Senior Staff Nurse Community Homeless Healthcare

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Job summary

The Homeless Intermediate Care Team (HICT) supports people experiencing homelessness with health and social care support and temporary accommodation after being discharged from hospital. The vision is to end the cycle of the homeless population leaving hospital often being discharged back to the streets who then quickly re-present to emergency departments.

The Homeless Intermediate Care Team (HICT) is aligned to Discharge to Assess (D2A) principals focusing on patients being discharged from UCLH, Royal Free and Whittington hospitals and their respective D2A P2 stepdown beds.

Main duties of the job

The team will provide case management for assessment, treatment and assertive signposting to existing services outside of the hospital setting for a time limited period. The service works with adults who are homeless, rough sleepers and those at risk of rough sleeping including those with no recourse to public funds (NRPF).The post-holder will be a core member of HICT working on the delivery and operational output.

The role will support the service to deliver through assessment and prioritisation the acute and chronic needs of acute medically optimised patients using comprehensive holistic health needs assessment and supporting access to long term health care and/or housing.

About us

University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically-led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education and world-class research. We provide first-class acute and specialist services across eight sites: University College Hospital (incorporating the Elizabeth Garrett Anderson Wing) National Hospital for Neurology and Neurosurgery Royal National Throat,Nose and Ear Hospital Eastman Dental Hospital Royal London Hospital for Integrated Medicine University College Hospital Macmillan Cancer Centre The Hospital for Tropical Diseases University College Hospitals at Westmoreland Street We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology. At UCLH, we have a real 'One Team' ethos, and our values - safety, kindness, teamwork and improving, are central to the way we work. This is supported by our staff, who voted us as the #1 NHS Acute Trust to work for in the whole of England.

Job description

Job responsibilities

The role will support the service to deliver through assessment and prioritisation the acute and chronic needs of acute medically optimised patients using comprehensive holistic health needs assessment and supporting access to long term health care and/or housing.

The post holder will be required to work within a multidisciplinary led service, to provide clinical support to ensure a timely safe discharge service to temporary housing or a health provider setting. The service aligned to discharge to assess principles, then provides assessment and ongoing health and social care support linking into mainstream and existing homeless service offers. Patients have varying levels of complex needs including substance misuse, alcohol and mental health problems.

The post holder will work with the Clinical Operations lead and other senior managers to ensure the HICT contributes to system improvements in discharges delays from step down accommodation and hospitals for the homeless population.

The role will require participation in gathering/recording information to contribute towards the development of evidence base for the need for a holistic multidisciplinary health and social care wrap around service within the discharge to assess pathways supporting homeless population group.

The role will support the monitoring of this process, implement change where necessary and maintain high standards at all times whilst representing UCLH.

Internal

• Head of Integrated Care Operations
• Clinical Operations Manager HIC
• Integrated Discharge Service
• UCLH Homeless service
• Emergency Department Staff
• UCLH MDTs on Inpatient wards
• UCLH CNS Alcohol and Drug Service

External

• Homeless service Providers
• Integrated Discharge Teams across North Central London ICS
• Move on coordinators
• GP Practice leads
• Secondary Care
• Primary Care
• Local Authority including housing services and adult social care
• Local CCG
• Camden Hostel Pathway

Job description
Job responsibilities

The role will support the service to deliver through assessment and prioritisation the acute and chronic needs of acute medically optimised patients using comprehensive holistic health needs assessment and supporting access to long term health care and/or housing.

The post holder will be required to work within a multidisciplinary led service, to provide clinical support to ensure a timely safe discharge service to temporary housing or a health provider setting. The service aligned to discharge to assess principles, then provides assessment and ongoing health and social care support linking into mainstream and existing homeless service offers. Patients have varying levels of complex needs including substance misuse, alcohol and mental health problems.

The post holder will work with the Clinical Operations lead and other senior managers to ensure the HICT contributes to system improvements in discharges delays from step down accommodation and hospitals for the homeless population.

The role will require participation in gathering/recording information to contribute towards the development of evidence base for the need for a holistic multidisciplinary health and social care wrap around service within the discharge to assess pathways supporting homeless population group.

