Total 31 job vacancies by North Middlesex University Hospital NHS Trust

We are looking for an enthusiastic and dynamic band 6 Physiotherapist to join our friendly Community Stroke/ Early Supported Discharge Team. If you are a band 5 with relevant experience and are passionate about making a difference with these patients, please consider applying as a band 5 with potential to develop to band 6 in post.

The Community Stroke Rehab Team provides stroke specialist rehabilitation for Enfield residents aged 18+ . Care is provided in patient’s home and local communities dependent on their functional goals. It is a friendly multidisciplinary team with generic rehabilitation assistants to support patients to carry out treatment plans set by the therapists.

We offer strong professional and management support to our staff, access to a wide range of training opportunities and a culture which welcomes new ideas and approaches.

The team are based at St Michael's Primary care centre with ease of parking for staff and access to Enfield Borough. It is in close proximity to the M25 and has good transport links to Herts and central London.

As part of the CSRT, providing care to a multi cultural and diverse population, to deliver a high standard of physiotherapy care to stroke patients and their carers in the community.

To perform comprehensive physiotherapy assessment of patients with diverse presentations and complex physical and psychological conditions following a stroke. To use this assessment to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

To hold responsibility for own caseload and, working with out direct supervision but together with the other members of the MDT, deliver a comprehensive package of care to stroke patients and their carers. Supervision takes the form of regular formal supervision, training and clinical reasoning sessions, peer review, case review and case conferences.

To undertake all aspects of clinical duties as an autonomous practitioner.

With support and guidance from more senior staff, to undertake evidence-based audit and or research projects to further own and team’s clinical practice. Make recommendations to clinical lead/manager of service for changes to practice by the team. May contribute to the implementation of specific changes to practice or contribute to service protocols.

To contribute to the delivery of health promotion activities within the service and wider Trust initiatives

To provide cover for other physiotherapists in the service as required

North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link:https://www.northmid.nhs.uk/
• Please refer to the attached Job description and Person Specification for main responsibilities of the role.




This advert closes on Wednesday 4 Dec 2024

The post holder will be an integral member of the Enfield Adult Community Physiotherapy and Adult Neurological Therapy teams.

The post holder will be developed to take short term responsibility for the effective planning and delivery of care to patients in co-operation with other team members and in communication with other clinical team leaders.

The post holder will be required to support clinicians in running gym based groups and education programmes and also to visit patients in their own homes to carry out prescribed treatment and assess for and provide appropriate O/T equipment or mobility aids directly or by prescription.

The post holder will work alone and will be required to use a degree of initiative while working within the parameters of the team’s policies and procedures.

The post holder may be required to work at times in other services dependent on integration and service need.

The post holder will be an integral member of the multi professional teams, which is in partnership with the voluntary sector in delivering and their carers.

The service provides multidisciplinary therapy (OT and Physiotherapy) and support to help patients engage in a rehabilitation or long term management programme to regain or retain their independence. The post holder will provide health care to clients under the supervision of the Senior Therapists within the team.

"This role may close early if we reach the max number of applicants"

Patient/clinical
• To undertake clinical work delegated from the Occupational Therapists and Physiotherapists.
• To be responsible for a designated caseload of patients.
• To work effectively as a member of a team in providing a programme of community based therapeutic activities,



Communication
• To contribute to the effectiveness of team working through timely and appropriate communication between all work colleagues within Enfield Community Services and its partner organisations.
• To maintain accurate timely written records of all interventions and communications including letter writing, sketch plans and discharge reports.
• To use information technology for communication; voicemail, email and word processing and collecting data for performance indicators/ outcome measures on clinical information systems.

Information Management
• To be responsible for accurate recording of required data on patient management systems eg RIO

Effort, Mental and Environment
• To be able to deliver and install temporary adaptive equipment in clients own homes.
• To be able to operate manual handling equipment i.e hoist, rota stands, mobility aids,
• To be able to perform therapeutic manual handling techniques with patients.
• To be able to operate computer systems after a period of training.
• The able to produce internal reports of client’s progress.
• To deal with a range of patients and carers who may be distressed.



North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

North Midd in the Community are based at various sites around Enfield. This role would be based at St Micheal's Site in EN2 OJB. We are ideally situated to the M1, M11, M25 , A10 and A406. We provide physical rehabilitation and holistic assessments for Enfield residents living within the borough of Enfield.

Patient/clinical
• To undertake clinical work delegated from the Occupational Therapists and Physiotherapists.
• To be responsible for a designated caseload of patients.
• To work effectively as a member of a team in providing a programme of community based therapeutic activities


This advert closes on Friday 29 Nov 2024

A Vacancy at North Middlesex University Hospital NHS Trust.


This Clinical Lead post for North Mid in the Community is the perfect challenge for someone looking to combine their clinical and managerial skills. The team you will be leading comprises of SLTs Band 7/6/5 and SLT assistants. You will be working closely with the Adult Community Therapy leads with support from the Therapies Service Manager and liaising with acute colleagues at both The North Middlesex Hospital and The Royal Free Foundation NHS Trust.

We invite experienced Band 7/8 to apply. We are expecting candidates to demonstrate advanced communication, clinical reasoning, analytical and problem-solving skills. You will act as a resource of highly specialist advice to the rest of the community rehabilitation and therapy services and others within wider Trust multidisciplinary services. The Trust supports identified CPD needs and your individual clinical and leadership development. We are committed to staff wellbeing and provide a collection of services and initiatives to promote the emotional and physical health and wellbeing of all staff which includes the employee assistance programme, occupational health services and the staff wellbeing forum.
• To have ultimate responsibility for the organisation of the service including ensuring appropriate cover.
• To be aware of and manage any clinical governance issues pertaining to the service and to highlight these in line with policy
• To perform comprehensive highly specialist SLT assessments of patients with diverse presentations and complex physical and psychological conditions, to provide a clinical diagnosis and develop and deliver an individualised treatment programme.
• Hold full responsibility for own caseload within this specialty, working without direct supervision. Clinical work is not routinely evaluated
• To ensure an appropriate supervision for all staff in place
• Working in partnership with the Trust’s Quality Improvement lead to identify the need for audit, evaluation and research projects, co-ordinating their implementation to further own and team’s performance.
• To lead the implementation of specific changes to practice and service protocols for the team.
• Ongoing review of effectiveness of service delivery introducing where appropriate new ways of working
• Work with the AHP Lead and other lead therapists across the Trust to develop and implement a Trust wide AHP strategy which develops and strengthens networks across the Trust and beyond with relevant professional groups (e.g. GPs with special interests, nurse practitioners and other AHPs and health care professionals)



