Proactive Care Matron

3 weeks ago


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

About the Role

We are seeking a highly skilled and experienced Community Matron to join our team at Surrey Downs Health and Care. As a Community Matron, you will play a key role in providing proactive care and support to individuals with complex needs, working closely with community GPs, paramedics, pharmacists, district nurses, adult social care, and voluntary organisations.

Main Responsibilities

  • Provide clinical triage and assessment with inbound referrals, assigning the appropriate urgency and determining the best clinician to undertake the visit from the multi-disciplinary team.
  • Support annual Learning Disability or Serious Mental Illness Health checks.
  • Care coordination, managing patient caseloads, and offering proactive support to frequent attenders, patients with cancer, and those at risk of cardiovascular disease.
  • Anticipatory care, liaising with primary, secondary, and community teams to reduce admissions for patients with ambulatory care sensitive conditions and closing the hypertension diagnosis gap.
  • 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 deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services, and our innovative partnership of local NHS organisations.

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 GP Health Partners, Dorking Health Care, and Surrey Medical Network representing practices that operate in the Surrey Downs area.
  • CSH Surrey.
  • Epsom and St Helier's University Hospitals NHS Trust.
  • Surrey Council County.

We are working to the same set of values that will translate into better care for our residents.

Requirements

  • Professional Registration.
  • Previous experience in a community setting.

Desirable

  • Understanding of Proactive Care Process.
  • Ability to work in a multi-disciplinary team environment.

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