Job summary
Are you an experienced
Community Nurse wanting a new and exciting Challenge? This post is to work
within the Community Nursing team to deliver unscheduled care to avoid
unnecessary hospital admissions and ensure patients receive a two hour response
when clinically indicated. This post will support the planned community nursing
work by supporting with unplanned care for patient on the Community Nursing
caseload. You will be visiting patients in their own homes where they have a
clinical need for nursing intervention to avoid hospital attendance, GP
appointment, escalation to 999 or deterioration.
We offer Agenda for Change Terms and Conditions and
NHS Pension. Procare are committed to supporting the development of all
employees to their full potential and all employees working within the Procare
Community Services adult community nursing service will additionally have
access to the staff benefits, learning and development opportunities offered by
the Royal Surrey NHS Foundation Trust. Procare is supporting staff with
completing a variety of external course such as V300 prescribing and Advanced
Clinical Practice which successful candidates will be able to register interest
in.
Main duties of the job
Are you an experienced Community Nurse,
passionate for high quality patient care?
Are you seeking career development in a
clinically led organisation, at the forefront of the revolution of community
nursing?
Working within the Community Nursing team as a
senior nurse you will support the Community Nursing team to
ensure effective, efficient, safe, and high-quality nursing care for patients
and carers, ensuring unnecessary hospital admissions are avoided and ensuring
patients known to the Community Nursing team receive a two hour response when clinically
indicated. The
role will allow direct clinical care to be given to support patients remaining
at home safely and with independence. You will be delivering care in line with
patients care plans and have access to the escalation of concerns to senior clinicians,
GP, adult community services colleagues and Geriatrician of the day at the
Royal Surrey.
Post holders will be
available to work Monday to Sunday and
will be required to travel to patients,
across Guildford and Waverley.
About us
The Procare Chief Executive is a Community Nurse, our
medical director is local GPs and our Nurse Director has considerable community
experience in governance and quality. Our clinically led board ensures that
Procare has the experience and knowledge base from which to build sustainable
integrated services.
With high quality care, patient safety and a
positive patient and carer experience at the centre of our strategy, our aim is
to ensure high quality care for our local community, through being a great
place to work with a highly skilled and competent workforce.
We are an innovative, ambitious, friendly, and
supportive local team and pride ourselves in a clinically led and flat
management structure that ensures good visibility of all directors. We are
seeking someone with all the right skills and attributes, who is pragmatic, and
solution focused and wants be part of our local revolution in Community Nursing
Services.
Job description
Job responsibilities
Job Summary:
To deliver nursing care in accordance with national and local policy and guidance and in accordance with the Nursing and Midwifery Council. The successful applicant will work within the Community Nursing service to avoid unnecessary hospital admissions and ensure patients receive a two hour response when clinically indicated.
Job Purpose:
The post holder will ensure the provision of the highest standard of clinical care by using advanced skills and expert knowledge to holistically assess needs, instigate, and provide clinical treatments using evidence-based practice to prevent hospital admissions.
The post holder will visit adult patients in their own home who have an identified nursing need including those with a long-term condition, complex care needs and needing care at home and at the end of life for physical and symptomatic nursing care. This will often be urgent visits that are unscheduled and require seeing on the day within a time frame due to clinical presentation.
The post holder will use an electronic patient held record system, EMIS as a record of care and all our nurses are provided with a work Iphone and Ipad for mobile working. The post holder will be required to complete templates that can be used for audit reporting and data collection, this information will be shared with the wider system.
To ensure the Urgent Community Response Two Hour National standard is met for patients on the Community Nursing caseload with an urgent need and that data is available to demonstrate this.