North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere
• On a daily basis to make decisions on allocation of available resources which directly affect level of SLT intervention to specific patients and be able justify those decisions to patients, carers and others.
• To deal sensitively at an advanced level with patients and carers who have high levels of anxiety as a result of their condition e.g. pain, loss of mobility, poor prognosis, cognitive impairment (e.g. dementia, learning difficulties)
• To support and educate patients and carers in managing complex SLT needs.
• To undertake a comprehensive highly specialist assessment of patients including those with diverse or complex presentations/multi pathologies: use highly advanced clinical reasoning skills and assessment techniques to provide an accurate clinical diagnosis of their conditions
• Formulate and deliver individual SLT treatment programmes based on an extensive knowledge of evidence based practice and ability to apply a wide range of treatment options. Evaluate patient progress, reassess and modify treatment programmes as required.
• Develop comprehensive management plans in conjunction with other members of the multi-disciplinary team. This includes recommendations based on sound clinical judgment, for referral/transfer to other in or outpatient services for specialist ongoing management. This will include discussion of patient care, patient progress and prognosis and involvement in ongoing management planning
• To comply with the Child Protection Policy and Enfield Protection of Vulnerable Adults policy where appropriate.
• To monitor that the service delivery is patient goal led and in line with best practice.



People (HR) Management


• Lead on day to day supervision of staff/local induction for the service.
• Teach, assess and contribute to the performance assessment and appraisal of less experienced SLTs, TIs and assistant staff, evaluating competence as appropriate.
• Participate in the staff appraisal scheme both as an appraisee and as an appraiser and be responsible for complying with your agreed personal development programmes to meet individual and service objectives.
• Performance manage staff within own service and, where appropriate, dealing with competency issues as required.
• Be responsible for the SLT in-service training programme, including tutorials, individual training sessions, delivering presentations and peer review.
• Attend external training as appropriate and identified in own PDP.
• Lead in recruitment for the service and skill mix reviews as appropriate
• To take responsibility for operational management of the adult SLTteam, allocating and organising the work of all staff both senior and less experienced staff to meet service priorities.




This advert closes on Wednesday 27 Nov 2024

A Vacancy at North Middlesex University Hospital NHS Trust.


We are a friendly, supportive community rehab team, recently expanded to include Occupational Therapy.
We are offering an exciting opportunity for a highly motivated Occupational Therapist who wishes to lead the development of occupational therapy within the community rehab team.

We offer in-service team training, effective supervision and external training opportunities through the Trust.

The services are located near Enfield Town, with easy commuter links from central London/Hertfordshire and proximity to M25.

A car driver is essential for this role.

See Job description for full details:
1. To perform comprehensive OT assessment of patients who are presenting with complex physical and psychological conditions and develop and deliver an individualised treatment program.
2. To support the B8a with the day to day organisation of the team and to manage a designated caseload, delivering care according the service specification .
3. To support and educate patients and carers in managing complex occupational therapy/rehabilitation needs in the community.
4. To work closely with other agencies to ensure OT treatment is fully integrated into the patients care programs.
5. To hold full responsibility for own caseload of patients, working without direct supervision.
6. Own supervision takes the form of regular formal training with peers, peer review and case conferences. Self directed access to advice and support from a higher grade is available, as required, clinical work is not routinely evaluated.
7. To provide clinical supervision and support to less experienced occupational therapy staff, rehab assistants, technical Instructors and students on placement and to support training and supervision of others in the MDT team.
8. To undertake evidence-based audit and projects.
9. To contribute to and support the implementation of specific changes to practice or contribute to service protocols with support and guidance from the Manager.
10. To contribute to the delivery of health promotion activities within the service and the wider Trust initiatives.

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link:https://www.northmid.nhs.uk/

See job description and person specification attached to this advert.

All details included in document.


This advert closes on Monday 25 Nov 2024

The Community Stroke Rehab Team provides stroke specialist rehabilitation for Enfield residents aged 18+ with an NCL GP. Care is provided in people’s home and local communities dependent on their functional goals. It is a friendly multidisciplinary team of occupational therapists, physiotherapists, speech and language therapists and neuropsychology. We have generic rehabilitation assistants to support people to carry out treatment plans set by the therapists. We work closely with adult community therapies who are also located within St Michaels.

We offer in-service team training, effective supervision and external training opportunities through the Trust.
We are offering an exciting opportunity for a highly motivated Speech and Language Therapist who wishes to develop a their stroke specialist skills within community services.

The services are located near Enfield Town, with easy commuter links from central London/Hertfordshire and proximity to M25.

A car driver is essential for this role.

To undertake a comprehensive assessment of patients presenting with acquired communication and swallowing difficulties, including those with diverse or complex presentations/multi pathologies following stroke: using a high level of clinical reasoning and assessment techniques to provide an accurate clinical diagnosis.

Where the service is available, to identify and refer patients for video fluoroscopy and other objective swallowing assessment techniques.

To utilise an extensive knowledge of evidence-based practice and treatment options to select and deliver a specialised speech & language therapy programme to individual patients and plan their successful discharge.

To take responsibility for a delegated caseload, ensuring that the MDT is fully involved as required

To ensure that patients and carers are involved in the planning of their care and rehabilitation, using negotiation skills as appropriate

To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.

To provide education and training relevant to communication and dysphagia rehabilitation to MDT colleagues, patients , carers and families, as well as support community care workers with supporting these needs.



North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link: https://www.northmid.nhs.uk/
• Please refer to the attached Job description and Person Specification for main responsibilities of the role.


This advert closes on Monday 18 Nov 2024

This is an exciting opportunity to be part of an innovative Physiotherapy projectaimed at reducing inequalities in one of the most deprived areas of Enfield. The project will focus on improving outcomes for 0-5 year olds’ from identified high risk groups such as deprived areas.



