Remote Monitoring Service Nurse / Paramedic

• Managing Level 3 patient onboarding and discharge processes.
• Responding to digital platform alerts and identifying patients requiring urgent intervention.
• Supporting and supervising Clinical Support Workers, providing clinical advice and accepting escalated cases.
• Working collaboratively with GPs, community teams and wider multidisciplinary colleagues.
• Promoting self-management and empowering patients to take an active role in their healthcare.
• Contributing to service improvement, innovation and pathway development

• Level 3 onboarding and discharges
• Responding to digital platform red alerts
• Responding to escalated cases from other non-registered clinicians
• Clinical oversight for the non-registered clinicians
• Oversight of cases escalated outside of the Remote Monitoring Team

• This role encompasses the skills of leadership and clinical oversight of the Remote Monitoring Service, using telephone and video triage to carry out assessment and monitoring within an agreed scope of practice.
• To work collaboratively with the Clinical Head of Service Primary Care, Remote Monitoring Service Manager, Lead Nurse, and other service Clinicians and Clinical Support Workers. This may include covering each other, and in some cases working closely together and sharing a role.
• To provide clinical oversight and support of the non-registered Clinical Support Workers, accepting escalated cases, providing training and clinical advice to ensure patient safety at all times.
• To use advanced clinical skills to provide education to patients, promoting self-care, and empower them to make informed choices about their treatment. To participate in service development in conjunction with local colleagues and specialist practitioners as required
• To prioritise health problems and intervene appropriately, including initiation of effective emergency care via the most appropriate services.
• Promote health and well-being using health promotion, health education, screening, and therapeutic communication skills.
• To clearly communicate the health status of the patient using appropriate terminology and technology
• To work collaboratively with the patients own GP & multidisciplinary team responsible for their care where required
• To maintain accurate and contemporaneous records, utilising electronic systems and consider the Caldicott Principles in relation to all data handling.
• To provide professional advice to multidisciplinary colleagues in relation to specialist area of practice.
• To ensure adherence to the professional rules of conduct as laid down by the NMC (Nursing & Midwifery Council), HCPC (Health and Care Professions Council) or equivalent professional body.
• The Remote Monitoring Service will be run by North Hampshire Urgent Care working alongside other key external stakeholders. Governance Structures will be determined by North Hampshire Urgent Care. Within this structure, this role will be expected:
• To understand and comply with patient confidentiality as per Caldicott Guardianship Guidelines
• To undertake and comply with Data Protection Issues
• To undertake and comply with mandatory training as required
• To have a working knowledge of and comply with all organisational policies, procedures, and guidelines

• Oversight of the remote monitoring platform, to ensure patients are not missed from the appropriate level of escalation/follow up.
• Participation in team meetings to discuss patients on the Remote Monitoring service as required
• Ensure accurate notes of all consultations and treatments are recorded in the patients notes on the clinical computer systems as appropriate.
• Ensure accurate completion of all necessary documentation associated with patient health care including EMIS Web.
• Keeping up to date with service information sent by email.

• Maintain effective liaison with other agencies and staff concerned with patient care and with all other disciplines with appropriate regard to confidentiality.

• While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, staff, and other healthcare workers. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers may only be divulged to authorised persons in accordance with policies and procedures relating to confidentiality and the protection of personal and sensitive data
• Adhere to the NMC, HCPC (or equivalent body) Code of Conduct

• Using personal security systems within the workplace
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Reporting potential risks identified

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Service procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload, and resources.

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise people's needs for alternative methods of communication and respond accordingly

• Apply policies, standards, and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Participate in audit where appropriate

Essential

• Proficient in using standard office software (e.g., Microsoft Office, email, databases)
• Ability to respond to unwell patients and adapt communication styles to overcome barriers to successful consultation
• Demonstrates ability to lead, motivate, or supervise others. Supports performance management and contributes to team development.
• Flexible in approach to the needs of the service and responsive to change
• Understands and supports principles of equality, diversity, and inclusion in the workplace.
• Self-motivated, able to work independently, organising and prioritising own workload to changing and often tight deadlines
• Works effectively as part of a team, supports colleagues, and contributes to shared goals.
• Excellent verbal and written communication skills. Ability to work collaboratively, manage time effectively, and maintain professionalism.
• Ability to build effective working relationships, demonstrate professionalism, and maintain confidentiality. Shows initiative, reliability, and adaptability.
• Excellent liaison and negotiation skills
• Willingness to work flexibly (including weekends) to meet the needs of the service

Essential

• Current and full membership with a professional registering body (NMC, HCPC)
• Educated to degree level
• Evidence of post-registration training relevant to long-term conditions, urgent care or remote monitoring

Essential

• Significant clinical experience working autonomously
• Experience managing initial patient contacts within a clinical setting (dealing with undifferentiated demand), with clinical decision making and risk assessment.
• Experience working within urgent care, primary care, same day care or integrated urgent care services
• Experience of leading, supervising or managing non-registered clinical workforce
• Expert in managing workload and that of others in a fast paced and unpredictable environment

Desirable

• Experience working within a Remote Monitoring Service, virtual wards or telehealth services
• Experience managing service users with frailty
• Proven track record of service development, transformation or pathway development programmes
• Experience of supporting CQC inspections, regulatory compliance or quality assurance processes