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Job description

Job summary:

We are a friendly, dynamic PCN in Poole. We are looking to expand our multi-disciplinary team and appoint an experienced healthcare assistant to work in our Integrated Care Team and to provide a visiting service for our house-bound patients. The ideal Candidate will provide a holistic approach to treatment in acutely presenting patients.

· You will be responsible for attending to patients who wish to be seen by a health care professional within the Patients Home, providing high quality evidence-based nursing services to the population of Shore Medical.

· To carry out all relevant forms of nursing care, without direct supervision following completion of training and demonstration of competence in completing procedures.

· To work with other healthcare professionals and agencies in the delivery of services to prevent hospital admission, support timely and safe discharge and establish effective personalised care and treatment plans to support people to remain at home.

· To provide education and support to individuals and their families to promote self-care strategies and independence.

· You will assess, plan, implement and evaluate care for long term conditions including Asthma, Diabetes and COPD with support from fellow Clinicians, as well as assessing, treating, screening and providing health and lifestyle advice in accordance to our protocols, national guidance

· You will work independently or in collaboration with the wider service team and within the community.

· You will take part in the identification of housebound patients who are at risk of high A&E attendances or are frequent fallers, elderly frail and/or socially isolated (this list is not exhaustive), providing them with care plans to manage their health or supporting the community nurses in referring to social care services where you identify the need.

This list isn’t exhaustive the role will require you to attend to a variety of conditions as an HCA.

Key clinical responsibilities
· Implement treatment programmes with individual patients and/or carers in their own homes as delegated and directed. Provide high standards of care encompassing a rehabilitative approach where necessary, and report back as agreed. Actively report any changes in a patient’s condition in a timely way to the registered nurse.

· To carry out a range of delegated routine clinical duties having completed training and achieved competence including but not limited to: blood pressure, pulse and temperature recording, urinalysis, blood glucose monitoring, simple wound dressings, bandaging, venepuncture, continence care, stoma care, catheterisation and non-complex reviews.

· Liaise with other health care and multi-agency workers to provide a multi-disciplinary approach to care.

· Be aware of services and facilities available for patients and facilitate access to these where appropriate.

· To undertake the assessment, ordering, supply, review and safe use of equipment used to support nursing care within client’s homes.

· Ensure that equipment and aids necessary for effective care, meet the needs of individual patients and are adequately maintained. Demonstrate and explain safe use of equipment for patient and/or carer where required. Liaising with OT.

· To communicate with patients at a time and level appropriate to their needs in a manner that promotes positive health

· Use clinical knowledge to identify changing or deteriorating health conditions and alert GP or Senior Nurse to take appropriate actions in partnership with the GP and/or specialist services to treat at home and avoid unnecessary hospital admissions.

· Comply with consent to treatment policy and procedures.

· Maintain patient confidentiality in accordance with Shore Medical policy.

· To identify vulnerable adults and respond in line with policy in relation to safeguarding both adults and children.

· Maintain Shore Medical record keeping standards and support clinical team members to record their clinical interventions in the electronic patient record and maintain patient held notes within professional and Shore Medical standards and policies.

· Work with administrators and support team members to ensure all data recorded in the electronic patient record, accurately reflects the activities of the team.

· Use IT systems to optimise the planning and delivery of the nursing service and become a champion for any new systems introduced.

· Work to Shore Medical policies, protocols and standards, and ensure that less experienced colleagues are aware of and implement in practice.
Training and development
Training will be offered for all the below skills, these will be delivered by local and national providers and supported by Shore Medical.

You will be invited to bi-monthly whole team training days which focus on a different area each time.

You will work closely with our member Practices and can sit in and observe their clinics, network and build relationships in the area.
Role responsibilities:
Gain the knowledge and competence required to provide assessment, screening treatment services and health education advice:

· Review and manage patients with long term conditions such as Diabetes, Chronic Heart Disease (CHD), Chronic Obstructive Pulmonary Disease (COPD), Asthma, Chronic Kidney Disease (CKD), Hypertension, in accordance with the organisation’s procedures and within your limitations.

· Undertake and review health and social assessments within the home identifying health and social needs and referring as appropriate

· ECG

· Wound care, dressing, removal of sutures / clips

· Blood pressure checks/Weight/BMI/Pulse-Oximetry/Temperature

· Atrial Fibrillation screening

· Phlebotomy

· Undertake the collection and storage of pathology samples and ensure the cleanliness of any equipment used

· Health screening, NHS Health checks, Smoking, Alcohol, Lifestyle advice (in line with Making Every Contact Count) Provide general and specific health screenings for patients (within agreed protocols) with referral to other members of the primary, secondary, community and voluntary teams as necessary

· Actively involved in the application of all infection and prevention policies

· Liaise with other clinicians to develop and implement individualised patient care plans

Administration and professional responsibilities
· Participate in the administrative and professional responsibilities of the team

· Ensure accurate notes of all consultations and treatments are recorded in the patient’s medical records

· Attend and participate in team meetings as required

· Maintain continued education by attendance at courses and study days offered that are relevant or necessary for personal/professional development

· Actively participate in the multi-disciplinary meetings within primary/community care

· Support the identification of all patients who are at risk of hospital admission or readmission and organise appropriate visits and reviews according to protocols

· Restocking and maintenance of clinical areas and consulting rooms

· Participate in the education and training of students and the introduction of all members of the team where appropriate

· Demonstrate due regard for safeguarding and promoting the welfare of children and adults.

