Job summary
Nottingham City Care is looking for an innovative & dynamic Community Matron to join our new virtual ward team within Nottingham City.
Virtual wards are a national initiative and defined as "A Virtual Ward is a safe and efficient alternative to NHS bedded care which is enabled by technology" NHS England and NHS Improvement.
Nottinghamshire Integrated Care System, aim to deliver this through a Nottinghamshire wide provider collaborative, incorporating Sherwood Forest Hospitals, Nottingham University Hospitals, Doncaster & Bassetlaw Hospital, Nottinghamshire Healthcare and City Care to deliver an ambition of 400 - 500 beds across the Nottinghamshire by Dec 2023.
Our Community Matrons will be an integral part of our virtual ward providing clinical expertise and knowledge to our patients and fellow clinicians. They will be providing care and support for to patients for up to 14 days that have an acute illness that can be treated in their own homes. The aim is to reduce hospital admissions. The matrons will also be providing care and support to patients that will be discharged from hospital that are medical unwell but stable and allowing them to be discharged back to their own homes earlier reducing the number of days that are staying in hospital.
The Community Matrons will work Mon-Friday and will be part of the wider multi-disciplinary team, working alongside Senior Nurses, Assistant Practitioners, Consultants, OTs, Physios, Pharmacists, Secondary Care and Social Services.
Main duties of the job
As a community matron you will undertake a variety of tasks and responsibilities, including:
The Non Medical Prescribing V300 qualification is desirable, but willingness to undertake the course within 1 year of appointment to post is essential.
- Carrying out comprehensive physical examinations.
- Planning and carrying out treatment, including the prescribing medicines, or refer patients to an appropriate specialist.
- Using their expert knowledge and clinical judgment to identify the potential diagnosis and where appropriate make a final diagnosis.
- Using their extensive practice experience to plan and provide skilled and competent care that meets patients' health and social care needs, involving other members of the healthcare team as appropriate.
- Ensuring the provision of continuity of care, including follow-up visits.
- Assessing and evaluating, with patients, the effectiveness of the treatment and care provided and make changes as needed.
- Providing leadership, supervision and mentorship to colleagues in the team and students.
- Making sure that each patient's treatment and care is based on best practice.
- Working as part of multi-professional and multi-agency teams.
This role is working 22.5hrs (3 days) between Monday and Friday 9am-5pm
If you are interested in the post please contact Charlene Johal, Lead Matron on 07557 491718 or C.johal@nhs.net if you require any further information.
About us
We are a provider of NHS Community Health Services, CityCare exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a value driven, people business with a passion for excellence. Our vision and social purpose is to make a difference everyday to the health & wellbeing of our communities and our values of kindness, respect, trust and honesty lie at the heart of everything we do, guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in peoples lives.
CityCare value the benefits of a diverse and inclusive workforce. We encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact Human Resources on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
Virtual wards support patients, who would otherwise be in hospital, to receive the acute care, remote monitoring and treatment they need in their own home or usual place of residence, otherwise known as Hospital at Home. Virtual wards provide acute clinical care at home for a short duration (up to 14 days) as an alternative to care in hospital. The overriding purpose of the Community Matron is to support the provision of the highest quality patient care to individuals whilst on the virtual ward pathway.
The post holder will support the / virtual ward registered staff and clinical team lead ensuring the delivery of high-quality patient care upholding patient dignity delivered with kindness and compassion.
Provide and monitor the nursing care for individuals on the virtual ward pathway, providing expert clinical case management for patients on the virtual ward with multiple long-term conditions, who are at risk of readmission. Plan, co-ordinate and deliver care as appropriate per the daily MDT, initiate and manage medical and nursing care interventions, lead care and co-ordinate partner agencies and stakeholders
Have a clinical role, with responsibility for planning, managing and co-ordinating the care of people with highly complex needs and long-term conditions within a defined caseload.
Role Context:
- To provide appropriate and effective care management through the virtual ward pathway unnecessary hospital admission from the Community managing the active caseload and providing necessary oversight and support
- To comprehensively holistically assess the needs of patients and carers, plan, implement and evaluate nursing care interventions
- Embrace multi professional and partnership working to facilitate co-ordination, promotion of optimum health and social outcomes independence and self-care
- Undertake virtual monitoring and escalate concerns to the daily MDT
- Will be responsible for holistic assessments, implementation of care, overall co-ordination of self-care management or care management
- Oversee junior members of the virtual ward team
Key Accountabilities
CLINICAL PRACTICE
- Using expert knowledge, advanced nursing and autonomous decision-making skills, manage a caseload of patients in the community/ Residential Care home setting
- Comprehensively and holistically assess, review and evaluate the needs of both patients and their carers to improve their physical and psychological wellbeing whilst reducing acute exacerbation of underlying conditions and need for hospitalisation
- Undertake virtual monitoring and use technology to help determine the health status of individuals
- Undertake clinical duties and maintain own clinical practice and competencies to a high standard
- Ensure that patients are assessed, treated and monitored in the most appropriate care setting for their needs at that time
- Initiate and implement pro-active care plans
- Work in partnership with patients, carers, virtual ward staff, secondary care, Integrated adult nursing teams, Residential care home staff, GPs, s, other health professionals and social care as appropriate to instigate diagnostic testing and therapeutic treatments, ascertain diagnosis, develop, initiate and implement proactive care plans
- Uses systematic processes of reasoning and reaches justifiable conclusions, including the rationale for establishing a differential diagnosis.
