Job summary Interview date 27th Jan 2025. As an NHS provider, we are at the forefront of Community Nursing. We invite you to discuss our various career opportunities. Please call Vicky Hambly on 07717530341 LW appreciates that work life balance is vitally important for our employees wellbeing & therefore we have hours available from 22.5 - 37.5 hours per week on permanent contract. Our core hours are 0800-17:30 & are open to discuss any working pattern within these hours, to enable you to get the balance of home & work life that suits. The role requires positivity & excellent communication, leadership & caseload management abilities. You will need to demonstrate integrity & initiative, sound clinical knowledge with evidenced based practice & the ability to support the team, approaching your work in a coordinated way We work integrated with primary care, adult social care, therapists, urgent & intermediate care services alongside our specialist services informing our ageing well MDTs which facilitates shaping our future to deliver great quality care for housebound individuals. We strive to improve health outcomes & patient experience. This role supports people in their own home and care homes with our Care Home Service. Through expert advice & clinical support & treatment, promoting the optimum quality of life. Whilst providing an effective & efficient service delivery, utilising health promotion, wound, medication & continence management. Taking an active role with TEP, ACP with EOL Patients. Main duties of the job To be a Community Registered Nurse your role is vital in terms of coordinating peoples care through holistic evidence-based best practice in accordance with National and Organisational approved polices/procedures. You will be required to be an autonomous practitioner and a role model. Be responsible for assessing, triaging, planning, implementation and evaluation of care, support the Community Sister/Charge Nurse in their absence. Manage sensitive issues and overcome obstacles in communication. We you be required to undertake a robust induction, allocated a mentor to support your learning to develop in your role. We offer training in line with the required competencies for you to build on your knowledge, experience, and skills. You will be expected to undertake continued learning with accessibility to accredited courses. You will be required to be competent, diagnose and investigate. Have sound knowledge and judgement providing evidence-based wound management and pressure ulcer prevention. Continence management, palliative, and end of life care. Have a full driving licence and the ability to travel across Plymouth. This role may not be eligible for sponsorship under the Skilled Worker route. Please note that we may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. All LW staff are expected to be able and willing to work across a 7 day service. About us Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs. As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve. We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives. We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation. Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert. Date posted 10 January 2025 Pay scheme Agenda for change Band Band 5 Salary £29,970 to £36,483 a year pa, pro-rata Contract Permanent Working pattern Full-time, Part-time, Job share, Flexible working Reference number B9832-2025-NM-9544 Job locations 200 Mount Gould Road Mount Gould Plymouth Devon PL4 7PY Plympton Clinic, Plymouth, Plympton, Plymouth, Devon PL7 2AS Cumberland Centre Devonport Plymouth Devon PL14JZ 1 Brest Way Derriford Plymouth PL65XW Job description Job responsibilities Duties: 9.1. Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans. 9.2. Be responsible for the assessing, triaging, planning, implementation and evaluation of care packages on a day-to-day basis with support from the Caseload Holder and in her/his absence. The work may be unpredictable and complex and often of a sensitive nature. 9.3. Problem-solve and liaise as soon as possible with the Caseload Holder issues that may arise. 9.4. Be involved in referrals, triaging, discharge planning, and case conferences to support or manage appropriate care packages for patients. 9.5. Maintain accurate records, which are confidential, up-to-date, and legible and that all care given has to be documented. These records may be paper or IT based system and must be maintained as specified in the Organisation Policies, NMC guidelines and Government directives. The post holder will be expected to oversee the standard of patients’ records by audit or peer review and have regular open discussions with team members. 9.6. Work within challenging and unpredictable environments e.g. patients’ homes, which may have constraints and require adaptability 9.7. Undertake comprehensive risk assessments of all situations associated with the care of patients in order to ensure nurses’ and carers’ safety. This may include assessment and provision of equipment ensuring it is used safely. 9.8. Monitor and maintain the health, safety and security of self and others. 9.9. The post holder is required to comply with all infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager; (if no action or explanation received, then it is the individual’s responsibility to escalate to Director of Operations/ Chief Executive office). 9.10. Be conversant with the vulnerable adult and child protection procedures and policies of Plymouth Community Healthcare. 