An opportunity has arisen for a Community Matron to work alongside the Case Manager and Community Nurse and Therapy Team, based at Dereham Hospital and supporting patients in the surrounding area.
The role supports admission avoidance, long term condition management planning and education for patients with long term conditions who are high intensity users of primary and/or secondary care.
You will work closely with NCHC community team colleagues to assess and provide advanced level interventions for patients with long term conditions to achieve quality of life and independence where possible.
· Using expert knowledge, advanced clinical and autonomous decision making skills, intensively case manage patients with highly complex and unstable health needs.
· Comprehensively 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.
· Work in partnership with patients, carers, GPs, consultants, other health professionals and social care as appropriate, to instigate diagnostic testing and therapeutic treatments to ascertain diagnosis and implement proactive treatment and care plans.
· Use prescribing skills and knowledge of medicines to minimise the risk and complications associated with medication and polypharmacy.
· Work with the multidisciplinary team in the development, implementation and evaluation of policies, protocols and guidelines.
· Provide clinical nurse leadership and support to other staff, enabling their own ongoing professional development and understanding of service provided.
· Communicate complex patient information effectively to ensure collaborative working.
· Promote people equality, diversity and rights.
· Actively assess patient for the use of assistive technology as a means to empower patients to take more control over their long term conditions, and implement where appropriate.
Norfolk Community Health & Care NHS Trust provides community-based NHS health and care via more than 70 locations across Norfolk,
We believe that people are better looked after locally & this belief drives us to work hard to bring expert care to patients in our community hospitals, within GP surgeries & in patients’ own homes. Working in the community will provide you with the opportunity to develop longer-term & more personal relationships with patients, carers & other professionals.
NCH&C is proud to be the first standalone NHS community trust in the UK to achieve an ‘Outstanding’ rating from the Care Quality Commission (CQC). Our focus is on continually improving the quality of care we offer to local people & improving access to that care, helping people to move seamlessly from one service to another.
NCH&C is committed to continuing to create a modern and inclusive work environment. As part of this commitment we actively promote flexible working opportunities where possible, to meet the needs and wishes of our workforce to maintain and improve their wellbeing. The trust offers a range of flexibility, including flexible working patterns, and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.
· 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 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 support patients in coordinating their personal health plans.
· To assess patients for assistive technology where appropriate.
· To refer on to social care support where appropriate.
• To support and manage Band 6 Case Manager
• Use effective communication, negotiating and influencing skills to introduce new systems of working to improve the pathway of patients who are very high intensity users of health care and/or at high risk of hospital admission.
This advert closes on Sunday 23 Mar 2025
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