Healthcare Answers

This is the place to quickly get the answers to all your common healthcare questions. 

From funding and provision to support and regulation, our FAQs are designed to quickly answer the most common care queries that individuals, organisations and those pursuing a healthcare career may have.

 

Job Seeker Q & A

How do I apply for a job at Newcross?
If you've got the skills and the experience we want to hear from you. Go to the jobs section on our website and use the search function to find one that appeals to you. Click apply to begin the process.
What should I bring to an interview?
You should bring I.D in the form of a drivers licence, birth certificate or other legal proof of identity. As well as that you should also bring something that shows your address. Every Newcross staff member must pass an enhanced criminal record check and a thorough referencing of the past three years of their work history and / or studying. This includes those staff members who re-join Newcross (which happens a lot), who have to submit new reference details for their period of absence.

It's at this point we also check that every employee has a valid moving and handling certificate, and if not we book them in to complete this training.
What happens in the interview?
First off you will have a telephone interview. You will then have an in-depth face to face interview with either the Business Centre Manager or Team Leader. This is your opportunity to demonstrate your knowledge and passion for care, and crucially a chance for us to assess if you are the right fit for Newcross.

Registered Nurses are taken through a skills check list by a Nurse Recruiter, or the Business Centre Manager themselves if they are a qualified nurse.
Am I guaranteed hours?
Treating our staff well is at the centre of what we do. At Newcross we hire permanent staff. It is important for us to provide stability to our people, we are not and never have been a 'zero hours' employer. All of our healthcare professionals have minimum hours guaranteed in their contracts, giving them the security of a steady income.

Client Q & A

What sort of care does Newcross provide?
Newcross provides Nurses and Carers to care homes, prisons, schools, nursing homes, in house live in care, learning & disability units and private hospitals. We also provide Complex Care for those who need it.

As well as the above, Newcross can also provide specialist support such as providing care for you or a family member that has just returned from hospital. Whether you need full 24-hour support from a team of nurses and healthcare assistants, or just a few drop-in visits every day to assist with your personal needs, we can accommodate you. We don't offer 15-minute visits because we don't feel that short amount of time can allow a carer to deliver the high standard of care we pride ourselves on.
What is live in care?
Staying in your own home during a time of healthcare need is central to your quality of life. It’s the place where you are most comfortable being and being cared for in your home is beneficial to your-wellbeing and sense of feeling fulfilled in life. The care we provide includes:

• preparing and cooking meals
• running errands and getting shopping
• taking you out in the local area
• collecting your prescription
• changing and washing bed linen
• light cleaning
What is End of Life care?
End of Life care refers to the caring of patients in the final hours or days of their lives as well as care for those with a terminal condition or terminal illness that has advanced and is incurable.

We understand such times are extremely challenging for all of those concerned. Our experienced nurses, healthcare assistants and home carers will work together to ensure your end of life care respects your wishes. We will work closely with your palliative care team to put you in control of your care, which includes keeping your family informed if you want.

Whatever combination of needs you have for pain relief, nutrition management and personal care, we can create a care plan for you that protects your dignity and supports your changing needs. Your local clinical assessor will be on hand to adjust your care plan should you require it, and re-assess you as necessary.
Do you provide carers if I go on holiday?
The care you're receiving from Newcross doesn't have to stop if you want to go on holiday. Whether you want to go away alone or with family, we can help you plan your care around your holiday, and not the other way around.

Newcross Healthcare’s nurses and carers can travel with you, out of uniform if you prefer, to ensure your time away as relaxing and restful as you would like. We will ensure you have the support you need throughout your trip, starting with a full risk assessment and staffing plan.
What is Complex Care?
Clients receiving complex care have substantial and ongoing healthcare needs. These can be the result of chronic illness, disabilities or following hospital treatment. We provide high quality, complex care in the home to clients with a range of complex healthcare needs. From brain injury, congenital disease, spinal injury and other conditions we provide a tailor made approach to support our clients. Our healthcare teams also provide personalised care plans for those with mental illnesses such as dementia.
What happens when I enquire with Newcross?
Firstly, a member of your local branch team will respond to your enquiry to find out a little more about your requirements, and also to book a visit for a Clinical Nurse Assessor at a time that’s convenient for you. Our Clinical Nurse Assessors are highly experienced in tailoring care services to your needs and are more than happy to discuss any concerns you have.

