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SalaryHomeless Health NurseJob summary
We are looking to recruit an enthusiastic and confident nurse to expand our small friendly team so we can continue to build on improving health of our client group.
The post is open to those with an experienced nursing background that has or would like to develop specialist knowledge working with patients that are experiencing homelessness and multi disadvantage. This post will require advanced nursing assessment skills and the ability to prescribe would be advantageous.
This is a part-time post. Ideal work days are Tuesday, Thursday and Friday, but this is open to discussion.
Proposed interview dates: around the 26th and 27th March.
Main duties of the job
The post holder will be an intrinsic part of our clinical team delivering primary care responsible for leading the delivery to complex patients and the development of one of our projects, which are funded to enhance our service. These include the Integrated Care Network, providing a small number of beds to facilitate treatment and managing a wider caseload, health beds offering a vital intervention off the streets and a Womens Health Improvement Project. This post involves holding a caseload of patients and directing their care collaboratively with multiple other teams.
About us
Great Chapel Street Medical Centre is a GP practice for people experiencing homelessness in central London. The Practice serves people who are rough sleepers, hostel dwellers, those in temporary social housing, sofa surfers and some former patients at risk of becoming homeless again, irrespective of any other entitlements.
As well as providing primary care and complex case management to our patient group, the practice works with a wide range of local statutory and third sector partners to provide additional support to this highly disadvantaged group.
Job description
Job responsibilities
Key Working Relationships
Part of multi-disciplinary team at Great Chapel Street Medical Centre
Other local GP services Homeless specialist and mainstream
Homeless hostel teams within Westminster
Inclusion health team based in local hospitals
Mental health services
Outreach/Housing support services and other third sector colleague organisations
Social Services including safeguarding
Commissioners Housing/Health
Substance misuse services
Main Duties and Responsibilities
Clinical duties
To use advanced nursing skills and knowledge to provide autonomous holistic assessment, diagnosis and management of patients experiencing homelessness presenting with acute and chronic conditions and/or injuries.
To produce and implement episodes of care based on best evidence and work within clinical guidelines, using expert judgement to work outside these frameworks when necessary.
To provide advanced nursing care within the medical centre setting and to those who are seen within a project setting.
To be able to provide care in a flexible manner across different settings, usually within medical centre or a partner facility but some outreach may be required.
To be able to manage multiple co-morbidities and complexity and refer to services appropriately when required e.g. MH services, safeguarding, social services, substance misuse, tissue viability and many more.
To request and chair multi-disciplinary meetings when required. Attend and present at other meetings when requested.
Attend and contribute to weekly MDT onsite discussing complex case management of patients and planning care.
Work as part of the clinical team at Great Chapel Street running a clinic for hostel-based clients.
Communication
To use advanced communication skills with a sensitive flexible approach, with the aim of establishing trust and rapport with patients who face multiple barriers accessing health care.
To communicate effectively within the team and with a variety of health and social care professionals and voluntary organisations.
To regularly use interpreting services to ensure effective communication is used with those whose first language is not English.
To be an advocate for our patients that often face barriers and lead the way in supporting others to understand the complex needs of those experiencing homelessness.
To use multiple communication methods adjusting to needs for example Microsoft Teams meetings online.
Management and Leadership
Confident to work as an autonomous practitioner and organise own workload efficiently.
Work within own limitations, seeking guidance from colleagues and Lead GPs when required.
To proactively participate in the implementation of project expansion including data collection and service development to continue to meet the needs of the project and the client group.
To proactively develop and maintain close working relationships with other local GP practices, mental health teams, substance misuse services, day centre teams, outreach teams and secondary care services including hospital discharge teams and Inclusion Health Teams.
To participate in, and when appropriate take the lead on, the development, implementation, and evaluation of policies, guidelines and integrated care pathways, and service re-design.
Lead with compassion and kindness and support/mentor colleagues within the project and the medical centre.
Professionalism
To be aware of, and act in accordance with, the National Clinical Guidelines and Policies, and The Code Professional standards of practice and behaviour for nurses, midwives and nursing associates
To be aware of and act in accordance with the practices Operational Policies.
To devise a personal development plan during annual appraisals with colleagues and lead GPs.
To attend appropriate education and training programmes in order to develop advanced clinical skills, including non-medical prescribing.
To improve and maintain advanced nursing skills and knowledge by taking up opportunities provided, including study days and supernumerary participation in other organisations.
To participate in regular clinical supervision.
Teaching and Training
To assist with planning of Homeless Health educational material and teaching presentations, and deliver these to other healthcare professionals, nursing or medical students, and social care staff.
To undertake induction, training, mentoring, and support of nursing and medical students on placement with the practice.
To critically evaluate and implement evidence based research findings from diverse sources making informed judgements about their implications for developing or re-designing services and clinical practice.
To collect accurate computerised records and statistical returns about service use and impact.
To participate in data collection for clinical and organisational audit activities related to the service.
OTHER DUTIES
This role is part of a growing team developing some exciting new projects in Westminster homeless services. This means that the role can change and develop alongside the project and the role is one that requires flexibility of skills and knowledge as the projects expand.
Because of the special nature of Homeless Health and its work, the post holder may on occasion be asked to undertake other duties to help maintain the practices high standard of care.
Person Specification
Experience Essential
- Experience working with patients in marginalised groups Experience of assessing, and providing care to, people with complex needs. Experience of working in collaboration across organisational boundaries. Experience of change management Experience of providing evidence-based care.
Desirable
- Inclusion health experience
Skills and Knowledge Essential
- Bio-medical knowledge across a range of acute and long term conditions Knowledge of professional Code of Conduct Knowledge of Primary Health Care and political influences Knowledge of clinical governance and its implications Knowledge of adult safeguarding Knowledge of resource management Evidence of expertise in clinical skills. Leadership skills Ability to work across organisational Boundaries Ability to work independently and within teams. Ability to work under pressure and meet deadlines Ability to effectively communicate complex information, verbally and written. Effective skills in delegating, negotiating, and teaching. Computer skills
Desirable
- Knowledge of audit and research processes
Qualifications Essential
- RGN / RN Minor illness assessment skills and qualification Post-registration training and education
Desirable
- Relevant first level Degree or equivalent Non-medical Prescribing Course (V300) Advanced Physical Assessment course or equivalent
Other Essential
- Able to carry out the duties of the post including: Able to travel around the district (car/bike/public transport/foot) Ability to adapt to changes within work environment
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.
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