Senior Adult Hospital At Home Nurse (AH@H)NHS

Job summary

The post holder will be employed by Royal Free Hospital with primary responsibility at North Middlesex University Hospital (NMUH) Adult Hospital at Home Service. The Registered Nurse is accountable to the Service Lead and will have continuing responsibility for the nursing care given to patients with sub-acute conditions in identified community settings, without direct supervision. S/he is personally accountable for the nursing standards of such delegated duties. S/he is also responsible for demonstrating procedures for qualified and/or unqualified staff. S/he will provide evidence-based care, advice and information to patients and carers enabling them to enjoy maximum independence and optimum quality of life The post holder will proactively manage a caseload of patients requiring complex case management to prevent hospital admissions and facilitate early discharge to improve patient health outcomes. Patients requiring case management in the Rapid Response and Virtual Ward service will be identified by case-finding in the Same Day Emergency Care (SDEC) unit, Accident and Emergency department, NMUH wards and via Community referrals e.g., GP, Care Homes, Community Nurses, and LAS. Key partners are NMUH and Whittington Hospital- Emergency Departments, assessment units, acute wards, community nurses, LAS, and GPs within the Borough of Enfield. Patients will be identified as not requiring hospital admission but needs Community support to go home safely.

Main duties of the job

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing and use these both in the community and ambulatory care centre setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness, and injuries. The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital setting also via GP referral. Care, compassion, competence, communication, courage, and commitment will underpin all care delivered as well as Standards for Better Health Care, National Service Frameworks, the long-term conditions agenda, hospital avoidance and care closer to home. The post holder will be a senior nurse within the NMUH AH@H Service and therefore act as a clinical leader and role model to staff, offering clinical advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings. This post will also involve in reach to hospital settings.

Job description

Job summary

The post holder will be employed by Royal Free Hospital with primary responsibility at North Middlesex University Hospital (NMUH) Adult Hospital at Home Service. The Registered Nurse is accountable to the Service Lead and will have continuing responsibility for the nursing care given to patients with sub-acute conditions in identified community settings, without direct supervision. S/he is personally accountable for the nursing standards of such delegated duties. S/he is also responsible for demonstrating procedures for qualified and/or unqualified staff. S/he will provide evidence-based care, advice and information to patients and carers enabling them to enjoy maximum independence and optimum quality of life. The post holder will proactively manage a caseload of patients requiring complex case management to prevent hospital admissions and facilitate early discharge to improve patient health outcomes. Patients requiring case management in the Rapid Response and Virtual Ward service will be identified by case-finding in the Same Day Emergency Care (SDEC) unit, Accident and Emergency department, NMUH wards and via Community referrals e.g., GP, Care Homes, Community Nurses, and LAS. Key partners are NMUH and Whittington Hospital- Emergency Departments, assessment units, acute wards, community nurses, LAS, and GPs within the Borough of Enfield. Patients will be identified as not requiring hospital admission but needs Community support to go home safely.

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing and use these both in the community and ambulatory care centre setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness, and injuries. The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital setting also via GP referral. Care, compassion, competence, communication, courage, and commitment will underpin all care delivered as well as Standards for Better Health Care, National Service Frameworks, the long-term conditions agenda, hospital avoidance and care closer to home. The post holder will be a senior nurse within the NMUH AH@H Service and therefore act as a clinical leader and role model to staff, offering clinical advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings. This post will also involve in reach to hospital settings.

About us

Working for our organisation means joining a supportive and dedicated team committed to delivering high-quality services to our patients and communities. We value our people and promote a culture of respect, inclusion, teamwork and continuous improvement. You will have opportunities to develop your skills and experience, work collaboratively with colleagues across the organisation, and make a meaningful contribution to the services we provide. We are committed to creating an inclusive working environment where everyone is valued, supported and encouraged to reach their potential.