Clinical Lead Nurse

Neighbourhood Nursing - Community Matron Complex Care
Employer Guy's and St Thomas' NHS Foundation Trust Location London Salary £51,488 to £57,802 a year p.a inc. Our Community Matron's for complex care focus on our most complex patients in the Neighbourhood Nursing caseloads requiring in-depth care, support and co-ordination of different services . You will work with the Neighbourhood Nurses and be at the centre of care, pulling in all the resources required to co-ordinate the care for these patients in community. You will also work alongside the Multi Disciplinary Team to ensure the patients have the care provided to prevent hospital admissions, prevent deterioration and promote independence and health education. This is a great opportunity to build relationships with our acute and primary care colleagues and help to prevent hospital admission as you will be in contact with referring hospitals and GP's to cover patients within Southwark and Lambeth areas.If you are experienced, clinically expert with a wide range of clinical skill and would like work with our community nursing teams providing advanced nursing care, then we would like to hear from you.
Closing date: 2nd June 2024 at Midnight
Our community matrons act as case managers and are a single point of contact for care, support or as advanced nurse practitioners providing a variety of tasks and responsibilities, including:
Deciding on and carrying out treatment, including the prescribing medicines, or refer patients to an appropriate specialist.
Using their extensive practice experience to plan and provide skilled and competent care that meets patients' health and social care needs, involving other members of the healthcare team as appropriate.
Ensuring the provision of continuity of care, including follow-up visits.
Assessing and evaluating, with patients, the effectiveness of the treatment and care provided and make changes as needed.
Working independently, although often as part of a healthcare team.
Making sure that each patient's treatment and care is based on best practice.
Seeing patients in their own home and in other community settings.
Providing supervision, education and support to members of the community nursing team.

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
You will have the opportunity to further develop and enhance your skills with the support and training available by working alongside experienced nurses and specialists. Opportunity to apply for training and mentorship programs on all grades of nursing staff.
Kings College London for Masters level education opportunities.
Financial, health and wellbeing support.

To work with and alongside neighbourhood nurses in the team to teach and foster confidence in the care of complex vulnerable patients with a focus on sound assessment skills and care planning.
To undertake holistic assessments of a person living with multiple, complex long-term conditions using advanced level clinical skills.
To provide comprehensive advanced nursing care, including disease treatment, prescribing, palliation and end of life care to a high standard.
To carry out basic assessments of mental health, identifying and assess deterioration in cognitive function and refer to specialist services as appropriate. To anticipate possible deterioration and establish pro-active personalised care plans to enhance well being and maintain independence.
To take a lead on initiating medicines management reviews as part of the case management package.
To facilitate clients, carers, families in using a range of self-care and self management strategies, to enable them to act upon early warning signs of complications or deterioration.
To lead complex care coordination and proactively case manage people with complex health and social care needs.
To participate in Community Multidisciplinary Team meetings and attend GP meetings with neighbourhood nurses teaching and role modelling case presentation and clinical discussion.
To implement and operate within relevant national and local clinical guidance and policies e.g. , non medical prescribing, record keeping, infection control, vulnerable adult.
To ensure that own data entry is timely and that own activity is accurately reflected. To support members of the team in data entry and use of clinical IT systems and resources.
To use evidence based practice to develop and maintain a high quality clinically effective and cost-effective service.
To be an integral part of the community nursing team utilising other services and skills to get the best possible outcome for the patient.
To utilize the links with other agencies and services to facilitate appropriate care packages and provide information for clients that focus on promoting independence, self care and wellness and keep people out of hospital.
Support team to utilise communications and information sharing through the Local Care Record, EPR and in the use of mobile IT.
To deputise in the operational management of the community nursing team in the absence of the Clinical Nurse Lead and to provide frontline management to the community nursing team as appropriate.
To demonstrate a focus on quality and standards to ensure that the neighbourhood nursing team is firmly focused on quality, standards and excellent patient experience.
To provide clinical leadership to the nursing team in relation to long-term conditions and in the care of complex cases.
Provide regular professional supervision for staff caring for people with complex needs and long term conditions and give verbal and written feedback to ensure high standards of competence and care. Hold others to account for the delivery of care to this client group along with the Locality Nurse Coach / Manager.
Education training & mentorship
To provide clinical training and education to all staff within the nursing team and across GSTT as necessary working in partnership with the Practice Development team.
Provide practice assessment and supervision and plan learning and assessment programmes as appropriate to the needs of all students and others on community placements.
To provide specialist supervision for the nursing team and around complex case management and long-term conditions.
To work across GSTT in the development of strategy, policy and practice around long term conditions.
To work with the Locality Nurse Coach / Manager and clinical nurse lead, to implement strategy and policy relating complex care in the nursing team and across GSTT.
To initiate and influence the development of policies, procedures and guidelines relevant to people with complex needs ensuring they are implemented and monitored.
Financial and physical resources
Utilise appropriate guidelines to guide prescribing (eg Non medical prescribing policy).
To participate in, teach and support the neighbourhood nursing team in audit, benchmarking and improvement activity.
To monitor the impact of the Community nursing role on clinical and cost effectiveness using a range of audit techniques.
To collect data as necessary.
To develop and inform the development of quality and performance indicators for the neighbourhood nursing service
To work with managers and the nursing team to monitor the quality of nursing services offered.

Substantial experience working as a senior practitioner in a team.
Experience of working in or with primary care


Skills& Personal Qualities
Ability to demonstrate evidence based care and decision making that is responsive to the needs of clients and carers and negotiated in partnership with them.
Car Driver


RN (General Adult)
Evidence of post registration education relating to the care of older people and long term conditions
ENB 998/997) or equivalent mentorship training.
Advanced assessment, long term conditions
Guy's and St Thomas' NHS Foundation Trust
Community