Community Practitioner- Intensive Home Support
3 weeks ago
An exciting opportunity has arisen for two enthusiastic, motivated and committed Community Practitioners to join the Intensive Home Support Service (IHSS).
To support the Senior Practitioner to proactively case manage high risk patients with chronic long term conditions and complex health and social needs to avoid unnecessary hospital admission. Working closely with an integrated neighbourhood team, primary care services and local GP practices.
The post holder will provide clinical assessment, identification, planning, case management and co-ordination of care for people with long term conditions who have complex needs and co-morbidities. The post holder will work towards enhanced professional practice including medicines management, professional leadership, improving mental health and supporting and promoting a self-care management model.
The post-holder will promote partnership working to improve outcomes for patients with co-morbidity of long-term conditions in order to reduce unplanned hospital admissions, reduce length of stay, and facilitate seamless transition of care. The post holder will join a rotational rota covering shifts over a 24 hour period, 7 days per week, 365 days per year.
To support the Senior Practitioners to proactively case manage high risk patients with chronic long term conditions and complex health and social needs to avoid unnecessary hospital admission. Working closely with an Integrated Neighbourhood Team, Primary Care Services and local GP practices.
The post holder will provide clinical assessment, identification, planning, case management and co-ordination of care for people with long term conditions who have complex needs and co-morbidities.
The post holder will work towards enhanced professional practice including medicines management, professional leadership, improving mental health and supporting and promoting a self-care management model. The post-holder will promote partnership working to improve outcomes for patients with co-morbidity of long term conditions in order to reduce unplanned hospital admissions, reduce length of stay, and facilitate seamless transition of care.
The post holders will contribute to a rota working over 24 hours, 7 days a week on a rotational basis.
At East Lancashire Hospitals Trust, our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 7,000 staff, many of whom are internationally renowned and have won awards for their work.
We have 2 main hospital sites in Blackburn and Burnley along with peripheral community sites.
Provide comprehensive programmes of care, under the supervision of a Senior Practitioner that promote health gains, reduce risks to health and well-being, short term and long term and maximise independence of client and patient with co-morbidity long term conditions. This will include:
- Health and social assessment including medical history and clinical examination.
Diagnosis and exercising independent prescribing in accordance with appropriate legislation and ELHT protocols.
Functional/cognitive assessment.
Ensuring that client values, beliefs and views, are reflected in their management plan.
Under the supervision of the Senior Practitioner co-ordinate care and treatment to avoid fragmentation, duplication and delay in the least intensive setting appropriate to the client’s needs by:
Requesting and interpreting diagnostic investigations in order to implement and review a programme of care to meet the needs of the client.
Referring to specialist services.
Ensuring effective communication and sharing of appropriate information amongst professionals to avoid conflicting treatments.
Identifying deficiencies in service provision and addressing these appropriately.
Use developing skills and knowledge to instigate therapeutic treatments consistent with best available evidence with appropriate input from multidisciplinary teams and other agencies.
Be proactive in the rigorous monitoring and evaluation of the effectiveness of agreed care management plans, providing timely interventions and modifications as necessary in partnerships with clients/patients.
Promote and improve the patient’s “self-management” of their condition wherever possible.
Take an active role in the promotion of health and the prevention of ill-health
Work collaboratively across organisational boundaries e.g. Health, social Care, voluntary and Independent sector to support the effective provision of health and social care services developing a robust partnership approach.
Create, maintain and facilitate effective multi-disciplinary team working to ensure that the care delivered to service users is quality driven.
Ensure that care and services are delivered in line with all relevant NSFs, CQC guidance, NICE guidelines, professional requirement, ELHT policies and proce
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