• Full Time
  • Anywhere
  • Applications have closed.

Job summary

This is the perfect opportunity to be part of a diverse team providing assessment, diagnostics, diagnosis, treatment, advice and referrals.

As a UTC Clinician you will be considered a key person in day to day clinical leadership and expertise within the department.

You will be working autonomously within your sphere of competency as a lead clinician in a diverse, multi-skilled team that includes Advanced Practitioners, Physician Associates, Paediatric ANPs, Emergency Practitioners and Live Well Coaches.

As an OOH HV ECP you will beconsidered a key person in clinical leadership and expertise within the service.

As this is a dual role, you will primarily be seeing patientswithin the UTC, however when a visit comes through then you will need to go onthe home visit.

On each shift, you will provide expert advice and second opinions for patients seen and treated by junior members of staff.

The Urgent treatment centre isopen 24 hours per day.

With links to both VTS andGreenwich University, you will have access to a range of CPD courses. We workclosely with the ICS, ICB, Local Trust and various other local shareholders toprovide opportunities tolearn, innovate and contribute new ideas.

This is a genuine opportunity tobe a part of something new and exciting in South-East London, with realopportunity for personal growth and to influence Urgent Care in your area. Weare looking forfull and part timepractitioners on apermanentsalaried basis.

Main duties of the job

You will be working autonomously within your sphere of competency as a clinicianin adiverse, multi-skilled team. Your role will require you to respond to 111 referrals in which you will visit patients at their homes to provide care. You will have clear methods to contact and refer to various primary and secondary care services with locally agreed and developed management pathways.

To support you in this role, a GP will be based at one of our clinical sites to provide virtual support in assessment, diagnosis and treatment decision will need to an independent prescriber, as some patient may require medications to be given from the stock in the OOH visiting car, as well possible palliative care patients.

The Out of hoursvisiting service usually commences from 7pm to 8am Monday to Thursday, and 24 hours over the weekend.

About us

Greenwich Health is the GP Federation for the Greenwich Borough. We are committed to providing quality of care to our patients whilst building resilience for General Practice and providing services and programmes of work to deliver care at scale to the Greenwich Population. This role will be part of an exciting opportunity to work with leading specialists in the creation of an innovative new Urgent Treatment Centre.

Why work for Greenwich Health?

– We are a local organisation owned by our local GP Practices we care what happens in Greenwich and want to make a difference to our patients and our partners.

– We have a not-for-profit ethos which means any surplus is reinvested into developing the business, developing our staff, and supporting our GP Practices in being sustainable for the future.

– We offer competitive remuneration as well as other benefits including:

o NHS Pension

o Occupational sickness pay entitlement

o Counselling services

o Electric Vehicle Salary Sacrifice Scheme

o Cycle to Work Scheme

o Private Healthcare Membership

– Through our partnerships in our local healthcare environment, we can develop shared posts for example, with the hospital trust and our GP practices.

– You will have ongoing support and mentorship.

– We have developed a UTC model which aims to develop a stress-free and supportive working environment.

– We have developed a working culture which harnesses openness and togetherness which has resulted in high staff retention rates.

Job description

Job responsibilities

This is the perfect opportunityas a dual role to be part of a diverse team providing a new out of hours homevisiting service.

As a UTC clinician you will beconsidered a key person in day-to-day clinical leadership and expertise withinthe department.

You will be working as part of ateam within your sphere of competency in adiverse, multi-skilledteamthat includes GPs, Advanced Practitioners, Physician Associates,Paediatric ANPs, Emergency Practitioners and Live Well Coaches.

As an OOH HV ECP you will beconsidered a key person in clinical leadership and expertise within the service.

As this is a dual role, that will primarily be seeing patientswithin the UTC, however when a visit comes through then you will need to go onthe home visit.

You will be working autonomouslywithin your sphere of competency as a clinicianin adiverse,multi-skilled team. Your role will require you to respond to 111 referrals inwhich you will visit patients at their homes to provide care. You will haveclear methods to contact and refer to various primary and secondary careservices with locally agreed and developed management pathways.

To support you in this role, a GPwill be based at one of our clinical sites to provide virtual support inassessment, diagnosis and treatment decision making. You will need to an independent prescriber, assome patient may require medications to be given from the stock in the OOHvisiting car, as well possible palliative care patients.

The Out of hours visiting service usually commences from 7pmto 8am Monday to Thursday, and 24 hours over the weekend.

The Urgent treatment centre isopen 24 hours per day.

Principalduties and responsibilities

-Take responsibility for the patients assignedthrough the NHS 111 referral process.

-Perform assessment of patients needs, plan,implement and evaluate clinical treatment and care using advanced clinicalknowledge and skills.

-Be able to discuss with patients and carers therange of possible treatment/ management options and their implications beforetreatment decisions are made.

-Instigate and implement clinical management andtreatment changes when appropriate.

-Contribute to specific care guidelines andstandards supporting the care of patients across the health economy.

-To implement Health and Safety and RiskManagement appropriate to area of work

-To deliver aspects of the Clinical GovernanceAgenda, following the direction of the Clinical Leadership.

-Contribute to and manage various elements ofauditing in the OOH HV service.

Communicationand Relationship Skills

-Demonstrate excellent communication skills whenworking with the internal team as well as external, particularly our practicesand the hospital trust.

-Be ableto identify and take into consideration barriers to understanding and employappropriate methods to ensure effective communication particularly wherebarriers are clinical in nature.

-Provideemotional support to patients and carers

-Be awareof the procedures to follow if concerned regarding the protection of children.

-Ensurecompliance with policies, procedures and clinical guidelines for self andothers.

