Joining #TeamNELFT means you’ll become part of a welcoming and supportive working environment. We’re CQC rated Good, and we want you to join us on the journey towards an Outstanding rating. NELFT has sites across North East London, Essex, Kent and Medway. We provide community and mental healthcare services to adults and children within these areas.

The Trust has award winning equality and diversity initiatives and staff health and wellbeing activities. We invest heavily in your development, because when you are valued and supported, we provide the best care to our patients. We are a Level 3 Disability Confident Leader, have been featured in the Working Families Top 10 Employers benchmark for three consecutive years, and we have achieved a Carers UK Level 1 Accreditation. Along with our staff networks and training opportunities, we work hard to embed a just and compassionate culture here at NELFT.

Find out more about NELFT careers and what makes our Trust a great place to work, in this video

Job overview

Come work forNELFT,an award winning organisationfor its work in the field of diversity and inclusivity which provides an extensive range of integrated community and mental health services for people living in the London boroughs of Barking & Dagenham, Havering, Redbridge and Waltham Forest and community health services for people living in the south west Essex areas of Basildon, Brentwood and Thurrock. We provide an Emotional Wellbeing Mental Health Service for children and young people across the whole of Essex. We are the provider of all age eating disorder services and child and adolescent mental health services across Kent and Medway.

With an annual budget of £355 million, we provide care and treatment for a population of circa million. We employ approximately 6,000 staff who work across 210 bases in London, Essex, Kent and Medway.

An exciting role for an Advanced Clinical Practitioner has been created to join the dynamic CTT team that covers Barking & Dagenham, Havering, & Redbridge. Community Treatment Team (CTT) aim to avoid unnecessary admissions to the acute hospital settings by managing patients in crisis in their own homes. The post holder will deliver high quality holistic nursing as part of a multidisciplinary team within the accident and emergency and community setting, working with patients towards rehabilitation, self-management and independence throughout the continuum of care.

Main duties of the job

Job Purpose:

The post holder will use advance assessment and diagnostic skills to assess and treat patients. The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community and hospital settings as appropriate.

The post holder will:

Be a Qualified Advanced Nurse Practitioner Act as a role model Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients in Rapid Response Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population. Be involved in establishing delivering and leading a comprehensive service within community services You will play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and through networking increase the number of referrals from the acute and community. Lead on service development

Working for our organisation

Probationary Period

This post will be subject to a probationary period. Internal applicants are exempt from the probationary period (unless you are an internal applicant currently part way through a probationary period or currently a bank member of staff).

Starting with NELFT

NELFT place a great deal of importance on new starters being properly welcomed and inducted into the Trust. All new starters will join the Trust on the first Monday of each month and will undertake a comprehensive induction of up to two weeks which will include mandatory training, systems training and the allocation of equipment. As part of the process, new starters will have the opportunity to also meet the executive team, senior managers and attend a number of drop-in sessions focusing on engagement, health and wellbeing and key processes. The induction will be held at our head office in Rainham, Essex.

High-Cost Area Supplement - London

This post also attracts payment for High-Cost Area Supplement of 15% of the basic salary (minimum payment of £4,551 and a maximum payment of £5,735).

Use of AI

Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability

Detailed job description and main responsibilities

Key Responsibilities:

Clinical Practice:

Be professionally and legally accountable for all work undertaken and to practices at an advanced level of professional autonomy and accountability that is within national guidelines and Nursing and Midwifery Council’s Code of Conduct. Provide clinical leadership and maintain credibility through practice and professional update. Act as a role model Practise evidence based nursing care to ensure high quality care. Act as an expert nurse and resource for patients, families, and staff. Admit, discharge or transfer patients to and from the service as their needs require. Undertake advance clinical assessments of patients referred to the service to enable prompt assessment, diagnosis and treatment according to agreed policies, protocols and guidelines. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Order and interpret blood tests and initiate appropriate action as required. Be competent in using a range of diagnostic tools including bladder scanner, point of care testing & ECG Provide and request appropriate diagnostic and/or therapeutic interventions in order to provide a holistic assessment of the client group. Maintain and develop own repertoire of advanced clinical assessment skills including physical examination, assessment of continence, mental health screening, nutritional status, falls assessment. Prescribe medication within own level of knowledge and competence and within the scope of the Trust’s Policy for Non-Medical Prescribing qualification. Facilitate the further development of clinical skills for all nurses caring for patients. Ensure self and staff are provided with adequate protection if exposed to body fluids, odours and infections. Be aware of needs and ensure that staff, patients and relatives use personal protection equipment provided and adhere to Trust policies in relation to health and safety and infection, prevention and control. Support staff as required in the management of challenging situations. Complete documentation relating to patient care and ensure that staff maintain and update documentation as changes occur according to Trust policy. Encouraging nursing staff through role modelling to apply critical thinking through the process of clinical assessment of patients or problem solving. Follow this process through the planning and evaluation stages of patient care and to effectively document this process in the patient records. Liaise and work closely with relevant multi-disciplinary team members, including General Practitioners and therapists in the provision of professional service. Provide support for anxious patients and/or relatives demonstrating empathy and understanding in a professional manner. Provide empathetic support when involved in the process of giving patients and/or relatives bad news; for example, informing patients/relatives of changes of condition. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Assist in further development of the service and wider organisational strategies. Take responsibility for own learning and performance including participating in clinical supervision and acting as a role model, as well as continuous preparation for annual personal appraisal and development review. Contribute to the development of local guidelines, protocols and standards.

Please see the attached job description and person specification for more information about this role and working at North East London NHS Foundation Trust. We encourage you to refer closely to this when completing your application.

We welcome your application even if you do not meet all the criteria listed in the person specification. Any development needs to help you succeed in the role, can be discussed at the interview stage.

Person specification

Qualifications

Essential criteria

Advanced Clinical practice qualification Registration with a health governing body (eg NMC) Mentor/teaching qualifications Clinical supervision training and experience Extended/independent prescribing

Experience

Essential criteria

Significant post registration experience Recent primary and community nursing experience Nurse led management of minor illness, minor ailments and minor injuries Good Management/project management Skills and Ability to demonstrate this if required Interpretation of blood results and acting appropriately with abnormal findings

Desirable criteria

Audit and Research. Working with community development initiatives

Knowledge

Essential criteria

Advanced clinical practice skills management of patients with long term conditions and acute exacerbations Advanced management of patients with complex needs Accountability of own role and others roles in a nurse led service

Desirable criteria

Local and national health policy Clinical governance issues in primary care

Skills

Essential criteria

Basic awareness of IT and IT skills An ability to organise and prioritise workload Experience of performing and managing clinical audits

Benefits

We believe in bringing your authentic and best self to work, in order to deliver the best care to our patients. We are committed to supporting our employees holistically. Here is a snapshot of what is on offer at NELFT:

A long-standing and award-winning approach to equality and diversity with supportive networks for ethnic minority staff, staff with disabilities or long term/chronic conditions and LGBT staff. A commitment to supporting colleagues to achieve a work life balance, through flexible working opportunities and our effortsto support our working parents and carers. This has resulted in us being recognised as a ‘Top 10 Family Friendly Employer’ from the Working Families Charity. Proactive health and wellbeing support, including access to our employee assistance programme, staff psychological support, individual wellbeing conversations and a network of health and wellbeing ambassadors. Detailed information about our wellbeing and benefits offer can be found in this link.

As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that’s a job share, part time hours or another flexible pattern.