District Nurse

Cardiff and Vale University Health Board; Kenilworth; On-site; GBP 32,000 - 42,000; Full time

Job summary

South Warwickshire University NHS Foundation Trust is seeking a District Nurse / Senior Community Nurse to lead a community team across Warwick and Kenilworth. The post involves assessing health needs, managing caseloads with a public health and preventative focus, and supporting service development, governance and cost-effective care delivery.

You will supervise staff, contribute to recruitment and training, and work with partners to improve outcomes.

Qualifications

• Registered Nurse (1st Level) qualification required.
• First level degree in related subject.
• Evidence of Continuous professional Development relevant to the field of practice.
• Evidence of leadership or management training.
• Coaching CPD, Significant Post registration community experience.
• Post registration experience of caseload management.
• Advanced clinical decision-making skills to support patient centred care.
• In-depth understanding of community nursing and long-term condition management.
• IT literate with ability to input data and use EMIS.

Responsibilities

• Provide leadership and supervision to district nursing team.
• Recruitment, retention and wellbeing strategies for staff.
• Deliver proactive and preventative care to defined population; case management and pathway development.
• Deliver clinical governance, audit, research and continuous quality improvement.
• Offer specialist nursing advice to patients, carers and other agencies.
• Participate in induction, preceptorship and staff development programmes.
• Support Professional Lead with performance management and service improvement initiatives.
• Collaborate across multi-disciplinary teams and external agencies to ensure continuity of care.

Job description

An exciting opportunity has arisen to join our fabulous community nursing team covering Warwick & Kenilworth., They champion innovation and continuous improvement, ensuring care is anticipatory rather than reactive. Their leadership supports:

• Early intervention and proactive care planning
• Staff development through supervision and mentorship
• Recruitment, retention, and wellbeing strategies
• Quality improvement and budget efficiency
• Service transformation and pathway redesign

