Urgent Care Practitioner Band 6

PLEASE NOTE THIS IS NOT A MENTAL HEALTH TEAM

Community Treatment Team is an award winning hospital avoidance team.

The pressure is increasing on Emergency Departments all over the Country and it is recognised how bringing a hosptial to home role plays a part in assisting with the assessment and treatment of patients in this area.

The post holder will have continuing responsibility for assessment and management of patients within the CTT and will use advanced and highly specialist skills and knowledge of community to assess, plan, implement and evaluate the management of care.

To provide onward referral to other community services including health and social care to ensure the safe management of the patient when completing their CTT episode of care.

CTT also work in collaboration with London Ambulance Service responding to 999 calls. Once trianing has been completed within the team you will have the opportunity to work with the CTT/LAS car to support the service aim.

Due to the crisis nature of the role the practitioner will be supported to extend their skills in order to recognise a deteriorating patient. The practitioner will be supported with continuing professional development. Close teamwork is paramount in order to manage complex patients in the rapid environment.

**Key Responsibilities**:
1. To manage a specific specialised caseload of clients, within A&E, NHS 111, Frailty units and the community, using the nursing process of assessment, planning, implementation and evaluation.
1. To provide professional and clinical support to staff working within the CTT and collaborative services such as Acute hospital trust, GPs, NHS 111 and Ambulance Services.
2. To participate in the development of a high quality service clinical governance framework.
3. Assist with the day to day management of the CTT and co-ordination of workload and development of the team.
4. To participate in the implementation of NELFT & NEL service developments impacting on Community Services.
5. Establish and maintain effective communication and relationships across all disciplines and services.
6. To act as an autonomous practitioner to assess, plan, implement, review and evaluate care, including complex care assessments
7. To ensure service delivery is of a high quality we provide quality care 365 days. NELFT operate a flexible working policy.

COVID-19 Vaccination

We continue to encourage all staff to ensure that they have been double vaccinated and received their booster. We recognise that taking the vaccine provides the best defence against COVID 19 for our patients, our staff, and their families.

Probationary Period

Starting with NELFT

NELFT place a great deal of importance on new starters being properly welcomed and inducted into the Trust. All new starters will join the Trust on the first Monday of each month and will undertake a comprehensive induction of up to two weeks which will include mandatory training, systems training and the allocation of equipment. As part of the process, new starters will have the opportunity to also meet the executive team, senior managers and attend a number of drop-in sessions focusing on engagement, health and wellbeing and key processes. The induction will be held at our head office in Rainham, Essex.

High-Cost Area Supplement - London

This post also attracts payment for High-Cost Area Supplement of 15% of the basic salary (minimum payment of £4,313 and a maximum payment of £5,436)

The practitioner will be supported to undertake training in order to competently assess an acutely unwell adult, ensuring their best interests are maintained to be treated in the most appriopriate environment

The band 6 will be expected to supervise and manage junior members of staff and be supported to develop and deputise for senior members of staff in their absence. You will be supported to undertake clinical educator’s course and support students.

Clinical Skills
1. To assess the needs of a defined client group, plan and implement client centred interventions, evaluate treatment in order to measure progress and ensure clinical effectiveness.
2. Carry out a full holistic assessment of patients(to include wound care, administration of medication, injections, phlebotomy, IV cannulation and IV therapy, clinical observations including recording ECG’s).
3. To be able to undertake a comprehensive triage and recognise red flags requiring more urgent escalation and medical attention
4. To use patient /client medical and social information as part of the nursing process.
5. To practice and promote best evidence based practice and participate in specific clinical trials and audits in CTT.
6. To allocate clinical and administrative work appropriately to support staff and monitor outcome.
7. To maintain accurate contemporaneous records on all aspects of the treatment process and client / patient contact.
8. To act as a resource for other team members, support staff and students, ensuring own actions promot