South Warwickshire University NHS Foundation Trust
Do you hold the District Nurse Specialist Practitioner qualification or are you close to completing this? Are looking to develop your career within the community setting?
We have a very exciting opportunity for a highly skilled and enthusiastic Band 6 District Nurse to join our Place Based Team covering the beautiful towns of Warwick & Kenilworth.
We provide flexible working contracts to enable work-life balance and an inclusive and friendly work environment with a highly supportive induction programme as well as staff benefits through VIVUP and Lease Car Schemes with mileage payments.
You will contribute to the future workforce planning and pathway development of Routine Care and work closely alongside other services internally within our Urgent Community Response Team, Specialist Nurses, our Acute Trust at Warwick Hospital, and externally with the Local Authority, Hospice partners and GPs.
You will be supported in an environment where training and development opportunities are actively encouraged. With internal courses available in Leadership and Management and clinical simulation training as well as external courses supported by Coventry and Oxford Brookes University.
Would you like to work flexibly? We are supportive of agile working.
Main duties of the job
The District Nurse is responsible for the assessment and management of the health needs of an identified population and caseload, focusing on public health, preventative care, and admission avoidance. They will support the team in implementation and evaluation of programmes of care within a range of target groups including preventative deterioration of complex health, health inequalities, social prescribing and signposting, management of comorbidities and supporting the prevention of an urgent care need.
The District Nurse Specialist Practitioner will clinically supervise and provide support to regulated and unregulated team members with career development, clinical capabilities and behaviours, education and supervision. They will assist the Professional Lead with recruitment and retention, support the wellbeing of the team and improve quality outcomes and budget management as well as implementing service improvement schemes and supporting in pathway development.
About us
Come and join a Trust rated Outstanding by the CQC. South Warwickshire NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further.
We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.
Our values can be summed up in one sentence. We are 'Trusted to provide safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.
Job responsibilities
* Named responsibility and professional accountability for the management of a defined caseload including the delegation of tasks to other members of the team.
* The post holder will have continuing responsibility for visible leadership which ensures an equitable evidence-based service, which is underpinned by the pillars of clinical governance.
* Prescribe within their individual scope of practice in line with V300 qualification and ensure that nurse prescribing is undertaken in a safe, cost-effective manner.
* Develop a caseload profile, identifying those groups with specific health needs and implement and evaluate programmes of care to target groups taking a case management approach.
* Act in accordance with current local Warwickshire Safeguarding Vulnerable Adults and Trust guidelines/policy to protect vulnerable adults.
* Act within the NMC Code of Professional Conduct.
* Contribute towards ensuring the trust objectives are implemented and to support the Professional Lead in influencing change.
* Provide appropriate nursing care to patients on the defined caseloads.
* Provide specialist advice appropriate to health and social care to patients, carers, relatives and other agencies.
* Participate in the development, training and mentorship of pre-registration students/medical students and staff as required including induction and preceptorship programmes.
* To provide assistance with the resolution of complaints within the clinical speciality, or sphere of responsibility.
* To attend meetings and deputise for the Senior District Nurse and/or Professional Lead as required and ensure that information is disseminated within the nursing team.
* Assist with the delivery of a comprehensive induction programme for new staff members.
Demonstrate excellent communication and negotiation skills in situations which may be complex, highly sensitive and emotive. All communication will be underpinned by the principles of data protection, dignity and confidentiality.
Adopt and promote the highest level of verbal, non-verbal, written and electronic communication skills. Be open and honest, act with integrity and uphold the reputation of the profession as directed by the Nursing Midwifery Council (NMC, 2015).
Take responsibility for initiating and/or engaging in open discussion with statutory and voluntary agencies and all members of the wider multi-disciplinary team as appropriate.
Ensure effective communication to support continuity of care on transfer between hospital, community, residential and nursing care settings and vice versa.
Critically evaluate team leadership, operational and project management in the context of observing national and local policy.
Promotes and maintains accurate record keeping and conforms to NMC policy and data protection legislation.
Uses resources effectively and being aware of budgetary constraints including ordering of equipment.
Will participate in research and development projects within the clinical field, embracing opportunities to develop knowledge by undertaking further study whilst sharing initiatives with others.
Responsible for communicating and receiving sensitive, complex, and sometimes contentious information, dealing effectively with staff, relatives, and carers whilst ensuring confidentiality. Will use developed persuasive, motivational, negotiating skills, where agreement and cooperation is required. There may be barriers to understanding.
