Job summary
The Community Matron is a pivotal member of the Integrated Care Coordination team, working in close partnership with our PCN services to provide assessment, care and support for those patients identified with the population health model as having moderate to severe frailty with complex long term conditions.
The Community Matron will support the Senior Community Matron in clinically leading services and supporting patients with Long Term Conditions and complex needs with a case management approach to prevent unnecessary hospital admissions.
Main duties of the job
The Community Matron will support the Senior Community Matron and Community Nursing in working in partnership within neighbourhoods.
Able to effectively communicate at all levels in the organisation, to a variety of health and social care professionals, users and carers, to provide the best outcomes for patients and their carers with Long Term Conditions.The Community Matron will deliver high quality care and support patients to develop their own personalised care plan. As a Care Co-ordinator and Case Manager the Community Matron will;-Anticipate care needs and collaborate with key stakeholders to develop appropriate care plans, referring on to other services or professionals as appropriate, while supporting the neighbourhood model of care by providing care pathways for the case management.The community matron will work within the multi-disciplinary team to plan and implement high quality care, coordinating care across all settings within the patients care pathway.
About us
Wirral Community Health and Care NHS Foundation Trust has been rated as Good by CQC (Dec 2023) with some outstanding areas.
As an aspiring outstanding Trust we have numerous policies and procedures in place which provide standard organisational ways of working, in line with organisational objectives, relevant legislation and requirements. Policies allow for continuity and consistency within the Trust. Employees must abide by and adhere to all Wirral Community NHS Trust's policies, at all times.
Job description
Job responsibilities
Job DescriptionThe Community Matron works independently exploring all avenues to support patients with complex needs and chronic disease including forming effective communication networks across organisations to achieve patient focused goals.The Community Matron will support the Senior Community Matron and Community Nursing in working in partnership within neighbourhoods, with the CCG and with senior management within WCHC.
Job description
Job responsibilities
Job DescriptionThe Community Matron works independently exploring all avenues to support patients with complex needs and chronic disease including forming effective communication networks across organisations to achieve patient focused goals.The Community Matron will support the Senior Community Matron and Community Nursing in working in partnership within neighbourhoods, with the CCG and with senior management within WCHC.
Person Specification
Qualifications and Professional Training
Essential
- Registered Nurse
- First level degree or relevant qualifications
- Minimum 5 years post registration experience, at band 6
- Independent Non-Medical Prescriber or willing to work towards.
- Mentorship qualification
- Teaching certificate / module or willing to work towards.
- Commitment to undertake appropriate post-grad diploma within 2 years
Experience and Knowledge
Essential
- Significant experience of managing a caseload/leadership within the community
- Experience of working autonomously on the community
- Clinical and leadership skills
- Experience in case managing complex cases
- Teaching
- Clinical supervision facilitator
- Advanced clinical competencies in community nursing situations
- Professional awareness of developments and innovations in community nursing
- Able to effectively manage resources eg. prescribing, specialist equipment, continence
- Specialist knowledge of the effects of the ageing process and needs of vulnerable adults in relation to their health and well-being
- Advanced knowledge of the pathology of disease and illness processes
- Multi-agency services available for adults and processes for referral
- Principles of adult learning and behavioural change
- Principles of supervision and reflective practice
- Knowledge of National agendas and the effect on practice e.g. NSF's including Chronic Disease Management, and the Public Health Agenda
- Risk management and root cause analysis
- Knowledge of leadership strategies and group dynamics
- Knowledge of local health needs strategies
Skills and attributes
Essential
- Clinical examination skills
- Excellent communication skills, written and verbal
- Evidence of recent clinical practice development
- Able to actively participate at strategic level to highlight clinical needs/gaps and aid in the implementation of service development
- Able to participate in the development of care standards and service development
- Able to sustain and develop relationships across professional boundaries
- Demonstrates negotiation skills through working in partnership with others
- Reflective practitioner teamwork
- Advanced clinician
- Able to work independently
- Leadership skills and awareness
- Problem-solving, prioritising and delegating appropriately
- Time Management skills
- Effective Written and Oral Communication
- Negotiating Skills
- Assertiveness
- Ability to Inspire Confidence
- Advanced person-centred assessment for the health and well-being of patients with complex needs
- Planning, delivering, and evaluating care to address people's changing health needs
- Discharge/transfer planning for patients between services
- Reflective practitioner
Personal Qualities
Essential
- Full driving licence
- Dexterity for undertaking clinical skills and people moving
- Passion to drive to deliver person centred care
Personal Qualities
Essential
- Full Driving licence holder and insurance for business use and able to travel independently throughout the Wirral
- Dexterity for undertaking clinical skills and people moving
- Passion and drive to deliver person centred care
Person Specification
Qualifications and Professional Training
Essential
- Registered Nurse
- First level degree or relevant qualifications
- Minimum 5 years post registration experience, at band 6
- Independent Non-Medical Prescriber or willing to work towards.
- Mentorship qualification
- Teaching certificate / module or willing to work towards.
- Commitment to undertake appropriate post-grad diploma within 2 years
Experience and Knowledge
Essential
- Significant experience of managing a caseload/leadership within the community
- Experience of working autonomously on the community
- Clinical and leadership skills
- Experience in case managing complex cases
- Teaching
- Clinical supervision facilitator
- Advanced clinical competencies in community nursing situations
- Professional awareness of developments and innovations in community nursing
- Able to effectively manage resources eg. prescribing, specialist equipment, continence
- Specialist knowledge of the effects of the ageing process and needs of vulnerable adults in relation to their health and well-being
- Advanced knowledge of the pathology of disease and illness processes
- Multi-agency services available for adults and processes for referral
- Principles of adult learning and behavioural change
- Principles of supervision and reflective practice
- Knowledge of National agendas and the effect on practice e.g. NSF's including Chronic Disease Management, and the Public Health Agenda
- Risk management and root cause analysis
- Knowledge of leadership strategies and group dynamics
- Knowledge of local health needs strategies
Skills and attributes
Essential
- Clinical examination skills
- Excellent communication skills, written and verbal
- Evidence of recent clinical practice development
- Able to actively participate at strategic level to highlight clinical needs/gaps and aid in the implementation of service development
- Able to participate in the development of care standards and service development
- Able to sustain and develop relationships across professional boundaries
- Demonstrates negotiation skills through working in partnership with others
- Reflective practitioner teamwork
- Advanced clinician
- Able to work independently
- Leadership skills and awareness
- Problem-solving, prioritising and delegating appropriately
- Time Management skills
- Effective Written and Oral Communication
- Negotiating Skills
- Assertiveness
- Ability to Inspire Confidence
- Advanced person-centred assessment for the health and well-being of patients with complex needs
- Planning, delivering, and evaluating care to address people's changing health needs
- Discharge/transfer planning for patients between services
- Reflective practitioner
Personal Qualities
Essential
- Full driving licence
- Dexterity for undertaking clinical skills and people moving
- Passion to drive to deliver person centred care
Personal Qualities
Essential
- Full Driving licence holder and insurance for business use and able to travel independently throughout the Wirral
- Dexterity for undertaking clinical skills and people moving
- Passion and drive to deliver person centred care
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).