-Holdgood relationship building skills to develop strong relationships with keyindividuals within practices and the local healthcare system

-Have theability to successfully make appropriate in hospital specialty referrals.

-Recent post registration experience in clinicalassessment

-Evidence of professional updating

-Up-to-date Basic Life Support Certification inAdult and Paediatric

-Minimum of 2 years post qualifying experience

-Understanding of patient flow.

-Up to date Safeguarding Adults and children

-A Proven ability to assess patients

-Ensure that patients with time-critical andtime-sensitive illness or injury are prioritised accordingly

-Ability to demonstrate effective management andleadership skills

Analyticaland Judgmental Skills

-Performspecialist assessment of patients needs, diagnose where appropriate, plan,implement and evaluate clinical treatment and care using advanced clinicalknowledge and skills.

-Be ableto discuss with patients and carers the range of possible treatment/ managementoptions and their implications before treatment decisions are made.

-Beresponsible for monitoring health, safety and security of self, the team andothers and promote best practice.

-Identifyclinical issues and incidents within the service that reduce the quality ofcare within the specialist service bringing any issues to the attention of themanagement team.

-Takepart in activities to counter these to ensure the delivery of safe andeffective care.

-Ensurethat high standards of care are given and maintained and act when standards arenot being met.

Planningand Organisational Skills

-Plan,organise and prioritise own daily workload.

-Recognise,prevent, and diffuse potential areas of conflict and where required take a keyrole in the management of the outcome.

-Toexercise good personal time management, punctuality, and consistent reliableattendance.

PhysicalSkills

-Demonstratecompetence in the use of all clinical equipment used in the overall care ofpatients within the scope of service.

-Demonstratecompetence in physical examination assessment skills applicable to scope ofservice.

-Havecompetent computer / keyboard skills including ability to utilise softwareprogrammes required to provide the service.

-Abilityto travel to all sites of service delivery in a timely manner.

Patient/ClientCare

-Performassessment of patients needs, diagnose where appropriate, plan, implement andevaluate clinical treatment and care using advanced clinical knowledge andskills.

-Establisheffective communication with patients and carers / relatives.

-Deliverspecialised, evidence-based advice suitable for the individuals medical,social, psychological, religious, and cultural requirements.

-Ensurethat appropriate action is taken to protect vulnerable patients and that theycan access/receive the appropriate care.

-Ensurecompliance with policies, procedures and clinical guidelines for self andothers.

-Promotepeoples equality, diversity, and rights.

-Identifyclinical issues and incidents within the service that reduce the quality ofcare bringing any issues to the attention of the Clinical Lead.

-Takepart in activities to counter these to ensure the delivery of safe andeffective care.

-The postholder is responsible for always ensuring the safety of patients and promotinga safety culture through the effective management of risk.

Responsibilitiesfor Policy and Service Development

-Contributeand influence policy making and clinical guidelines internally and externally,necessary to support the service.

-Contributeand influence policy making and clinical guidelines internally and externally,necessary to support their specific service.

-Act asan ambassador and role model for Greenwich Health.

Responsibilitiesfor Finance

-Ensurethe effective and efficient use of physical and financial resources.

-Ensureall clinical equipment used are well maintained and cleansed as required.

Responsibilitiesfor HR

-Maintainactive status on relevant professional registers.

-Actalways in accordance with professional code of conduct and guiding documents,Health Care Standards.

-Maintaina professional portfolio.

-To takeresponsibility for own continuous self-development, undertaking any educationand training opportunities identified as necessary for role to remain eligiblefor professional registration including mandatory training.

-Adhereto Company Policy & Procedure.

-Assistmanagers in the development of strategies for professional development inkeeping with staff competence appraisal, service developments and professionalrequirements.

-Attendall mandatory training relevant for the post.

-Attendand actively participate in an annual personal development review and undertakerelevant activities to meet the training and development objectives asidentified in the performance review.

Responsibilityfor Information Resources

-Maintainconfidential and comprehensive patient records in accordance with yourprofessional body.

-Continuallymonitor standards of care through benchmarking and using the tools provided.

-Participatein collection of patient satisfaction surveys for the service as required.

Researchand Development

-Takesresponsibility for own continuing professional development and performance,including identifying own development needs and maintain own portfolio inaccordance with re-registration requirements.

-Supportthe clinical lead in ensuring the clinical environment is conducive toeffective learning.

-Maintaina high level of awareness of relevant research issues and trends within thescope of practice and professional area.

-Takeresponsibility for personal development and education and Personal DevelopmentPlan objectives.

-Participatein Clinical Supervision for self and others and utilise reflective practicetechniques.

The above indicates the mainduties of the post which may be reviewed in the light of experience anddevelopment within the service. Any review will be undertaken in conjunctionwith the post holder.

Person Specification

Qualifications

Essential

  • Nursing, Paramedic or equivalent Qualification
  • Triage/Clinical Assessment Qualification
  • Independent prescribing Qualification
  • Knowledge, Training & Experience

    Essential

  • Minimum of 2 years post-qualification experience.
  • In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
  • Recent post registration experience in clinical assessment
  • A background in ED, Urgent Care or Emergency Care
  • Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences
  • Excellent interpersonal, influencing and negotiating skills
  • Demonstrates accountability for delivering professional expertise and direct service provision.
  • Qualified Emergency Care Practitioner (Minor Injuries and Minor illnesses Level 6 or above)
  • Professional Registration

    Essential

  • Mandatory registration with Nursing and Midwifery Council, HCPC or other relevant professional body
  • Personal Skills

    Essential

  • Self-Motivation
  • Adaptable
  • Desirable

  • Safeguarding adult and children level three
  • Information Governance toolkit completion
  • Immunisation Status