MDT Clinician

The MDT Clinician plays a vital role within a Primary Care Network (PCN) to proactively identify and work with individuals, including the frail/elderly and those with long-term conditions, to provide co-ordination and navigation of care and support across health and care services.

• Work with individuals, their families and carers, to improve their understanding of their condition.
• Support individuals to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.
• Help individuals to manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that individuals have good quality written or verbal information to help them make choices about their care.
• Assist individuals to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
• Provide co-ordination and navigation for individuals and their carers across health and care services, helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.
• Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals.
• Support the co-ordination and delivery of multidisciplinary teams within the PCN.

Sutton Primary Care Networks is a forward-looking and friendly Primary Care Network, focused on providing a wide range of excellent healthcare services to patients in Sutton and the surrounding areas. Our PCNs are led by experienced Clinical Directors and work together to provide an all-encompassing approach to personalised care and promote and embed the personalised care approach across the PCN.

Qualifications:

• Current NMC Registration as a Registered General Nurse (RGN)
• MDT Community Nurse Experience
• Membership of a professional body (RCN)
• Evidence of appropriate continuing professional development and education to maintain up-to-date knowledge

Experience:

• Minimum of 3 years post-graduate experience in a community or primary care setting
• Experience of working in a multidisciplinary team
• Understanding of MDT nursing role in primary care
• Understanding of protocols and clinical guidelines
• Good understanding of managing complex and changing conditions in patients
• Ability to manage change
• Understanding of developing MDT Services
• Ability to support patients to change lifestyle
• Good understanding of clinical governance

Desirable:

• Willingness to participate in clinical supervision and performance review