Job summary

As an autonomous practitioner the post holder will be responsible for the assessment and treatment of patients with complex health and social care needs. Ensuring provision of a holistic nursing assessment and high quality, safe, evidence-based care to patients and carers with the aim of maintaining patients in their own homes. This includes physical examination and detailed history taking, diagnosis of deterioration inpre-existing conditions and treatment planning. Your experience and skills should enable you to recognise that a person is deteriorating and advanced care planning might be appropriate and/or that the person is coming into the last days of life and that dying phased care is appropriate.

Main duties of the job

The post holder will rotationally work within the Telephone response service for Palliative and End of life Care providing a 24/7 working closely with admission avoidance services to ensure patients safety is maintained.

The post holder will be the keyworker for patients within the virtual ward/virtual care. The post holder will work in this adaptable and evolving role, focusing on safe, effective admission avoidance, and supporting timely discharge from acute hospitals, with awhole systems approach. The post holder will co-ordinate care and strive to reduce the risk of acute re-admissions by identifying risks, implementing management plans, and collaborating with the whole community resource to facilitate ongoing care management

About us

We're an NHS community and mental health provider Trust based in Cornwall and the Isles of Scilly. We deliver community and hospital-based care to improve people's physical and mental health. We also provide specialist support to people with dementia or a learning disability.

We are a people organisation and people matter to us. As part of the team, you'll help support the health and wellbeing of the people who live and visit this beautiful part of the UK.

Over 5,000 people make up the Trust. This includes doctors, nurses, therapists, plus admin and support staff.

We work in people's homes, in community clinics and bases. Some staff work from one of our 10 community hospitals. Our aspiration is to have great people, provide great care, be a great place to work and a great partner.

Approximately 568,000 people live here. A third of people who live in Cornwall are supported by acute hospital services in Devon. As a result, we also work closely with our partners in Devon. In the summer, and during other holidays lots of people choose to visit the area. This increase the numbers of people who use out services.