9.11. Be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the administrative aspect of the role. 9.12. To act as a clinical advisor on health care issues within their area of expertise and act as a Link Nurse. 9.13. Provide education and continuing support to patients, family and carers’. 9.14. Identify areas of improvement of practice and communicate to the Caseload Holder. 9.15. Undertake health promotion as requested to all age groups and contribute to planned health promotion activities. 9.16. Be aware of organisational, professional and national developments within primary care and work within these guidelines e.g. NSF/ NICE/ NMC. 9.17. Initiate and participate in Clinical Supervision. 9.18. Be involved in audit and research. 9.19. Be aware of and abide by Plymouth Community Healthcare approved Policies, Patient Group Directives, Standards and Quality Assurance Initiatives. 9.20. Be involved in all aspects of clinical governance including audits and effective and safe use of resources and equipment. 10. Management & Leadership: 10.1. Share knowledge and information to promote a cohesive team. 10.2. Be responsible in the absence of the Caseload Holder to delegate nursing care to appropriately skilled staff and ensure that they are supported. 10.3. Act as a role model for all staff and students demonstrating clinical skills and high standards of practice and professional conduct. 10.4. Participate in the recruitment and selection of new staff. 10.5. Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team. 10.6. Contribute to national and local policy development. 10.7. Utilise resources economically, effectively and promote cost consciousness throughout the service. 10.8. In collaboration with the budget holder may be an authorised signatory for ordering stores, equipment and stationary. 10.9. Ensure that all loans of equipment are monitored and maintained in good working order as per operational policy. 10.10. Complete on time and submit all necessary forms, documentation, including IT data and forward as required by the manager/organisation. 10.11. The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering. 10.12. To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment. 10.13. Have a flexible approach to the working day in order to meet the needs of the patient/service. 10.14. Report to line manager any untoward incidents e.g. complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation. 10.15. Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them. 11. Communication: 11.1. Report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression and verbal abuse. 11.2. Develop and maintain effective and appropriate communication networks with other members of the Primary Health Care Team and other agencies. 11.3. Have good communication skills to effectively communicate with patients, their relatives and carers about sensitive and accurate information about their condition. 11.4. Provide and receive complex, sensitive and confidential information and over come potential barriers to communication, such as language and disability. 11.5. Promote patient concordance with regard to their prescribed treatment. 11.6. To communicate the role and eligibility criteria of the District Nursing Service. 11.7. Maintain accurate and up to date patient records and inform other professionals about changes in patients’ condition. 11.8. Act as a patient advocate as required ensuring individual needs, preferences and choices are delivered by the service. 11.9. If the post holder is supplied with a mobile phone and a lone worker device they are for work purposes and are expected to abide by Organisation. 12. Professional: 12.1. Works within the NMC Code. 12.2. Remain updated and competent and ensure that clinical practice is evidence-based. 12.3. Have an up to date personal development plan and professional portfolio. 12.4. Participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed and objectives set. In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role. 13. Education & Training: 13.1. Maintain own professional expertise by attending meetings, study days and in-service training and learn new specialist skills required for service development. 13.2. Attend and participate in working groups and research projects as required. 13.3. Participate in Reflective Practice, Clinical Supervision and Appraisals as per Trust policies. 13.4. Assess, teach, support, and supervise colleagues including pre- registration nursing students and medical students. 13.5. Take responsibility for own personal professional development and education. 13.6. Work towards becoming a Nurse Prescriber, if appropriate, and prescribe within the organisation policy and NMC guidelines. With a responsibility to monitor finances and adherence to formulary. Job description Job responsibilities Duties: 9.1. Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans. 9.2. Be responsible for the assessing, triaging, planning, implementation and evaluation of care packages on a day-to-day basis with support from the Caseload Holder and in her/his absence. The work may be unpredictable and complex and often of a sensitive nature. 9.3. Problem-solve and liaise as soon as possible with the Caseload Holder issues that may arise. 9.4. Be involved in referrals, triaging, discharge planning, and case conferences to support or manage appropriate care packages for patients. 