Nursing Sister/ Charge Nurse

Job summary

An exciting opprtunity has arisen for a Sister/ Charge Nurse/ District Nurse to join our Primary Care Home team delivering high quality nursing care providing care at home to patients registered with GP surgeries in Waveney. The PCH team works closely with GP's and other members of the multidisciplinary team to provide an excellent standard of person centered nursing care to adult patients in their own homes, residential care or clinic settings, supporting patients to self-manage whenever possible. The service uses SystmOne as a clinical IT system to support mobile working.

The successful candidate will be accountable for the effective management of a caseload, ensuring the delivery of high standards of evidence-based nursing care. Demonstrate excellent leadership, organisational and communication skills and the ability to influence and manage change.

District Nursing is challenging, varied and rewarding; the service has to be flexible to meet the needs of patients. East Coast Community Healthcare is committed to the development of integrated multi professional working to meet the changing health needs of the local population. Knowledge of local and national initiatives and evidence of lifelong learning and personal development are essential.

If you are motivated, adaptable, forward thinking and you see yourself leading within community healthcare, then this could be the role for you.

Main duties of the job

The Post offered is full time and sits in a multidisciplinary team providing community services 7 days per week 07:00-20:30 hours.

Applicants will be a registered nurse; with a minimum of 2 years community experience and a desire to develop.

The role contains variety every day with a mixture of face-to-face clinical practice, clinical triage, leadership and management. You will be responsible for the line management of several clinicians, have the opportunity to participate in HR processes including recruitment, appraisals and supporting junior members of the team.

The main duties of the role are: -

To provide clinical leadership, operational management and professional support within Primary Care home.

To work with members of the multidisciplinary team to provide expert clinical case management for patients living in the community who require planned and unplanned nursing care.

To work autonomously at a level appropriate to clinical competence and within scope of professional practice.

To carry out rapid assessments in patients own home with the aim of preventing admission to the acute hospital. These assessments will take a holistic ethos including physical, physiological and social aspects of need.

To be an autonomous practitioner that is responsible for own case load and to take a lead in the delivery of projects to improve service delivery, patient safety and quality of care.

Contribute to the continuous evaluation of the service to ensure it is fit for purpose.

About us

ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.

We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.

At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.

We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.

Our aim is to ensure patients are able to remain in their own homes whenever possible. Community Nurses are part of the beating heart of our health and care services - we look forward to you working with us

Job description

Job responsibilities

Clinical

To be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care. To undertake the comprehensive assessment of patients, including those with a complex presentation, using investigative and analytical skills. To accept clinical responsibility for a designated caseload of patients, and to organize this efficiently and effectively with regard to clinical priorities and use of time. To ensure a high standard of clinical care for the patients under your management, and support more junior staff to do likewise. To formulate an individualised management and/or treatment plan, using clinical reasoning skills and utilizing a wide range of treatment skills in order to formulate a specialised programme of care. This will ensure patients meet their re-ablement goals and promote independence.

To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack this capacity to consent to treatment.

To assess for environmental aids and arrange for provision or provide advice on where aids can be obtained.

To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of the service and to ensure a consistent approach to patient care.

To communicate effectively and work collaboratively with medical, nursing and therapy colleagues to ensure delivery of a coordinated multidisciplinary service. This will include discussion of patient care and case management.

To communicate effectively with patients and carers to maximize re-ablement potential and to ensure understanding of their condition.

Managerial

Be the named nurse or deputise for the Primary Care Home named nurse for an identified Primary Care practice and create relationship with the Lead GP, Practice Manager and Lead Nurse as a representative and of the wider Primary Care Home team.

Training, supervision and performance management of other members of the multidisciplinary team which may include Assistant Practitioner ,Nursing Associates, Therapy Assistant Practitioners, Health Care Assistants and Rehab Support Workers and students, with assistance from more senior members of the team. This will include the use of formal appraisal documentation.

To provide teaching/training to other members of the Multi-Disciplinary Team.

To comply with the organisational and departmental policies and procedures and to be involved in the reviewing and updating as appropriate. Be actively involved in the collection of appropriate data and statistics for the use of the service.

To deputise for Band 7 in terms of operational issues when appropriate.

Participate in any other duties which may be deemed appropriate by the management team.

Professional

To work autonomously at a level appropriate to clinical competence and within scope of professional practice.

Adhere to and apply the NMC professional code of practice

To maintain own clinical professional development (CPD),

Identify objectives for personal development.

Participate in the staff appraisal scheme and Personal Development Programme (PDP).

Undertake the measurement and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or with the support of the audit team potentially resulting in recommendations for change.

Maintain accurate, comprehensive and up-to-date documentation in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters in line with professional standards. Be aware of the Health and Safety aspects of your work and implement any policies which may be required to improve the safety of your work area, including the prompt recording and reporting of accidents to senior staff, and ensuring that equipment is safe.

Demonstrate a sound understanding of clinical governance and risk management and apply to work situation.

To be responsible for equipment used in carrying out your duties and to adhere to departmental policies, including competence to use equipment and to ensure the safe use of equipment by others through teaching, training and supervision of practice. To comply with the organisational and departmental policies and procedures and to be involved in their review as appropriate.

All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders and colleagues. All members of staff should consider these as an essential part of their job role.

Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word CARE . These stand for: Compassion, Action, Respect and Everyone .

Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together .

Person Specification

Skills and Knowledge

Essential

Ability to deal sensitively with patients who may have high levels of anxiety. Capacity to concentrate for considerable periods of time during assessment and management of patients and be expected to respond immediately to interruptions. Must have an understanding of the legal and ethical issues pertaining to nursing. Leadership skills. Assessment and patient management skills. Excellent communication and interpersonal skills. Negotiating and influencing skills. Good IT skills. Effective organisation and time management skills.

Desirable

Experience of medication administration

Qualifications

Essential

Professional Registration with Nursing and Midwifery Council (NMC) Registered Nurse Level 1 (Adult) BSc in Nursing Practice or equivalent. Evidence of continued professional development and a professional portfolio. Leadership/ management qualification or willing to undertake. Health Coaching programme.

Desirable

Specialist Practitioner Qualification in District Nursing. Community Nurse Prescriber v100 /v150. Independent non- medical prescriber.

Experience

Essential

Experience working within a similar field of nursing/healthcare Experience of working as part of a multi-disciplinary team Experience of working with frail older adults and awareness of the complex issues relating to this client group.

Desirable

Previous experience at band 6 level. Clinical experience gained in a community/intermediate care setting. Student supervision/clinical education. Experience of clinical audit. Experience of successful change management. Experience of facilitating clinical supervision.

Personal Attributes

Essential

Able to work both collaboratively within a team and independently. Able to contribute to team, service and organisational development. Commitment to person centred, non-discriminatory practice. Aware of requirements for confidentiality. Forward thinking with excellent interpersonal skills. Able to maintain judgment under pressure. Able to maintain motivation, drive, enthusiasm. Flexible approach to work and participate in various shift patterns. Access to transport and ability to travel around the community. Due to the variety of community working, the ability will be needed to access a diverse range of properties. To carry out assessments. Ability to embrace our Culture, Values and Signature Behaviours: (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together). Willingness and ability to work across different sites and travel to alternative sites and across the community as required.

---