Duties and Responsibilities: Clinical Perform comprehensive assessment of patient nursing needs. Plan, assess, implement and evaluate care delivery according to changing health needs utilising prescribing skills. Support the care management of complex/continuing care packages. Ensure practice is evidence based through undertaking audit and critically appraising literature to achieve a high standard of care. To establish and maintain effective communication with individual groups and communities in complex and potentially challenging situations. Work collaboratively with other professional and agencies to ensure patients needs are met. Involve patients and carers in the planning and delivery of care. To competently perform a range of clinical skills related to the post. Maintain accurate records in accordance with NMC Standards. To identify skills and knowledge to address individuals training needs by undertaking personal development reviews and personal development plans within the KSF framework. To participate in the health needs assessment of the practice population to identify areas of unmet need. Ability to work without direct supervision and to solve problems. Undertake chronic disease management reviews of the housebound patient using appropriate template Work on a rota basis to facilitate weekend working across the district nursing teams Managerial/Leadership Work under the direction of the District Nurse Coordinator in providing nursing services to patients registered within a defined GP Practice. Manage the night service caseload of patients. Delegate the workload to appropriate team members. Day to day responsibility for the designated caseload. To provide accurate timely information to the identified administrator regarding annual leave, expenses and study leave. To undertake back to work interviews and assist in the monitoring and reporting to District Nurse Coordinator general HR issues surrounding staff sickness, absentees. To report any concerns with regards to poor practice or concerns of staff members to the District Nurse Coordinator. Support the effective use of physical and financial resources. Ordering supplies and equipment. To ensure as far as possible that the working environment is safe, adhering to the Lone Worker policy. To provide leadership and support by promoting professional development and encourage clinical supervision. Supply required activity data related to patient care. Clinical Governance: To support the clinical governance agenda by benchmarking best practice, identify any inequalities in service delivery. Ensure that practice is evidence based through undertaking audit and critically appraising literature. To contribute to the development of and implementation of policies, procedures and guidelines relevant to own area of work to ensure best practice. In-depth knowledge of the legal, ethical, moral and accountability issues related to District Nursing. Adhere to the NMC Standards:- Professional Code of Conduct, Scope of Professional Practice and Administrations of Medicines records and Record Keeping. Support the organisations public health agenda. Maintain a professional portfolio that demonstrates evidence of on-going professional development. Identify any limitations/gaps in professional or clinical knowledge. Access and promote clinical supervision within the team Promote peoples equality, diversity and rights. Teaching and Learning: To ensure own continued professional development. To undertake mandatory training and other training that is specific for the post. Facilitate the placement of pre and post registration nursing students. Support the development of the nursing team by teaching and assessing other member of the team including nursing auxiliaries. Teaching of patients/carers and other professionals to support patients to maintain their optimum level of independence. Promote lifelong learning with the nursing team. Act as practice teacher to specialist practitioner students (NMC Standard 2006)