Job summary 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 withNCHC 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. Main duties of the job 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. About us 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. Date posted 10 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year pro rata per annum Contract Permanent Working pattern Full-time, Flexible working Reference number 839-7064014-RB Job locations Dereham Community Hospital Northgate Dereham NR19 2EX Job description 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 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. Job description 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 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. Person Specification Qualifications Essential oRegistered General Nurse and current NMC registration o1st level degree or currently on degree pathway oEvidence of continuing professional development and its application oEvidence of specialist clinical expertise within a relevant area such as COPD, Heart Failure Desirable Masters degree incorporating Advanced Clinical Practice and Independent Prescribing (or willingness to undertake) Line management experience Experience Essential oPost qualification experience including previous experience at least at a Band 6 level oExperience of multi- disciplinary and partnership working in acute and community settings oAdvanced understanding of clinical conditions and clinical experience in managing long term conditions oImplementing change oClinical supervisor Skills. Ability / Knowledge Essential oBroad range of clinical skills oAn understanding of intensive case management and systems for case finding oAbility to influence and motivate staff at all levels oCompetent in use of IT oAble to communicate effectively in the English language in both written and verbal formats. Qualities and attributes Essential Demonstrates strong leadership skills Demonstrates excellent interpersonal, communication and negotiation skills Evidence of strong interdisciplinary and multiagency team working Innovative Committed Ability to work autonomously and to use initiative Other Essential Ability to make own travel arrangements Person Specification Qualifications Essential oRegistered General Nurse and current NMC registration o1st level degree or currently on degree pathway oEvidence of continuing professional development and its application oEvidence of specialist clinical expertise within a relevant area such as COPD, Heart Failure Desirable Masters degree incorporating Advanced Clinical Practice and Independent Prescribing (or willingness to undertake) Line management experience Experience Essential oPost qualification experience including previous experience at least at a Band 6 level oExperience of multi- disciplinary and partnership working in acute and community settings oAdvanced understanding of clinical conditions and clinical experience in managing long term conditions oImplementing change oClinical supervisor Skills. Ability / Knowledge Essential oBroad range of clinical skills oAn understanding of intensive case management and systems for case finding oAbility to influence and motivate staff at all levels oCompetent in use of IT oAble to communicate effectively in the English language in both written and verbal formats. Qualities and attributes Essential Demonstrates strong leadership skills Demonstrates excellent interpersonal, communication and negotiation skills Evidence of strong interdisciplinary and multiagency team working Innovative Committed Ability to work autonomously and to use initiative Other Essential Ability to make own travel arrangements 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 Norfolk Community Health and Care NHS Trust Address Dereham Community Hospital Northgate Dereham NR19 2EX Employer's website https://www.norfolkcommunityhealthandcare.nhs.uk (Opens in a new tab)