The Integrated Care Home Lead is responsible for supporting the assessment and management of the health needs of care home patients across Coventry and for developing and implementing care programmes, including those for care home residents with complex frailty needs, end-of-life care, and patients identified as at risk of hospital admission. Supporting the implementation and ongoing monitoring of virtual care strategies. Integrated Care Home Lead will clinically supervise and provide support to a team of staff. This post is locality-based and you will be based at either Willenhall, Tile Hill or Newfield House.
Please be advised a Full valid UK driving license and access to a vehicle that can be used for work purposes is essential for this post. Please note an international driving license is not accepted.
Take responsibility for the complex and holistic assessment or delegation of planning, implementation, and evaluation of care on an individual basis, utilising recognised models and tools, e.g., end-of-life care and long-term conditions.
As an Integrated Care Home Lead there will be a need for a varied clinical skill set, including, but not limited to:
o End of Life Care- Palliative care
o Patient education and training of self-management techniques
o Long Term Condition Management – Heart Failure, Respiratory, Frailty, Dementia
o Social prescribing
o Recognising health care needs changing- ability to refer to specialist services- Dietitian, District Nurse, Speech and Language, GP, hospital services, Mental Health Services.
Named responsibility for the management of a defined caseload.
Acts as patient’s advocate where appropriate.
Be proactive in offering health promotion and participate in health promotion activities for a defined caseload.
Utilise health needs assessment for the local population.
Ensuring excellent working relationships and communication links with all stakeholders including acute hospital staff, Local Authorities, Social Care teams and voluntary services as appropriate for patient care.
Provide the care staff with training and education.
University Hospitals Coventry and Warwickshire NHS Trust, rated as good by the Care Quality Commission, is one of the largest teaching Trusts in the UK.
We are extremely proud of our employees across our hospital sites, with high quality patient care at the heart of everything we do.
Boasting some of the most modern facilities in Western Europe, the Trust is renowned for being at the forefront of research and innovation as part of its blossoming reputation as a worldwide leader in healthcare.
We are proud to be recognised as a Pathway to Excellence® designated organisation – please click the link for further details about this prestigious award. Pathway To Excellence ® - University Hospitals Coventry & Warwickshire (uhcw.nhs.uk)
By joining our exciting journey, you will form part of a passionate, talented team and will be able to access a wide range of learning and development opportunities. There has never been a better time to join our team.
The Trust is committed to building an organisation that makes full use of the talents, skills, experience, and different perspectives available in our diverse society. We want everyone to feel they are respected, valued, can achieve their potential and receive the most appropriate and relevant care. We will create an environment where the equality and human rights principles of fairness, respect, equality, dignity and autonomy are promoted and are part of the organisation’s core values.
Communication
Demonstrate excellent communication and negotiation skills in situations which may be complex, highly sensitive and emotive. The principles of data protection, dignity and confidentiality will underpin all communication.
Represent UHCW at external meetings with stakeholders.
Lead on virtual ward rounds with the wider multi-disciplinary team.
Confidentially communicate with patients, carers and family.
To be able to sensitively communicate bad news
Adopt and promote the highest level of verbal, non-verbal, written and electronic communication skills. Be open and honest, act with integrity and uphold the reputation of the profession as directed by the Nursing Midwifery Council (NMC, 2015).
Take responsibility for initiating and/or engaging in open discussion with statutory and voluntary agencies and all members of the wider multi-disciplinary team as appropriate
Ensure effective communication to support continuity of care on transfer between hospital, community, residential and nursing care settings and vice versa.
For further details of the role please see the attached job description

Please refer the Job description for details