Supplies and equipment
· Ensure maintenance of equipment and stock relating to patient care
Confidentiality:
· In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, colleagues and other healthcare workers. All such information from any source is to be regarded as strictly confidential

· Information relating to patients, carers, colleagues, other healthcare workers or the business of Shore Medical may only be divulged to authorised persons in accordance with the organisations policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety:
The post-holder will implement a full range of promotion and management their own and others’ health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):

· Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good organisations guidelines

· Responsible for correct and safe management of the specimen’s process, including collection, labelling, handling, use of correct and clean containers and storage

· Management and maintenance of Personal Protective Equipment (PPE) for the hub including provision, ordering, availability and ongoing correct usage by staff

· Responsible for hand hygiene across the hub

· Awareness of infection control and clinically based patient care protocols, and implementation of those protocols across the hub

· Active observation of current working practices across the hub in relation to infection control, cleanliness and related activities, ensuring that procedures are followed any training needs are identified, escalating issues as appropriate

· Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process

· Making effective use of training to update knowledge and skills and initiate and support the training of others across the full range of infection control and patient processes

· Safe management of clinical waste and sharps procedures, including training, use, storage and disposal to include the management of spillages in accordance with policies and procedures

· Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management

· Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised

· Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the environment and report to line manager as appropriate,

· Undertaking periodic infection control training (minimum annually)

Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

· Acting in a way that recognise the importance of people’s rights, interpreting them in a way that is consistent with organisations procedures and policies, and current legislation

· Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

· Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Quality:
The post-holder will strive to maintain quality within the organisation, and will:

· Alert Nursing Team Manager/Operations Manager to issues of quality and risk

· Assess own performance and take accountability for own actions, either directly or under supervision

· Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance

· Work effectively with individuals in other services to meet patient needs

· Effectively manage own time, workload and resources

Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:

· Communicate effectively with other team members

· Communicate effectively with patients and carers

· Recognise people’s needs for alternative methods of communication and respond accordingly

DBS Check

For this role you will be required to have an enhanced DBS check.

Appraisal

The post is subject to annual appraisal and regular supervision.

Health & Safety:

The HCA will implement and lead on a full range of promotion and management their own and others’ health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines
• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Responsible for the correct and safe management of the specimens’ process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Management and maintenance of Personal Protective Equipment (PPE) for the practice, including provision, ordering, availability and ongoing correct usage by staff
• Responsible for hand hygiene across the practice
• Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed, and weaknesses / training needs are identified, escalating issues as appropriate
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
• Safe management of sharps procedures including training, use, storage and disposal
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
• Undertaking periodic infection control training (minimum twice annually)
• Routine management of own team / team areas, and maintenance of work space standards
• Waste management including collection, handling, segregation, container management, storage and collection
• Spillage control procedures, management and training
• Decontamination control procedures, management and training, and equipment maintenance
• Maintenance of sterile environments
• Demonstrate due regard for safeguarding and promoting the welfare of children.

Staff are responsible to take care of their own personal safety and the safety of others whilst at work. No person shall interfere with or misuse anything provided in the interest of health, safety and welfare.

Equality and Diversity:

The HCA will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.

Personal and Professional Development:

The HCA will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review (appraisal), including taking responsibility for maintaining a record of their own personal and/or professional development.
• Taking responsibility for their own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
• Attend mandatory training sessions at the appropriate intervals (ie, fire, BSL, child & adult safeguarding)

Quality:

The HCA will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
• Work effectively with individuals in other agencies to meet patients’ needs
• Effectively manage own time, workload and resources

Contribution to the Implementation of Services:

The HCA will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect their own work
• Participate in audit where appropriate

Environment:

Working conditions will be office based requiring the use of display screen equipment. There may be occasional exposure to direct and indirect emotional circumstances.

NOTE

This job description is not exhaustive and is intended to provide an outline of the key tasks and responsibilities only. There will be other duties required of the post holder commensurate with the position.

Job Types: Part-time, Permanent
Part-time hours: 30 per week

Salary: £11.25 per hour

Benefits:

• Company events
• Company pension
• Cycle to work scheme
• Sick pay

Work Location: In person

Reference ID: HR/HCA 10.7.23