Proactive Care Matron

1 month ago


East Molesey, Surrey, United Kingdom Epsom and St Helier University Hospitals NHS Trust Full time
About the Role

We are seeking an experienced and skilled Community Matron to join our team at Surrey Downs Health and Care. As a Community Matron, you will play a key role in delivering proactive healthcare and support to individuals living with frailty, multiple long-term conditions, and/or complex needs.

Key Responsibilities
  • Provide clinical triage and assessment for inbound referrals, assigning the appropriate urgency and determining the best clinician to undertake the visit.
  • Support annual Learning Disability or Serious Mental Illness Health checks.
  • Care coordination, managing patient caseloads, and offering proactive support for patients with complex needs.
  • Anticipatory care, liaising with primary, secondary, and community teams to reduce admissions for patients with ambulatory care sensitive conditions.
  • Enhanced Health in Care Homes, proactive and targeted visits for specific cohorts of patients.
  • Support and manage a small team of non-clinical care co-ordinators to support delivery of duties.
About Us

Surrey Downs Health and Care is a partnership of local NHS organisations, delivering care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services, and innovative partnerships.

We are committed to providing person-centered care that goes beyond organisational boundaries to do what is best for the individual. Our partnership includes the three GP federations, CSH Surrey, Epsom and St Helier's University Hospitals NHS Trust, and Surrey Council County.

Person Specification
  • Professional Registration
  • Previous experience in a community setting
  • Understanding of Proactive Care Process
  • Ability to work in a multidisciplinary team environment

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