Then we’ll go through all the options available to you and show you a little about how we work so that you can understand how our leading edge technology and local branch teams will support your care.

Once your care plan is agreed, we’ll arrange regular reviews with you to ensure that your needs continue to be met and address any changes in your requirements or preferences.
Can I get support to pay for care?
If you have been assessed as needing care services, you may have the option to receive funding as part of a personal health budget. For more information click here.
What are Direct Payments?
Unique to Scotland, Direct Payments are local council payments for people who have been assessed as needing help from social services, and who would like to arrange and pay for their own care and support services instead of receiving them directly from the local council. A person must be able to give their consent to getting direct payments and manage them, even if they need daily help to do this.
Does Newcross accept Direct Payments?
Yes! Newcross Healthcare accepts Direct Payments for homecare services.
How do I get Direct Payments?
You can only get Direct Payments if you’ve been assessed by your local council social services as needing care and support services.

Whether you are the person who needs the services, a parent of a disabled child or an attorney or guardian you must agree before you can get Direct Payments. You can get as much help as you need to make that decision.

Your local authority will only give you Direct Payments if it is satisfied that you will be able to manage them. You can however get as much help as you need to manage the payments. Your local authority will be able to tell you more about managing payments and where you can get help locally.
What is a Personal Health Budget?
A Personal Health Budget is an amount of money granted to an individual to support their healthcare and well-being needs. They are arranged through local NHS teams and local authorities; they will plan and agree on a PHB with the individual receiving it, or their representative. Personal Health budgets (PHB) were introduced in October 2014 for adults receiving NHS continuing healthcare, and children receiving continuing care. They aim to give people who require long-term health care support, more control and choice over how they receive their care and who provides it.
How do I claim a Personal Health Budget?
A Personal Health Budget (PHB) is based around a care and support plan, which identifies health and wellbeing goals. This plan will be developed by the individual receiving funding, in collaboration with the local NHS team or local authority team to set out how the budget will be spent to fulfil these goals. The budget can be managed in a number of ways:

By a trust or third party organisation who will buy the appropriate care and support once agreed with the individual.

By the individual who can receive the PHB as direct payments.
Where can I find out more information?
If you would like further information about Personal Health Budgets, it’s best to contact your local NHS team who help you most often with your care, e.g. your GP or care manager. For more information about funding care please visit:

England www.england.nhs.uk/healthbudgets
Scotland www.careinfoscotland.scot
Wales www.gov.wales/topics/health/socialcare/directpayments

Nurses and Carers Q & A

What is a Care Plan?
A Care Plan is used to provide direction on the type of care an individual/family/community may need. The primary objective of a nursing care plan is to facilitate standardised, evidence-based and holistic care.
Why is a Care Plan important?
A Care Plan sets out how a person’s care and support needs will be met.

The client should be fully involved in the preparation of a Care Plan. The Care Plan must set out:

• the needs identified by an assessment
• whether, and to what extent, the needs meet the eligibility criteria
• the needs that the authority is going to meet, and how it intends to do so
• for a person needing care, for which of the desired outcomes care and support could be relevant
• for a carer, the outcomes the carer wishes to achieve, and their wishes around providing care, work, education and recreation where support could be relevant
• the personal budget
• information and advice on what can be done to reduce the needs in question, and to prevent or delay the development of needs in the future
What should be in a Care Plan?
A Care Plan typically covers the following –

