Job Description

This is a unique opportunity to be part of Oxleas NHS Foundation Trust and to work at in some of the largest prisons in the UK. You will assist us to provide excellent primary care and emergency response within the prison environment.



Offenders are a challenging population group to work with and they often have complex healthcare needs. Offenders often have chaotic lives in the community and a history of poor engagement with community healthcare services. With high rates of substance misuse and mental health problems, this is a real chance to make a difference.



As part of the role you will be required to work at least two days in a 6-week period to have supervision, talks with colleagues, attended team meetings etc. You will provide high quality emergency care and minor injury treatment to patients with both primary care and acute care needs in a prison setting by planning an active part in the assessment, planning, implementation and evaluation of the patients care.

Please note:

This is an opportunity to join our Bank and work on an 'as and when required' basis. The availability of Bank work cannot be guaranteed. The duration of each Bank booking varies.

We have 7 prisons in Kent:

HMP Elmley, HMP Swaleside and HMP Standford Hill are all located on the Isle of Sheppey.



HMP Rochester, HMP Cookham Wood, HMP Maidstone and HMP East Sutton Park are in West Kent.



As an Advanced Emergency Care Practitioner (AECP) / Paramedic you will deliver high quality care, ensuring standards are consistently high. You will do this by being competent and having the knowledge to deliver comprehensive assessment, planning, implementation and evaluation of care.



Oxleas - About Us



Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.



We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.



Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:



We're Kind

We're Fair

We Listen

We Care



Key Task and Responsibilities



Management responsibilities



To lead in the implementation of effective and appropriate patient centred care planning tools / Care Programme Approach (CPA) and consistent delivery throughout all the prisons and forensic units within the service.

To work autonomously across the healthcare settings ensuring all junior staff receive appropriate supervision

To attend and manage medical emergencies being first point of contact for patient care.

The post holder will participate in all service reviews as required .



Leadership



To demonstrate and provide robust clinical leadership to junior staff with a sound understanding of evidence-based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis.

To lead in the professional clinical supervision programme, to ensure all junior staff receive appropriate supervision, training and annual appraisal to ensure that it becomes an integral part of team practice.

Lead in the identification of all aspects of specific service, training and personal development needs.



Clinical



As an Oxleas AECP / Paramedic you will ensure that care is always delivered in collaboration with the key people involved and will provide support and information to the people in your care and to their carers where appropriate.

You will be directly involved in handling and administering prescribed medication and controlled drugs and involved in procedures where you are expected to be appropriately trained and competent i.e. suturing and wound care.



You will monitor physiological observations by undertaking a full assessment using a structured and prioritized approach and the recognition of the acutely ill patient e.g. ABCDE approach, ECG recognition, pathways for CVA and the diagnosis and referral of a range of cardiac conditions.

You will complete all patient documentation associated with an episode of patient using Systmone clinical record.

The post holder will exercise a degree of personal and professional autonomy, make complex and critical judgments under the management of the Primary Care Clinical Lead and have decision making skills to satisfy the expectations of the role



Research



To support and undertake research, clinical audit and evaluate the service as directed. This will include acute care, long term conditions management and health promotion activities and be in line with the NHS Plan, public health and National Service Frameworks.

To participate in all monitoring systems to promote the development of evidence based practice in the specialist field and to promote research as appropriate.



Communication



You will be committed to establishing good working relationships with other professionals and partner organisations involved in providing that care and will work closely with the multidisciplinary team, providing excellent written and verbal feedback on the people in your cares progress.

You will be a competent and skilled communicator, listening and being involved in shared decision making and will appreciate the cultural diversity of your client group and the stigma that can be related to health issues.

This role requires a Registered Nurse / Paramedic to work as part of a team delivering care to patients within the prison.

You will communicate report and document the patients' history, condition and treatment to a full range of medical staff including colleagues, nurses and doctors as appropriate.

You will be expected to liaise with local hospital wards where prisoners are admitted as well as undertaking hospital ward visits to support discharge and continuity of care within the prison.



Custodial Responsibilities



Assume personal responsibility for the security of issued keys.



Understand and comply with prison orders, procedures, and instructions in your area of work.



Comply with all security requirements.



Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate.



Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol.



Contribute to effective risk assessment and management procedures.