Supporting the Senior District Nurse, Professional Lead and Quality Matron in the development of audit systems within SWFT to ensure continuing evaluation of clinical practice by facilitating clinical audit programmes and research in line with clinical governance priorities.
Supervise and direct work undertaken by other members of the skill mix team on a daily basis.
Direct responsibility for the day-to-day supervision and performance of the district nursing team.
To input statistical information by electronically recording daily activity on EMIS, ensuring each contact/activity is recorded in real time.
Responsible for ensuring that staff are supported in accessing Clinical Supervision.
Demonstrate and contribute to a positive team culture which promotes an effective learning environment, facilitation of shared leadership, preceptorship, mentorship, clinical supervision, openness and candour, and provision of an educational environment.
Critically assess, plan, and evaluate evidenced based care interventions to meet contemporary need and improve health to prevent disease in individuals and populations.
Take responsibility for the complex and holistic assessment or delegation of planning, implementation and evaluation of care on an individual basis, utilising recognised models and tools, e.g. end of life care and long-term conditions.
As a District Nurse there will be a need for a varied clinical skill set, including, but not limited to:
* End of Life Care - Syringe Drivers and symptom control
* Intravenous Therapy
* Management of Plural Drains
* Wound Care Including complex e.g. Vacuum assisted therapy
* Leg Ulcers Including compressions therapy
* Patient education and training of self-management techniques
* Multi Comorbidities and prevention of deterioration management e.g. Heart Failure, Diabetes, Respiratory, Frailty, Dementia
* Social prescribing
Named responsibility for the management of a defined caseload and population.
Focuses on the needs of the defined patient groups population, and continues to hold up to date knowledge of public health.
Acts as patients advocate where appropriate.
Be proactive in offering health promotion and participate in health promotion activities for a defined caseload.
Utilise health needs assessment for the local population.
The District Nurse will recognise triggers of deterioration/increased need of patients and initiate the Continuing Healthcare/NHS Funded Nursing Care assessment process.
To work with the Senior District Nurse / Professional Lead to ensure performance indicators are achieved, avoiding patient harms and supporting preferred place of care.
Ensuring excellent working relationships and communication links with all stakeholders including acute hospital staff, Local Authorities, Social Care teams and voluntary services as appropriate for patient care.
To take a lead on quality initiatives, including but not limited to Community care Indicators, Hand Hygiene, Saving Lives and iWGC.
Understanding of District Nursing national frameworks, policy and guidance with the ability to interpret and implement at service level.
Participate in and contribute to service redesign and policy development to benefit patient care with support of seniors.
Source patients/relatives/carers views and feedback on their experience of SWFT OOHCC services in order to influence and inform future service provision.
To contribute to the implementation and audit of policies, guidelines and procedures ensuring practice is evidence-based and patient centred.
Will undertake Personal Development Reviews (PDR) and relevant development plans for members of the team. Assist in the identification of individual training requirements in line with NMC Revalidation and Pay Progression requirements.
Person Specification
Qualifications
* Registered Nurse (1st Level)
* First level degree in related subject
* Leadership Qualification
* Practice Educator and Assessor Preparation (PEAP) or equivalent qualification
* Coaching CPD
Experience
* Significant Post registration community experience
* Evidence of Continued Professional Development relevant to the field of practice
* Post registration experience of caseload management
* Evidence of Personalised Care planning and complex patient management
* Ability to take appropriate action to assess and manage risk
* Experience of empowering a positive learning culture for interdisciplinary and interagency teams
* Experience in managing complaints
* Experience in service improvement
Skills
* Ability to critically understand and apply relevant legal, regulatory and governance requirements, policies, and professional and ethical frameworks
* Ability to present relevant research, quality and audit findings and proposals for care improvement to a range of audiences.
* Advanced clinical decision making skills to support patient centred care
* Advanced clinical skills to include a variety of patient conditions and comorbidities
* Must have excellent prioritisation and time keeping skills
* IT Literate
* Teaching, presentation, and facilitation skills to support education.
* Ability to work collaboratively across professional and organisational boundaries.
Personal Qualities
* Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges
* Practise autonomously, proactively and innovatively, demonstrating self-awareness, emotional intelligence and openness.
* Excellent role model
* Showcases trust values at all times
Other
* Must have means of own transport and able to drive in variable weather conditions
* Must be a non-smoker during working hours
* Must be willing to undertake Criminal records Bureau Disclosure to Enhanced / Standard level
* Must be legally entitled to work in this country
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.
South Warwickshire University NHS Foundation Trust
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