- Clinical monitoring of long-term conditions and appropriate treatment / actions in response to clinically significant changes in condition.
- To develop advanced specialist clinical skills to undertake interventions consistent with evidence-based practice in line with national and local policy
- Use knowledge of medicines management and prescribing skills to influence the reduction of risk and complications associated with medication and polypharmacy. To work closely with prescribing advisors and pharmacists as appropriate
SELF CARE
- The post holder will incorporate the concept of self-care wherever practicable (depending on client group and individuals level of cognition) into their practice and will be responsible for ensuring that all staff within their sphere of responsibility promote good health and enable patients towards self-care, independence and recovery.
PRIVACY & DIGNITY
- The post holder must ensure that caring with compassion is at the core of their practice. The post holder will act as a role model and will utilise their leadership skills to ensure that all staff treat patients in a compassionate manner demonstrating respect for their individual needs, privacy and dignity.
LEADERSHIP
- Provide leadership and Clinical Supervision to junior members of the virtual ward team, in support of Virtual ward team lead
- Establish clinical credibility to influence professional and organisational boundaries, acting as a role model for clinical excellence
- Working collaboratively and in partnership with other practitioners to lead developments in professional practice ensuring that care practices, delivery and service development are evidence based
- Initiate the interpretation of research findings, national and local policy, assessing the implications for the profession in collaboration with service manager
- Encourage and support innovation, extensive networking, mentorship to professionals, exploration of new ways of working and sharing of expertise
- Provide professional support and advice to colleagues and senior managers within the organisation
- Contribute to the workforce and local delivery planning processes within the virtual ward pathway
- Advise on professional standards and contribute to the clinical governance of the organisation
COMMUNICATION
- Effectively communicate with the daily MDT, virtual ward colleagues, wider Integrated Teams, patients and carers to ensure that the patients needs are identified, addressed, and appropriate information and advice is provided on discharge from the virtual ward
- Facilitate effective communication between Primary, Secondary, Community, Social Care and Voluntary settings to promote best possible outcomes.
- Maintain contact with the patient if she/he is admitted to hospital and give the unit treating the patient the information they need to ensure integrated and consistent care is maintained.
- Maintain high standards of documentation in line with NMC and trust policies and procedures
- Ensure the implementation of the Virtual Ward concept for management of the most complex patients within the community
PERSONAL, PROFESSIONAL DEVELOPMENT
- Actively engage in clinical supervision and mentorship
- Maintain a personal development plan and professional portfolio
- Undertakes and participates in the PAD review process to identify training and development needs of self and others
- Maintains professional development, encompassing mandatory requirements.
- Ensure revalidation is maintained
EDUCATION/RESEARCH
- Champion the roles and values of the virtual ward at all levels of the organisation and to a variety of health and social care professionals.
- Self-evaluate practice to ensure evidence-based care.
- Contribute to the wider development of practice by participating in research, audit, local and national presentations, networks and publications.
- Educate and empower patients, carers and care home staff to identify deterioration in condition and provide them with the necessary knowledge and skills to make informed choices to safely manage their condition.
- Develop robust care plans with patients and carers to assist in the management of their condition and promote independence whilst on the virtual ward
- Participate in the future training of health students and staff and other professional groups.
HEALTH, SAFETY AND SECURITY
- To be responsible for the promotion of best practice that ensures the health, safety and security of self, patients and colleagues in accordance with the policies, procedures and guidelines of the trust
- Practice in accordance with the procedures and guidelines for the protection of vulnerable adults and child protection.
- Ensure that confidentiality is protected at all times in accordance with data protection.
Job description
Job responsibilities
Job Purpose
Virtual wards support patients, who would otherwise be in hospital, to receive the acute care, remote monitoring and treatment they need in their own home or usual place of residence, otherwise known as Hospital at Home. Virtual wards provide acute clinical care at home for a short duration (up to 14 days) as an alternative to care in hospital. The overriding purpose of the Community Matron is to support the provision of the highest quality patient care to individuals whilst on the virtual ward pathway.
