant Practitioner

2 months ago

North Walsham, United Kingdom Norfolk Community Health and Care NHS Trust Full time

Job summary
A fantastic opportunity has arisen within the Diabetes Specialist Services at Norfolk Community Health and Care NHS Trust at Band 4 level to cover North Place.
The post will be permanent at 18.75hours per week and you will be working alongside a Band 6 Diabetes Specialist Nurse and under the supervision of the Diabetes Specialist Nurse lead.
The Norfolk Community Health and Care NHS Trust community diabetes team is based in West Norfolk, we are a small friendly and supportive team who provide care for people living with diabetes in a variety of settings including in patients' homes and in care settings.
You will work within the Diabetes Team providing knowledge and skills. You will be managing your own caseload assigned by the Diabetes Specialist Nurse. You will be responsible for carrying out diabetes reviews, venepuncture, foot checks, education, and continuous glucose monitoring and application. The role will include health education to the service users, their families, carers, and other agencies involved in their care management. The role requires flexible working.
The successful candidate will hold a full UK driving licence and have access to their own vehicle as you will be required to travel independently around the county.
Main duties of the job
To contribute to the delivery of high standards of health care to patients within their own homes, care homes, the travelling community and in clinics, by assessing, planning, implementing and evaluating packages of care.
To work under the supervision of Diabetes Specialist Nurse to assess and review patients with diabetes to optimise treatment regimes, including but not exclusive to, educating in insulin self-management, supporting assessment through use of Libre device and undertaking diabetic foot checks.
The role does require professional and clinical experience. Due to the nature of this condition and ever evolving service changes there is a high need for personal resilience. These groups of patients are frequently complex in need and require high levels of emotional, educational, and professional support, however the team and wider organisation are a great support network.
About us
Apply now to join an organisation that has been awarded an 'Outstanding' rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.
Job description
Job responsibilities
Clinical
The post holder will:

Assess patients with straightforward requirements based on predetermined department protocols.
Prepare for, carry out and monitor assessments and treatments in specified clinical areas, and discharge in line with predetermined department protocols.
Apply competency-based treatment techniques/care to patients with specific conditions under the supervision of a qualified practitioner, following a prescribed treatment/care plan.
Modify and progress intervention / treatment using own clinical reasoning, notifying a qualified practitioner accordingly.
Prepare for and develop individual/group activities to meet defined intervention needs.
Monitor patients and promptly alert a qualified practitioner when there are unexpected changes.
Demonstrate problem solving, and contribute to the solution, working with colleagues.
Make basic judgements on patients response to prescribed treatment, and report findings to a qualified practitioner.
Plan and prioritise own visits to delegated patients, and ensure these are documented in personal work diary.
Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
Be required to use tact and persuasive skills in order to gain the patients co-operation in their treatment/care/management plan.
Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
Communicate with patients/carers by exchanging factual information, reassurance, tact and empathy.
Establish and maintain appropriate working relationships with colleagues, patients, carers and other health care professionals.
Demonstrate dexterity and coordination when undertaking treatment of patients where accuracy is important, e.g. taking blood sugars, venepuncture, supervising transfers, passive exercises.
Be responsible for ensuring equipment is used safely, following appropriate training, and that it is maintained appropriately.
Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
Work predominantly independently on specified tasks, with regular clinical support and supervision by a qualified practitioner.
Work with qualified practitioners with group work/clinics as required.
Demonstrate an awareness and understanding of consent, and gain consent as appropriate following department policy.
Share responsibility for maintaining store cupboards, pool cars, cleaning specialist equipment and general house keeping tasks.
Share responsibility for indirect patient contact tasks, such as, answering telephones, arranging appointments, processing referrals and inputting activity data.
Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.
Demonstrate basic IT and standard keyboard skills.

Professional
The post holder will:

To be an active member of the in-service training programme by attendance at and participation in staff meetings, training sessions, courses and reflective practice.
To participate in the staff appraisal scheme as an appraisee, maintaining a dynamic personal development plan.
To demonstrate an awareness of clinical governance and risk management and apply to work situations.

To provide peer support to other carers.

To develop competencies to enhance practice and ability to meet needs of patients and the service.

Communication

To establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building.
To demonstrate an ability to communicate with patients/carers with complex needs, using clear and effective verbal/non-verbal communication.
To gather and collate information to enable co-ordinator to plan interventions/liaison with others.
To provide direct feedback to professionals as appropriate, and in a clear and concise way.
To contribute to accurate and timely patient records, including data collection.
To communicate and share information with DNs, GPs and SWs as necessary.
Be able to communicate effectively with patients/relatives with communication difficulties i.e. deafness, blindness, learning difficulties.
To provide feedback to co-ordinator in a clear and concise way.

Organisational
The post holder will:

Undertake mandatory training as required.
Participate in a Personal Development Review process.
Undertake Personal Development Plans for more junior staff members.
Take part in clinical supervision as per Trust Policy.
Follow Trust policies, and local procedures.
Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
Contribute to clinical audit as required
Complete the staff survey as required.
Complete risk assessments and incident forms as required.

Research & Development

May be required to undertake surveys or audits, as necessary to own work; may occasionally participate in R&D, clinical trials or equipment testing.