Mobility – How easily can a client move? Are there are mobility aids such as hoists or winches? Are there structural adaptations to a property such as hand rails to consider?
Nutrition – What eating and drinking requirements does the client have? Do they have difficulty?
Health Conditions - What health conditions does the client have?
Skin Care- Some clients may have skin conditions that require treatment via lotions and moisturisers.
Medication – What medication does the client need?
Breathing – Does the client have difficulty breathing? Do they breathe via a ventilator, require oxygen or have had a tracheostomy?
Communication – Does the client have difficulty with speech and/or language? Do they have learning difficutlies? Do they speak another language? Do they have any special requirments in order to communicate e.g sign language.
Washing & Dressing – Does the client have difficulty washing and dressing themselves?
Sleeping – Does the client have special requirements when it comes to sleeping? Do they have difficulty sleeping? Is there a routine?
Carer Attributes – Does the client have special requirements in terms of the carer supplied, e.g gender, language etc.
Spirituality – Does the client have any religious needs?
What are the 6Cs?
The 6Cs are a set of values that underpin compassion in practice, for all health and care staff.

1. Care
2. Compassion
3. Competence
4. Communication
5. Courage
6. Commitment
What training do I need?
By the time we invite someone to join the Newcross team, they have been thoroughly vetted, but also crucially, trained in how to deliver the Newcross service. Everyone completes the Newcross induction programme before working their first shift, and in the instances where they will be working with a client who has complex needs, they will also be given a full introduction to that client and their care plan by the existing staff members and Clinical Assessor.

Our commitment to providing excellence in every aspect of our service underpins our rigorous recruitment process. Just one in eight applicants makes it through to wear the Newcross uniform, so you can be sure that individual is going to provide the Newcross standard of service you expect.

General Health Q & A

What is Dementia?
‘Dementia’ is a set of symptoms that can include difficulties with thinking, problem-solving or memory loss and negatively impacts on language. It is caused when a disease damages the brain. The changes often start off small, but for someone with Dementia, they have become severe enough to affect their daily lives. Dementia can also cause someone with the condition to experience changes in their mood or behaviour. The symptoms will vary depending on which part of the brain is damaged.
What is Alzheimer's?
Alzheimer’s is the most common type of Dementia in the UK. The exact cause of the disease is unknown but it is most common in the elderly and those with a family history of the condition. Alzheimer's is a progressive disease meaning that it gradually damages parts of the brain. As this happens, more symptoms develop and grow more severe.
What is Parkinson's disease?
Parkinson's disease is the result of a loss of nerve cells in part of the brain called the substantia nigra. These cell losses lead to a reduction in the chemical dopamine in the brain. Dopamine plays a vital role in regulating the movement of the body. The symptoms of Parkinson’s include:

- Changes in memory, concentration and judgement
- Trouble interpreting visual information
- Muffled speech
- Visual hallucinations
- Delusions, especially paranoid ideas
- Depression
- Irritability and anxiety
- Sleep disturbances, including excessive daytime drowsiness and rapid eye movement (REM) sleep disorder
What are the signs of a stroke?
Healthcare workers are trained to use the FAST test to identify the signs of a stroke.

F - is for Face. The face may have dropped on one side, the person may not be able to smile, or their mouth or eye may have drooped.
A – is for Arms. The person with a suspected stroke might not be able to lift both arms and keep them there due to weakness or numbness in one arm.
S – is for Speech. A stroke sufferer may experience slurred or garbled speech. They may also not be able to speak at all despite being conscious.
T – is for Time. On discovery of a stroke time is of the essence. If a person is displaying the above symptoms then call the emergency services as soon as possible.

As well as the FAST symptoms a stroke can also be identified by:

• total paralysis down one side of the body
• dizziness
• blurred vision
• difficulty understanding what people are saying
• difficulty with balance and co-ordination
• A problem with swallowing
• A severe headache with intense pain
• loss of consciousness
What are the signs of a heart attack?
The symptoms of a heart attack include-

Pain moving through the body. When suffering a heart attack, you might feel pain moving from the chest to the arms. Normally it is the left arm being affected, but in some cases, both are impacted. As well as the arms pain could be felt in the abdomen, back, neck and jaw.

• Feeling dizzy and light headed.
• Profuse sweating.
• Feeling sick or nauseous.
• Coughing and difficulty breathing.