9.5. Maintain accurate records, which are confidential, up-to-date, and legible and that all care given has to be documented. These records may be paper or IT based system and must be maintained as specified in the Organisation Policies, NMC guidelines and Government directives. The post holder will be expected to oversee the standard of patients’ records by audit or peer review and have regular open discussions with team members. 9.6. Work within challenging and unpredictable environments e.g. patients’ homes, which may have constraints and require adaptability 9.7. Undertake comprehensive risk assessments of all situations associated with the care of patients in order to ensure nurses’ and carers’ safety. This may include assessment and provision of equipment ensuring it is used safely. 9.8. Monitor and maintain the health, safety and security of self and others. 9.9. The post holder is required to comply with all infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager; (if no action or explanation received, then it is the individual’s responsibility to escalate to Director of Operations/ Chief Executive office). 9.10. Be conversant with the vulnerable adult and child protection procedures and policies of Plymouth Community Healthcare. 9.11. Be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the administrative aspect of the role. 9.12. To act as a clinical advisor on health care issues within their area of expertise and act as a Link Nurse. 9.13. Provide education and continuing support to patients, family and carers’. 9.14. Identify areas of improvement of practice and communicate to the Caseload Holder. 9.15. Undertake health promotion as requested to all age groups and contribute to planned health promotion activities. 9.16. Be aware of organisational, professional and national developments within primary care and work within these guidelines e.g. NSF/ NICE/ NMC. 9.17. Initiate and participate in Clinical Supervision. 9.18. Be involved in audit and research. 9.19. Be aware of and abide by Plymouth Community Healthcare approved Policies, Patient Group Directives, Standards and Quality Assurance Initiatives. 9.20. Be involved in all aspects of clinical governance including audits and effective and safe use of resources and equipment. 10. Management & Leadership: 10.1. Share knowledge and information to promote a cohesive team. 10.2. Be responsible in the absence of the Caseload Holder to delegate nursing care to appropriately skilled staff and ensure that they are supported. 10.3. Act as a role model for all staff and students demonstrating clinical skills and high standards of practice and professional conduct. 10.4. Participate in the recruitment and selection of new staff. 10.5. Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team. 10.6. Contribute to national and local policy development. 10.7. Utilise resources economically, effectively and promote cost consciousness throughout the service. 10.8. In collaboration with the budget holder may be an authorised signatory for ordering stores, equipment and stationary. 10.9. Ensure that all loans of equipment are monitored and maintained in good working order as per operational policy. 10.10. Complete on time and submit all necessary forms, documentation, including IT data and forward as required by the manager/organisation. 10.11. The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering. 10.12. To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment. 10.13. Have a flexible approach to the working day in order to meet the needs of the patient/service. 10.14. Report to line manager any untoward incidents e.g. complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation. 10.15. Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them. 11. Communication: 11.1. Report and record all incidents and near misses relating to health, safety, security, fire, physical violence, aggression and verbal abuse. 11.2. Develop and maintain effective and appropriate communication networks with other members of the Primary Health Care Team and other agencies. 11.3. Have good communication skills to effectively communicate with patients, their relatives and carers about sensitive and accurate information about their condition. 11.4. Provide and receive complex, sensitive and confidential information and over come potential barriers to communication, such as language and disability. 11.5. Promote patient concordance with regard to their prescribed treatment. 11.6. To communicate the role and eligibility criteria of the District Nursing Service. 11.7. Maintain accurate and up to date patient records and inform other professionals about changes in patients’ condition. 11.8. Act as a patient advocate as required ensuring individual needs, preferences and choices are delivered by the service. 11.9. If the post holder is supplied with a mobile phone and a lone worker device they are for work purposes and are expected to abide by Organisation. 12. Professional: 12.1. Works within the NMC Code. 12.2. Remain updated and competent and ensure that clinical practice is evidence-based. 12.3. Have an up to date personal development plan and professional portfolio. 12.4. Participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed and objectives set. In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role. 13. Education & Training: 13.1. Maintain own professional expertise by attending meetings, study days and in-service training and learn new specialist skills required for service development. 