Advanced Primary Care Practitioner/ Community Matron LCH

Job responsibilities

The Key Responsibilities (Community Matron - LCH and WHPCN)

1. Clinical

1.1. Utilises advanced specialist knowledge covering a range of procedures underpinned by relevant broad-based knowledge, experience and competence.

1.2. Develops and maintains new skills in extended scope practice in response to emerging knowledge and techniques.

1.3. Where appropriate to service delivery, demonstrates highly developed physical skills which require specific training or considerable experience to attain the level required e.g. advanced moving and handling techniques, advanced clinical assessment, clinical procedures, diagnostic tests

1.4. Demonstrates independent practice responding to social, scientific, clinical and ethical issues which are encountered.

1.5. Makes complex judgements requiring analysis, interpretation and comparison of options by integrating complex knowledge sources in new and/or unfamiliar contexts and determining the appropriate application of clinical guidelines relevant to patient needs.

1.6. Responsible for developing new and innovative clinical pathways across the broad health and social care context.

1.7. Engages and actively involves the individual and, if appropriate, their family/carer, in the assessment, planning, implementation and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of self-care, involvement and empowerment

1.8. Works to standards of advanced proficiency identified by their professional and regulatory bodies performing clinical treatments/procedures to a highly specialist standard.

1.9. Prioritises their own workload within agreed objectives deciding when to refer to others as appropriate.

1.10. Provides and receives highly complex, highly sensitive or highly contentious information where motivational, persuasive, empathetic, negotiating and reassurance skills are required whilst demonstrating an understanding of barriers to communication.

1.11. Approaches each individual with care, compassion and sensitivity ensuring that these values are reflected in all aspects of the role including the management of compliments and complaints.

1.12. Acts as a highly specialist source of information and support for other professionals and agencies across the broad health and social care context

1.13. To comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code for staff with a direct care delivery role

2. Leadership

2.1. Ensures that a professional service and image is maintained at all times, thereby acting as a role model to all staff

2.2. Provides a leadership style which is underpinned by strongly held values around equality, diversity and openness; effectively builds and maintains relationships with direct report(s), management team and other key individuals across the organisation.

2.3. Ensures the effective and efficient use of resources (e.g. staff, supplies within their own sphere of responsibility) by acting as authorised signatory including working with operational managers to agree service budgets

2.4. Demonstrates leadership and innovation in contexts which are unfamiliar, complex, and unpredictable that require solving problems involving many complex interacting factors.

2.5. Ability to delegate, organise and prioritise to ensure the safe delivery of the service including the management of referrals and discharges utilising locally agreed support mechanisms e.g. on call manager and making judgements in complex situations

2.6. By actively participating or leading multi-disciplinary or multi-agency work streams, the post holder will propose and develop clinical policies and/or service developments which have impact on other disciplines, services or agencies.

2.7. Demonstrates resilience when responding to challenge, change and complex or difficult situations.

2.8. Demonstrates clinical leadership, initiative and creativity in developing a broad range of projects or plans and inspiring others to be positive in their contribution to continuous improvement and innovation, including adjusting plans where necessary.

2.9. Clearly articulates the expected clinical standards of the service, monitors and identifies where standards are not met and takes action to address these holding people to account where necessary.

2.10. Ensures that all objectives, for self and those directly responsible for, are clearly defined within the wider Directorate framework and in line with Trusts objectives, using the appraisal process as a vehicle for this.

2.11. Takes responsibility for their own and others health and safety in the working environment.

2.12. Ability to represent the service at relevant local or regional clinical forums.

3. Learning and Development

3.1. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques within the clinical area and demonstrates competence within professional body requirements.

3.2. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision.

3.3. Contributes to research and development programmes appropriate to clinical practice.

3.4. Shares good practice and promotes the organisation through presentation, publication and submission for relevant awards.

3.5. Devises and delivers specialist training and development programmes within team and to other services, teams or agencies.

3.6. Provides high quality, specialist advice related to clinical specialism to other practitioners, agencies and individuals.

3.7. Ensures appraisals for direct reports are undertaken in accordance with Trust policy; manages performance which falls below standard in accordance with the appropriate HR policies and processes seeking support from senior staff where required.

4. Partnership and Team Working

4.1. Works in partnership with other agencies and disciplines to effectively manage complex cases whilst focusing on individual client need.

4.2. Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust including with other agencies and Higher Education Institutions

4.3. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships in order to enhance service delivery and make improvements to patient pathways.

4.4. Actively contributes to the multi-disciplinary team supporting the patient; acting as a credible source of information for other agencies/professionals involved in the care as required acting as a resource of highly specialist knowledge for others.

5. Innovation and Quality

5.1. Works with operational managers and corporate services to continually improve the quality-of-service delivery within the overall organisational governance frameworks and corporate objectives e.g. agreeing service standards and ensuring evidence is available to provide assurance on activity and quality

5.2. Implements, monitors and maintains agreed standards of care using a range of evidence and data sources to identify where improvements are needed.

5.3. Develops and implements policies and guidelines relevant to service area and ensures team members are aware of policy requirements.

5.4. Initiates and leads clinical audit ensuring that action plans are implemented.

5.5. Identifies, manages and minimises risks within the overall organisational risk management frameworks supporting other staff to contribute to the process. This includes understanding and applying knowledge of clinical role in safeguarding and incident management.

5.6. Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge; liaising and referring on to other services / agencies as required.

5.7. Ensures that patient experience is core to all clinical and service development gaining support from the appropriate corporate teams as required.

5.8. Develops and implements innovative clinical practice to contribute to the Quality Framework, outcome measures and best practice standards in order to deliver an effective, high quality service.

The post holder will be required to undertake any other duties according to the needs of the service.

This job description is not intended to be an exhaustive list of activities, but rather an outline of the main areas of responsibility. Any reasonable changes will be discussed and agreed with the post holder before any variations to the job description are made.

Qualifications

Essential

• Hold a Nursing qualification and NMC current registration.
• Degree level / Postgraduate level Advanced Practice qualification

Desirable

• Further professional development
• Recognised Non-medical Prescribing Qualification

Experience

Essential

• Eager to teach both formally and informally
• Recent experience of face-to-face patient care
• Experience of managing sub-acutely ill clients at Advanced Practice Level
• Experience of arranging clinical diagnostics
• Experience of admitting clients to Community Care Bed setting, the admission criteria and process
• Understanding and experience in safeguarding reporting and management of complex safeguarding cases
• Experience with escalation of patients and arranging hospital
• Understanding of patient management in Primary care/ community care setting
• Sound understanding of legal / professional implications of independent practice.
• Familiarity with computers and System One clinical system
• Sound knowledge of local primary care services including key players

Desirable

• Evidence of research or study into extended roles for nurses in primary care

Other

Essential

• Able to prioritise.
• Able to use own initiative.
• Understand team working.
• Eager to embrace change.
• Able to adapt to changing situations.
• Ability to think logically, to make decisions, cope with stress, and work with all levels of staff.
• To have clear speaking voice and fluency in written/spoken English
• Excellent communication skills.
• Good listening skills
• To possess imagination and intuition.
• To be confident in autonomous face-to-face patient interactions.
• Be able to demonstrate wide knowledge base.
• Is a car driver and has own transport.
• Ability to home visiting on own is essential with compliance to lone working policy.
• Mentoring, appraisal and line managing the paramedics and other colleagues.

Desirable

• Fluency in language(s) other than English

Disclosure and Barring Service Check

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 (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).