- Community Services
- Band 5
- 37.5 hours per week
- CORP Buurtzorg Model
- £26,554 to £34,495 per annum inc HCA
- 30/05/2018 23:59
ELFT (East London NHS Foundation Trust) is making a positive difference to thousands of people’s lives, providing support so that they can fulfil their potential and enjoy healthy lives.
ELFT has been named one of the HSJ Top 10 best places to work in healthcare, HSJ Provider Trust of the Year and graded as Outstanding by our regulator, the Care Quality Commission (CQC) in 2016. We believe that staff who feel valued by the Trust and are truly engaged in the organisation deliver better outcomes for our patients.
We have set ourselves the mission of providing the highest quality mental health and community care in England, and have embarked on an ambitious Quality Improvement Programme to transform the culture of the Trust to one of continuous improvement, delivered through participation of all staff and with service users, carers and families at the heart of our efforts to improve.
Geographic areas our services cover
ELFT provides a wide range of community and inpatient services to children, young people, adults of working age, older adults and forensic services to the City of London, Hackney, Newham, Tower Hamlets, Bedfordshire and Luton. We provide psychological therapy services to the London Borough of Richmond, as well as Children and Young People's Speech and Language Therapy in Barnet.
In addition, the Trust provides forensic services to the London Boroughs of Barking and Dagenham, Havering, Redbridge and Waltham Forest, and some specialist mental health services to North London, Hertfordshire and Essex.
The specialist Forensic Personality Disorder service serves North London and the specialist Chronic Fatigue Syndrome/ME adult outpatient service serves North London and the South of England.
The Trust's specialist Mother and Baby Psychiatric Unit receives referrals from London and the South East of England.
Neighbourhood Care Team FAQs
- What is a Neighbourhood Care Team?
The Neighbourhood Care Team (NCT) will be a self-managing team piloting a test and learn project proposed by Tower Hamlets Together, hosted by East London NHS Foundation Trust. The project is based on the concept of a non-profit Dutch home-care organisation (Buurtzorg) which has garnered international attention for delivering high-quality care through the deployment of self-governing nurse teams in the community.
Neighbourhood care nurses will provide community nursing services and also support patients with holistic care including personal care and working with unregistered staff to provide care in patients’ home.
- Why are we doing this?
We are doing this project because we genuinely care about continually improving the quality of care we provide for our patients in Tower Hamlets. We have developed this pilot as part of the Tower Hamlets Together vanguard programme and funding from Health Education North Central and East London (HENCEL), bringing aspects of the Buurtzorg model to Tower Hamlets and working within our systems of regulation and governance .
Using the vanguard programme as a driver will allow us to learn about the model in a UK setting and to constructively challenge some of the regulatory framework that might have unintentionally become a barrier to the safe and effective delivery of compassionate care by motivated staff. We will expect the team to participate in evaluation of the pilot as it evolves.
- How much of this work is already decided?
Groups consisting of representatives from both health and social care continue to meet to lay sound foundations for this way of working for the pilot team. Once appointed, the team will decide how care is provided to patients, allowing for greater flexibility and improving staff and patient satisfaction.
- What is the size of the team?
The team will comprise a maximum of 12 staff members from various bands (i.e. Bands 3, 4, 5, 6 and 7) and will be recruited gradually.
- How will the team function?
The team will cover a small geographical footprint aligned to a GP practice, operating seven days a week, 365 days a year. They will have the freedom to plan their hours around the needs of service users. Referrals will be received from the GP practice the team covers, hospital social work teams and inpatient services, the Council Assessment & Intervention Team, and Community Health and other CHS teams (via the single point of access). The NCT will determine its own scheduling and rotas, ensuring that care is delivered by team members with the right level of qualification, skill and knowledge for the circumstances. The team will have its own cost-centre, with its own pay, non-pay and training budget. Some foundation thinking will be made available for the team in the Practice Framework which the team will build upon once it starts functioning.
- What will we do differently?
Nurses will provide holistic patient-centred care that focuses on the patient’s needs, including personal care. This will help reduce the prevalence of conditions such as pressure ulcers and prevent unnecessary/unplanned hospital admissions for those with a long-term condition by early identification and intervention. It will also ensure that the patient only has to tell their story once, and help reduce duplication of care and improve communication. The team will work collaboratively with formal and informal networks to ensure provision of holistic patient-centred care that promotes self-management, patient engagement and improves overall patient and staff satisfaction.
- What will be the maximum caseload for the team?
We will take new referrals from the beginning and build up the caseload gradually to a maximum of 60 patients.
- What happens when we reach our maximum caseload?
The team will have a discussion on who is best placed to see the patient among the interdependent services but will not create a patient waiting list.
- What happens when patient’s nursing intervention ends, but the patient still needs
- continuing personal care?
As part of the patient’s plan, the NCT will work closely with the Link Social worker to carry out an assessment under the Care Act and develop a course of action with the patient and professionals.
- Where will the NCT be based?
The NCT will be ideally be based in a small self-identified office space in the neighbourhood that they are covering. Part of the autonomy and freedom given to the team will be to be able to find and choose its own base and the furniture therein! This has proven to promote great team building spirit and joint ownership of the team.
- Who will manage the NCT?
The Team will be self-managing with access to a Coach whose role is to support and guide the team to find their own solutions to issues arising and find answers to their questions. The Coach will support the team to work collaboratively and co-operatively. The Coach is not part of the team composition.
- What support would the NCT receive?
As part of its orientation, the team will visit the Netherlands for a week to understudy the Buurtzorg Nurses. The team will also have access to a mentor who is likely to be a senior nurse within the Trust with experience of the Trust, the partnership, and community nursing. The role of the mentor will be to provide support with understanding how the team should function in the context of the organisation, where there is flexibility and where there is not, and how to navigate the organisation and system effectively.
- How will patients benefit from this way of working?
The benefit to the patient with this new approach is that the team in place identifies solutions quicker for the patient, improves independence and streamlines care more effectively and. This personalised attention and team approach will allow individuals to stay in their homes and communities for as long as possible, and receive the support they need to become more independent.
- What will this way of working mean for me as a nurse?
This way of working will give you job enrichment and job satisfaction which most nurses yearn for.
You will have professional autonomy and responsibility that comes with peer support in self-managed teams. This promotes flexibility and improves staff satisfaction. As part of our planning, we ran two open sessions in November 2016. Below are some of the comments made by the participants at the sessions:
- “As a district nurse of many years of experience, the frustration resulting from fragmented care in health and social care made me to think of what could be next in nursing perhaps taking a bow out! But hearing about Buurtzorg gives me hope. The excitement of a team that can do it all, and empower patients who may want personal health budget, and may be able to do that if they wish”.
- “Fantastic opportunity for Healthcare support workers whose ability can be reassessed but bureaucracy is holding them back”.
- “Currently as nurses, we are frustrated at not being able to work to the standard we like because of the number of patients we have to see and how far we have to travel. This way of working will enable us to enjoy our work again”.
- What happens after the Test and Learn project?
At the end of the project you may have the opportunity to remain working as a community nurse in East London NHS Foundation Trust.
You must have appropriate UK professional registration.
The postholder will have regular contact with vulnerable people and as such this post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to download
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Further details / informal visits contact
For more information on the Neighbourhood Care Team in Tower Hamlets, please contact Caroline Ogunsola, Transformation Lead at c.ogunsola@.nhs.net or call 07901 009 092.
If you have problems applying, contact