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CLCH Hertfordshire Adult Community Services -CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting! **Due to internal promotions, we have vacancies for Senior Nurses/Paramedics within the West Hertfordshire UCR service ** We are looking for forward thinking, passionate staff who can take a positive risk management approach to support people at risk of a hospital admission to remain at home when acutely unwell, within our UCR service West Hertfordshire. The aim of the service is to avoid unnecessary admissions into secondary care and provide a timely discharge from hospital and community bedded units for patients requiring urgent therapy input in their homes. The team provides care across three pathways delivered over 7-days a week 8am to 10pm - Rapid Response (RR), Early Intervention Vehicle (EIV) and Discharge to Assess (DTA). All pathways are delivered in a patient’s usual home environment. We are looking for proactive and enthusiastic Advanced Clinicians (Nurse or Paramedic) to join our innovative Unplanned Care team and enable the delivery of care to patients in their own homes across Herts Valleys. RR focusses on preventing avoidable hospital admissions for patients with acute ill-health conditions by providing holistic assessment and treatments up to 5 days. This pathway also delivers face to face assessments and treatment for patients under virtual hospital pathways DTA pathway aims to support the discharge of patients from acute or community hospital wards to assess and manage rehabilitation/therapy needs, at the point that the patient is medically well enough to go home. EIV is a joint pathway, delivered with Herts County Council delivering crisis management to patients offering them a holistic assessment – physical, functional, and social all in one assessment. We are a strong multi-disciplinary team and work in an integrated way with partner organisations to ensure holistic support is provided. We also have very strong connections with other community services within CLCH delivering care over shared pathways. Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire. Just as we care about our patients’ wellbeing, we care about yours! We can offer you: A comprehensive induction into the community service followed by a local induction to introduce you to the role Single occupancy accommodation in Central London – (we can help you find accommodation in London, support you with your deposit) Car lease scheme *T&C’s apply Flexible working options Annual travel card loan Training, support and development in your career As an NHS trust,we are committed to equal opportunities and ensuring equality and diversity in the workplace. We have a number of staff networks: Disability and Wellbeing Network (DAWN), Race Equality Network and the Rainbow Network which supports LGBT+ staff. Each network has a champion who is an executive director at the Trust and they hold regular meetings to discuss issues and make plans to improve CLCH. Providing advanced skilled, professional assessment of health needs, especially for those with complex needs and high risk of unplanned admission to hospital. Educating and supporting members of the multi-disciplinary team to intensively case manage these patients. Working with a range of professionals across the system to ensure care is appropriate and delivered in a timely manner with the aim of preventing hospital admission, supporting early discharge (therapy only), and reducing GP contact. Demonstrating your professional skills and competence in leadership, care planning / co-ordination, and care and treatment delivery. Engaging with Clinical Lead to offer and find ways for continuous service development and deputise for the Clinical Lead as needed. This is an exciting post in a dynamic and innovative team, with the opportunity to help develop the service and make a real difference to patients and a chance to develop both clinical and strategic skills.n. **Possession of a valid and clean UK driving license and use of a car for work purposes is essential. ** Please refer to the attached Job Description for full list of responsibilities.