KEY RESPONSIBILITIES:
Communication
- Builds and maintains strong working relationships and communicates effectively with District Nursing Teams, Adult Community Services, GPs, practice nurses, Social Care, Mental Health, acute / community hospital colleagues, Borough Council staff and the local voluntary sector - particularly for patients receiving shared care to ensure an effective flow of patient information to ensure high quality care
- Utilises a range of effective communication skills, tools and techniques that meet the needs of the patients and carers and can effectively overcome any barriers to communication and understanding
- Acts as an advocate for patients and carers to adapt nursing care and treatment delivered according to the needs, wishes and preferences of the patient
- Maintains accurate and legible patient records in line with professional and organisational requirements this includes contemporary paper records and electronic patient record system, EMIS
- Communicates effectively with others involved in patient care
- Able to collate, compile and present data and reports that evidence the work carried out by the team at system level
Patient Care / Safety / Quality
- Undertakes and documents holistic nursing assessments of patients in collaboration with the District Nurse, including those with multiple pathology and complex health and social needs with a plan of care agreed with the patient
- Required to undertake physical examination and health assessments
- Prioritises daily work in line with clinical and patient need
- Undertake all aspects of medicines management related activities in accordance with the companys medicines policies to ensure the safe, legal, and appropriate use of medicines
- Responsible for the monitoring of medication regimes, assessing effects and advising patients on the safe storage and disposal of drugs particularly in relation to self-care
- Ensures that all complaints, untoward incidents, accidents, and areas of clinical risk are identified and investigated on the electronic incident reporting system (DATIX) in accordance with policy, escalating to the Service Development Manager as required
- Monitors the safety of equipment /environment and ensure that all areas of clinical risk are identified and reported in accordance with legislation and policy
- Responsible for the correct use of aids and equipment prescribed for patients and carers
- Lead and reviews or investigations relating to patient or service incidents and reports to the Patient Safety Team
Service Development and Innovation
- Demonstrates a high level of expertise in this field providing advice, education and support to Health Care Professional patients and carers
- Actively participates in relevant working and professional groups
- Works with the Head of Community Nursing, Service Development Manager and Clinical Leads to ensure service development and integrated services within the Locality
- Participates in clinical audit and the implementation of recommendations and action plans, and required changes to ways of working / clinical practice from findings, recommendations, and action plans
- Contributes to the ongoing development of clinical practise and standards of care within the service, this is inclusive of policies and guidelines
Clinical Leadership and Professional Development
- Acts as a role model for all company, NHS, and professional / local nursing strategies
- Assists in the data collection and ensuring that the service is shown to be effective in all its key metrics.
- Accountable for own professional actions in line with the NMC code and local policy and guidelines
- Recognises own limitations in the provision of clinical care and urgency of patient's needs, referring to other health care professionals accordingly and is accountable for his/her/their own actions often without direct supervision
- Responsible for the self development of skills and competencies through participation in learning and development activities, and to maintain up to date technical and professional knowledge relevant to the post.
- Responsible for completing all own mandatory training
- Participates in own annual appraisal and undertakes continuing professional development, clinical supervision and peer review for self to maintain and develop knowledge and skills
- Access regular 1-1 meetings with line manager
- Responsible for receiving and facilitating clinical supervision and undertaking peer reviews within the team
- Provides specialist clinical and supervisory leadership to junior team members, non-registrants, new employees, and students within the team
- Responsible for teaching, supervising and mentoring team members, colleagues and pre-registration students undertaking formal student assessments
- Responsible for the development of clinical competencies of staff within the team and for monitoring of standards with the Professional Leads and Service Development managers
- Keeps up to date with professional nursing and regulatory requirements, health care developments, clinical evidence, National Service Frameworks for practice, national and local policies, and guidelines to maintain up to date technical and professional knowledge relevant to the post
- Responsible for the self-development of skills and competencies through participation in learning and development activities and continuing professional development to maintain up to date technical and professional knowledge relevant to the post
- Oversees effective induction, competency achievement, supervision and mentoring of new team members and supporting pre-registration student nurses
- Undertakes formal student assessments and participates in the maintenance of an effective learning environment
- Responsible for budget control regarding service pay and no pay with the support of the Service Development Manager and finance team
Job description
Job responsibilities
Job Summary:
To deliver nursing care in accordance with national and local policy and guidance and in accordance with the Nursing and Midwifery Council. The successful applicant will work within the Community Nursing service to avoid unnecessary hospital admissions and ensure patients receive a two hour response when clinically indicated.
Job Purpose:
The post holder will ensure the provision of the highest standard of clinical care by using advanced skills and expert knowledge to holistically assess needs, instigate, and provide clinical treatments using evidence-based practice to prevent hospital admissions.
The post holder will visit adult patients in their own home who have an identified nursing need including those with a long-term condition, complex care needs and needing care at home and at the end of life for physical and symptomatic nursing care. This will often be urgent visits that are unscheduled and require seeing on the day within a time frame due to clinical presentation.