The postholder will work within a multi-agency team with a range of health, early years, social care and voluntary sector professionals.



The postholder will have a role in the development, planning and provision of universal and targeted support strands for children at risk of developmental issues and concerns and their parents as well as the wider community support network.

· To continue to develop and extend the reach of universal services, delivering a model of early intervention and prevention to children and families from birth to 5 years from deprived backgrounds.

· To offer training, supervision and support to health visitors, early years practitioners, nursery staff and parent champion volunteers working on the project.

· To run intervention groups for parents/carers of children with identified as ‘at risk’ of early developmental delay.

· To continue to develop and improve project communication strategy, strengthening key partnerships with colleagues within health, education, voluntary and social care sectors.

· To work with the health visiting team and other professional groups in the private, voluntary and independent sectors to establish a clear and well-used referral pathway, offering guidance, training and support as required.

· To undertake screening and review assessments and to organise and run targeted intervention groups.

· To deliver and continue to improve on promotion and widespread uptake of an established training package to key partners within the early years sector.



North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere

PATIENT/CLIENT CARE :



To safeguard and promote the welfare of children and work to agreed safeguarding children policies

To work alongside Early Years Practitioners to develop evidence-based interventions for individuals and groups experiencing difficulties with their child’s development and or difficulties in the carer/infant relationship

To provide expert advice to parents and carers regarding children’s development, and to promote healthy lifestyles to individuals and groups within the community

To develop innovative ways of working to deliver early intervention to vulnerable and hard to reach families and to modify these as appropriate using evaluation/outcome measurement tools

To work innovatively with other professionals, organisations and volunteer colleagues sharing knowledge and skills to enhance service delivery and client care

To adapt practice to meet individual client/carer’s circumstances, taking into account cultural and linguistic backgrounds and disabilities

To provide highly specialist support and short term intervention to families who have a child identified as being ‘in need’ involving them in their care planning, advocating on their behalf and signposting them to other services as appropriate

To work effectively with clients, carers, colleagues and education staff around individual case management, providing advice, guidance and support as necessary and involving them in the planning and prioritisation of care wherever possible

To produce accurate and detailed reports, therapy programmes, advice and information as necessary in a timely manner, reflecting clinical expertise. To refer children to other health, education or social services professionals as necessary

To undertake home visits as required.

COMMUNICATION AND RELATIONSHIP SKILLS:

To be able to gather information that may be highly sensitive or highly complex and to analyse it making a full assessment of a client’s strengths and difficulties.

To work closely with clients, carers, education staff and other professionals using empathy, tact, reassurance and active listening to complete assessments, discuss results, and agree treatment options

To discuss diagnosis and potential outcomes with parents/carers, Health and Local Authority colleagues, voluntary organisations, and work collaboratively in decision making regarding referral on and intervention

To provide training to a variety of audiences on aspects of motor co-ordination development.

To demonstrate highly developed skills in motivating clients/carers to follow health improving advice and to engage in therapeutic interventions as appropriate

To be responsible for communicating effectively with other Early Years professionals to provide an effective service

To negotiate and manage conflict effectively in a range of settings, with support and supervision from line manager in highly complex cases

To deal with initial complaints sensitively, avoiding escalation where possible To form effective therapeutic relationships with clients and/or carers who may be under stress and/or having challenging behaviour



KNOWLEDGE, TRAINING & EXPERIENCE:

To demonstrate highly specialist knowledge of developmental skills in children under 5 underpinned by current evidenced based practice and maintained through specialist courses and self-study

To demonstrate a particular interest in and willingness to undertake training in working with complex families with very young children

To identify own training needs as part of the Professional Development Review and Professional Portfolio

To attend further training as necessary to maintain and further develop the skill and knowledge required of a highly specialist physiotherapist.

To keep up to date with current clinical developments through reading, attendance at courses, meetings

To develop and deliver specialist training (informal and formal) to parents/carers education staff, and other professionals

To provide specialist advice to colleagues and junior members of the team

To maintain up to date professional registration with HCPC and RCPT at all times.

To participate in Peer/Clinical Support Group

To have a working knowledge of the Child Health Promotion Programme and the Early Years Foundation Stage Curriculum

ANALYTICAL & JUDGEMENTAL SKILLS:

To analyse complex information on all aspects of adult and child interaction and communication skills and identify the best treatment programme for each individual family

To understand the strengths and abilities of the child’s family when discussing and planning home-based intervention

To adapt intervention as necessary according to individual need, progress and ability

To seek second opinions from colleagues in highly complex cases and to provide second opinions for others including more junior members of the team

To refer children to other professionals as appropriate

To demonstrate the ability to reflect on clinical practice and decide on the most appropriate interventions

To develop, record and adapt individual care plans, based on assessment results and response to treatment.

To plan, adapt and target training to all levels of participants.

To make joint decisions with other Early Years professionals analysing information provided by them

PLANNING AND ORGANISATIONAL SKILLS:

To plan and deliver training to parents/cares and health visiting staff as necessary.

POLICY/SERVICE DEVELOPMENT AND IMPLEMENTATION:

To contribute to the development of team objectives or projects as required

To take a delegated lead in developing specific projects as required

To develop care policies and protocols for specific clinical areas

To advise line manager of issues of service delivery including staffing issues, service pressures etc.

To use highly specialist knowledge to contribute to service/policy development.

To be aware of and adhere to all Trust and Service policies To participate and contribute to innovations and developments in areas of risk management, Quality Standard Setting and Clinical Effectiveness

INFORMATION RESOURCES:

To keep up to date and accurate client case notes, which comply with quality guidelines/policies

To share information with others, observing data protection/information sharing guidelines

To keep and send in accurate statistics within the required time limits

RESEARCH AND DEVELOPMENT:

To participate in and contribute to the development of innovations in the area of risk management, quality standards setting and clinical effectiveness

To participate in research/clinical audits as required.

FREEDOM TO ACT:

To be accountable for own professional actions and recognise own professional boundaries, seeking advice as necessary

To provide second opinions related to communication needs on cases as necessary

To work within defined departmental, professional and organisational protocols, policies and codes of conduct.