Sometimes during a heart attack, the pain can be intense. However, some people experience no pain at all.
What is blood pressure?
When the heart beats, it pumps blood around the body to provide it with the energy and oxygen it needs to function. As the blood is moved, it rubs against the sides of the blood vessels. The force of the pushing is your blood pressure. If the blood pressure is too high, it put extra strain on the arteries and in turn on your heart. Too high a pressure and this could lead to strokes and heart attacks.

Blood pressure is measured in millimetres of mercury and is shown as two figures. The first number represents systolic pressure which is the pressure when the heart pushes blood out. The second figure is the diastolic pressure which is when the heart is resting between beats. An example of this is – 130/90mmHg
What is an ideal blood pressure?
The ideal blood pressure is typically between 90/60mmHg and 120/80mmHg. A high blood pressure is considered to be 140/90mmHg or over. A low blood pressure is considered to be 90/60mmHg or below.
What is the recovery position?
If someone is unconscious and is breathing you should put them into the recovery position to help keep their airway clear and help to prevent any fluid that could cause them to choke from doing so.
How do you put someone into the recovery position?
• Put the unconscious person on their back and kneel next to them
• Put the arm closest to you at a right angle to their body with their hand upwards, towards the head
• Move the other hand under the side of their head to ensure that the back of the hand is touching the cheek
• Next, bend the knee that’s furthest from you to a right angle
• Roll the person onto their side by pulling on the bent knee
• Open their airway by tilting their head back and lifting the chin. Make sure that nothing is blocking their airway
• Stay with the person until help arrives
When should you not use the recovery position?
Do not use the recovery position if you suspect that the person has suffered a spinal injury. If the airway does need clearing place your hands on either side of their head and gently lift the jaw in order to open the airway. Be careful not to move the head.
What should you do when someone is choking?
If a person’s airway is partly blocked encourage them to cough and spit out any objects in their mouth. In most instances coughing will clear the blockage.

If a person is suffering from a severe blockage there is a good chance that they will fall unconscious. This situation requires you to take action. Stand behind the person and slightly to the side. Next, support their chest with one hand then lean them forward so that the object will exit their mouth rather than slide deeper down the airway.

• Deliver five sharp blows with the heel of your hand to the centre of the shoulder blades.
• After five blows check to see if the blockage has been cleared. If it’s not clear then it’s time to try abdominal thrusts.
How do you do Abdominal Thrusts?
• Stand behind the person who is choking
• Place your arms around their waist and bend them forward
• Clench one hand into a fist and place it above the belly button
• Put your other hand on top of your fist and sharply pull inwards and upwards
• Repeat the movement up to five times.

If the person is still choking call 999 immediately and continue the cycle of five back blows and abdominal thrusts. Keep in mind that this process can severely injure the choker and once the blockage is removed they should be checked over by their GP.
What are the different types of Nurse?
There are many different types of nurses, each specialising in a specific field of care. Newcross Healthcare, however, employ the following:

Registered General Nurse (RGN)

A Registered General Nurse (RGN) is a nurse that has completed a three-year training course in nursing. Normal this is achieved via a Bachelor’s Degree in Nursing or qualification that covers all areas of nursing care. Once qualified, they can then register with the United Kingdom Central Council for Nursing.


Registered Mental Health Nurse (RMN)

Registered Mental Health Nurses (RMN) provide support to people suffering from various mental health conditions. The work involves helping the patient to recover from their illness or to come to terms with it in order to lead a positive life. As with a RGN a RMN will need to have a degree or equivalent qualification in nursing.


Paediatric Nurse

A Paediatric Nurse plans, assesses and provides specialist nursing care and support to children. As with a RGN a Paediatric Nurse must have a degree or equivalent qualification in nursing. Many nurses work within the community, supporting families that are caring for sick children at home.


Learning Disabilities Nurse (RNLD)

A Learning Disabilities Nurse (RNLD), assesses and provides specialist care to people with learning difficulties. Their main role is to support families and carers in promoting a healthy lifestyle and the independence of people in their care.