Care Homes Assessment Team (CHAT) Community Matron

NHS; Enfield; On-site; GBP 40,000 - 50,000; Full time

Job summary

A healthcare provider is seeking a dynamic and experienced Band 7 Community Matron to join their Care Homes Assessment Team. The role involves managing patients in Care Homes, collaborating closely with a multidisciplinary team to prevent hospital admissions and provide high-quality end-of-life care. Candidates should have significant nursing experience, assessment skills, and be a car driver with a UK license. This position offers a supportive work environment and the opportunity to lead in person-centered care.

Qualifications

• Car Driver with current UK License.
• Experience within acute, mental health, or community nursing.
• Experience in a senior nursing role.

Responsibilities

• Manage patients in nursing and residential Care Homes.
• Work with multidisciplinary teams to prevent hospital admissions.
• Consult with GPs and geriatricians for patient management.

Skills

Clinical Assessment Skills

Clinical Leadership Skills

Data Collection & Analysis

Ability to manage complex clinical situations

Ability to work proactively

Ability to assess and plan individual care needs

Ability to case manage for complex needs

Sensitive communication

Education

1st Level Registered Nurse (RGN)

Job description

The Care Homes Assessment Team (CHAT) are an award-winning service that support the lives and deaths of residents in Care Homes across Enfield and part of Haringey. CHAT is part of Enfield Community Service (ECS) which is hosted by RFL.

We are looking for a flexible, dynamic and experienced band 7 physical health Community Matron to join our team. We are a supportive team and organisation and are looking for someone with assessment and diagnosis skills, independent prescribing is essential, experience working with older people, people with mental health and/or learning disabilities in the Care Home environment and experience of having sensitive future care planning conversations and supporting end of life.

CHAT support the Trusted Assessor facilitated discharge in NMUH and the successful candidate would work on a rota system both in their allocated Care Homes but also in NMUH delivering Trusted Assessor.

The service operates 7 days a week 8am-8pm so late shifts and weekend working on a rota system is expected.

Shift patterns are

• 8am-4pm
• 12pm-8pm
• 9am-5pm - when working as Trusted Assessor in NMUH

Main duties of the job

The Community Matron will manage a cohort of patients in specific, identified Nursing and Residential Care Homes who either have complex long-term conditions or be at the end-of-life care stage and are either currently very high intensity users of hospital care or at risk of becoming so.

The post holder will work as part of a multidisciplinary team, maintaining close liaison with all other stakeholders in the patient's care including their carers, relatives and particularly the Care Home staff.

Car driver or having access to a vehicle is essential due to requirement to travel between Care Homes, base, home and NMUH.

The Community Matron, in consultation with the GP and / or the Consultant Geriatrician in the team will be expected to identify those patients who could potentially most benefit from case management.

They will expertly assess patients and individually plan treatment, monitoring and contingency regimes. They will work with hospital ward staff, social care staff and community Nurses to prevent avoidable hospital admissions / readmissions and A & E attendances wherever this is feasible.

The role also includes in reach to local acute Trusts and facilitated discharge to improve communication between the Care Home and Acute Trust under the Trusted Assessor model.

Person Specification

• Car Driver with current UK License

Education & Professional Qualifications

• 1st. Level Registered Nurse (RGN) with current registration with the NMC

Experience

• Significant post-basic work within acute, mental health or community & primary care nursing fields
• Experience of working in a senior nursing role
• Experience of working in a multi-disciplinary team
• Experience of implementing change in clinical practice

Skills and Aptitudes

• Ability to manage complex clinical situations within a defined caseload
• Ability to work proactively with A&E, ERAS, GPs, and Social Care colleagues to prevent hospital admission
• Ability to assess and plan individual care needs in partnership with patients/their carers and MDTs
• Ability to work across the multi-disciplinary health and social care team
• Ability to case manage for patients/individuals with complex needs
• Ability to make decisions autonomously but liaise closely with other care providers within the sector
• Ability to give clear and concise reports against performance targets
• Ability to handle distressing situations with sensitivity and empathy
• Ability to prioritise work/response/triage referrals and messages effectively
• Clinical Assessment Skills
• Clinical Leadership Skills
• Data Collection & Analysis