To plan, implement and evaluate own work, seeking advice as necessary from other specialist colleagues.

To participate in monthly supervision and annual performance review in accordance with Trust procedures.

To seek advice and second opinions as necessary.




This advert closes on Monday 11 Nov 2024

An exciting opportunity has arisen at the North Middlesex University Hospital NHS Trust (NMUH). We are looking for a newly qualified Band 5 dietitian to join our friendly and dynamic team at the NM community.

You will be based at St Michael’s Hospital but clinical work undertaken in a variety of locations including nursing/ residential homes and patient’s homes and community settings. However, you may be required to work at any other location of the Trusts interests, including travelling to appropriate meetings, outside of the Borough, as required.

You will be supported in developing your skills and knowledge.

The Dietetic Department is part of the Therapies team.

You should have good communication skills, be effective in MDT working and be able to deliver both group education and individual interventions.

You will be required to undertake teaching/training of other health professionals.

You will have the opportunity to be involved in research, audits and other service development initiatives.

You will be involved in student training for your area.

The Enfield community dietetic team and NMUH has a robust CPD programme, and are committed to providing excellent line management, supervision/support, specialist training and other forms of continuous professional development.

For any queries about the post, please contact the dietetic team on 02045535694, or mobile 07974293850, or email s.petrides@nhs.net

To perform comprehensive dietetic assessment of patients’ with diverse presentations of physical and psychological conditions in their homes/care homes/nursing homes and outpatient clinics.

To provide advice, treatment and ongoing monitoring to patients with diverse presentation living in Enfield allocated as case load.

To have excellent communication skills to work closely with hospitals and community teams.

To have good organisational and time management skills to be able to effectively manage own case load.

To be responsible for contributing to developing education resources and education programmes for patients, carers, and staff.

To work with the dietetic manager and primary care lead and contribute to producing, implementing, and updating policies and procedures.

To regularly participate in research and audit within the Dietetic Service.

To undertake planning, organisation, allocation, and training of student training placements for this area.

Multidisciplinary team working, close liaison between community teams and acute, and effective communication skills with patients, carers, and other service users is essential.

To undertake all aspects of clinical duties as an autonomous practitioner.

You will be supported and supervised by a B6/7 dietitian.

To contribute to the delivery of health promotion activities within the service and wider Trust initiatives.

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care.

To perform comprehensive dietetic assessment of patients’ with diverse presentations of physical and psychological conditions in their homes/care homes/nursing homes and outpatient clinics.



To provide advice, treatment and ongoing monitoring to patients with diverse presentation living in Enfield allocated as case load.



To have excellent communication skills to work closely with hospitals and community teams.



To have good organisational and time management skills to be able to effectively manage own case load.



To undertake evidence-based audit and or research projects to further own and team’s clinical practice with support and guidance from more senior staff. Make recommendations to clinical lead/manager of service for changes to practice by the team. May contribute to the implementation of specific changes to practice or contribute to service protocols.



To be aware of and to highlight to the line manager any clinical governance issues pertaining to the role and practice.



To hold responsibility for own caseload and be responsible for a defined area of the service or particular patient type, working under supervision. Supervision takes the form of regular formal training and clinical reasoning sessions, peer review, case review and case conferences. Access to advice and support from a more senior Dietitian is available when required; clinical work is routinely evaluated.



To undertake all aspects of clinical duties as an autonomous practitioner.



To contribute to the delivery of health promotion activities within the service and wider Trust initiatives


Specific Duties and Responsibilities


Clinical:



Under the guidance of more senior staff


1. To be professionally and legally accountable for all aspects of own work and that work delegated to support staff.


1. Provide a high quality Dietetic service across different clinical areas.


1. To take responsibility for the delegated caseload, managing patients with a variety of clinical conditions and pathologies.


1. Using an evidence based approach; Nutritional assessment of patients, including the calculation of nutritional requirements based on the interpretation of biochemistry, anthropometry and clinical condition resulting in the formulation of a dietetic treatment plan.


1. Communicate complex and sensitive information and advice, both written and verbal, to patients with complex needs in an understandable form. Examples of areas covered include malnutrition, obesity, diabetes, dysphagia, oncology, oral nutritional support.


1. Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.


1. To utilise knowledge of evidence based practice and treatment options to select and deliver a Dietetic treatment package to individual patients and plan their successful discharge.


1. Regularly liaises with members of the multi-disciplinary team including SALT, Physiotherapists, District Nurses and G.Ps.


1. To represent the Dietetic service and/or individual patients at multidisciplinary team meetings, to ensure a coordinated multidisciplinary service, and integrate the Dietetic treatment into the treatment program. This will include discussion of patient care and patient progress.


1. Acts as a source of expertise to clinicians including Consultants and GPs including being involved in recommendations for the prescribing of nutritional supplements.


1. When working in the community and domiciliary settings seeing patients referred to the service and to work as a lone practitioner with prearranged telephone support from a senior Dietitian


1. To be responsible for maintaining accurate comprehensive patient treatment records in line with British Dietetic Association and HCPC standards of practice and BEH MHT policies and to communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.


1. To demonstrate a sound knowledge of clinical governance and risk management and to apply these both to own caseload and that delegated to support staff
Professional:


1. To be responsible for maintaining own competency to practice through CPD activities and to maintain a portfolio which reflects personal development.


1. To implement knowledge of relevant evidence based practice, developing a more in depth knowledge of particular conditions and patient types according to the caseload.


1. Where appropriate to assist in the clinical supervision of Dietetic students as part of the team.


1. To provide support and guidance to Dietetic Assistants and assistant staff working as part of the team.


1. Undertake an evidence-based project


1. Participate in the staff appraisal scheme as an appraisee and be responsible for complying with agreed personal development programmes to meet individual and service objectives.


1. Undertake measurement and evaluation of own work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or as part of a team with more senior Dietitians.