Safeguarding Clause

Norfolk Community Health and Care NHS Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expects all staff and volunteers to share this commitment. Rigorous recruitment checks are carried out and where applicable to the role successful applicants will be required to undertake a criminal records check via the Disclosure and Barring Service (DBS).

Infection Control

Norfolk Community Health and Care NHS Trust staff are responsible for protecting themselves and others against infection risks. All staff regardless of whether clinical or not are expected to comply with current infection control policies and procedures and to report any problems with regard to this to their managers. All staff undertaking patient care activities must attend infection control training and updates as required by Norfolk Community Health and Care NHS Trust.

Health and Safety
Employees must be aware of the responsibilities placed upon them under the Health and Safety at Work Act (1974), to ensure the agreed safety procedures are carried out to maintain a safe environment for employees and visitors.

To ensure that the Trusts Health and Safety Policies are understood and observed and that procedures are followed.
To ensure the appropriate use of equipment and facilities and the environment is maintained in good order.
To take the necessary precautions to safeguard the welfare and safety of themselves, patients, staff and visitors, in accordance with the Health and Safety at Work Act.
To undertake appropriate Health and Safety training to support safe working practice including, where appropriate, its management.

General
All staff are required to respect confidentiality of all matters that they learn as a result of the employment with the Trust, including matters relating to other members of the staff and members of the public/patients.

Maintain appropriate patient and clinical records in line with the Trusts policies and procedures, and in line with the agreed service specification.
The post holder will be expected to participate in an annual appraisal of their work where the job description will be reviewed and objectives set. In line with the annual personal development plan the post holder will be expected to undertake any training or development required to fulfil their role.
Ensure that all patients, clients and colleagues are treated at all times in an equitable manner, respecting diversity and showing an understanding of diversity in the workplace.
The post holder must carry out their responsibilities with due regard to the Trusts Equality and Diversity Policies, Procedures and Schemes and must ensure that equality is promoted at all times.

Job description
Job responsibilities
Clinical
The post holder will:

Assess patients with straightforward requirements based on predetermined department protocols.
Prepare for, carry out and monitor assessments and treatments in specified clinical areas, and discharge in line with predetermined department protocols.
Apply competency-based treatment techniques/care to patients with specific conditions under the supervision of a qualified practitioner, following a prescribed treatment/care plan.
Modify and progress intervention / treatment using own clinical reasoning, notifying a qualified practitioner accordingly.
Prepare for and develop individual/group activities to meet defined intervention needs.
Monitor patients and promptly alert a qualified practitioner when there are unexpected changes.
Demonstrate problem solving, and contribute to the solution, working with colleagues.
Make basic judgements on patients response to prescribed treatment, and report findings to a qualified practitioner.
Plan and prioritise own visits to delegated patients, and ensure these are documented in personal work diary.
Ensure patient held records are completed for each visit, and that SystmOne inputting is completed on a daily basis.
Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
Be required to use tact and persuasive skills in order to gain the patients co-operation in their treatment/care/management plan.
Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
To participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
Communicate with patients/carers by exchanging factual information, reassurance, tact and empathy.
Establish and maintain appropriate working relationships with colleagues, patients, carers and other health care professionals.
Demonstrate dexterity and coordination when undertaking treatment of patients where accuracy is important, e.g. taking blood sugars, venepuncture, supervising transfers, passive exercises.
Be responsible for ensuring equipment is used safely, following appropriate training, and that it is maintained appropriately.
Contribute to the requisitioning of supplies and equipment through electronic ordering systems.
Work predominantly independently on specified tasks, with regular clinical support and supervision by a qualified practitioner.
Work with qualified practitioners with group work/clinics as required.
Demonstrate an awareness and understanding of consent, and gain consent as appropriate following department policy.
Share responsibility for maintaining store cupboards, pool cars, cleaning specialist equipment and general house keeping tasks.
Share responsibility for indirect patient contact tasks, such as, answering telephones, arranging appointments, processing referrals and inputting activity data.
Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.
Demonstrate basic IT and standard keyboard skills.

Professional
The post holder will:

To be an active member of the in-service training programme by attendance at and participation in staff meetings, training sessions, courses and reflective practice.
To participate in the staff appraisal scheme as an appraisee, maintaining a dynamic personal development plan.
To demonstrate an awareness of clinical governance and risk management and apply to work situations.

To provide peer support to other carers.

To develop competencies to enhance practice and ability to meet needs of patients and the service.

Communication

To establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building.
To demonstrate an ability to communicate with patients/carers with complex needs, using clear and effective verbal/non-verbal communication.
To gather and collate information to enable co-ordinator to plan interventions/liaison with others.
To provide direct feedback to professionals as appropriate, and in a clear and concise way.
To contribute to accurate and timely patient records, including data collection.
To communicate and share information with DNs, GPs and SWs as necessary.
Be able to communicate effectively with patients/relatives with communication difficulties i.e. deafness, blindness, learning difficulties.
To provide feedback to co-ordinator in a clear and concise way.

