Job summary
In line with the national drivers for long term condition management and the priorities of health and social care commissioning, we are seeking an experienced, highly motivated registered nurse to join our locality based community team in Gateshead.
As a complex case manager you will work in partnership with our patients and their families to lead in the delivery of individualised, safe and effective high quality care.
You will have extensive clinical experience within an NHS acute, primary care or community provider service with sound knowledge and skills relating to the care of those with multiple conditions and associated complex needs. You must be able to demonstrate experience of working within a multi-disciplinary team environment and provide evidence of dealing with professionals across a range of agencies and disciplines. You will also be expected to provide evidence of excellent leadership and communication skills with the ability to manage challenging situations in a professional and effective manner.
You will be a leader who will be able to measure the impact of your work through clinical audit and formal outcome measurement tools.
We are looking for a dynamic individual who has drive and motivation and is looking for a new challenge.
You must be a car owner/driver.
Main duties of the job
To work effectively within a multi-disciplinary/agency locality based team managing patients identified as at risk so that they receive appropriate interventions to be able to improve their health and wellbeing and achieve their maximum level of independence. These patients will have complex needs and potentially numerous co-morbidities including frailty.
About us
Based in the North East of England we provide a range of hospital and community health services from our leading facilities, including the Queen Elizabeth Hospital, Blaydon urgent care centre and Bensham Hospital, all within Gateshead.
Established in 2005, we were one of the first foundation trusts in the country and since then have consistently achieved the highest levels of care for patients.
We now employ around 4,800 staff and currently provide 444 hospital beds across the Gateshead region.
Our values should be the 'golden thread' which runs through everything we do - they are the core of who we are. Our five values can easily be remembered by the simple acronymICORE; Innovation, Care, Openness, Respect, Engagement.
We have a number of staff networks including the Global Ethnic Majority (GEM) network, D-Ability network, LGBTQ+ Network and the Women's Network, to challenge us and help us to constantly improve. Our Armed Forces network is one of our emerging networks.
The health and wellbeing of our staff is one of our highest priorities, and we offer a range of support and initiatives as part of our 'Balance' programmebalancegateshead.comto cater for our diverse workforce, so that your individual needs can be supported, allowing you a happy and healthy working experience with us.
Job description
Job responsibilities
Dimensions
The post will be based in one defined locality within Gateshead.
The multidisciplinary teams are made up of Locality Team Leaders, District Nurses, Community Nurse Practitioners, (this post) Community Staff Nurses, Healthcare Assistants, phlebotomists and Admin Assistants
- There will also be named linked professionals in each locality from health and social care eg, physiotherapist, occupational therapist, social care worker, podiatrist, Speech and Language therapist, MacMillan nurse Specialist.
- Each locality will work with defined GP Practices and Care Homes within the locality.
- Patient referrals will be triaged and allocated to the appropriate caseload holder depending on need
Specific dimensions
- To participate in the planning, development and evaluation of clinical services using advanced clinical skills and knowledge.
- To provide specialist advice on the assessment, care planning and interventions of patients needs.
- To further develop knowledge and skills specific to the community setting through undertaking regular audit, research and development activities.
- The post holder will have a community base but will also spend time at their link GP practices and care homes.
- A key part of the role will be cross agency liaison, training, research and development, and being a clinical resource for the local Health Community.
- Clinical responsibility for a defined complex caseload with accountability for the health outcomes for the individuals within their care.
- To be the accountable clinician in the development, delivery and provider of complex case management within the community setting.
To ensure safe systems and processes are in place to support multidisciplinary team working.
To ensure all professional standards and codes of conduct are adhered to.
- Facilitate the development of clinical expertise and advanced practice within the team to support the right person, right place right time agenda.
- To provide senior leadership and clinical expertise in caseload management for a variety of multidisciplinary staff.
- Be responsible for, provide and monitor the standard of assessment, planning, implementation and evaluation of care ensuring the quality of care provided is of a high standard.
- Act as a Caseload holder to oversee all aspects of clinical care planning and delivery to ensure maximum positive outcomes for patients within the defined locality and delegate to other members of the team as appropriate.
