Job summary
An exciting opportunity has arisen for an experienced nurse to join the Community Matron team within the Kings Lynn and Coastal PCN's.
The Community Matron team provides an urgent response to patients in crisis. Where an unplanned admission can be avoided, collaboration with other Health and Social Care Services such as GPs and Community Services will be required.
The successful candidate will need to have excellent communication skills and the ability to organise and prioritise their caseload, according to the needs of both patients and the service.
Enquiries welcomed.
Pevious applicants need not apply.
Main duties of the job
To provide advanced intensive case management and clinical nursing care to patients with long term conditions who are high intensity users of both primary and secondary care.
Please see job description for more information.
About us
The Community Matron team are a dynamic, forward thinking & motivated team of nurses striving to achieve the best possible outcomes for our patients.
We ae a small, friendly team, who are happy to support professional learning and development for the successful candidate.
Apply now to join an organisation that has been awarded an 'Outstanding' rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.
Job description
Job responsibilities
Main Duties & Responsibilities
1. To assess and provide specialist interventions for patients with long term conditions to achieve quality of life and independence where possible.2. To work within the integrated team and case managers to prevent unnecessary admission to hospital and/or facilitate early discharge from hospital.3. To support the prevention of unplanned hospital admissions, responding to patients who require urgent assessments and in collaboration with the patient and community teams, set up management plans to enable the patient to stay at home where possible.4. To work with all health care professionals and statutory / non-statutory agencies to provide a seamless, integrated service to our service users.5. To provide a 7-day, 365 days-a-year service.6. To facilitate and develop a service providing complex case management.7. 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.8. To educate and support the members of the multi-disciplinary teams to intensively case manage these patients.9. To intensively case manage and be accountable for their own caseload of patients with highly complex and unstable health needs.10.Develop systems and processes to support intensive case management within the multi-disciplinary team and with partners across the health system.11.Work with and refer appropriately to other agencies to enable identified patients to be intensively managed in a proactive way with the aim of preventing hospital admission, supporting early discharge and reduce GP contact.12.Be a champion for people with long-term conditions.13.The post holder will practice as a non-medical prescriber in accordance with the Trusts non-medical prescribing policy, protocols, national policies and within ones scope of competency.14.To assess patients for assistive technology where appropriate.15.Independently manage the caseload by maintaining a consistent throughput of patients. This should be achieved by ensuring patients are discharged in a timely manner, promoting patient independence in managing their own health conditions, encouraging self-care and condition self-management, sign posting to other appropriate services and by utilising strategies of health promotion and health coaching.16.To provide clinical support community teams at times of high / increased demand.17. Communicate complex information to patients utilising motivational and persuasive skills to support patients to self-manage or where there are barriers to understanding.18. Demonstrate empathy and reassurance skills to convey sensitive / distressing Information.
Please see attached Job Description / Person Specification for further information.
Job description
Job responsibilities
Main Duties & Responsibilities
1. To assess and provide specialist interventions for patients with long term conditions to achieve quality of life and independence where possible.2. To work within the integrated team and case managers to prevent unnecessary admission to hospital and/or facilitate early discharge from hospital.3. To support the prevention of unplanned hospital admissions, responding to patients who require urgent assessments and in collaboration with the patient and community teams, set up management plans to enable the patient to stay at home where possible.4. To work with all health care professionals and statutory / non-statutory agencies to provide a seamless, integrated service to our service users.5. To provide a 7-day, 365 days-a-year service.6. To facilitate and develop a service providing complex case management.7. 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.8. To educate and support the members of the multi-disciplinary teams to intensively case manage these patients.9. To intensively case manage and be accountable for their own caseload of patients with highly complex and unstable health needs.10.Develop systems and processes to support intensive case management within the multi-disciplinary team and with partners across the health system.11.Work with and refer appropriately to other agencies to enable identified patients to be intensively managed in a proactive way with the aim of preventing hospital admission, supporting early discharge and reduce GP contact.12.Be a champion for people with long-term conditions.13.The post holder will practice as a non-medical prescriber in accordance with the Trusts non-medical prescribing policy, protocols, national policies and within ones scope of competency.14.To assess patients for assistive technology where appropriate.15.Independently manage the caseload by maintaining a consistent throughput of patients. This should be achieved by ensuring patients are discharged in a timely manner, promoting patient independence in managing their own health conditions, encouraging self-care and condition self-management, sign posting to other appropriate services and by utilising strategies of health promotion and health coaching.16.To provide clinical support community teams at times of high / increased demand.17. Communicate complex information to patients utilising motivational and persuasive skills to support patients to self-manage or where there are barriers to understanding.18. Demonstrate empathy and reassurance skills to convey sensitive / distressing Information.
Please see attached Job Description / Person Specification for further information.
Person Specification
Qualifications
Essential
- RGN and current NMC registration.
- 1st Level Degree or equivalent experience
- Evidence of continuing professional development and its application
- Advanced Clinical Practice and Independent Prescribing
Desirable
- Evidence of specialist clinical expertise within a relevant area such as COPD, Heart Failure.
- Master's Degree
Other
Essential
Experience
Essential
- Post qualification experience including previous experience at least at Band 6 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
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
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.
Person Specification
Qualifications
Essential
- RGN and current NMC registration.
- 1st Level Degree or equivalent experience
- Evidence of continuing professional development and its application
- Advanced Clinical Practice and Independent Prescribing
Desirable
- Evidence of specialist clinical expertise within a relevant area such as COPD, Heart Failure.
- Master's Degree
Other
Essential
Experience
Essential
- Post qualification experience including previous experience at least at Band 6 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
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
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).
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).