Organisational
The post holder will:

Undertake mandatory training as required.
Participate in a Personal Development Review process.
Undertake Personal Development Plans for more junior staff members.
Take part in clinical supervision as per Trust Policy.
Follow Trust policies, and local procedures.
Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
Contribute to clinical audit as required
Complete the staff survey as required.
Complete risk assessments and incident forms as required.

Research & Development

May be required to undertake surveys or audits, as necessary to own work; may occasionally participate in R&D, clinical trials or equipment testing.

Safeguarding Clause

Norfolk Community Health and Care NHS Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expects all staff and volunteers to share this commitment. Rigorous recruitment checks are carried out and where applicable to the role successful applicants will be required to undertake a criminal records check via the Disclosure and Barring Service (DBS).

Infection Control

Norfolk Community Health and Care NHS Trust staff are responsible for protecting themselves and others against infection risks. All staff regardless of whether clinical or not are expected to comply with current infection control policies and procedures and to report any problems with regard to this to their managers. All staff undertaking patient care activities must attend infection control training and updates as required by Norfolk Community Health and Care NHS Trust.

To ensure that the Trusts Health and Safety Policies are understood and observed and that procedures are followed.
To ensure the appropriate use of equipment and facilities and the environment is maintained in good order.
To take the necessary precautions to safeguard the welfare and safety of themselves, patients, staff and visitors, in accordance with the Health and Safety at Work Act.
To undertake appropriate Health and Safety training to support safe working practice including, where appropriate, its management.

Maintain appropriate patient and clinical records in line with the Trusts policies and procedures, and in line with the agreed service specification.
The post holder will be expected to participate in an annual appraisal of their work where the job description will be reviewed and objectives set. In line with the annual personal development plan the post holder will be expected to undertake any training or development required to fulfil their role.
Ensure that all patients, clients and colleagues are treated at all times in an equitable manner, respecting diversity and showing an understanding of diversity in the workplace.
The post holder must carry out their responsibilities with due regard to the Trusts Equality and Diversity Policies, Procedures and Schemes and must ensure that equality is promoted at all times.

Person Specification
Qualifications
Essential

NVQ 3 or equivalent knowledge and experience.
Foundation degree programme or equivalent demonstrable knowledge and skills acquired
Experience of working in health setting or social care setting
Good general education

Other
Essential

Able to communicate effectively in written and verbal English Language
Must have a full UK driving license and have access to a vehicle
Be able to kneel, bend & stoop, and work in cramped environments, manoeuvre limbs of around 5-6kg and manoeuvre patients using handling aids
Professional apperance
Manoeuvre limbs of around 5-6kg
Manoeuvre patients using handling aids
Be reliable

Personal and People Development
Essential

Ability to manage stressful situations
A team player
Awareness of own limitations
Good organisational skills
Open to change and development

Skills, Abilities and Knowledge
Essential

Knowledge of additional specialist areas through in-house training & short courses
Good communication skills
Highly motivated

Desirable

Experience of working in a community setting
Knowledge of multi-disciplinary team roles

Communication
Essential

Tact & Diplomacy
Ability to use own initiative
Empathy and sensitivity
Able to communicate effectively using the English language in both verbal and written forms

Experience
Essential

Experience of working with people, in the statutory/voluntary/private sector.
Evidence of ongoing learning
Experience of working with people at the End of life
Literacy skills

Desirable

Experience of working with people within their own homes

Personal Attibutes / Behaviours
Essential

Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults
Able to show initiative
Able to work alone
Assertive
Good listening skills

Person Specification
Qualifications
Essential

NVQ 3 or equivalent knowledge and experience.
Foundation degree programme or equivalent demonstrable knowledge and skills acquired
Experience of working in health setting or social care setting
Good general education

Other
Essential

Able to communicate effectively in written and verbal English Language
Must have a full UK driving license and have access to a vehicle
Be able to kneel, bend & stoop, and work in cramped environments, manoeuvre limbs of around 5-6kg and manoeuvre patients using handling aids
Professional apperance
Manoeuvre limbs of around 5-6kg
Manoeuvre patients using handling aids
Be reliable

Personal and People Development
Essential

Ability to manage stressful situations
A team player
Awareness of own limitations
Good organisational skills
Open to change and development

Skills, Abilities and Knowledge
Essential

Knowledge of additional specialist areas through in-house training & short courses
Good communication skills
Highly motivated

Desirable

Experience of working in a community setting
Knowledge of multi-disciplinary team roles

Communication
Essential

Tact & Diplomacy
Ability to use own initiative
Empathy and sensitivity
Able to communicate effectively using the English language in both verbal and written forms

Experience
Essential

Experience of working with people, in the statutory/voluntary/private sector.
Evidence of ongoing learning
Experience of working with people at the End of life
Literacy skills

Desirable

Experience of working with people within their own homes

Personal Attibutes / Behaviours
Essential

Able to identify with the Trust's commitment to safeguarding and promoting the welfare of children and young people/vulnerable adults
Able to show initiative
Able to work alone
Assertive
Good listening skills

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.
Employer details
Employer name
Norfolk Community Health and Care NHS Trust
Address
North Walsham Community hospital
Yarmouth road
North Walsham
NR28 9AP
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