- Work as an autonomous practitioner, clinically, professionally and practically.
- To lead clinically and professionally ensuring compliance with all statutory and mandatory professional requirements.
- Continually develop own clinical expertise, knowledge and clinical skills to enhance effective care and support. Ensure this expertise is shared with other clinical staff.
- Champion the development of leadership competencies within the team.
- To ensure continuity and co-ordination of care across the health and social care community.
- To develop protocols relating to advanced practice and work in an extended clinical role.
- To continually review patient/client dependency, staff skill mix, caseload and shift patterns in line with patient/client needs and staff development across the 24/7 period.
Facilitate the development of self-awareness of self and others in the team through reflection, and clinical supervision.
Through effective role modelling develop positive behavior, encourage an open and non-threatening environment that
o Rewards decision making and creativity
o Facilitates change and the implementation of new ideas
o Promotes staff retention
o Empowers employees
o Encourages the reporting of patient safety incidents and uses reflection to learn from as a result
o Identifies risk and develops mitigation to minimise it.
Job description
Job responsibilities
Dimensions
The post will be based in one defined locality within Gateshead.
The multidisciplinary teams are made up of Locality Team Leaders, District Nurses, Community Nurse Practitioners, (this post) Community Staff Nurses, Healthcare Assistants, phlebotomists and Admin Assistants
- There will also be named linked professionals in each locality from health and social care eg, physiotherapist, occupational therapist, social care worker, podiatrist, Speech and Language therapist, MacMillan nurse Specialist.
- Each locality will work with defined GP Practices and Care Homes within the locality.
- Patient referrals will be triaged and allocated to the appropriate caseload holder depending on need
Specific dimensions
- To participate in the planning, development and evaluation of clinical services using advanced clinical skills and knowledge.
- To provide specialist advice on the assessment, care planning and interventions of patients needs.
- To further develop knowledge and skills specific to the community setting through undertaking regular audit, research and development activities.
- The post holder will have a community base but will also spend time at their link GP practices and care homes.
- A key part of the role will be cross agency liaison, training, research and development, and being a clinical resource for the local Health Community.
- Clinical responsibility for a defined complex caseload with accountability for the health outcomes for the individuals within their care.
- To be the accountable clinician in the development, delivery and provider of complex case management within the community setting.
To ensure safe systems and processes are in place to support multidisciplinary team working.
To ensure all professional standards and codes of conduct are adhered to.
- Facilitate the development of clinical expertise and advanced practice within the team to support the right person, right place right time agenda.
- To provide senior leadership and clinical expertise in caseload management for a variety of multidisciplinary staff.
- Be responsible for, provide and monitor the standard of assessment, planning, implementation and evaluation of care ensuring the quality of care provided is of a high standard.
- Act as a Caseload holder to oversee all aspects of clinical care planning and delivery to ensure maximum positive outcomes for patients within the defined locality and delegate to other members of the team as appropriate.
- Work as an autonomous practitioner, clinically, professionally and practically.
- To lead clinically and professionally ensuring compliance with all statutory and mandatory professional requirements.
- Continually develop own clinical expertise, knowledge and clinical skills to enhance effective care and support. Ensure this expertise is shared with other clinical staff.
- Champion the development of leadership competencies within the team.
- To ensure continuity and co-ordination of care across the health and social care community.
- To develop protocols relating to advanced practice and work in an extended clinical role.
- To continually review patient/client dependency, staff skill mix, caseload and shift patterns in line with patient/client needs and staff development across the 24/7 period.
Facilitate the development of self-awareness of self and others in the team through reflection, and clinical supervision.
Through effective role modelling develop positive behavior, encourage an open and non-threatening environment that
o Rewards decision making and creativity
o Facilitates change and the implementation of new ideas
o Promotes staff retention
o Empowers employees
o Encourages the reporting of patient safety incidents and uses reflection to learn from as a result
o Identifies risk and develops mitigation to minimise it.
