Job description

Job responsibilities

Clinical

To provide a safe and effective day to day operation of the service, including the handling of clinical enquiries. The role holder may be required to undertake telephone triage screening assessments in order to assess the level of risk/priority with that patient, so they can be treated, signposted, or referred on to agencies as appropriate.

To undertake assessments of individual clients difficulties, establishing risk and determining the appropriate course of action taking into consideration all possible options. The relationship should adopt a partnership approach, engaging service users in the positive management of their health and wellbeing.

Work with patients in order to support adherence to prescribed treatments, monitoring mental health medication, taking into consideration interactions with physical needs.

To maintain an individual case load providing short term interventions and support, under the guidance of the GP and ensure that the caseload is well managed, and care and treatment is provided in line with practice standards.

Provide and receive information, some of which may be contentious, sensitive, and complex to and from individuals and their families/carers and actively support as appropriate.

To collate and organise contemporaneous information about opportunities and resources in the local area which may be of benefit to clients referred to the service (e.g. voluntary and community organisations, educational and recreational opportunities). Facilitate sign posting to other appropriate services and occasionally undertake very short-term interventions for clients with mild to moderate mental health difficulties

To evaluate outcomes and maintain accurate clinical data.

Have an awareness of your own clinical competencies, knowledge base and experience and ensure that you practice within this and seek support as required.

To understand and process Quality Outcome Framework data.

Undertake joint assessment work (as required) with PCN colleagues.

Offer advice to or obtain advice for the Primary Care Team on appropriate interventions and on-going Service User care management.

Ensure systems/ pathways are in place to enable smooth transition between primary care and secondary mental health services.

Regularly be involved in quality improvement activity/audit/significant event review and clinical meetings.

Clinical Partnership

Support the establishment of partnerships and networks with key stakeholders across the PCN/ secondary mental health care system.

Develop links and foster a culture of partnership between Primary Care Teams and Mental Health Services.

Facilitate joint work with PCN, Secondary Care providers and Voluntary Sector (VCSO) to increase range of services / interventions available to the communities.

Attend PCN meetings and work with PCN members to develop and implement joint governance and clinical forums.

MANAGERIAL

Effective Planning:

Effective personal planning and organisation of daily workload.

Flexible working and self-management of working time effectively and accordingly to service demands.

Communication:

Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment and ensure the patients /carers have a voice about the services they will receive and how these are developed. This may include engagement of advocacy services. Recognise the need for alternative methods of communication to overcome different levels of understanding, cultural background, and preferred ways of communicating. Anticipate barriers to communication and take action to improve communication.

Provide high standards of written, verbal and non- verbal communication skills to impart sensitive information to patients that is clear to patients and in line with professional documentation standards.

Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders.

Adopt a coaching style of communication to empower patients to take responsibility.

Facilitate fair access to social care services and promote social inclusion regardless of age, ethnicity, gender, sexual orientation, or disability.

Delivering a quality service:

Every employee is personally responsible for the quality of the work, and standard of care, which they individually provide. It is their duty to seek to attain the highest standards achievable both individually and collectively within their knowledge, skills, and resources available to them in furtherance of the Practices philosophy of pursuing quality in all of its services.

Produce timely, accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures.

Prioritise, organise, and manage own workload in a manner that maintains and promotes quality.

Deliver care according to NSF, NICE guidelines, and evidence-based care.

Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation.

Participate in the maintenance of quality governance systems and processes across the practice.

Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate.

Participate in the performance monitoring review of the team as appropriate, providing feedback.

Management of risk:

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.

Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.

Participate in the local implementation strategies that are aligned to the values and culture of general practice.