The post holder will use an electronic patient held record system, EMIS as a record of care and all our nurses are provided with a work Iphone and Ipad for mobile working. The post holder will be required to complete templates that can be used for audit reporting and data collection, this information will be shared with the wider system.
To ensure the Urgent Community Response Two Hour National standard is met for patients on the Community Nursing caseload with an urgent need and that data is available to demonstrate this.
KEY RESPONSIBILITIES:
Communication
- Builds and maintains strong working relationships and communicates effectively with District Nursing Teams, Adult Community Services, GPs, practice nurses, Social Care, Mental Health, acute / community hospital colleagues, Borough Council staff and the local voluntary sector - particularly for patients receiving shared care to ensure an effective flow of patient information to ensure high quality care
- Utilises a range of effective communication skills, tools and techniques that meet the needs of the patients and carers and can effectively overcome any barriers to communication and understanding
- Acts as an advocate for patients and carers to adapt nursing care and treatment delivered according to the needs, wishes and preferences of the patient
- Maintains accurate and legible patient records in line with professional and organisational requirements this includes contemporary paper records and electronic patient record system, EMIS
- Communicates effectively with others involved in patient care
- Able to collate, compile and present data and reports that evidence the work carried out by the team at system level
Patient Care / Safety / Quality
- Undertakes and documents holistic nursing assessments of patients in collaboration with the District Nurse, including those with multiple pathology and complex health and social needs with a plan of care agreed with the patient
- Required to undertake physical examination and health assessments
- Prioritises daily work in line with clinical and patient need
- Undertake all aspects of medicines management related activities in accordance with the companys medicines policies to ensure the safe, legal, and appropriate use of medicines
- Responsible for the monitoring of medication regimes, assessing effects and advising patients on the safe storage and disposal of drugs particularly in relation to self-care
- Ensures that all complaints, untoward incidents, accidents, and areas of clinical risk are identified and investigated on the electronic incident reporting system (DATIX) in accordance with policy, escalating to the Service Development Manager as required
- Monitors the safety of equipment /environment and ensure that all areas of clinical risk are identified and reported in accordance with legislation and policy
- Responsible for the correct use of aids and equipment prescribed for patients and carers
- Lead and reviews or investigations relating to patient or service incidents and reports to the Patient Safety Team
Service Development and Innovation
- Demonstrates a high level of expertise in this field providing advice, education and support to Health Care Professional patients and carers
- Actively participates in relevant working and professional groups
- Works with the Head of Community Nursing, Service Development Manager and Clinical Leads to ensure service development and integrated services within the Locality
- Participates in clinical audit and the implementation of recommendations and action plans, and required changes to ways of working / clinical practice from findings, recommendations, and action plans
- Contributes to the ongoing development of clinical practise and standards of care within the service, this is inclusive of policies and guidelines
Clinical Leadership and Professional Development
- Acts as a role model for all company, NHS, and professional / local nursing strategies
- Assists in the data collection and ensuring that the service is shown to be effective in all its key metrics.
- Accountable for own professional actions in line with the NMC code and local policy and guidelines
- Recognises own limitations in the provision of clinical care and urgency of patient's needs, referring to other health care professionals accordingly and is accountable for his/her/their own actions often without direct supervision
- Responsible for the self development of skills and competencies through participation in learning and development activities, and to maintain up to date technical and professional knowledge relevant to the post.
- Responsible for completing all own mandatory training
- Participates in own annual appraisal and undertakes continuing professional development, clinical supervision and peer review for self to maintain and develop knowledge and skills
- Access regular 1-1 meetings with line manager
- Responsible for receiving and facilitating clinical supervision and undertaking peer reviews within the team
- Provides specialist clinical and supervisory leadership to junior team members, non-registrants, new employees, and students within the team
- Responsible for teaching, supervising and mentoring team members, colleagues and pre-registration students undertaking formal student assessments
- Responsible for the development of clinical competencies of staff within the team and for monitoring of standards with the Professional Leads and Service Development managers
- Keeps up to date with professional nursing and regulatory requirements, health care developments, clinical evidence, National Service Frameworks for practice, national and local policies, and guidelines to maintain up to date technical and professional knowledge relevant to the post
- Responsible for the self-development of skills and competencies through participation in learning and development activities and continuing professional development to maintain up to date technical and professional knowledge relevant to the post
- Oversees effective induction, competency achievement, supervision and mentoring of new team members and supporting pre-registration student nurses
- Undertakes formal student assessments and participates in the maintenance of an effective learning environment
- Responsible for budget control regarding service pay and no pay with the support of the Service Development Manager and finance team
Person Specification
Experience
Essential
- Band 6 experience in the community setting with a focus on unplanned/urgent response
- Experience prioritising, and allocating assessments in accordance with patient clinical need and individual competencies
Desirable
- Experience of managing people and undertaking appraisals, 1-2-1 and probationary reviews.
