Clinical Streamer

Job summary

There is a rising demand for Clinical Streamers within Urgent Care Services. The Partnership of East London Cooperatives (PELC) is a not-for-profit organisation delivering Urgent care at four Urgent Treatment Centres.

Two main sites are located and operating 24/7 - King George Hospital in Goodmayes and Queen’s Hospital in Romford. Both of these hospitals are under the Barking, Havering and Redbridge University Hospitals NHS Trust, one of the larger acute trusts in the country. Working collaboratively with BHRUT aims to improve waiting times for urgent and emergency care and performance against the four-hour emergency access standard.

We are GP-led, staffed by GPs, nurses and other clinicians, with access to simple diagnostics, urinalysis, ECG, X-ray and blood. Following the initial assessment, we aim to deliver a high standard of patient-centred care, focusing on the principles of care and clinical safety. Clinical Streamers will be given the training to support the decision making in an assessment of the appropriateness of cases that will be suitable to UTC and ED. In addition, there will be learning and support for all the protocols to manage emergency cases, critically ill and injured adults and children who unexpectedly arrive at an urgent treatment centre.

Main duties of the job

The UTC (Urgent Treatment Centre) and UCC (Urgent Care Centre) is staffed by a multidisciplinary team who are responsible for patients presenting to the UTC/UCC who may require primary, urgent or emergency care. The team will see and treat patients according to agreed protocols and direct and refer patients to the most appropriate clinical area based on their clinical needs. The role of the clinical Streamer was developed in response to the increasing number of people self-presenting with health-related issues that requires a clinician to direct patients promptly to the right place the first time. The Clinical Streamer will be responsible for ensuring the safe and effective redirection of patients to the most appropriate clinician or health care provider in accordance with approved guidelines. Hours of work: Clinical Streaming is fully operational 24 hours a day, 7 days a week including bank holidays. Key relationships.

About us

The Partnership of East London Co-operatives (PELC) Ltd is anot-for-profit social enterprise. We provide a range of NHS healthcare servicesincluding, GP Out of Hours and Urgent Treatment services to over millionpatients in the Barking & Dagenham, Redbridge, Havering and West Essexareas to meet the needs of the community. We offer a supportive and friendlyworking environment including excellent training and although we are NOT an NHS employer, we provide automaticenrolment into the NHS Pension Scheme.

Our PELC mission is to provide outstanding care to the communities we serve. If you have an advance clinical skills, emergency care experience, ambulance service and worked in the GP practice, whether you want a permanent role or something more flexible through our in-house Trust Temps / Bank shifts, if you love a challenge, dynamic and are looking for an exciting new endeavour, join our team.

Job description

Job responsibilities

Purpose of the role:The UTC (Urgent Treatment Centre) and UCC (Urgent Care Centre) is staffed by a multidisciplinary team who are responsible for patients presenting to the UTC/UCC who may require primary, urgent or emergency care. The team will see and treat patients according to agreed protocols and direct and refer patients to the most appropriate clinical area based on their clinical needs.The role of the clinical Streamer was developed in response to the increasing number of people self-presenting with health-related issues that requires a clinician to direct patients promptly to the right place first time. The Clinical Streamer will be responsible for ensuring the safe and effective redirection of patients to the most appropriate clinician or health care provider in accordance with approved guidance. 

Hours of work:Clinical Streaming is fully operational 24 hours a day, 7 days a week including bank holidays. Key relationships:

  UCC/UTC Nurse Practitioner Colleagues

  UCC/UTC Service Managers

  UCC/UTC Primary Care Doctors 

  UCC/UTC Primary Care Nurses

  UCC/UTC Administrative staff

  Local Primary Care teams

  Community Nursing services 

 Emergency Department MDT Personnel  Clinical Leads Emergency Nurse Practitioners 

 NHS 111 Mental Health professionals 

 Other Local Walk-in Centre 

  Social Services

  GPs and practice staff 

 London Ambulance Service

Key ResponsibilitiesClinical 

1. To take clinical responsibility for yourself once fully orientated to the role and escalate any clinical governance issues. 

2. To take responsibility for ensuring the safe and effective direction of patients to the most appropriate clinician or health care provider, utilising their clinical experience and expertise.

 3. To work as an autonomous Practitioner and be professionally and legally accountable for all aspects of their professional standards and guidelines.

 4. To provide direct access to patients seeking healthcare.

 5. To demonstrate skilled, systematic decision-making. 

6. Monitor the streaming queue ensuring that any patients who may deteriorate or become acutely unwell are managed accordingly. 

 7. Focused history taking with appropriate use of observations as per local policies, SoPs and Audit criteria.

 8. Have a full understanding of the acutely unwell adult or child including red flags. 

9. Competent use of streaming equipment.

10. Good communication skills to ensure safe patient handover of patients to the Emergency Department.

 11. Demonstrate the safe re-direction of patients to named clinicians or other health care providers for advice, support best placed to counsel patients on health and social matters relating to their health and well being. 

12. To ensure that patients and carers who are at risk because of cultural and/or language barriers are helped to understand and make use of the various services available. 

13. Give a comprehensive handover to the incoming staff at the change of each shift.

 14. To act as an advocate for the patient.

 15. Be up to date with Safeguarding & Sepsis guidelines 

Developmental 

1. To participate in an individual performance review. 

2. To work with other members of the multidisciplinary team in the assessment of future nursing needs and developments within the UCC and UTC

 3. To assist in the future development of the role of Clinical Streaming. 

4. To participate in Local research and clinical audit. 

5. To foster good relations and collaboration within the health and social sector. 

Professional 

1. The post holder is required to work within the policies and procedures of PELC and with due regard to the Code of Professional Conduct.

 2. The post holder will act as a representative of / and an ambassador for PELC, the UCC/UTCand for nursing to ensure these are held in high regard. 

3. The post holder will ensure that documents and records are maintained in accordance with both PELC and professional guidelines. 

4. The post holder will ensure they comply with the NMC/HCPC requirements for professional registration and practice.

 5. The post holder will ensure they have the required compliance which is to be updated annually.

General: 

The post holder will work in accordance with PELC and Trust policies and guidelines at all times. 

The post holder will always adhere to PELC and Trust Information Security Policy, in particular ensuring that there are no breaches of confidentiality as a result of his/her actions. 

This job description reflects the current position and the post-holder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be subject to variation from time to time.

Person Specification

Qualifications

Essential

Experience in Paediatric Emergency Department Commitment to the development and delivery of innovative, integrated high-quality primary healthcare services Nurse Practitioner or Emergency Nurse Practitioner Qualification or Paramedic or Physican Associate Experience in Community or Primary Care Setting Nurse/Prescriber/Non-Medical Prescriber

Experience

Desirable

A minimum of 2 years demonstrable experience of working in ED Understanding and knowledge of policy developments related to the delivery of Primary Care Services including General Practice

---