Job purpose To work as a member of a self-directed neighbourhood nursing team that delivers person centred integrated care in the community. The aim of the service is to support people to remain as independent at home as long as possible, proactively facilitating self-care. Care will be focussed on improving self-reliance and empowerment; seeing patients as a whole and supporting as required their health, social and psychological needs. To work as an integral part of a team of 8 -12 nurses providing consistent care to a defined community caseload of patients 365 days a year, 24/7 hours a day. This requires flexibility and commitment to maintain effective service provision for the teams caseload. The team is self-managing where designated responsibilities for the team are shared and specific roles within the team are rotated i.e. allocation of workloads, team rota construction therefore your role within the team is to support the ethos of a self-directed team with the authority to make decisions about workload, recruitment, training requirements etc. The Team covers the five localities in Medway. By working in a small area the team support your role in really getting to know the local community and its formal and informal networks. The role requires close collaboration with the GP and other health, social care and voluntary organisations including but not limited to therapists, mental health, social workers, care navigators, case managers etc. Your role will support the team to achieve the following core aims: Having happy patients: through direct access, continuity of care, flexibility of care provision and providing quality clinical care. Having happy nurses and care givers; by working collaboratively and flexibly with your team colleagues and being empowered to make decisions as a team to best meet the requirements of your patients and their families. This job description should be read in conjunction with and alongside the Neighbourhood Nursing Team Framework. Person specification Criteria Essential Desirable Qualifications First level registered nurse Relevant nursing degree supplemented by diploma level specialist training Nurse prescriber ENB 998/preparation of mentorship Evidence of further study District nurse qualification or degree in community pathway. Experience Community and acute settings Team builder and worker Practice developer Appraisal experience Evidence based practitioner Teaching and mentoring skills Inter professional working Management of change Evidence of clinical skills relevant to community setting Special knowledge / expertise Expert assessor/evaluator of health care Demonstrate knowledge of professional issues and current national and local drivers in primary health care Disposition, adjustment, attitude and commitment Excellent communication skills both verbally and written Excellent interpersonal skills Willingness to work unsocial hours Flexibility and adaptability to change Innovative Enthusiastic Practical / intellectual skills Evidence of ability to undertake complex problem solving - skills for assessing and interpreting complex needs of patients; able to make clinically appropriate decisions Good collaborative working skills