Community Matron

Job summary

We are recruiting for a Community Matron to join our team.

This post is part of the Isle of Wight NHS Trust's priority for developing services for the management of people with complex long-term conditions, providing alternatives to admission and facilitating timely discharge. The post holder will take an active role in the development of this service. The post holder will proactively manage a caseload of high-risk patients with escalating health needs, working collaboratively with other members of the multidisciplinary team to establish a person-centred approach to management of health/social care for these individuals and promoting self-management.

Main duties of the job

To collaborate with other healthcare professionals to identify within locally agreed criteria the high-risk patients with long-term conditions suitable for intervention.

To provide evidence-based care plans focused on sound clinical decision making, including knowledge of the unique presentation of illness and response to the treatment of those with complex long-term conditions and ensure a robust process is in place to review these care plans.

To act as Case Manager for patients with continuing care needs including the management of personal healthcare budgets where identified.

To work as part of the integrated locality team to ensure robust care plans are in place and reviewed on a regular basis.

To attend case review meetings and promote multidisciplinary working.

To promote community care delivered at home, thus preventing unnecessary admissions to hospital and reduction in length of hospital inpatient stays.

Monitor indicators of long-term conditions, anticipating possible decline and proactively managing this to enhance well-being and maintain independence.

To actively support the use of Telehealth in order to promote self-management.

Plan interventions on a basis of needs, preference, choices and expressed wishes, facilitating discussion with the family and significant others.

To work as part of the In-Reach Service, developing good communication with the Acute sector to support early discharge and patient flow.

About us

Southern Health is one of the largest NHS Foundation Trusts in the UK, specialising in mental health and learning disabilities, as well as offering physical health community-based services.

With a workforce of more than 7000 and a footprint that spans more than 200 sites across Hampshire, we're wholeheartedly committed to providing the best possible healthcare, reaching a range of diverse communities, whilst placing patients and staff at the forefront of all our endeavours.

We are currently working closely with other NHS Trusts to integrate all our collective community, mental health, and learning disability services. Our new organisation, to be known as Hampshire and Isle of Wight NHS Foundation Trust, is set to launch in July 2024.

The transformation will happen in staggered stages; Hampshire CAMHS, part of Sussex Partnership NHS Foundation Trust joined Southern Health in February 2024, with Isle of Wight NHS Trust mental health and community services transitioning in early May 2024. The final combination of Southern Health and Solent Trusts is anticipated to occur in July 2024, when the new organisation will be formed.

Our new Trust will continue to cater to the unique needs of different communities, making healthcare across the county more accessible, as well as offering staff more opportunities for career development, training and partnership working.

Join us as we embark on this exciting journey to shape the future of healthcare in Hampshire.

Job description

Job responsibilities

Further information about the Trust and this role can be found on the Job Description and Person Specification document attached.

We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Person Specification

Qualifications

Essential

*Registered nurse with current NMC registration *ENB 998 or equivalent teaching qualification *BSC Community Healthcare Nursing / Public Health (Specialist Practice Community) OR Nurse Practitioner qualification OR Level 3 Chronic Disease Management qualifications *Extended/Supplementary Prescribing - or willingness to work towards as priority *Physical Assessment/History Taking qualification - or willingness to work towards as priority *Demonstrate a commitment to further education at levels 3 and Masters

Desirable

*Working towards Advanced Nurse Practitioner. Following the pathway specifically designed for Community Matron to Post Grad dip

Experience

Essential

*Computer literacy in Word/Excel *Demonstrate knowledge of local health and social care systems *Facilitating networks of practitioners to learn from each other *Demonstrate knowledge of current issues in the NHS and how these relate to their area

Desirable

*Develop oneself and others in areas of practice *Plan, deliver and review interventions to enable people to learn and develop *Enable people to learn and develop *Appraise concepts, models, methods, practices, products and equipment developed by others

Additional Criteria

Essential

*Physically capable of performing the roles and responsibilities of the post holder, car driving, lone working *Car driver with clean driving licence

Desirable

*Able to identify and manage the risks of the potential emotional and physical impact on self and others

---