1. Be an active member of the in-service training programme, attending tutorials, individual training sessions, external courses and peer review sessions as appropriate and as identified in own PDP.
Organisational:
1. To be responsible for organising and planning own caseload to meet service and patient priorities, readjusting plans as situations change/arise
2. To undertake the collection of data for use in service audit and for monitoring service level agreements.
1. Be responsible for the safe and competent use of equipment, through teaching and supervision of practice
2. To communicate regularly and effectively with other members of the Dietetic service in order to ensure seamless Dietetic provision to patients moving between different areas of the service
3. To be aware of Health and Safety aspects of your work and implement any policies, which may be required to improve the safety of your work area, including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use is safe.
4. To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate
5. To undertake any other duties that might be considered appropriate by the Service Manager of the Nutrition and Dietetic Service



Communication:


1. To communicate effectively with patients and carers, through persuasion, motivation and explanation, to ensure adequate understanding of the condition and treatment required. Barriers to understanding such as language differences, anxiety and fear may be evident. Some issues regarding patients will be sensitive and distressing and will require tact, diplomacy and reassurance.
2. To be able to develop and use communication and teaching skills to educate the diverse and multicultural population.



Effort:
1. Carry out assessments and treatments of patients with moderate physical and significant mental and emotional effort on a daily basis.


1. To manage the pressure resulting from frequent interruptions and requests from other professionals that require thoughtful, timely and decisive action and which necessitate adjustment and re-prioritisation of the work plan for self and team.


1. On a daily basis to implement decisions on allocation of limited resources which directly affect level of therapy intervention to specific patients and have to justify those decisions to patients, carers and others.


1. To undertake manual handling in compliance with Trust manual handling policies and local guidance at all times.


1. To deal sensitively with patients and carers who may demonstrate high levels of anxiety and aggression


1. To interact with patients through an interpreter when English is not the patient’s first language


1. When working in a community setting, to work as lone practitioner with telephone support from a more senior therapist as required.


1. The job involves the potential for exposure to verbal and physical aggression.




This advert closes on Monday 4 Nov 2024

A Vacancy at North Middlesex University Hospital NHS Trust.


We are a friendly, supportive community neuro rehab team, recently expanded to include Occupational Therapy. We work closely with other co-located adult community therapies teams.

We offer in-service team training, effective supervision, Band 6 OT peer support and external training opportunities through the Trust. You will be supervised by band 7 Occupational Therapist and supported by an established band 8a neuro specialist Clinical Lead Occupational Therapist.

This is an exciting opportunity for a highly motivated Occupational Therapist who wishes to develop a their skills with a diverse caseload within community services.

The services are located near Enfield Town, with easy commuter links from central London/Hertfordshire and proximity to M25.

A car driver is essential for this role.

To perform comprehensive occupational therapy assessment of patients with diverse neurological presentations and complex physical and psychological conditions. To use this assessment to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

To deliver a high standard of occupational therapy care to patients and their carers in the community.

To hold responsibility for own caseload and, working without direct supervision deliver a range of occupational therapy interventions and support to patients and their carers. Supervision takes the form of regular formal training and clinical reasoning sessions, peer review, case review and case conferences. Access to advice and support from a more senior occupational therapist is available when required.
To undertake all aspects of clinical duties as an autonomous practitioner.

With support and guidance from more senior staff, to undertake evidence-based audit and or research projects to further own and team’s clinical practice. Make recommendations to clinical lead/manager of service for changes to practice by the team. The post holder may contribute to the implementation of specific changes to practice or contribute to service protocols.

To contribute to the delivery of health promotion activities within the service and wider Trust initiatives.

To provide cover for other occupational therapists in the service as required.



North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link:https://www.northmid.nhs.uk/

See job description and person specification attached to this job advert.

All details included in this document.






This advert closes on Wednesday 30 Oct 2024

We are looking for an enthusiastic and dynamic band 6 Physiotherapist to join our friendly Community Stroke/ Early Supported Discharge Team. If you are a band 5 with relevant experience and are passionate about making a difference with these patients, please consider applying as a band 5 with potential to develop to band 6 in post.

The Community Stroke Rehab Team provides stroke specialist rehabilitation for Enfield residents aged 18+ . Care is provided in patient’s home and local communities dependent on their functional goals. It is a friendly multidisciplinary team with generic rehabilitation assistants to support patients to carry out treatment plans set by the therapists.

We offer strong professional and management support to our staff, access to a wide range of training opportunities and a culture which welcomes new ideas and approaches.

The team are based at St Michael's Primary care centre with ease of parking for staff and access to Enfield Borough. It is in close proximity to the M25 and has good transport links to Herts and central London.

As part of the CSRT, providing care to a multi cultural and diverse population, to deliver a high standard of physiotherapy care to stroke patients and their carers in the community.

To perform comprehensive physiotherapy assessment of patients with diverse presentations and complex physical and psychological conditions following a stroke. To use this assessment to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

To hold responsibility for own caseload and, working with out direct supervision but together with the other members of the MDT, deliver a comprehensive package of care to stroke patients and their carers. Supervision takes the form of regular formal supervision, training and clinical reasoning sessions, peer review, case review and case conferences.

To undertake all aspects of clinical duties as an autonomous practitioner.

With support and guidance from more senior staff, to undertake evidence-based audit and or research projects to further own and team’s clinical practice. Make recommendations to clinical lead/manager of service for changes to practice by the team. May contribute to the implementation of specific changes to practice or contribute to service protocols.

To contribute to the delivery of health promotion activities within the service and wider Trust initiatives

To provide cover for other physiotherapists in the service as required

North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link:https://www.northmid.nhs.uk/
• Please refer to the attached Job description and Person Specification for main responsibilities of the role.




This advert closes on Wednesday 30 Oct 2024

This is an exciting opportunity for experienced bands 5 OT looking to progress their career or an established Band 6 looking for a new role to further develop their skills and knowledge. The team is forward thinking, and is led by experienced Band 7 Occupational Therapy and Physiotherapy Team Leads. There are 2 posts of which will be based at Magnolia Inpatient rehabilitation unit under the Multi Pathology Rehabilitation team and Capetown / Canterbury rehabilitation wards based at Chase Farm Hospital.

