Hospital at Home Sister/Charge Nurse

Job overview

The post holder is identified as a Hospital at Home Team Nurse, working in conjunction with the current H@H teams, providing skilled nursing services for patients who are suitable for discharge and to continue their treatment at home. The Hospital at Home service offers a seamless patient journey across Primary and Secondary Care. The post holder will provide education and training for patients/ carers and members of the multidisciplinary team across boundaries; share nursing knowledge and skills to support and advice as needed. The post holder will develop effective working relationships within Primary and Secondary Care colleagues, GP’s and other Primary Health Care Teams to facilitate integrated care and enable early supported discharge, prevent inappropriate re-admission to hospital. Support and participate in the development of integrated pathways and care packages which enable patients to be safely cared for outside of the acute hospital setting.

Main duties of the job

• To be responsible for the assessment of care needs, delivery and implementation of management plans for individual patients using a problem solving approach and evidence based care. 2. To work with colleagues, or independently, to provide the highest possible standard of care for patients assessed as safe and medically suitable to remain at home 3. To work with specific groups of patients within agreed pathways in Primary and Secondary Care, and taking responsibility for their ongoing management and safety. 4. To effectively assess identified or referred patients on to the Navigation or Hospital at Home Service as part of the admission avoidance scheme, and act on findings as per protocols. 5. To participate in effective and safe discharge planning of all identified inpatients/ outpatients and to promote smooth transition to the Hospital at Home Team or other community based services and teams. 6. To support patients in their home environment as part of Hospital at Home Virtual Ward, ensuring safe and uncomplicated recovery. 7. To develop effective working relationships with the all relevant community services enabling good integrated care with seamless handover as appropriate. 8. To receive and act on referrals direct from all areas within the Acute and Emergency Settings, for assessment, agreed tests and management of patients’ condition. 9. Develop competence of professional practice to advice and support patients, using appropriate protocols.

Detailed job description and main responsibilities

To be responsible for the assessment of care needs, delivery and implementation of management plans for individual patients using a problem solving approach and evidence based care.

Please see detailed Job Description attached.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.