Job summary
Trinity
Health Group PCN is looking for an Outreach Nurse with experience of long-term
condition reviews and management to join our Outreach Team. The postholder will
work with our existing LTC Outreach Nurse forming an innovative team developing
new ways of working. The postholder with focus on completing LTC reviews for
housebound patients plus being a key member of the teams delivering on our
Health Inequalities Project. It is likely that future project work will involve
the postholder and there will be opportunity to develop unique services and
pilots.
Interviews to take place w/c 5th December - please ensure you can be available.
Main duties of the job
With
the NHS Long Term plan in mind the team will be working on several projects
such as;
- Reducing Health Inequalities by targeting
specific patient cohorts with interventions. This will include setting up pop
up clinics in areas of social deprivation, traveller sites and working with
community/religious groups making our services more accessible for
patients.
- Targeted
support for patients with Cardiovascular Disease and
Diabetes. Completing Long -Term Condition Reviews, monitoring, and taking
regular observations. Recognising ways in which these patients require support
and interventions from multiple practitioners and making every contact
count.
- The
Outreach Team work closely with our Wellbeing Team to provide a coordinated
approach to LTCs within Care Homes, Dementia and those with multiple
LTCs.
- The successful candidate will have a can-do attitude and be
flexible to suit the needs of the business and the projects that we are
delivering.
The
Long Term Condition Outreach Nurse will provide and maintain a high standard of
nursing care for patients with a particular focus on those who are housebound.
Focusing upon supporting patients to be healthy, monitoring of long-term
conditions, health prevention and screening activities. They will work
collaboratively with the General Practice team to meet the needs of patients,
supporting the delivery of policy and procedures, and providing nurse
leadership as required.
About us
Trinity
Health Group is a PCN made up of four practices on the west of the district (Trinity
Medical Centre, Maybush Medical Centre, Crofton and Sharlston Medical Practice
and Warrengate Medical Centre). Our vision is that all our patients should have
the same chance at a happy, healthy life. We believe that a sustainable,
resilient primary care service working collaboratively with volunteer and
community services and social enterprise organisations supports this vision.
Our mission is to add years to the lives of our patients, whilst adding life to
those years.
Conexus Healthcare Limited is the Confederation for
general practice in Wakefield, we have four areas of work.
- Delivery of high-quality public facing
Health and well-being services across the Wakefield District
- Delivery of Training, Development and
Consultancy support across the United Kingdom
- Supporting Our Practices and Primary Care Networks (PCNs)
- Providing a voice and influence for
General Practice in the Health and Care System
Built within primary care, for primary care,
Conexus Healthcare Limited works with local GPs and their practices to champion
investment in and deliver effective primary care at scale. By connecting in
this way, we are stronger, more resilient and can care effectively for over
370,000 local people together.
Job description
Job responsibilities
Please see the attached job description for further details about the responsibilities of this role.
Job description
Job responsibilities
Please see the attached job description for further details about the responsibilities of this role.
Person Specification
Qualifications
Essential
- Qualified Registered General Nurse or equivalent with current NMC Registration
- Good standard of general education and good standard of spoken and written English language
- Evidence of continuing professional development within the last 12 months
- Diplomas in chronic disease management e.g. Diabetes, Asthma, COPD etc
Desirable
- Masters Degree in relevant subject area
Experience
Essential
- Substantial post-registration experience Practical experience of clinical procedures as per job profile / advertised requirements
- Experience of planning and managing clinics
- Experience of working with housebound patients and hard to reach groups
- Experience of wound management
- Experience of working in General Practice
- Experience of providing respiratory clinic or equivalent
- Experience of working in a MDT setting
- Experience of documenting and record keeping of clinical information
- Experience in primary care
Desirable
- Use of SystmOne
- Experience in mentoring and supporting the training of other staff including nurses and students.
Personal Attributes
Essential
- Ability to communicate informally and develop supportive relationships with clients, carers and other professionals
- Ability to motivate, empower and enable others.
- Be adaptable and self-motivated using initiative and clinical judgements.
- Enthusiasm and commitment to achieving better outcomes for patients.
Knowledge, Skills and Abilities
Essential
- Ability to work autonomously, managing their own caseload
- Knowledge of clinical governance and audit
- Knowledge of relevant Professional and Clinical legislation
- IT skills in Microsoft applications
- Skills in risk assessment and risk management and crisis management
- Demonstrates effective communication and interpersonal skills
- Ability to work well as a team member
- Demonstrates initiative and potential ability to work without direct supervision, problem solve and prioritise own work
Desirable
- Awareness / knowledge of the issues surrounding social inclusion for mental health service users
Other
Essential
- Access to own transport and ability to travel across the Wakefield district on a regular basis.
- Own vehicle is insured for Business use.
Person Specification
Qualifications
Essential
- Qualified Registered General Nurse or equivalent with current NMC Registration
- Good standard of general education and good standard of spoken and written English language
- Evidence of continuing professional development within the last 12 months
- Diplomas in chronic disease management e.g. Diabetes, Asthma, COPD etc
Desirable
- Masters Degree in relevant subject area
Experience
Essential
- Substantial post-registration experience Practical experience of clinical procedures as per job profile / advertised requirements
- Experience of planning and managing clinics
- Experience of working with housebound patients and hard to reach groups
- Experience of wound management
- Experience of working in General Practice
- Experience of providing respiratory clinic or equivalent
- Experience of working in a MDT setting
- Experience of documenting and record keeping of clinical information
- Experience in primary care
Desirable
- Use of SystmOne
- Experience in mentoring and supporting the training of other staff including nurses and students.
Personal Attributes
Essential
- Ability to communicate informally and develop supportive relationships with clients, carers and other professionals
- Ability to motivate, empower and enable others.
- Be adaptable and self-motivated using initiative and clinical judgements.
- Enthusiasm and commitment to achieving better outcomes for patients.
Knowledge, Skills and Abilities
Essential
- Ability to work autonomously, managing their own caseload
- Knowledge of clinical governance and audit
- Knowledge of relevant Professional and Clinical legislation
- IT skills in Microsoft applications
- Skills in risk assessment and risk management and crisis management
- Demonstrates effective communication and interpersonal skills
- Ability to work well as a team member
- Demonstrates initiative and potential ability to work without direct supervision, problem solve and prioritise own work
Desirable
- Awareness / knowledge of the issues surrounding social inclusion for mental health service users
Other
Essential
- Access to own transport and ability to travel across the Wakefield district on a regular basis.
- Own vehicle is insured for Business use.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