Our rehabilitation services provide inpatient rehabilitation for mainly older adults presenting with a variety of clinical conditions including post-operative orthopaedic surgery, decreased mobility after a fall, exacerbation of a long-term condition, recovery from acute medical problems and deconditioning following an extended hospital stay. Many of our patients have multiple pathologies and complex needs that require comprehensive assessment by the multi-disciplinary team. You will work closely with Physiotherapists, Speech and language therapists, Dietician Nurses, and medical colleagues to plan and provide effective rehabilitation and supported discharge planning.

Our services are supported by a Unit Manager / Integrated Therapy Lead. This is an exciting time to join our services, as we are in the process of developing the rehabilitation services across North London to provide a streamlined patient pathway across our rehabilitation services.



As a Band 6 OT you will carry a caseload, which will include the completion of initial and standardised OT assessments, formulating client centred goals and treatment plans for each patient on your caseload. We endeavour to support your learning and development formally through a robust appraisal process and regular supervision and also through informal teaching and training. You will also develop staff management skills with the opportunity to supervise and develop junior therapy staff, support workers and be part of the teaching / training programme within the wider MDT

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link:https://www.northmid.nhs.uk/

THIS JOB DESCRIPTION IS DEEMED CURRENT: April 2024



Job SummaryTo assist the Band 7 Team Leader for ensuring the provision of an exceptional standard of Occupational Therapy service, in conjunction with the multi-professional team, to meet the needs of the patients within our inpatient rehabilitation services.

To assist and take responsibility in the absence of the Band 7 OT Team Leader for the effective and efficient day to day running of Occupational Therapy Service.

You will work closely with the Band 7 OT Team Leader, to provide occupational therapy input to patients and assist in the professional development of occupational therapy staff and students. As a member of the Occupational Therapy Team, you will provide an accessible presence within the Unit to whom patients, their families and staff can turn to for assistance advice and support.



You will be responsive and supportive to the physical, social, psychological, and spiritual wellbeing of each patient within the unit and lead by example.















MAIN TASKS AND RESPONSIBILITIES



Patient/customer care (both direct and indirect)


• The screening of appropriate referrals from both the community services and the acute sectors when appropriate.
• To assess the occupational needs of referred patients and establish and evaluate appropriate treatment programmes.
• To participate in multi-disciplinary assessment and treatment provision.
• To work with patients to identify OT goals as part of the overall care plan, using standardised and local OT assessment tools.
• To contribute to taking a lead role in the overview of the discharge planning of every patient, recommending services and appropriate follow up at home.
• To manage a caseload of patients with complex needs, taking on the role of care co-ordinator and/or vocational lead where relevant.
• To be additionally responsible for the management of patients with multi-dimensional complex needs within the specialist team.
• To plan and implement patient centred individual and/or group interventions using graded activity to achieve therapeutic goals.
• To monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention.
• To apply a high level of understanding of the effect of disability and provide training and advice on lifestyles changes and adaptations to the client’s social and physical environment.
• To identify unmet needs in the service and advise Band 7 OT as necessary.



Policy Development


• To participate in the operational planning, and implementation of policy and service development within the OT Team and, when required, leading on delegated projects.
• To demonstrate the ability to critically evaluate current research and apply to practice.
• To undertake research and/or audit projects relevant to OT and/or the service area, disseminating findings at local level and implementing best practice.
• To broaden own research and development skills through participation in local audit and research projects.



Service Development


• To deputise for the Band 7 OT in his/her absence.
• To participate in the delivery of OT development plans as required.
• To organise and recruit agency cover within budgetary constraints in the absence of the Band 7 OT.
• To assist in the initiation of action plans if service delivery is compromised and assist in the delivering, reviewing and evaluation of these plans.
• To demonstrate ability to delegate and/or request help/support as required.
• To assist with the introduction and lead on new initiatives to enhance OT Service, e.g. Dementia Care, Falls Prevention.
• To demonstrate ongoing personal development through participation in internal and external development opportunities, recording learning outcomes.
• To contribute in the Trust’s Directorate’s and Team’s clinical governance arrangements and quality agenda, including the setting and monitoring of practice standards.
• To comply with the HCPC standards, COT Code of Ethics and Professional Standards of Conduct and national and local policies and procedures.
• To respect the individual, values, cultural and religious diversity of clients and contribute to the provision of a service sensitive to these needs.
• To demonstrate the ability to reflect on ethical issues and to provide guidance to junior staff as necessary.



People Management


• In line with local guidelines review and reflect on own practice and performance through effective use of professional and operational supervision and appraisal.
• To provide effective guidance, supervision, and appraisal for junior staff.
• To assist in encouraging and organising staff development.
• To act as Team Leader when required.
• In liaison with the Band 7 OT provide day to day line management for junior team members with appropriate delegation, supervision, and support.
• Teach, monitor, and supervise the clinical practice of junior OT staff (including Students) on the Unit and participate in training of OT staff as required.
• To participate in teaching programmes within the Unit as appropriate and nurture a learning environment (leading by example).
• Complete annual appraisals for junior staff as required.
• To assist in the recruitment and retention of staff within the Department in accordance with organisational policies.



Communication


• To provide and receive complex and sensitive information with patients, carers, families and other health workers and community services, managing barriers that may exist.
• To participate or work as a member of the multidisciplinary team, contributing to decisions regarding patient care, rehabilitation and discharge programmes.
• To provide support and education to patients and carers regarding aspects of occupational therapy e.g. equipment fitting, rehab programmes, plus aspects of disabilities, health and well-being etc.
• To provide awareness of the role OT within the team, negotiating priorities where appropriate.
• Participate in OT, MDT and Unit Meetings as scheduled.



Resource Management


• To ensure the appropriate use of Department and Unit resources.
• To be involved in the identification and planning of the resources/equipment required within the Department and within the Unit relating to OT for effective service delivery.
• To monitor and respond to the day to day needs and activities of junior staff where applicable.
• To assist the Band 7 OT in the management of the junior OT staff in accordance with OT, Care Group and Trust policies.
• To advise the Band 7 OT on the day to day running needs of the service.
• In the absence of the Band 7 OT ensure that day to day staffing levels are effectively managed, utilising temporary resources if required.
• To apply national guidelines/legislation relating to health and social care



Information Management
• To keep accurate, contemporaneous records to ensure safety and continuity of patient care in a manner that reflects HCPC standards, COT Code of Ethics and Standards of Practice and the Trust standards for Record Keeping and Data Protection.
• Provide specialist OT reports relevant to practice setting.
• To provide formal reports for the purpose of recommendation to Social Services and documenting assessments and intervention outcomes for medical notes, GP etc.
• Assist the Band 7 OT with new projects that are introduced to the Unit





Effort and environment
• Deal with distressed patients and relatives in times of difficulties i.e. breaking of bad news/complaints management
• Assist in the dealing with staffing issues – delivery of care/competency issues/disciplinary procedures/sickness and absence management.
• Ward environment – daily exposure to unpleasant working conditions.
• Daily involvement in the moving and handling of patients and equipment.
• Deputise for the Band 7 OT as required.