The post holder will support the / virtual ward registered staff and clinical team lead ensuring the delivery of high-quality patient care upholding patient dignity delivered with kindness and compassion.
Provide and monitor the nursing care for individuals on the virtual ward pathway, providing expert clinical case management for patients on the virtual ward with multiple long-term conditions, who are at risk of readmission. Plan, co-ordinate and deliver care as appropriate per the daily MDT, initiate and manage medical and nursing care interventions, lead care and co-ordinate partner agencies and stakeholders
Have a clinical role, with responsibility for planning, managing and co-ordinating the care of people with highly complex needs and long-term conditions within a defined caseload.
Role Context:
- To provide appropriate and effective care management through the virtual ward pathway unnecessary hospital admission from the Community managing the active caseload and providing necessary oversight and support
- To comprehensively holistically assess the needs of patients and carers, plan, implement and evaluate nursing care interventions
- Embrace multi professional and partnership working to facilitate co-ordination, promotion of optimum health and social outcomes independence and self-care
- Undertake virtual monitoring and escalate concerns to the daily MDT
- Will be responsible for holistic assessments, implementation of care, overall co-ordination of self-care management or care management
- Oversee junior members of the virtual ward team
Key Accountabilities
CLINICAL PRACTICE
- Using expert knowledge, advanced nursing and autonomous decision-making skills, manage a caseload of patients in the community/ Residential Care home setting
- Comprehensively and holistically assess, review and evaluate the needs of both patients and their carers to improve their physical and psychological wellbeing whilst reducing acute exacerbation of underlying conditions and need for hospitalisation
- Undertake virtual monitoring and use technology to help determine the health status of individuals
- Undertake clinical duties and maintain own clinical practice and competencies to a high standard
- Ensure that patients are assessed, treated and monitored in the most appropriate care setting for their needs at that time
- Initiate and implement pro-active care plans
- Work in partnership with patients, carers, virtual ward staff, secondary care, Integrated adult nursing teams, Residential care home staff, GPs, s, other health professionals and social care as appropriate to instigate diagnostic testing and therapeutic treatments, ascertain diagnosis, develop, initiate and implement proactive care plans
- Uses systematic processes of reasoning and reaches justifiable conclusions, including the rationale for establishing a differential diagnosis.
- Clinical monitoring of long-term conditions and appropriate treatment / actions in response to clinically significant changes in condition.
- To develop advanced specialist clinical skills to undertake interventions consistent with evidence-based practice in line with national and local policy
- Use knowledge of medicines management and prescribing skills to influence the reduction of risk and complications associated with medication and polypharmacy. To work closely with prescribing advisors and pharmacists as appropriate
SELF CARE
- The post holder will incorporate the concept of self-care wherever practicable (depending on client group and individuals level of cognition) into their practice and will be responsible for ensuring that all staff within their sphere of responsibility promote good health and enable patients towards self-care, independence and recovery.
PRIVACY & DIGNITY
- The post holder must ensure that caring with compassion is at the core of their practice. The post holder will act as a role model and will utilise their leadership skills to ensure that all staff treat patients in a compassionate manner demonstrating respect for their individual needs, privacy and dignity.
LEADERSHIP
- Provide leadership and Clinical Supervision to junior members of the virtual ward team, in support of Virtual ward team lead
- Establish clinical credibility to influence professional and organisational boundaries, acting as a role model for clinical excellence
- Working collaboratively and in partnership with other practitioners to lead developments in professional practice ensuring that care practices, delivery and service development are evidence based
- Initiate the interpretation of research findings, national and local policy, assessing the implications for the profession in collaboration with service manager
- Encourage and support innovation, extensive networking, mentorship to professionals, exploration of new ways of working and sharing of expertise
- Provide professional support and advice to colleagues and senior managers within the organisation
- Contribute to the workforce and local delivery planning processes within the virtual ward pathway
- Advise on professional standards and contribute to the clinical governance of the organisation
COMMUNICATION
- Effectively communicate with the daily MDT, virtual ward colleagues, wider Integrated Teams, patients and carers to ensure that the patients needs are identified, addressed, and appropriate information and advice is provided on discharge from the virtual ward
- Facilitate effective communication between Primary, Secondary, Community, Social Care and Voluntary settings to promote best possible outcomes.
- Maintain contact with the patient if she/he is admitted to hospital and give the unit treating the patient the information they need to ensure integrated and consistent care is maintained.
- Maintain high standards of documentation in line with NMC and trust policies and procedures
- Ensure the implementation of the Virtual Ward concept for management of the most complex patients within the community
PERSONAL, PROFESSIONAL DEVELOPMENT
- Actively engage in clinical supervision and mentorship
- Maintain a personal development plan and professional portfolio
- Undertakes and participates in the PAD review process to identify training and development needs of self and others
- Maintains professional development, encompassing mandatory requirements.