Person Specification

Qualifications

Essential

• Registered on the appropriate part of the NMC register and hold a current NMC registration or holds a relevant professional qualification (to be maintained)
• Assessor/Mentorship Training*

Desirable

• Post registration training in relevant field
• Leadership/Management training
• Qualification in nonmedical prescribing

Knowledge/Experience

Essential

• Experience of mentorship, supervision and coordination of staff.
• Experience of Care Planning process working in a multi- agency framework.
• Demonstrate a contribution to change management process
• Demonstrate experience of problem solving approaches
• Recovery model
• Mental Health Act (1983)
• Effective Care Coordination
• Relevant national policies and guidance
• Evidence based and reflective practice
• Mental Capacity Act
• Vulnerable Adults Procedure and Child Protection
• Safety, Privacy and Dignity Guidelines

Desirable

• Community experience
• Experience of working as a Nurse in Charge/ Shift Coordinator
• Experience in positive leadership of a team An overview of the Trust's objectives

Skills

Essential

• Demonstrate sound leadership qualities and an understanding of management styles
• Understanding of quality and change in the clinical setting
• Ability to delegate and co- ordinate
• Ability to work to deadlines
• Ability to utilise assessment skills and tools effectively
• Ability to communicate in a variety of settings
• IT skills
• Able to present factual information and refer questions to others where appropriate
• Able to deal with sensitive issues with tact and diplomacy
• Ability to develop effective interpersonal relationships with colleagues
• Effective time and workload management
• Mentorship skills and record keeping
• Ability to identify and minimise risk effectively
• Ability to travel in the course of performing duties.
• Flexible approach to working
• Commitment to effective teamwork
• Commitment to service development
• Good time management
• Demonstrate continuous professional development

Desirable

• Project Management
• Formulation of reports
• Presentation skills
• Resource and budget management

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Mersey Care NHS Foundation Trust

Address

Knowsley Primary Care Networks

Knowsley Primary Care Networks

Knowsley

L36 7YT

United Kingdom

Employer's website

https://www.merseycare.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Principal responsibilities

To maintain own Continuing Professional Development.

To actively participate and contribute to team working in response to service developments and the business plan..

Work independently in a busy clinic environment ensuring that patients receive blood tests on time and manage patient flowobtain informed consent from the patient to treatment and the sharing of information, documenting in accordance with Trust procedures.Use IT system to document outcome of appointment.Escalate and seek advice from seniors if specific risks are identified.To work within health and safety guidelines and policies and adhere to relevant Trust procedures.To work positively with colleagues to maintain effective working relationships.Be accountable for own actions and decisions, demonstrating ability to seek advice and guidance from Line Manager.Comply with Trust Clinical Governance and Health and Safety requirements within agreed policies and procedures.Follow and contribute to new policies and local guidance and contribute comments on proposed/required changes to meet changing service needs.Collect statistical information about daily contacts where required and input onto data base for service.Actively participate in audit, research and development activity when required.Undertake routine administrative tasks e.g. photocopying, filing and faxing within current Trust policies and procedures as required by the service.Defective equipment is reported and made safe without delay in accordance with Trust procedures.

Work towards completion of competency framework within agreed timescales.

Participate in clinical supervision as per individual requirement.Be competent in the selection of the appropriate sample bottle for all common laboratory investigations.Be competent in the procedures required for bleeding High Risk, Immunocompromised and barrier nursed patients.Organise and stock work benches and trolleys daily.Clean and disinfect trolleys and work benches after use.Restock the Phlebotomy rooms when necessary.To work across Mersey Care phlebotomy footprint.Respect confidentiality and privacy of patients and carers at all times.Maintain a constant awareness of health, welfare and safety issues affecting colleagues, patients, relatives, and self, reporting incidents or near miss events in line with Trust policies.Fully participate in Health and Safety Training.Participate in personal training, development, appraisal and attend all mandatory courses as required.Display empathy and a pleasant, helpful manner when dealing with patients, visitors, and staff.Contribute to the delivery of a quality service to customers within agreed timescales.Communicate effectively with patients to ensure correct identification, cooperation, and clarification of complications.Ensure samples are labelled correctly according to protocols.Provide after care and assistance to patients affected by venepuncture.Be competent in dealing safely with nervous or upset patients including at times, managing conflict.Be competent in dealing safely with fainting patients and those who become unwell.Maintain basic life support skills to enable the safe care of patients.