Management Section:


• Effective and efficient time management skills and the ability to manage resources available.
• To attend and participate in specialist groups as a representative of the OT Team as appropriate.
• To abide by the Trust’s core behaviours and all other Trust policies.
• To comply with the HCPC standards, COT Code of Ethics and Professional Conduct and national and local policies and procedures.
• To apply specialist skills and knowledge in order to establish professional competence and fitness to practice as a senior OT




This advert closes on Thursday 24 Oct 2024

A Vacancy at North Middlesex University Hospital NHS Trust.


We are a friendly, supportive community rehab team, recently expanded to include Occupational Therapy.
We are offering an exciting opportunity for a highly motivated Occupational Therapist who wishes to lead the development of occupational therapy within the community rehab team.

We offer in-service team training, effective supervision and external training opportunities through the Trust.

The services are located near Enfield Town, with easy commuter links from central London/Hertfordshire and proximity to M25.

A car driver is essential for this role.

See Job description for full details:
1. To perform comprehensive OT assessment of patients who are presenting with complex physical and psychological conditions and develop and deliver an individualised treatment program.
2. To support the B8a with the day to day organisation of the team and to manage a designated caseload, delivering care according the service specification .
3. To support and educate patients and carers in managing complex occupational therapy/rehabilitation needs in the community.
4. To work closely with other agencies to ensure OT treatment is fully integrated into the patients care programs.
5. To hold full responsibility for own caseload of patients, working without direct supervision.
6. Own supervision takes the form of regular formal training with peers, peer review and case conferences. Self directed access to advice and support from a higher grade is available, as required, clinical work is not routinely evaluated.
7. To provide clinical supervision and support to less experienced occupational therapy staff, rehab assistants, technical Instructors and students on placement and to support training and supervision of others in the MDT team.
8. To undertake evidence-based audit and projects.
9. To contribute to and support the implementation of specific changes to practice or contribute to service protocols with support and guidance from the Manager.
10. To contribute to the delivery of health promotion activities within the service and the wider Trust initiatives.

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link:https://www.northmid.nhs.uk/

See job description and person specification attached to this advert.

All details included in document.


This advert closes on Wednesday 23 Oct 2024

Are you looking for your next career step ?

We are look for a physiotherapist who will proactively manage a caseload of patients requiring complex case management in order to prevent hospital admissions and facilitate early discharge to improve patient health outcomes. Patients requiring case management in the Rapid Response and Virtual Ward service will be identified by case-finding in the Same Day Emergency Care (SDEC) unit, Accident and Emergency department, NMUH wards and also via Community referrals e.g., GP, Care Homes, Community Nurses, and LAS.

The post holder will be a senior physiotherapist within the NMUH VW Service and therefore act as a clinical leader and role model to staff, offering therapy advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings.

Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing therapy needs of patients on the caseload.

Undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies

Utilize an extensive knowledge of evidence-based practice and treatment options to select and deliver a specialised physiotherapy programme to individual patients to prevent unnecessary admission to hospital.

Accept clinical responsibility for a designated caseload of patients

Assess accurately for and prescribe a range of equipment and to be responsible for the safe and competent use of equipment, through teaching and supervision of practice.

Deliver the Physiotherapy element of the team and, where necessary, deliver multi-professional care when competent to do so.

Participate and lead in developing Care Pathways.

Participate in and lead MDT meetings

The post holder will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, facilitating appropriate ones through in-reach case finding in both the hospital setting also via GP referral.

Care, compassion, competence, communication, courage, and commitment will underpin all care delivered as well as Standards for Better Health Care, National Service Frameworks, the long-term conditions agenda, hospital avoidance and care closer to home.

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere
• Provide specialist, high quality, expert physiotherapy assessment and care and support for patients who are suitable for Virtual Ward (VW) care in liaison with the multidisciplinary teams (MDT) through assessment and care planning.
• Refer to other disciplines/professions when required
• Support patients to self-manage, monitor their condition, and make informed choices
• Act as a physiotherapist for designated patients within the service
• Ensure that documentation is maintained to required standards and to be a competent user of and participate in the ongoing development of the Trust’s planned Electronic Patient Record
• Promote the development of evidenced based practice.
• Participate in clinical supervision to agreed standard
• Ensure high standards of care are given to all patients
• Advise patients on the promotion of health and the prevention of illness.


This advert closes on Thursday 17 Oct 2024

Band 6 Rapid Response & Virtual Ward Nurse/Paramedic

Exciting opportunity!

We are looking for Nurses/Paramedics with a passion for patient care, who want to develop their skills and push themselves outside the normal boundaries of their practice and who have a real drive to make sure their patient gets the best treatment possible. Excellent communication skills and a strong work ethic are essential and in return we offer development opportunities and a better work life balance than many traditional nursing and paramedic roles.

You will be part of a community team where your proven ability to make clinical decisions will aid patient recovery. This will include having a direct link to the patient’s discharging medical and therapy team for liaison and support where necessary and with the patients GP or other health care professional to prevent hospital re-admission. Virtual ward facilitates early discharge.

External referrals mainly come from GPs and the London Ambulance Service. Rapid Response service to provides a initial holistic assessment at home within two hours, doing tests such as blood and urine sampling and developing and initialising treatment plans.

You will provide assessments, interventions and will make clinical decisions. You will be expected to work autonomously whilst drawing assistance from other colleagues.