Person Specification
Qualifications
Essential
- Clinical Qualification - Registered Nurse (Adult)
- Professional registration (NMC)
- Relevant healthcare Degree
- Clinical skills course/Advanced practitioner
- ECDL- or evidence of IT literacy
- Teaching Qualification ENB998/ or equivalent experience
- Masters qualification or willingness to work towards
- Prescribing qualification
- Evidence of ongoing CPD and professional development
Desirable
- Leadership qualification e.g. LEO
- Enhanced IT Skills - databases, excel, work, outlook and internet
Experience
Essential
- Significant experience at band 6 team in a community setting or primary care setting
- Experience of managing/leading staff
- An understanding of the principles of clinical governance and NHS Policy Issues
- Ability to cope with and diffuse difficult and stressful situations
- Evidence of an ability to prioritise workload for themselves and their team
- Experience of multi-disciplinary and inter/agency working
- Experience of liaising with statutory and non-statutory services and agencies
- Experience of evaluating the training needs of staff and implementing appropriate training programs.
- Experience of leading service developments
- Advanced level specialist skills within the care of older people e.g. undertaking comprehensive assessment, making and receiving referrals, requesting and acting upon diagnostic tests,
- Evidence of advanced clinical reasoning including ability to reflect upon own performance and partake and lead in clinical supervision
Desirable
- Knowledge of the frailty agenda
- Experience of leading a MDT in the NHS
- Proven knowledge of the principles of risk management, the integrated governance framework and compliance with risk and quality safety standards
- Experience in change management
- Experience in leading audits and/or research
skills/Attributes/Knowledge
Essential
- Experience of Communicating delicate, complex and sensitive information at senior level
- Demonstrate a high level of interpersonal and communication skills
- Motivational and "can do" attitude
Desirable
- Excellent Organisational Skills
- Excellent Presentation skills with practical experience
- Excellent problem solving skills
- Experience of leadership within an MDT
Physical requirements
Essential
- Able to move and handle safely without causing harm to themselves or others
- VDU work
- Car Driver
Desirable
- Trained in moving and handling procedures
Person Specification
Qualifications
Essential
- Clinical Qualification - Registered Nurse (Adult)
- Professional registration (NMC)
- Relevant healthcare Degree
- Clinical skills course/Advanced practitioner
- ECDL- or evidence of IT literacy
- Teaching Qualification ENB998/ or equivalent experience
- Masters qualification or willingness to work towards
- Prescribing qualification
- Evidence of ongoing CPD and professional development
Desirable
- Leadership qualification e.g. LEO
- Enhanced IT Skills - databases, excel, work, outlook and internet
Experience
Essential
- Significant experience at band 6 team in a community setting or primary care setting
- Experience of managing/leading staff
- An understanding of the principles of clinical governance and NHS Policy Issues
- Ability to cope with and diffuse difficult and stressful situations
- Evidence of an ability to prioritise workload for themselves and their team
- Experience of multi-disciplinary and inter/agency working
- Experience of liaising with statutory and non-statutory services and agencies
- Experience of evaluating the training needs of staff and implementing appropriate training programs.
- Experience of leading service developments
- Advanced level specialist skills within the care of older people e.g. undertaking comprehensive assessment, making and receiving referrals, requesting and acting upon diagnostic tests,
- Evidence of advanced clinical reasoning including ability to reflect upon own performance and partake and lead in clinical supervision
Desirable
- Knowledge of the frailty agenda
- Experience of leading a MDT in the NHS
- Proven knowledge of the principles of risk management, the integrated governance framework and compliance with risk and quality safety standards
- Experience in change management
- Experience in leading audits and/or research
skills/Attributes/Knowledge
Essential
- Experience of Communicating delicate, complex and sensitive information at senior level
- Demonstrate a high level of interpersonal and communication skills
- Motivational and "can do" attitude
Desirable
- Excellent Organisational Skills
- Excellent Presentation skills with practical experience
- Excellent problem solving skills
- Experience of leadership within an MDT
Physical requirements
Essential
- Able to move and handle safely without causing harm to themselves or others
- VDU work
- Car Driver
Desirable
- Trained in moving and handling procedures
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.
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).
Additional information
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).