Liaise with service users to improve relationship, service, and patient care.Answer telephone enquiries in a helpful manner.Participate in relevant staff and departmental meetings.Co-operate with and assist leaders of Phlebotomy teams to promote good team working.

Physical, Mental and Emotional EffortLone working in busy clinic environments.

Able to manage the pressures of a busy clinical environment and demanding workload.Able to manage situations involving patient conflict and challenging behaviours.

Working conditions

Ability and willingness to attend clinics across the Trust footprint.

SafeguardingDemonstrates skills and knowledge how to raise and escalate a safeguarding concern.Ensure service users/carers are supported appropriately to understand Safeguarding issues to maximise their decision making.Understand when to use emergency systems to raise safeguard adults and children.Maintain accurate, complete, and contemporaneous records.Engage and participate in all safeguarding training appropriate to role.

Person Specification

Qualifications

Essential

• Basic literacy and numeracy skills
• Basic computer experience
• NVQ 2 or willingness to undertake

Desirable

• Venepuncture experience

Experience

Essential

• Has customer care experience or experience of being a carer/HCA

Desirable

• Experience of working in a care environment

Knowledge

Essential

• Can demonstrate a basic understanding of the needs of the patient and the role of the Phlebotomist
• Willingness to develop clinical skills and competency relevant to the role e.g. phlebotomy skills
• Can demonstrate motivation, reliability and commitment to team working
• Flexible, reliable and demonstrates an ability to value the opinions of others
• Willingness to undergo education/training for both practice and service needs
• Understanding of primary care and/or GP surgery
• Understanding of confidentiality and the practical implications in this role
• Understanding of personal health and safety responsibilities
• An understanding of equality within the workforce and how it can impact on this post
• Must either be Hepatitis B immune or be willing to undergo an immunisation course

Desirable

• Understands issues regarding accountability and delegation.
• Understanding of the complaint's procedure
• Understanding of risk management
• Understanding of the meaning of Improving Working Lives
• Understanding/Experience of lone community working

Skills

Essential

• Ability to communicate effectively with good interpersonal skills

Values

Essential

• Continuous improvement - committed to making improvements to our services for the benefit of all
• Accountability - taking ownership to anticipate, develop and deliver high quality care
• Respect - how we treat others in an inclusive and supportive way
• Enthusiasm - demonstrate our passion and pride for what we do and how we do it
• Support - actively supporting others with compassion and courage

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Mersey Care NHS Foundation Trust

Address

Liverpool Phlebotomy Service

Breezehill Neighbourhood Health Centre

Liverpool

L9 1AD

United Kingdom

Employer's website

https://www.merseycare.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

To be responsible for planning, reviewing and renegotiating programmes of care to promote health gains and maximise independence within a defined caseload in conjunction with the Integrated Care Teams (ICT) and District Nursing Service.

Develop and maintain communication with people about complex issues and/or in difficult situations.

To use advanced skills and expert knowledge to access the physical and psycho-social needs when there are complex and/or undifferentiated abnormalities, diseases and disorders of a defined client group, instigating therapeutic treatments based on best available evidence in order to improve health outcomes.

To play a lead role in integrated community care teams (ICTs) to improve holistic assessment and approach to health and social care needs of patients.

To play a lead role in improving the access to health care within care home settings.

To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.

To accept clinical responsibility for a diverse and often complex caseload of patients, to organise this efficiently and effectively with regards to clinical priorities and use of time.

Demonstrates advanced listening, communication and negotiation skills to understand what matters to each individual patient, to ensure the patient is at the centre of all decisions and to agree and work towards appropriate goals for every patient

To work closely with medical, nursing, allied health professional and volunteer services across primary care, secondary care and community settings to ensure patients receive appropriate investigation, intervention and care planning to ensure their physical and mental health is optimally and safely managed to afford them the best possible for basis for rehabilitation, reablement and recovery.

To develop / maintain advanced specialist clinical skills and knowledge to identify changes in a patients condition through clinical examination.

To undertake interventions consistent with evidence-based practice, transferring and applying knowledge and skills to meet client needs.