13.2. Attend and participate in working groups and research projects as required. 13.3. Participate in Reflective Practice, Clinical Supervision and Appraisals as per Trust policies. 13.4. Assess, teach, support, and supervise colleagues including pre- registration nursing students and medical students. 13.5. Take responsibility for own personal professional development and education. 13.6. Work towards becoming a Nurse Prescriber, if appropriate, and prescribe within the organisation policy and NMC guidelines. With a responsibility to monitor finances and adherence to formulary. Person Specification Knowledge Essential Evidence or recent updating/training Current knowledge of developments in nursing and healthcare in general Understanding of Clinical Governance including audit and research Understanding of clinical supervision and continued professional development Understanding of Team function Awareness or recent Government policies Understanding of Community Nursing service and local issue Desirable Teaching qualification (998/ mentorship or Equivalent) Relevant post registration courses/ knowledge base relevant to the post Non-Medical Prescribing Behavioural Attributes & Competencies Essential Familiar with and committed to the principles and values of the NHS. Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes. Consistently put clinicians at the heart of decision making. Creates and fosters a culture of openness, honesty, integrity and inclusiveness. Values diversity and difference. Uses evidence to make improvements and seeks out innovation. Demonstrates commitment to partnership working. Flexible approach to working. Attention to detail. Highly motivated with ability to influence and inspire others. Outcomes focused. Ability to act as a champion for patients/carers and their interests, ensuring the patients voice has an impact on service developments. Experience Essential Experience of a variety of healthcare settings Qualifications Essential Adult Registered Nurse with NMC Skills Essential To be able to respond to urgent calls in different parts of the city Ability to use initiative and work autonomously Ability to problem solve Good time management Delegation skills Negotiation skills Excellent interpersonal skills Effective communication and interactive skills including oral, written and IT Ability to assess and treat patients using evidence based practice Desirable Leadership, co-ordination and management skills Advanced knowledge and competence with specialised skills required in everyday community nursing Teaching/mentorship skills Tissue Viability, compression bandaging Palliative/terminal care Picc/Hicc lines IV Drugs, cannulation Diagnostic skills e.g. Doppler Tracheostomy, Peg feeds Venepuncture Continence management Catheterisation, urethral, supra-pubic Chronic disease management Complex CHC assessments Previous triage experience. Person Specification Knowledge Essential Evidence or recent updating/training Current knowledge of developments in nursing and healthcare in general Understanding of Clinical Governance including audit and research Understanding of clinical supervision and continued professional development Understanding of Team function Awareness or recent Government policies Understanding of Community Nursing service and local issue Desirable Teaching qualification (998/ mentorship or Equivalent) Relevant post registration courses/ knowledge base relevant to the post Non-Medical Prescribing Behavioural Attributes & Competencies Essential Familiar with and committed to the principles and values of the NHS. Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes. Consistently put clinicians at the heart of decision making. Creates and fosters a culture of openness, honesty, integrity and inclusiveness. Values diversity and difference. Uses evidence to make improvements and seeks out innovation. Demonstrates commitment to partnership working. Flexible approach to working. Attention to detail. Highly motivated with ability to influence and inspire others. Outcomes focused. Ability to act as a champion for patients/carers and their interests, ensuring the patients voice has an impact on service developments. Experience Essential Experience of a variety of healthcare settings Qualifications Essential Adult Registered Nurse with NMC Skills Essential To be able to respond to urgent calls in different parts of the city Ability to use initiative and work autonomously Ability to problem solve Good time management Delegation skills Negotiation skills Excellent interpersonal skills Effective communication and interactive skills including oral, written and IT Ability to assess and treat patients using evidence based practice Desirable Leadership, co-ordination and management skills Advanced knowledge and competence with specialised skills required in everyday community nursing Teaching/mentorship skills Tissue Viability, compression bandaging Palliative/terminal care Picc/Hicc lines IV Drugs, cannulation Diagnostic skills e.g. Doppler Tracheostomy, Peg feeds Venepuncture Continence management Catheterisation, urethral, supra-pubic Chronic disease management Complex CHC assessments Previous triage experience. 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 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 Livewell Southwest Address 200 Mount Gould Road Mount Gould Plymouth Devon PL4 7PY Employer's website https://www.livewellsouthwest.co.uk/ (Opens in a new tab)