UCR Care Nurse

To lead in the delivery of high standards of health care to patients within their own place of residence by assessing, planning, implementing, and evaluating care in order to prevent avoidable admission to hospital and facilitating early supported discharge. You will be expected to lead conversations with the wider Urgent Community Response (UCR) Multidisciplinary Team (MDT) on a regular basis enabling safe, appropriate and patient centred care to be delivered to this complex patient group. This role will predominantly involve face to face nursing care and assessment within a patient's usual place of residence. This is a 7 day a week service and some weekend working will be expected. Hours of service delivery are 8am-8pm 365 days per year As part of the Urgent Community Response Care Team you will be required:

• To work within the Urgent Community Response Team to prevent unnecessary admission to hospital.
• To assess and prescribe care pathways for patients in a crisis situation with long term conditions, the frail & elderly, palliative and end of life care and/or rehabilitation needs, to achieve quality of life and independence plus prevent avoidable admission where possible.
• To act as the patients advocate, facilitating choice and patient empowerment.
• To provide evidence based clinical/therapeutic interventions based on "best practice".
• To work within the Urgent Community Response Team to support early
discharge from hospital.
• To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
Apply now to join an organisation that has been awarded an 'Outstanding' rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title. The post holder will: 1. Assess, plan, implement and evaluate all aspects of patient care, and develop treatment/care pathways that may need to be delivered from a range of options. 2. Follow a holistic assessment, devise an individualised care pathway for each patient, modifying it as required. 3. Be aware of Assistive Technology and utilise where required. 4. Assess patients' holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan. 5. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance. 6. Establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building to enable patients to engage in their treatment/care/management plan. 7. Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately. 8. Be required to undertake risk assessments and act upon them appropriately. 9. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework. 10.Plan and organise specialist services within the Urgent Community Response Team. 11.Ensure activity data and clinical information is recorded on SystmOne and completed on a daily basis. 12.Demonstrate dexterity and co-ordination when using specialist equipment and fine tools, advanced sensory skills, manual and mobilising skills.