To use the skills and knowledge to make referrals for diagnostic tests.

To evaluate the effectiveness of interventions in meeting prior agreed goals and making any necessary modifications.

As a non-medical prescriber (NMP) take necessary assessments, medicines review and prescribe within the Prescribing Framework.

As a supplementary prescriber, actively manage the polypharmacy and other medication issues associated with chronic disease management and care home residents in conjunction with the patients medical practitioner, through the use of clinical management plans.

To be responsible for ensuring the provision of planned intervention in all aspects of chronic disease management with appropriate input from the multidisciplinary team in order to reduce the risk of complications and deterioration of the patients condition.

To improve the patients self-management of their condition wherever possible taking into account the functional and cognitive patient assessment.

Ensures that the care provided and services delivered are in line with local and national guidelines and policy

Maintaining accurate and legible patient notes in accordance with Trust and national professional policies and guidelines.

Use advanced clinical skills and expert knowledge to provide proactive monitoring and provide timely intervention.

To work as an integral part of the integrated community nursing, multidisciplinary and multiagency teams.

To actively participate in projects designed to improve the proactive management of patients

Make operational judgements.

Develop own skills and knowledge and contribute to the development if others within the guidelines of the NMC Code of Conduct.

Identifying clearly the wider benefits that developing knowledge, ideas and work practice will bring

Challenging tradition and take risks, accepting joint responsibility for any arising problems and tensions and using these to inform future practice

To work independently managing own caseload in conjunction with the General Practitioner, Community Consultant Geriatrician, Social workers, Medicines Management, Mental Health teams, Learning disability teams, Integrated nursing teams, AHPs and secondary care teams as appropriate.

Demonstrates professional responsibility for adherence to Trust and NMC policies and procedures.

To work directly with multi-professional teams to assist in the management of risk, facilitation of complex case reviews and the immediate crisis management.

The post holder may be exposed to frequent distressing or emotional circumstances with patients who are terminally ill or suffering end of life events, and will be required to deal with this situation in a professional manner.

Please refer to Job Description attached for full list of duties and responsibilities.

Person Specification

Skills

Essential

• Good computer literacy, including skills for using internal based communications and literature
• Must have the self-confidence and negotiation skills to challenge traditional practice, and the persistence to address difficult enduring issues
• Organisational skills to be able to plan proactively, manage and evaluate their own workload and learning, to negotiable learning opportunities, establish learning contracts
• Demonstrate excellent written and verbal communication skills
• Advanced Clinical and diagnostic skills
• Demonstrate strong leadership skills across the integrated nursing workforce

Knowledge

Essential

• To demonstrate an awareness and understanding of the factors that contribute to good health and the importance of promoting these in line with the Trust's public health aims
• Able to balance service and educational demands; good time management
• Understanding the principles of governance, particularly in relation to their service area
• Must have constructive, enquiring, flexible approach to others and to their work

Desirable

• Have evidence of leadership of some aspects of a service development
• Knowledge of long term conditions management and acute episode management
• Sound understanding of the expectations of the Community Matron role particularly in terms of service outcomes

Qualifications

Essential

• MSc Advanced Clinical Practice or Clinical equivalent MSc qualification
• Clinical Diagnostics
• Advanced Clinical Skill
• Non-Medical Prescribing
• Up to date professional portfolio

Desirable

• Post graduate certificate in long term conditions
• Masters level post graduate qualification in appropriate area

Experience

Essential

• Demonstrate post registration experience at senior leve
• Evidence of working collaboratively with other disciplines / agencies
• An understanding of systems in health and social care that are wider than immediate role
• Experience of a mentoring / teaching role

Desirable

• Have evidence of leadership of some aspects of a service development
• Knowledge of long-term conditions management and acute episode management
• Sound understanding of the expectations of the Community Matron role particularly in terms of service outcomes

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Mersey Care NHS Foundation Trust

Address

Lifehouse

summers road

Liverpool

L3 4BL

United Kingdom

Employer's website

https://www.merseycare.nhs.uk/ (Opens in a new tab)