Community Matron

Job responsibilities

To assess and provide advanced level interventions for patients with long term conditions to achieve quality of life and independence where possible.

To work within the integrated team and case managers to facilitate early discharge from hospital.

To work within the integrated team and case managers to prevent unnecessary admission to hospital.

To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.

To provide a 7 day , 365 days a year service between 8am and 5pm.

To facilitate and develop a service providing complex case management.

To proactively case find patients who are very high intensity users of primary and secondary healthcare and / or are at high risk of unplanned admission to hospital.

To educate and support the members of the multi-disciplinary teams to intensively case manage these patients.

To intensively case manage their own caseload of patients with highly complex and unstable health needs.

Develop systems and processes to support intensive case management within the multi-disciplinary team and with partners across the health system.

Work with and refer appropriately to other agencies to enable identified patients to be intensively managed in a pro-active way with the aim of preventing hospital admission, supporting early discharge and reduce GP contact.

Be accountable for the intensive case management and where appropriate intervention of a defined patient caseload.

Case finding to actively work with GPs and other agencies, and with appropriate information technology, such as population health management data, to case find patients.

Be a champion for people with long term conditions.

The post holder will practise as a non-medical prescriber in accordance with the Trusts non-medical prescribing policy, protocols, national policies, and within ones scope of competency.

Other

Essential

• Ability to travel

Qualifications

Essential

• RGN and current NMC registration
• 1st Level degree
• Evidence of continuing professional development and its application

Desirable

• Evidence of specialist clinical expertise within a relevant area such as COPD, Heart Failure
• Masters Degree incorporating Advanced Clinical Practice and Independent Prescribing (or willingness to undertake)

Experience

Essential

• Post qualification experience including previous experience at a relevant level
• Experience of multidisciplinary and partnership working in acute and community settings
• Advanced understanding of clinical conditions and clinical experience in managing long-term conditions
• Implementing change
• Clinical Supervisor
• Post qualification experience including previous experience at least at Band 6 level

Desirable

• Teaching in Clinical Practice
• Contribution to service planning
• Experience of audit

Skills, Abilities and Knowledge

Essential

• Broad range of clinical skills
• An understanding of wider NHS and social care issues
• An understanding of intensive case management and systems for case finding
• Ability to influence and motivate staff at all levels
• Effective presentation skills
• Competent in use of IT
• Ability to prioritise and work to deadlines

Desirable

• Ability to use and interpret information and demonstrate this in supporting evidence for this post

Personal Attributes/Behaviours

Essential

• Demonstrates strong leadership skills
• Demonstrates excellent interpersonal, communication and negotiation skills
• Evidence of strong interdisciplinary and multiagency team working
• Innovative
• Flexible and committed
• Ability to work autonomously and to use initiative

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).