Home 1st UCR ACP / ANP / Paramedic

Are you looking for a high performing role in an exciting and supportive team? Perhaps you are ready for your next challenge!

Home 1stUrgent Community Response (UCR) Team are looking to welcome new colleagues to our expanding team. The successful candidate will use enhanced skills to assess, diagnose and treat patients within 2 hours of referral in their own homes/care homes. Aiming to avoid further clinical deterioration and preventing unnecessary hospital admission.

With new development opportunities within the service, it’s an exciting time for our UCR team as we expand on emerging UCR initiatives which include building on our links with South Central Ambulance Service, urgently responding to people who have fallen at home, supporting patients in the new Virtual ward and providing acute community care.

As part of our expansion, we are looking forward to recruiting colleagues who are patient focused, dynamic and have the ability to work autonomously.

We value all of our team members and welcome input and ideas on these emerging patient pathways. Being able to support others in their development needs and being able to self-reflect are also essential qualities for this post.

In this role you will be expected to use your leadership skills to coordinate services and staff on a shift by shift basis when allocated to do so, whilst providing expert clinical knowledge to support other staff, services remaining patient focused.

The Advanced Nurse Practitioner/Advanced Clinical Practitioner/Paramedic will provide a high level of expertise with regard to advanced triage assessment skills, expert clinical care and nursing/paramedic knowledge. They will provide support and advice to patients and health care professionals. The post holder will determine an appropriate patient pathway and care for acutely ill patients in the community and across virtual wards to avoid unnecessary hospital admissions.

We work collaboratively with members of the multidisciplinary team and stakeholders. Aiming to ensure crisis response is available to all people within their homes, providing a 24/7 service.

The ANP / ACP or Paramedic will work as part of an integrated multidisciplinary team, including health and social care colleagues to meet the needs of the patients referred to the Home 1stUCR (Urgent Community Response) service.

Working closely with our Professional Lead Nurse, continuing to develop your academic learning and vocational skills is encouraged. Being part of the 2019 Diggory Outstanding Team of the Year, you will receive a comprehensive induction, and will be able to participate in self-directed learning, completion of competencies, training opportunities and collaborative working within Home 1st and their partners.

You will receive regular clinical and managerial supervision on a formal and informal basis.

We can offer mentoring and opportunities for daily debriefs, access to remote working, regular 1:1 formal and informal supervision, peer group CPD sessions and in-service training, QI project work and volunteering for champion roles.

Home 1st is based in Bletchley and the modern office is a central hub for multi-disciplinary working. You will be provided with ICT laptop, mobile phone, uniform and have mileage expenses paid for.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

• To accept and triage telephone referrals from consultants, GPs, 111, Urgent Care, District Nursing Services, Ambulance services, care staff and emergency care practitioners responding within a two-hour window
• To provide timely advanced holistic assessment and expert clinical care including monitoring for short term acute
• To assess, diagnose and plan treatment for patients referred in to service.
• To act as a lead and provide a specialist resource for people with an acute illness and support relatives and carers
• To work in partnership with all stakeholders and provide advanced assessment for the care of patients who are acutely unwell or have an exacerbation of a long-term conditions
• Work alongside MKUH colleagues in the Emergency Department to facilitate safe discharge and prevent admission to the wider hospital
• Respond to patients who have fallen in their homes within 2 hours, with members of the MDT to prevent hospital admission
• To help people with chronic diseases develop their knowledge and self-manage their conditions alongside their relatives and care providers.
• To use non-medical prescribing skills for a defined clinical need within sphere of competence and Patient Group Directives (PGD) to support diagnosis and treatment
• Lead interventions to patients on the Home 1stPlanned Care undergoing re-ablement on the discharge to assess (D2A) Pathway and across virtual wards.
• Lead care and interventions to other services within Intermediate care and Community Nursing for example, Windsor Intermediate care unit, Virtual Ward patients, D2A (Discharge to Assess) pathways and Community Nursing Services.
• Provide education to care home staff on recognizing the deteriorating patient and the importance of care roles.
• Provide education to specific client groups on management of long-term conditions
• Prescribing
• Non-medical prescribers (NMP) will be required to maintain and develop the professional competencies and knowledge required to apply prescribing principles to their field of which includes being able to demonstrate appropriate numeracy skills for prescribing, undertaking a patient history, undertake clinical assessment and diagnose.
• NMP will demonstrate a clinical need within their role to prescribe
• NMP will have sufficient knowledge to apply prescribing principles to their field of practice