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Community Matron

Employer
Bromley Healthcare CIC
Location
Orpington (City/Town), London (Greater)
Salary
£45,024 - £50,806 per annum inc HCAS
Closing date
23 Jan 2022

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Job Details

Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting to specialist nurses, as well as therapy services for children, young people and adults. Being born from NHS Bromley’s community provider unit we have been providing community services to the people of Bromley for many years and we have a wealth of experience.

Bromley Healthcare is a great place to work. The unique way we deliver services and offer everyone who works here a voice, means that your career with us will be rewarding. Social Enterprises are a fairly new and exciting way to deliver healthcare, offering many of the traditional advantages of the NHS (such as excellent training and development) with the freedom for innovation by being able to reinvest any surpluses we make into the community.

Priority consideration will be given to Bromley Healthcare staff formally identified as being at risk.

Please note that for positions that require you to drive as part of your job role we will be asking for evidence of business insurance. 

 

Job overview

The Community Matron will work as a key member of the Integrated Care Networks Proactive Care Pathway. The proactive Care Pathway aims to successfully manage frail and elderly patients in the community through a multi-disciplinary approach to care and through the application of case management. 
The Community Matron will work closely with Primary Care to identify patients through risk stratification and develop proactive patient centred care plans, actively implementing and following through on the care plan to establish and monitor its implementation. The Community Matron role is a key role in the Proactive Management and Integration of Services for the 
Elderly. 

 

Main duties of the job

The Community Matron will proactively holistically assess and case manage a caseload of patients with highly complex needs, working closely with GP practices to identify patients that would benefit from preventative interventions in the community using clinical judgement and a risk stratification tool. The role will complement the generic district nursing and specialist roles in chronic disease management across primary and community services.
The Community Matron will provide clinical care and clinical leadership, co-ordinating the care and case management of risk stratified patients within the Integrated Community Teams preventing unnecessary admissions and facilitating appropriate ones.
The Community Matron will have/will be expected to develop high level skills in physical assessment and diagnostic reasoning including prescribing within their scope of practice.
The Community Matron will work collaboratively across health, social care services and the voluntary sector to identify vulnerable older people with complex needs. 

 

Working for our organisation

Bromley Healthcare is a community interest company providing a wide range of services including community nursing services such as district nursing, health visiting to specialist nurses, as well as therapy services for children, young people and adults. 

Bromley Healthcare is a great place to work. The unique way we deliver services and offer everyone who works here a voice, means that your career with us will be rewarding.

Social Enterprises are a fairly new and exciting way to deliver healthcare, offering many of the traditional advantages of the NHS (such as excellent training and development) with the freedom for innovation by being able to reinvest any surpluses we make into the community.

Salary is dependant on NHS experience and current banding/pay point, applicants from outside the NHS will receive the start point of the salary scale in line with NHS terms & conditions.

Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, access to EAP, high street discounts, Blue Light Card eligibility, opportunity to apply for low interest personal loans and an excellent lease car scheme and we are constantly looking to expand our staff benefits.

 

