Emergency Department Embedded Practitioner

Job overview

Within Urgent and Emergency Care (UEC) at Nottingham University Hospitals we are committed to implementing a proactive approach to health improvement and prevention. We recognise that an attendance to the Emergency Department is an opportunity to make every contact count and are committed to addressing health inequities experienced by people accessing all areas of UEC. The UEC Health Improvement Collaborative was formed to oversee population health projects, initiatives and pathways within the Directorate.

This new position is a collaboration between Changing Futures and Nottingham University Hospitals (NUH) NHS Trust. The post holder will be employed by NUH and based in the Emergency Department (ED) and within the Health Improvement Collaborative (HIC) Hub in DREEAM. The HIC Hub is a physical space, near ED, where practitioners focused on prevention/ health improvement can collaborate and share best practice.

The role will be divided 60:40% between the Emergency Department (ED) and DREEAM.

In addition to the below summary, you need to familiarise yourself with the full Job Description and Person Specification documents attached to this advert.

Main duties of the job

The DREEAM element will be based predominantly in the HIC Hub, working closely with the education and research teams, providing expertise on SMD to support education, training and research.  The post holder will be part of a team, led by the Health Improvement Research and Education Lead, undertaking a health needs analysis on the population attending Urgent and Emergency Care Settings at NUH.  This project will inform the planned bid for a team (‘one team) in ED/UEC, which will work with Trust and ICS partners to meet and address needs around the wider determinants of health.

The post holder will join the Health Improvement Collaborative and will provide expertise on SMD. This post will help to accelerate system change in Nottingham, facilitating collaboration between services across the system. The post holder will ensure we can maximise opportunities or personalised care within UEC leading to better outcomes for individuals experiencing SMD.

Whilst employed by NUH, the post holder will be supported and report to the wider Changing Futures team. Changing Futures is a specialist programme providing intensive direct support to people experiencing SMD, while supporting the coordination of statutory and non-statutory services including housing, probation, mental health, primary care and substance use to work around the needs of people experiencing SMD.

Detailed job description and main responsibilities

Develop a good understanding of the support offer available for people experiencing SMD accessing UEC services.

Help to review and optimise referral or signposting pathways into community services for people impacted by SMD. These must be appropriate for 24/7 UEC services, such as ED.

Be a key point of contact and provide advice to UEC staff on the support and services available for clients experiencing SMD, signposting to agencies and services as appropriate.

Where appropriate, provide advice and support to individual clients, referring them into services and support opportunities.

Work closely with a network of staff working across housing, social care, mental health, the police and primary care ensuring a joined-up approach to care and support for people experiencing SMD.

Where appropriate, refer patients to, and attend the SMD Wraparound Multi-Disciplinary Team (MDT).

Act as an SMD champion, raising awareness of SMD and facilitating change to overcome blockages and improve access to support.

Work with people with lived experience of SMD to ensure pathways are co-designed and meets their needs.

Support the design and delivery of education to clinical staff on SMD, trauma and psychologically informed practice, with a focus on reducing stigma and improving patient experience.

Foster relationships between DREEAM and the Changing Futures’ Practice Development Unit (PDU)

Represent UEC at events focused on SMD

Collaborate with evaluation and research staff to support the evaluation of this position

Work alongside the UEC Health Improvement Team to identify unmet health needs for the UEC population and support with data collection.

Attend meetings and events coordinated by the Changing Futures teams to promote collaborative working and shared learning with other Embedded Practitioners.