The role will support the monitoring of this process, implement change where necessary and maintain high standards at all times whilst representing UCLH.

Internal

• Head of Integrated Care Operations
• Clinical Operations Manager HIC
• Integrated Discharge Service
• UCLH Homeless service
• Emergency Department Staff
• UCLH MDTs on Inpatient wards
• UCLH CNS Alcohol and Drug Service

External

• Homeless service Providers
• Integrated Discharge Teams across North Central London ICS
• Move on coordinators
• GP Practice leads
• Secondary Care
• Primary Care
• Local Authority including housing services and adult social care
• Local CCG
• Camden Hostel Pathway

Person Specification

Knowledge and Qualifications

Essential

• Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area
• Registered Health Care Professional e.g. NMC for nurses, GPhC for pharmacists, other relevant professional registration
• Knowledge of the particular issues that characterise the provision of health services to vulnerable groups and homeless persons
• Evidence of continuous personal and professional development and willingness to commit to ongoing CPD.

Desirable

• Further training or experience in a clinical supervisory position

Knowledge / Experience

Desirable

• Specialist knowledge in a relevant subject to post graduate level

Experience

Essential

• Previous significant up to date experience within the acute care setting is required.
• Experience of working in community setting/general practice
• Demonstrate ability to lead a clinical shift or clinic
• Evidence of active participation in and/or experience in teaching or delivery training
• Strong political awareness, and evidence of working well within highly sensitive environments
• Working as part of a multi-disciplinary team.
• Working knowledge and literate with computer skills to use of word document, internet access and email correspondence and electronic record keeping

Desirable

• Experience of providing supervision

Clinical Experience required

Essential

• Wound care management
• Infection control
• Chronic illness support
• Safeguarding and Protection
• Medication and Administration
• Protection of vulnerable adults
• Phlebotomy
• Minor injuries
• Care planning

Communication

Essential

• Skills for communication on complex matters and difficult situations, requiring persuasion and influence
• Skills for nurturing key relationships and maintaining networks.

Skills and Attributes

Essential

• Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues.
• Problem solving skills and ability to respond to sudden unexpected demands.
• Takes decisions on difficult issues where there may be a number of courses of action
• Committed to promoting equality and diversity in the workplace and in the delivery of patient care

Specific Requirements

Essential

• Ability to travel to deliver care in community provider settings as required

Person Specification
Knowledge and Qualifications

Essential

• Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area
• Registered Health Care Professional e.g. NMC for nurses, GPhC for pharmacists, other relevant professional registration
• Knowledge of the particular issues that characterise the provision of health services to vulnerable groups and homeless persons
• Evidence of continuous personal and professional development and willingness to commit to ongoing CPD.

Desirable

• Further training or experience in a clinical supervisory position

Knowledge / Experience

Desirable

• Specialist knowledge in a relevant subject to post graduate level

Experience

Essential

• Previous significant up to date experience within the acute care setting is required.
• Experience of working in community setting/general practice
• Demonstrate ability to lead a clinical shift or clinic
• Evidence of active participation in and/or experience in teaching or delivery training
• Strong political awareness, and evidence of working well within highly sensitive environments
• Working as part of a multi-disciplinary team.
• Working knowledge and literate with computer skills to use of word document, internet access and email correspondence and electronic record keeping

Desirable

• Experience of providing supervision

Clinical Experience required

Essential

• Wound care management
• Infection control
• Chronic illness support
• Safeguarding and Protection
• Medication and Administration
• Protection of vulnerable adults
• Phlebotomy
• Minor injuries
• Care planning

Communication

Essential

• Skills for communication on complex matters and difficult situations, requiring persuasion and influence
• Skills for nurturing key relationships and maintaining networks.

Skills and Attributes

Essential

• Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues.
• Problem solving skills and ability to respond to sudden unexpected demands.
• Takes decisions on difficult issues where there may be a number of courses of action
• Committed to promoting equality and diversity in the workplace and in the delivery of patient care

Specific Requirements

Essential

• Ability to travel to deliver care in community provider settings as required

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.
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

University College London Hospitals NHS Foundation Trust
Address

UCLH

250 Euston Road

London

NW1 2PG

Employer's website