Detailed job description and main responsibilities

Leadership/Managerial
1. To act as the key point of contact within the ICN proactive care pathway. The Community Matron will carry out an initial holistic assessment for all patients identified for the pathway and will then discuss the care plan generated at a MDT discussion.
2. To be responsible for the management of a caseload and maximise efficiency and effectiveness in the role to secure the best service to patients. This will include the analysis and management of complex changing clinical situations.
3. Act as a change agent and innovator, planning, implementing and evaluating change to facilitate high quality health outcomes, pioneering new services where gaps exist.
4. To provide expert advice on Long Term Conditions and suggest strategies to improve and develop services across organisational and professional boundaries.
5. To provide expert advice on frailty and ceilings of care, liaising with a local geriatrician as needed to move the patient through appropriate care pathways/into end of life pathways, when appropriate.
JOB SUMMARY
The Community Matron will work as a key member of the Integrated Care Networks Proactive Care Pathway. The proactive Care Pathway aims to successfully manage frail and elderly patients in the community through a multi-disciplinary approach to care and through the application of case management. 
The Community Matron will work closely with Primary Care to identify patients through risk stratification and develop proactive patient centred care plans, actively implementing and following through on the care plan to establish and monitor its implementation. The Community 
Matron role is a key role in the Proactive Management and Integration of Services for the Elderly.
 The Community Matron will proactively holistically assess and case manage a caseload of patients with highly complex needs, working closely with GP practices to identify patients that would benefit from preventative interventions in the community using clinical judgement and a risk stratification tool. The role will complement the generic district nursing and specialist roles in chronic disease management across primary and community services.
 The Community Matron will provide clinical care and clinical leadership, co-ordinating the care and case management of risk stratified patients within the Integrated Community Teams preventing unnecessary admissions and facilitating appropriate ones.
 The Community Matron will have/will be expected to develop high level skills in physical assessment and diagnostic reasoning including prescribing within their scope of practice.
 The Community Matron will work collaboratively across health, social care services and the voluntary sector to identify vulnerable older people with complex needs.
MAIN DUTIES AND RESPONSIBILITIES
6. To support in the development of the Integrated Community Teams including up-skilling colleagues (including colleagues outside of nursing) by mentoring, feedback and teaching.
7. To assist in the development of policies, procedures and guidelines to support the case management process.
8. To participate in the evaluation of the service and service development including relevant audits and research, providing reports as and when required.
9. To ensure that all necessary records are maintained in line with Bromley Healthcare and NMC requirements.
10. To have an awareness of budget management and be responsible for the efficient and effective use of resources within own practice e.g. equipment supplies and time management.
11. To act at all times as a positive role model and an advocate both for individuals and the service, networking with a variety of forums as appropriate.
Clinical
1. Be responsible for an identified caseload of patients, taking referrals from relevant health professionals in line with the current Bromley Healthcare guidelines.
2. To use advanced clinical practice skills and expert knowledge, using nationally recognised assessment tools. Undertake in depth holistic clinical assessments, including a full physical examination and identifying patient’s medical, social, psychological and spiritual needs.
3. To negotiate and develop a personal care plan with the patient, health/social care professionals, carers and/or relatives. To ensure these care plans are patient centred and that the patient signs up to the care plan and feels fully involved in its development.
4. To diagnose, instigate and review therapeutic treatments based on best available evidence to manage and improve health outcomes.
5. To provide expert clinical care and health promotioninterventions.
6. To regularly monitor and review the patient’s condition to identify subtle changes in that condition, proactively manage these to enhance well being and promote independence and teach relatives and carers to recognise these changes.
7. To manage individuals with chronic disease through an advanced level of autonomous practice including taking managed risks.
8. To use appropriate benchmarks to drive standards of performance in management of longterm conditions, aligning to the GP ‘QoF’ and other national frameworks as appropriate.
9. To develop therapeutic relationships with patients and carers, enabling and supporting them to be active partners in the care planning process for their current and future needs.
10. To develop and use expert knowledge and skills to order diagnostics e.g. blood tests and interpret and act on results, using clinical guidelines and policies to support clinical decision making.
11. To work in partnership with GP’s, nurse practitioners, relevant hospital consultants and others to determine a diagnosis when required.
12. To take responsibility to formulate a plan of care and follow-up, ensuring the multidisciplinary team within the ICN is fullyinvolved.
13. To work collaboratively when patients are admitted to any in-patient facility, and provide base line health data for the receiving team to support integrated and consistent care and facilitate discharge or end of lifecare.
14. To refer appropriately and in a timely way to other services and health/social care professionals.
15. Working closely with the CPNs in the community teams including supporting shared care management of long term mental health conditions such as dementia and depression
16. To manage high risk patients pro-actively and minimise the risk of hospital admission ensuring they are in the most appropriate care environment.
17. To co-ordinate and evaluate additional support as needed, such as homecare, intermediate care, palliative care teams or geriatricians.
18. Provide advice to patients and their carers on medicines and their management

19. To prescribe as an independent prescriber, or a supplementary prescriber using a clinical management plan in accordance with DoH and Bromley Healthcare guidelines on non-medical prescribing.
20. To undertake medication reviews and to prescribe within competencies to ensure that patients are on optimal disease specific medications as per NICE and Local Guidelines.
21. Supporting the implementation of the dementia screening programme across the community teams, and supporting patients with dementia
Education and Training
1. Develop own knowledge and skills within the national case management competency framework in order to function as an advanced clinical practitioner.
2. Take an active part in the organisations review process identifying own learning and developmental needs against the Knowledge and Skills Framework (KSF) outline for the post and produce a Personal Development Plan (PDP) to meet those needs.
3. Take an active part in the organisations clinical supervisionprocess.
4. To act as a mentor to other staff where appropriate, providing education, training and support.
The post holder has a responsibility to safeguard children, young people and adults at 
risk and will be trained to the appropriate level as determined by the post.
The post holder is expected to demonstrate the values of Bromley Healthcare 
including;
 Constantly improve our services
 Treat others as we would like to be treated
 Hit our targets
 

