Job summary Are you looking for a new challenge that will develop your clinical, leadership and team-working skills? We are looking for highly skilled, enthusiastic, self-motivated senior nurse to join our Community Matron Team based at Clarendon, Hebburn. The role of the Community Matron is an essential part of the Integrated Community Team - working closely with GPs in the locality. We want to recruit senior clinicians who are able to support and empower patients to manage their long term conditions whilst working to achieve realistic goals that are patient-led. Main duties of the job The post holder will work within the Community Matron Team to proactively manage, co-ordinate and support an identified caseload of patients with multiple complex long-term conditions, with responsibility for ensuring all health and social care needs are met to improve health outcomes, functional status and quality of life, ensure integration of all elements of care, increase patient choice and prevent unnecessary admissions to hospital and reduce the stay of necessary hospital admission. The Community Matron Team core hours are Mon- Fri 08:30-5pm. You will be an excellent communicator and work well both individually and within a team. You will be patient focused and have the ability to undertake clinical assessments to arrive at a differential diagnoses; start, plan and evaluate care. You will also have organisational and time management skills. You will demonstrate leadership skills across the inter-professional team. About us Please help us by adding your telephone number to your application form this will allow us to contact you quickly if required. One Team One Trust - There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment. We welcome all applications irrespective of peoples race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups. Looking after our workforces health and wellbeing is a priority for STSFT. We also provide access to high quality education, training, career progression and support. Flexible working is supported via the Trust's Flexible Working Policy. The Trust employs around 8,300 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area, in some cases to a population as great as 860,000. We offer our staff outstanding benefits - Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Childcare Co-ordinator to help staff with childcare arrangements. The Trust will not accept applications which are found to be AI generated. Date posted 30 October 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year Contract Permanent Working pattern Full-time Reference number C9155-CMNM-0924-13-1 Job locations Clarendon Windmill Way Hebburn NE31 1AT Job description Job responsibilities The Community Matron will: Proactively manage high risk patients with complex long-term conditions, deliver high quality care in partnership with the patient, carer, and other agencies in order to maintain independence, maximise quality of life, reduce the risk of avoidable hospital admission, and enable patients to die with dignity in their preferred place of care. Manage their own workload which will be a subgroup of the main integrated team caseload. Act as a support for advice, treatment, and management to the other caseload holders in the integrated team. Undertake comprehensive assessments of health and wellbeing, recognising the early symptoms of disease exacerbation, acute illness and injuries based upon the understanding of the chronic disease, the disease process, current evidence and practice standards. Manage care at the interface between Community, Acute and Primary Care services, preventing avoidable admissions and facilitating discharge. This is achieved through acting both as a care co-ordinator to complex patients at high risk and by providing clinical leadership to the wider integrated team in managing the needs of the services caseload FOR FULL JOB DESCRIPTION SEE ATTACHMENT Job description Job responsibilities The Community Matron will: Proactively manage high risk patients with complex long-term conditions, deliver high quality care in partnership with the patient, carer, and other agencies in order to maintain independence, maximise quality of life, reduce the risk of avoidable hospital admission, and enable patients to die with dignity in their preferred place of care. Manage their own workload which will be a subgroup of the main integrated team caseload. Act as a support for advice, treatment, and management to the other caseload holders in the integrated team. Undertake comprehensive assessments of health and wellbeing, recognising the early symptoms of disease exacerbation, acute illness and injuries based upon the understanding of the chronic disease, the disease process, current evidence and practice standards. Manage care at the interface between Community, Acute and Primary Care services, preventing avoidable admissions and facilitating discharge. This is achieved through acting both as a care co-ordinator to complex patients at high risk and by providing clinical leadership to the wider integrated team in managing the needs of the services caseload FOR FULL JOB DESCRIPTION SEE ATTACHMENT Person Specification Qualifications Essential First Degree in a nursing related subject Advanced clinical skills Extended and supplementary prescriber Teaching qualification or evidence of teaching experience Desirable Masters in health / leadership related subject Advanced / Specialist post registration qualification Accredited disease management course Advanced communication skills training Experience Essential Minimum of 2 years clinical experience within a community setting as a Clinical Practitioner in the management of patients with chronic, or Long-Term Condition Minimum of 2 years in secondary care as a senior clinician in an acute setting (Accident & Emergency / Medical Admissions) Evidence of autonomous working Desirable Leadership role Complex caseload management Skills and Knowledge Essential Leadership skills Evidence of ongoing professional development, willingness to maintain and extend skills and knowledge, and an ability to share and influence the scope and reach of the Integrated Care Team Excellent inter-personal and communication skills in order to forge relationships with colleagues and others for the benefit of patient care and caseload co-ordination. Expert assessment, analytical, interpretation and clinical decision making skills. Phlebotomy skills Desirable Chronic disease management skills Caseload management skills Physical skills Essential Able to move and handle safety without causing harm to themselves or others Person Specification Qualifications Essential First Degree in a nursing related subject Advanced clinical skills Extended and supplementary prescriber Teaching qualification or evidence of teaching experience Desirable Masters in health / leadership related subject Advanced / Specialist post registration qualification Accredited disease management course Advanced communication skills training Experience Essential Minimum of 2 years clinical experience within a community setting as a Clinical Practitioner in the management of patients with chronic, or Long-Term Condition Minimum of 2 years in secondary care as a senior clinician in an acute setting (Accident & Emergency / Medical Admissions) Evidence of autonomous working Desirable Leadership role Complex caseload management Skills and Knowledge Essential Leadership skills Evidence of ongoing professional development, willingness to maintain and extend skills and knowledge, and an ability to share and influence the scope and reach of the Integrated Care Team Excellent inter-personal and communication skills in order to forge relationships with colleagues and others for the benefit of patient care and caseload co-ordination. Expert assessment, analytical, interpretation and clinical decision making skills. Phlebotomy skills Desirable Chronic disease management skills Caseload management skills Physical skills Essential Able to move and handle safety without causing harm to themselves or others 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name South Tyneside and Sunderland NHS Foundation Trust Address Clarendon Windmill Way Hebburn NE31 1AT Employer's website https://www.stsft.nhs.uk (Opens in a new tab)