- Ensure revalidation is maintained
EDUCATION/RESEARCH
- Champion the roles and values of the virtual ward at all levels of the organisation and to a variety of health and social care professionals.
- Self-evaluate practice to ensure evidence-based care.
- Contribute to the wider development of practice by participating in research, audit, local and national presentations, networks and publications.
- Educate and empower patients, carers and care home staff to identify deterioration in condition and provide them with the necessary knowledge and skills to make informed choices to safely manage their condition.
- Develop robust care plans with patients and carers to assist in the management of their condition and promote independence whilst on the virtual ward
- Participate in the future training of health students and staff and other professional groups.
HEALTH, SAFETY AND SECURITY
- To be responsible for the promotion of best practice that ensures the health, safety and security of self, patients and colleagues in accordance with the policies, procedures and guidelines of the trust
- Practice in accordance with the procedures and guidelines for the protection of vulnerable adults and child protection.
- Ensure that confidentiality is protected at all times in accordance with data protection.
Person Specification
Special Requirements
Essential
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- Ability to travel between patients.
- A full UK driving license and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
Qualifications
Essential
- Level 1 Registered General Nurse
- Evidence Post Graduate Degree Level qualification
- Advanced Clinical Skills Course
Desirable
- Non-medical V300 qualification
- Post registration study/qualification at Masters level
Experience
Essential
- Evidence of working at a senior level
- Evidence of teaching and assessing in clinical practice.
- Evidence of ability to direct and co-ordinate programmes of care working autonomously and collaboratively
- Can demonstrate knowledge of case management
- Up to date professional portfolio demonstrating evidence of reflective practice and ongoing professional development
- Experience of leading/managing a team
- Competent in undertaking a comprehensive assessment process and developing care plans
- Evidence of having used expert knowledge, advanced nursing practice and autonomous decision making to manage patients conditions and care needs
Desirable
- Community based or primary care experience
- Experience of supporting self-managed care
- Competent in physical examination and history taking, diagnosis and treatment planning
- Evidence of participation in research/ audit activity
Knowledge and skills
Essential
- Evidence of the ability to champion issues of individuals, the team and patients
- Evidence of the ability to perform effectively in a changing, stressful situation
- Evidence of engaging staff in change, ensuring effective processes in place for constructive debate and challenge
- Evidence of effective leadership influencing and initiating service developments and orchestrating change
- knowledge of virtual ward pathways and concepts
- Evidence of effective team working and organisation skills
- Experience of working between primary and secondary care settings
- Evidence of working in partnership and collaboration with other professionals/ organisations
- Experience in implementing change to promote high quality health outcomes
- Demonstrate effective communication at all levels
- Experience of teaching and dissemination of knowledge to enhance the skills of others
- Evidence of using IT system
Desirable
- Evidence of innovative practice
- Leadership training
Person Specification
Special Requirements
Essential
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- Ability to travel between patients.
- A full UK driving license and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
Qualifications
Essential
- Level 1 Registered General Nurse
- Evidence Post Graduate Degree Level qualification
- Advanced Clinical Skills Course
Desirable
- Non-medical V300 qualification
- Post registration study/qualification at Masters level
Experience
Essential
- Evidence of working at a senior level
- Evidence of teaching and assessing in clinical practice.
- Evidence of ability to direct and co-ordinate programmes of care working autonomously and collaboratively
- Can demonstrate knowledge of case management
- Up to date professional portfolio demonstrating evidence of reflective practice and ongoing professional development
- Experience of leading/managing a team
- Competent in undertaking a comprehensive assessment process and developing care plans
- Evidence of having used expert knowledge, advanced nursing practice and autonomous decision making to manage patients conditions and care needs
Desirable
- Community based or primary care experience
- Experience of supporting self-managed care
- Competent in physical examination and history taking, diagnosis and treatment planning
- Evidence of participation in research/ audit activity
Knowledge and skills
Essential
- Evidence of the ability to champion issues of individuals, the team and patients
- Evidence of the ability to perform effectively in a changing, stressful situation
- Evidence of engaging staff in change, ensuring effective processes in place for constructive debate and challenge
- Evidence of effective leadership influencing and initiating service developments and orchestrating change
- knowledge of virtual ward pathways and concepts
- Evidence of effective team working and organisation skills
- Experience of working between primary and secondary care settings
- Evidence of working in partnership and collaboration with other professionals/ organisations
- Experience in implementing change to promote high quality health outcomes
- Demonstrate effective communication at all levels
- Experience of teaching and dissemination of knowledge to enhance the skills of others
- Evidence of using IT system
Desirable
- Evidence of innovative practice
- Leadership training
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).
Additional information
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).
