Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
This vacancy is for a permanent part-time (36 hours per week) Community Matron. Working pattern is 3 or 4 shifts between Monday and Friday in the Leigh Community Matron team.
The ability to travel between different Trust sites is essential.
All candidates will be required to evidence their original certificates for qualifications to the interview panel. An Enhanced DBS with check against the Adults Barred list will be obtained for the successful candidate during pre-employment checks.
Main duties of the job
The post holder will be a highly skilled practitioner, with the ability to work autonomously, with experience in clinical examination/diagnostics and long-term conditions management. Problem-solving skills and excellent communication skills are essential.
As part of the role, you will co-ordinate the identification of patients with chronic long-term conditions, who are at high risk of admission to hospital and who will most benefit from case management.
Job responsibilities
Key results from the job holder
* Work as an autonomous clinician in a defined area to develop and provide expert clinical advice, support, and care to a defined group of patients.
* Develop and use advanced clinical skills to analyse and interpret history of illness, presenting symptoms, and physical findings to enable diagnosis, planning, and treatment of patients.
* Empower patients and their families through appropriate support and education to manage their long-term illness or disability.
* Facilitate the integration of patients' goals for health and social care plans and future health needs.
* Develop working relationships with primary and secondary care clinicians to ensure patients' care is of high quality and appropriately delivered.
* Establish partnerships and networks with social services, voluntary sector, and other agencies to ensure patients access all resources available, working closely with social care teams.
* Provide and co-ordinate the interface between acute, primary, community, and social care settings in order to reduce unnecessary attendances/admissions to hospital and facilitate early discharge if possible.
* Be part of an integrated community team attending regular team meetings to plan and organise patient management plans.
* Collect, collate, evaluate, and report clinical information, maintain accurate patient records related to assessment and care planning.
* Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.
* Review medication, discuss side effects, and where appropriate prescribe relevant medication or liaise with medical staff.
* Regularly evaluate practice to ensure continuous improvement.
* Lead on professional quality and safety for vulnerable people with highly complex needs, co-morbidity, and long-term conditions.
* Act as a resource to all staff in delivery of clinical care to patients.
* Act as an advocate for the patient negotiating and consulting with other clinicians and associated staff to ensure high-quality care.
* To provide a visible and accessible point of contact for patients and carers, ensuring high standards of individual patient care.
* Work with other clinicians in examining episodes of care delivery, critical incidents, and individual care plans to improve and develop services.
* Work across professional boundaries providing expert clinical knowledge whilst developing new skills.
* Identify own learning needs and subsequently plan, implement and evaluate strategies to meet identified needs.
* Ensure own compliance with mandatory training programmes and own ongoing professional development and development of the advance practitioner role.
* Engage in clinical supervision and self-reflection to develop own clinical standards and work practices.
Planning and Organisational Duties
* Contribute to professional and policy-making activities that impact on development of clinical practice.
Communications and Key Working Relationships
* Provide advanced clinical knowledge within own scope of practice to clinical colleagues.
* Take a lead role in evaluation of clinical practice to identify and implement change to continuously improve the standards of clinical care.
* Provide leadership and co-ordination across professional boundaries working closely with other clinicians within the same area of practice.
* Act as a key role model within the locality teams, offering advice to multi-disciplinary team members on case management.
Responsibility for Finance
* Support Manager in achieving budget requirements.
Responsibility for Human Resources
* Participate in the recruitment and selection of staff as required.
* Participate in the induction and orientation programmes for newly appointed staff including disciplines other than nursing.
* In the context of service development, contribute to development and planning of an appropriate workforce as required.
* Ensure prompt recording and reporting of accident/incidents.
* Report sickness and absence in accordance with Trust policy.
* To ensure compliance of self and others with Health & Safety Policies and provide a level knowledge, training and support which contributes to providing a safe working environment, meeting the requirements of the Health & Safety at Work Act.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses, and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
* Participate in education, training, and mentorship of other clinicians.
* Participate in pre and post-registration training for staff from multi-professional backgrounds.
Work Circumstances & on-call
Agile community working within the Community services.
Person Specification
Qualifications
* Current professional registration
* MSc Advanced Practice/RCN Nurse Practitioner Dip or equivalent evidenced CPD
* Evidence of recent continuing professional development
* Advanced Clinical examination module or willingness to complete
Experience
* To be able to demonstrate experience in a range of clinical settings with relevant experience in community primary care
* Experience of working with complex cases
* Leading change and innovation
* NHS experience
Skills
* Advanced Clinical assessment/Diagnostic skills
* Ability to assess patient's requirements and develop case management
* Ability to interpret data from diagnostic tests to adjust interventions appropriately
* Communication/Negotiation
* Ability to engage and deliver change
* Teaching skills
* Ability to manage complexity
* Ability to develop and sustain partnership working with individuals and across organisations
* IT Skills
Knowledge
* Knowledge of chronic disease
Additional
* Ability to travel across the community multiple times daily
* Speak English to appropriate level
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.
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