Qualifications
Essential
- Registered Level 1 Nurse with current Nursing and Midwifery Council registration
- Post-graduate qualification in relevant area or equivalent experience
- Practice Supervisor and Assessor (to be completed within 1yr of post)
- Evidence of recent and relevant continuing professional development
Desirable
- Physical Health Assessment module or willingness to undertake Health assessment in first 12 months
- Ability and willingness to undertake an Advance Nurse Practitioner course for development in role
- Leadership or management qualification
Skills, Competencies and Attributes
Essential
- Knowledge of recent policy within health and social care and how these impact on community nursing
- Keeps up to date with evidence-based practice and research related to nursing and health care in the community
- Ability to make decisions autonomously
- Ability to prioritise visits in accordance with patient need and to organise workload without direct supervision
- Broad range of clinical skills relevant to Community Nursing, - including but not limited to Compression Bandaging, Dopplers, Venepuncture, Male & Suprapubic catheter, Syringe drivers and Palliative care Symptom Management.
- Ability to teach and supervise students and colleagues using varied techniques including presentations
- Good knowledge of health and safety and effective risk management, able to safely operate and community nursing equipment
- Able to use databases and other IT programmes, including MicroSoft Word, Excel, Powerpoint, Emails, Virtual Meeting platforms
- Good negotiation and motivation skills
- Calm and organised
- Able to prioritise workload and adapt to unplanned to changes throughout the working day
- As a role model, displays personal and professional autonomy, with awareness of when to escalate
- Team player, willing to engage with and interact in training with and from peers and other professionals
- Demonstrates a strong desire to improve performance and make a difference to patient care and to the adult community nursing service by focusing on goals and outcomes
- Able to travel between RSFT and Procare sites at various locations across the locality and across Guildford and Waverley throughout the working day, at times travel across Surrey may be required
Person Specification
Experience
Essential
- Band 6 experience in the community setting with a focus on unplanned/urgent response
- Experience prioritising, and allocating assessments in accordance with patient clinical need and individual competencies
Desirable
- Experience of managing people and undertaking appraisals, 1-2-1 and probationary reviews.
Qualifications
Essential
- Registered Level 1 Nurse with current Nursing and Midwifery Council registration
- Post-graduate qualification in relevant area or equivalent experience
- Practice Supervisor and Assessor (to be completed within 1yr of post)
- Evidence of recent and relevant continuing professional development
Desirable
- Physical Health Assessment module or willingness to undertake Health assessment in first 12 months
- Ability and willingness to undertake an Advance Nurse Practitioner course for development in role
- Leadership or management qualification
Skills, Competencies and Attributes
Essential
- Knowledge of recent policy within health and social care and how these impact on community nursing
- Keeps up to date with evidence-based practice and research related to nursing and health care in the community
- Ability to make decisions autonomously
- Ability to prioritise visits in accordance with patient need and to organise workload without direct supervision
- Broad range of clinical skills relevant to Community Nursing, - including but not limited to Compression Bandaging, Dopplers, Venepuncture, Male & Suprapubic catheter, Syringe drivers and Palliative care Symptom Management.
- Ability to teach and supervise students and colleagues using varied techniques including presentations
- Good knowledge of health and safety and effective risk management, able to safely operate and community nursing equipment
- Able to use databases and other IT programmes, including MicroSoft Word, Excel, Powerpoint, Emails, Virtual Meeting platforms
- Good negotiation and motivation skills
- Calm and organised
- Able to prioritise workload and adapt to unplanned to changes throughout the working day
- As a role model, displays personal and professional autonomy, with awareness of when to escalate
- Team player, willing to engage with and interact in training with and from peers and other professionals
- Demonstrates a strong desire to improve performance and make a difference to patient care and to the adult community nursing service by focusing on goals and outcomes
- Able to travel between RSFT and Procare sites at various locations across the locality and across Guildford and Waverley throughout the working day, at times travel across Surrey may be required
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).