We encourage any Nurses and Paramedics with an acute background to apply as we value experience as much as academic achievement.
• To deliver nursing care to patients within their home, that is technically excellent, expressly personal and ensures patients and carers dignity is enhanced.
• To undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care.
• To make skilled clinical decisions and communicate the rationale clearly.
• Management of complex patient care ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate.
• To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity.
• To provide health information and health promotion for patients and their families on the caseload including formal pulmonary rehabilitation for patients with chronic obstructive airways disease.
• To work closely with the acute trust, GP, nursing and therapy colleagues to prevent inappropriate hospital admissions.
• Attend regular MDT meetings with acute services, therapists, social services, care homes and GP Practices.
• To evaluate your practice through audit and outcome measures with support of senior colleagues when required. To participate in Quality Improvement work.
• To work with the acute hospitals to prevent admission to hospital such as in-reaching.
• To maintain and develop specific departmental duties as designated by service lead.

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere

As a Band 6 Rapid Response / Virtual Ward Practitioner you will:
• Attend to patients to do a Rapid Response initial assessment and for follow up visits.
• Develop your clinical skills into a more well-rounded holistic approach to patient care.
• Develop new skills outside of your normal scope of practice including skills from Paramedicine, Nursing, Physiotherapy and Occupational therapy tasks.
• Gain experience in day to day management of the team including taking handovers and helping to make treatment plans.
• Supervise junior staff and students
• Attend in-service training and have Continued Professional Development opportunities

Enfield Rapid Access Service works 7 days a week from 8am until 10pm. You will be expected to work weekends and bank holidays although these will be distributed throughout the team. Shift patterns are made up of:

08:00 – 20:00

10:00 – 22:00

Currently in review for potential introduction for 7.5 hr shift pattern - 5 days per week.

In return for your skills and dedication to the team and our patients we endeavour to provide:
• A supportive environment to learn and develop your new skills.
• Working with a MDT to push your knowledge beyond normal clinical practice.
• Regular training above and beyond statutory and mandatory training.
• An emphasis on a good work life balance including meal breaks to enable staff to perform at their best.
• An experienced and supportive management team who listen and act on your feedback, and who all have a clinical background with community experience
• The opportunity to deliver training sessions.
• A full NHS benefits package plus a lease car option.
• Agenda for change pay scale band 6 + outer London weighting and unsocial hours enhancements where appropriate.

For this post, the following are essential:
• Excellent communication skills
• Strong clinical knowledge and assessment skills
• Current NMC or HCPC registration
• Strong work ethic
• Ability to drive, a current UK driving license and access to a car for work

This post is a specialist community role and may not be suitable for everyone. We would strongly encourage potential applicants to call for an informal discussion about the role and to consider arranging to visit the service.




This advert closes on Wednesday 9 Oct 2024

The post holder will have the responsibility for ensuring the provision of an exceptional standard of nursing care, with support from the team, to meet the needs of the patients on the Magnolia Unit.

The staff is responsible for the safety of both patients and staff and for the safe discharge of patients in a timely manner.

Maintain clinical study and undertake further personal and professional development in line with Trust policies.
• Effectively deliver skilled nursing care to patients using a systemic approach of assessing, planning, implementing, and evaluating to ensure a high standard of care.
• Assist in effective patient admission pathways and start early and effective discharge planning. Use clinical skills to agree admissions and manage/report any impact on shifts/ workload and staffing levels.
• To assist in the delivery of accurate, contemporaneous records/ care plans that ensure safety and continuity of patient care in a manner that reflects the NMC and Trust standards for Record Keeping and Data protection.
• To follow the Infection Control guidelines to ensure that the local and national Infection control guidelines are implemented and monitored through regular audit and review and any lapses in standards are reported appropriately.
• Oversee and participate in the early identification/assessment of patients needs regarding Food and Nutrition and ensure patients receive adequate nutrition, including ordering, monitoring and documentation of same

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere

The postholder will have the responsibility for ensuring the provision of an exceptional standard of nursing care, with support from the team, to meet the needs of the patients on the Magnolia Unit.

The staff is responsible for the safety of both patients and staff and for the safe discharge of patients in a timely manner.

Maintain clinical study and undertake further personal and professional development in line with Trust policies.


This advert closes on Wednesday 18 Sep 2024

We are looking for an enthusiastic and dynamic band 6 Physiotherapist to join our friendly Community Stroke/ Early Supported Discharge Team. If you are a band 5 with relevant experience and are passionate about making a difference with these patients, please consider applying as a band 5 with potential to develop to band 6 in post.

The Community Stroke Rehab Team provides stroke specialist rehabilitation for Enfield residents aged 18+ . Care is provided in patient’s home and local communities dependent on their functional goals. It is a friendly multidisciplinary team with generic rehabilitation assistants to support patients to carry out treatment plans set by the therapists.

We offer strong professional and management support to our staff, access to a wide range of training opportunities and a culture which welcomes new ideas and approaches.

The team are based at St Michael's Primary care centre with ease of parking for staff and access to Enfield Borough. It is in close proximity to the M25 and has good transport links to Herts and central London.

As part of the CSRT, providing care to a multi cultural and diverse population, to deliver a high standard of physiotherapy care to stroke patients and their carers in the community.

To perform comprehensive physiotherapy assessment of patients with diverse presentations and complex physical and psychological conditions following a stroke. To use this assessment to provide a clinical diagnosis and develop and deliver an individualised treatment programme.

To hold responsibility for own caseload and, working with out direct supervision but together with the other members of the MDT, deliver a comprehensive package of care to stroke patients and their carers. Supervision takes the form of regular formal supervision, training and clinical reasoning sessions, peer review, case review and case conferences.

To undertake all aspects of clinical duties as an autonomous practitioner.

With support and guidance from more senior staff, to undertake evidence-based audit and or research projects to further own and team’s clinical practice. Make recommendations to clinical lead/manager of service for changes to practice by the team. May contribute to the implementation of specific changes to practice or contribute to service protocols.

To contribute to the delivery of health promotion activities within the service and wider Trust initiatives

To provide cover for other physiotherapists in the service as required

North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link:https://www.northmid.nhs.uk/
• Please refer to the attached Job description and Person Specification for main responsibilities of the role.




This advert closes on Thursday 19 Sep 2024