Person specification

Qualifications

Essential criteria

  • Education to first level degree or equivalent

Desirable criteria

  • Masters level study
  • Recognised Nurse Practitioner qualification
  • Independent prescriber

Skills

Essential criteria

  • Ability to undertake advanced patient assessments, implement appropriate nursing care and treatment and evaluate outcomes
  • Able to function as an advanced practitioner with expert clinical skills
  • Computer literate, able to understand and interpret relevant clinical data and information
  • Car driver with current licence with access to vehicle
  • Enhanced Physical Assessment Skills and history taking in Primary Care

Desirable criteria

  • Advanced assessment of care planning skills

Experience

Essential criteria

  • Demonstrable Primary Care experience in care of people with long term conditions
  • Experience of working in Community services
  • Experience of managing complex and rapidly changing clinical conditions
  • Ability to assess acutely unwell patients and demonstrate ability to manage them effectively and in a timely manner

Desirable criteria

  • Experience of managing teams
  • Experience of leading of policy/service development

Personal Qualities

Essential criteria

  • Excellent communication skills
  • Team player – able to work across organisations and structures
  • Able to work autonomously and show initiative
  • Ability to write concise, comprehensive reports

Desirable criteria

  • Experience of dealing with complaints

 

We are passionate about caring for our service users, and their family and friends, and the wellbeing of our colleagues. That's why it's a requirement for everyone joining Bromley Healthcare in a regulated/patient facing role to have been fully vaccinated against Covid19 or to hold a qualifying exemption. Applicants are further advised that it is a condition of employment that evidence of vaccination status is provided.

You can get a flavour for what its like to work for Bromley Healthcare by viewing the following YouTube link:

https://www.youtube.com/channel/UCXqdJm17dcbXnfvh98qlJ0g

Salary is dependant on NHS experience and current banding/pay point, applicants from outside the NHS will receive the start point of the salary scale in line with NHS terms & conditions.

Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, opportunity to apply for low interest personal loans and an excellent lease car scheme.

Bromley Healthcare is fully committed to creating a diverse and inclusive culture, in a work environment where all colleagues feel supported, nurtured and celebrated. We do not tolerate discrimination of any kind. At Bromley Healthcare, diversity and inclusion is one of the key strands of our People Strategy, and we are fully committed to promoting diversity in all we do to make real and lasting change. 

As an equal opportunities employer, we welcome and encourage applications from all suitably qualified individuals regardless of race, sex, disability, religion /belief, sexual orientation or age. We are especially keen to increase Black, Asian and Minority Ethnic (BAME) representation across Bromley Healthcare, especially at senior levels.   

 We look forward to welcoming you to a rewarding career with Bromley Healthcare.  

 All offers of new employment with Bromley Healthcare are subject to a six month probation period

Bromley Healthcare CIC is an NHS community provider and part of the NHS family.

But we are a little different; we like to think that we stand out from typical NHS organisations as Bromley Healthcare CIC is actually a co-owned social enterprise, co-owned by its employees. This means that our staff remain on NHS Agenda for Change Terms and Conditions and are members of the NHS pension scheme (providing you are eligible), if not we can offer the Nest or Scottish Widows pension schemes.

Company

Excellent benefits package available including various pension schemes, discounted gym membership, cycle to work scheme, discounted electronics, opportunity to apply for low interest personal loans and an excellent lease car scheme.

Bromley Healthcare CIC is an NHS community provider and part of the NHS family.

But we are a little different; we like to think that we stand out from typical NHS organisations as Bromley Healthcare CIC is actually a co-owned social enterprise, co-owned by its employees. This means that our staff remain on NHS Agenda for Change Terms and Conditions and are members of the NHS pension scheme (providing you are eligible), if not we can offer the Nest or Scottish Widows pension schemes.

What difference does this make?

Because our Nurses, therapists and support staff co-own Bromley Healthcare CIC and have a real say in how our services are run, this has created a greater sense of ownership, responsibility & motivation among our staff which in turn creates better quality for our patients & families.

If you are keen to work for a dynamic, forward thinking but different type of NHS employer then Bromley Healthcare could be for you!

From health visiting to district nursing, school nurses to specialist nurses, our nursing services help new parents to care for new born children and older people to continue living at home through care and support. We also have a wide range of therapy services for adults and children, including speech and language therapy, physiotherapy and occupational therapy whilst our specialist services focus on preventing diseases and supporting those living with specific conditions such as Chronic Obstructive Pulmonary Disease (COPD) or diabetes.

 

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