Nurse Lead - Community Neighbourhood

Job description

Job responsibilities

Assesses, diagnoses, and implement treatment plans using advanced clinical skills and knowledge, working collaboratively with patients in treatment decisions such as planned advance directives near end of life care

Analyses and interprets highly complex information gained during clinical assessments to make a differential diagnosis of an individuals problem or illness and decide on an appropriate course of action or treatment

Instigates therapeutic treatment/interventions consistent with the best available evidence; transferring and applying knowledge and skills in order to improve health outcomes

Recognises and manages early symptoms of disease exacerbation and acute illness based on an understanding of disease process and current evidence on practice standards

Advocates for the patient and confers as appropriate, working with GPs and/or hospital consultants to ensure robust communication around clinical care as indicated

Designs and monitors care plans for patients being cared for by the integrated community teams, general medicine and other specialist teams as appropriate

Empowers carers and family members, recognising and utilising the skills and expertise of carers as equal partners in care

Makes patient referrals to other specialist where indicated

Independently prescribes in accordance with the Department of Health, Professional and Trust guidelines

Embraces and uses technology such as telehealth and telecare as appropriate to enhance patient outcomes

Delivering High Quality Care and Measuring Impact

Leads on the implementation of the Chief Nursing Officer Strategy ensuring that our nurses are aligned with the national direction for improvement. By aligning the fundamental approach led by the Chief officer of using the 10 key commitments to design care and continuing to use the 6Cs as a basis for good nursing care.

Be the Patient Safety Champions, identifying and managing adult safeguarding incidents in collaboration with Social Care

Conducts regular nursing care audits including reviewing care on joint visits with team members and/or multi-professional team members

Role models and embeds the Trust core values and behaviours within members of the community nursing team

Facilitates clinical multi-disciplinary supervision groups encouraging reflection in and on nursing practice for continuous improvement

Evaluates the need for practice improvement to promote safe, effective and reliable care that as a positive impact on patients

Evaluates and critiques current practice against best available evidence/benchmarks

Takes responsibility for producing the data for the Dashboard or balanced score care every month

Records keeping

Maintains accurate and contemporaneous patient records immediately after nursing interventions in line with the Trust and NMC standards for record keeping

Contemporaneously records all communications relating to patients with other professionals

Develops outcome focused care plans with clear timeframes and review dates

Reviews and audits patient records within the team to ensure compliance with the Trust and NMC records keeping standards

Records all meetings and communications regarding staff management and performance with support from the Human Resources Advisor

Applicants should have a broad understanding of application of research to practice, and current professional issues. You will be expected to have sound clinical skills, demonstrate a flexible approach and commitment to providing a high level of care to clients in the community and be an excellent change agent.

A full UK driving licence and daily access to a car is essential.

Person Specification

Qualifications and Training

Essential

• First level registered nurse with current Nursing and Midwifery registration
• Qualified at degree level with Community Nursing Sister Specialist Practice or Advanced Nurse Practitioner
• Non-medical Independent Prescribing qualification or working towards
• ENB 998 Teaching and Assessing in Clinical Practice or Mentorship Course or working towards
• Recognised leadership and development training or equivalent experience supplemented by attendance at short courses

Desirable

• MSc in Health Care
• Management qualification

Experience

Essential

• Experience of leading and managing skill mixed nursing teams in the community
• Collaborative working with multi-professionals and negotiating care pathways across organisational boundaries (Hospital, Social Care and Private)
• Experience of working autonomously and managing people

Desirable

• Experience of facilitating clinical supervision groups
• Experience of delivering projects to deadlines

Knowledge

Essential

• Knowledge of current clinical and professional issues in adult nursing and the NHS reform agenda
• Understands the Trust's clinical governance processes and CQC compliance guidelines
• Demonstrates knowledge of effective risk management
• Understand principles of budget management and demonstrates cost effective use of resources

Desirable

• Evidence of developmental work and implementing new initiatives

Skills and Aptitude

Essential

• Advanced assessment skills to help people stay independent, maximise well-being and improve health outcomes
• Managing and team leading skills being able to empower, motivate and influence others
• Proficient use of information management and technology (IM&T) including RiO, Microsoft Office, databases and the internet

Personal Qualities

Essential

• Understand role in relation to wider Trust priorities and objectives and the Lewisham Clinical Commissioning Group agenda
• Respects the diverse cultures, values and beliefs held by others enabling communication even where there are barriers to understanding
• Demonstrates self-awareness with well-developed self-management and organisation skills.
• Shows resilience and courage in the face of challenges

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.

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

Lewisham and Greenwich NHS Trust

Address

South Lewisham Health Centre

50 Conisborough Crescent

London

SE6 2SS

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)