Lead Nurse Clinical Care Co-ordinator

1 week ago


Wakefield, United Kingdom Conexus Healthcare CIC Full time

Job summary

We are looking for a 12-month maternity cover for a Lead Nurse ClinicalCare Co-ordinator to work with the five practices that are part of PCN WakefieldSouth, working with our existing non-nurse Care co-ordinators.

As part of your role, you would liaise with the Social Prescribing team,Health and Wellbeing team and other ARRS team members.

The role is to proactively:

provideand maintain a high standard of nursing and care co-ordination for patients whoare house bound or deemed hard to reach.

reduceunplanned hospital admissions by supporting patients to be healthy, bymonitoring their long-term conditions, promoting screening and health prevention.

visitpatients who would benefit from out-reach by providing a long-term condition service.

engagewith a patients family members and/or carers to ensure they are supported toaccess services, by promoting referrals to the care co-ordinators within the team.

providenurse leadership as required to the existing developed team.

Main duties of the job

The post holder will be required to undertake the following:

Act as the lead to identify and visit thosewho are house bound or considered hard to reach, who may have a long-termhealth condition. Lead the roving multi-disciplinary careco-ordination team and support the team members to enable the team to be asuccess within our PCN. Assess the needs of the patient and co-ordinatethe most appropriate person to carry out the visit, such as Care Co-ordinator,nursing associate or a member of the wider PCN workforce. Prioritise health problems and interveneappropriately to assist the patient in complex, urgent or emergency situations,including the initiation of effective emergency care. Utilise population health intelligence toproactively work with patients to deliver personalised care, alongside thenon-clinical care coordinators. Support patients to utilise decision aids inpreparation for a shared decision-making conversation. Working with the non-clinical care coordinators,holistically bring together all of a persons identified care and support needsand explore options to meet these within a single personalised care and supportplan (PCSP) in line with PCSP best practice, based on what matters to the person.

See the attached job description for full details.

About us

Conexus Healthcare CIC is the Confederation for general practice in Wakefield, We have four areas of work.

1.Delivery of high-quality public facing Health and Wellbeing servicesacross the Wakefield District.

2.Delivery of Training, Development and Consultancy support across the United Kingdom.

3.Supporting Our Practices and Primary Care Networks (PCNs).

4.Providing a voice and influence for General Practice in the Health and Care System.

Job description

Job responsibilities

Please see the attached job description and person spec for further details of the responsibilities of this role.

Person Specification

Personal Attributes

Essential

Ability to communicate informally and develop supportive relationships with clients, carers and other professionals. Ability to motivate, empower and enable others. Be adaptable and self-motivated using initiative and clinical judgements. Enthusiasm and commitment to achieving better outcomes for patients.

Qualifications

Essential

Qualified Registered General Nurse or equivalent with current NMC registration Good standard of general education and good standard of spoken and written English language Evidence of continuing professional development within the last 12 months

Desirable

Masters degree in relevant subject area Diploma(s) in chronic disease management, eg Diabetes, asthma, COPD etc

Other

Essential

Hold a full UK driving licence with the relevant car insurance to cover travel for business purposes or have the ability to be independently mobile and travel across the footprint of PCN South on a regular basis

Knowledge, skills and abilities

Essential

Ability to work autonomously, managing their own caseload. Knowledge of clinical governance and audit Knowledge of relevant Professional and Clinical legislation IT skills in Microsoft applications Demonstrates effective communication and interpersonal skills. Ability to work well as a team member. Demonstrations initiative and potential ability to work without direct supervision, problem solve and prioritise own work.

Desirable

Awareness/knowledge of the issues surrounding social inclusion for mental health service users.

Experience

Essential

Substantial post-registration experience Practical experience of clinical procedures as per job profile/advertised requirements. Experience of working in a primary care environment Experience of working with housebound patients and hard to reach groups. Experience of wound management Experience of working in an MDT setting Experience of documenting and record keeping of clinical information

Desirable

Previous use of SystmOne
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