This role demands a forward-thinking mindset, resource mobilisation, and clear leadership in a dynamic healthcare environment., The District Nurse / Senior Community Nurse is responsible for the assessment and management of the health needs of an identified population and caseload, focusing on public health, preventative care, and admission avoidance. They will support the team in implementation and evaluation of programmes of care within a range of target groups including preventative deterioration of complex health, health inequalities, social prescribing and signposting, management of comorbidities and supporting the prevention of an urgent care need., The nurse will clinically supervise and provide support to regulated and unregulated team members with career development, clinical capabilities and behaviours, education and supervision. They will assist the Professional Lead with recruitment and retention, support the wellbeing of the team and improve quality outcomes and budget management as well as implementing service improvement schemes and supporting in pathway development., Named responsibility and professional accountability for the management of a defined caseload including the delegation of tasks to other members of the team. The post holder will have continuing responsibility for visible leadership which ensures an equitable evidence-based service, which is underpinned by the pillars of clinical governance. Prescribe within their individual scope of practice in line with V300 qualification and ensure that nurse prescribing is undertaken in a safe, cost effective manner. Develop a caseload profile, identifying those groups with specific health needs and implement and evaluate programmes of care to target groups taking a case management approach. Act in accordance with current local Warwickshire Safeguarding Vulnerable Adults and Trust guidelines/policy to protect vulnerable adults. Act within the NMC Code of Professional Conduct. Contribute towards ensuring the trust objectives are implemented and to support the Professional Lead in influencing change. Provide appropriate nursing care to patients on the defined caseloads. Provide specialist advice appropriate to health and social care to patients, carers, relatives and other agencies. Participate in the development, training and mentorship of pre-registration students/medical students and staff as required including induction and preceptorship programmes. To provide assistance with the resolution of complaints within the clinical speciality, or sphere of responsibility. To attend meetings and deputise for the Specialist District Nurse and/or Professional Lead as required and ensure that information is disseminated within the nursing team. Assist with the delivery of a comprehensive induction programme for new staff members. Communication Demonstrate excellent communication and negotiation skills in situations which may be complex, highly sensitive and emotive. All communication will be underpinned by the principles of data protection, dignity and confidentiality. Adopt and promote the highest level of verbal, non-verbal, written and electronic communication skills. Be open and honest, act with integrity and uphold the reputation of the profession as directed by the Nursing Midwifery Council (NMC, 2015). Take responsibility for initiating and/or engaging in open discussion with statutory and voluntary agencies and all members of the wider multi-disciplinary team as appropriate Ensure effective communication to support continuity of care on transfer between hospital, community, residential and nursing care settings and vice versa. Analysis and Judgement Critically evaluate team leadership, operational and project management in the context of observing national and local policy Promotes and maintains accurate record keeping and conforms to NMC policy and data protection legislation. Uses resources effectively and being aware of budgetary constraints including ordering of equipment. Will participate in research and development projects within the clinical field, embracing opportunities to develop knowledge by undertaking further study whilst sharing initiatives with others. Responsible for communicating and receiving sensitive, complex, and sometimes contentious information, dealing effectively with staff, relatives, and carers whilst ensuring confidentiality. Will use developed persuasive, motivational, negotiating skills, where agreement and cooperation is required. There may be barriers to understanding. Supporting the Specialist District Nurse, Professional Lead and Quality Matron in the development of audit systems within SWFT to ensure continuing evaluation of clinical practice by facilitating clinical audit programmes and research in line with clinical governance priorities Planning and Organisational Skills Supervise and direct work undertaken by other members of the skill mix team on a daily basis. Direct responsibility for the day-to-day supervision and performance of the district nursing team. To input statistical information by electronically recording daily activity on EMIS, ensuring each contact/activity is recorded in real time. Responsible for ensuring that staff are supported in accessing Clinical Supervision Demonstrate and contribute to a positive team culture which promotes an effective learning environment, facilitation of shared leadership, preceptorship, mentorship, clinical supervision, openness and candour, and provision of an educational environment. Responsibility for Patient Care Critically assess, plan, and evaluate evidenced based care interventions to meet contemporary need and improve health to prevent disease in individuals and populations Take responsibility for the complex and holistic assessment or delegation of planning, implementation and evaluation of care on an individual basis, utilising recognised models and tools, e.g. end of life care and long term conditions. Diagnostic assessment, routinely utilising patient head to toe examinations in order to diagnose, implement treatment plan, including prescribing, and/or escalating when clinically required and appropriate. As a District Nurse there will be a need for a varied clinical skill set, including, but not limited to: End of Life Care - Syringe Drivers and symptom control Intravenous Therapy Management of Plural Drains Wound Care Including complex e.g. Vacuum assisted therapy Leg Ulcers Including compressions therapy Continence Management Catheters, Bowel Management Patient education and training of self-management techniques Multi Comorbidities and prevention of deterioration management e.g. Heart Failure, Diabetes, Respiratory, Frailty, Dementia Social prescribing Named responsibility for the management of a defined caseload and population. Focuses on the needs of the defined patient groups population, and continues to hold up to date knowledge of public health Acts as patients advocate where appropriate. Be proactive in offering health promotion and participate in health promotion activities for a defined caseload. Utilise health needs assessment for the local population. The District Nurse will recognise triggers of deterioration/increased need of patients and initiate the Continuing Healthcare/NHS Funded Nursing Care assessment process To work with the Specialist District Nurse / Professional Lead to ensure performance indicators are achieved, avoiding patient harms and supporting preferred place of care. Ensuring excellent working relationships and communication links with all stakeholders including acute hospital staff, Local Authorities, Social Care teams and voluntary services as appropriate for patient care. Policy and Service Development To take a lead on quality initiatives, including but not limited to Community care Indicators, Hand Hygiene, Saving Lives and IWGC. Understanding of District Nursing national frameworks, policy and guidance with the ability to interpret and implement at service level Participate in and contribute to service redesign and policy development to benefit patient care with support of seniors. Source patients/relatives/carers views and feedback on their experience of SWFT OOHCC services in order to influence and inform future service provision. To contribute to the implementation and audit of policies, guidelines and procedures ensuring practice is evidence-based and patient centred. Will undertake Personal Development Reviews (PDR) and relevant development plans for members of the team. Assist in the identification of individual training requirements in line with NMC Revalidation and Pay Progression requirements. Responsibility for Human Resources Responsible for the day to day management of band 5 nurses to support the Professional lead direct line management, which includes the following: To identify workforce planning issues and actively participate in the recruitment, selection and retention of clinical staff. Ensuring that team members are supported with returning to work following a period of sick leave and ensuring that the sickness management policy is followed at all times, seeking senior support when required Ensure team members are up to date with mandatory and statutory training Responsible for Performance Development Reviews for staff within the team. Contributing to the promotion of team morale and management of conflict within the team by adopting an open and honest approach in order to seek resolve Supporting and promoting team and self-wellbeing Professional Responsibilities and Freedom to Act Interpret national guidance on NMC guidelines Promote and participate in clinical supervision Maintain clinical and professional proficiencies, capabilities, behaviours and values in accordance with relevant statutory legislation and guidance relevant to health professionals and their services Responsibility for Research & Development Demonstrate a critical approach to identifying, applying, and disseminating research findings relating to community specialist practice. Ensure standards, protocols and policies are evidence based and applied to practice Keep abreast of current clinical issues thus always promoting best practice Critique and use research to inform practice Complete regular clinical audits and support the Specialist District Nurse / Professional Lead with evaluation and improvement. General The post holder will be required to have access to independent means of transport for work purposes to travel across the Trust and to other agencies The post holder will be unavoidably exposed to challenging working conditions such as travelling during extreme and inclement weather including snow, icy conditions and excess heat. The Trust endorses the principle of whether people smoke or not is a matter of personal choice but where they smoke is a matter of public concern. The policy on smoking and health protects non-smokers and requires that all Trust premises are smoke free.

• Registered Nurse (1st Level)
• First level degree in related subject
• Evidence of Continuous professional Development relevant to the field of practice
• Evidence of leadership or management training
• Practice Educator and Assessor Preparation (PEAP) or equivalent qualification, District Nursing Specialist Practitioner Qualification or working towards it
• Coaching CPD, Significant Post registration community experience
• Post registration experience of caseload management
• Evidence of Personalised Care planning and complex patient management
• Ability to take appropriate action to assess and manage risk
• Experience of empowering a positive learning culture for interdisciplinary and interagency teams
• Proven experience of working autonomously in challenging situations, Experience in managing complaints
• Experience in service improvement, Understanding of clinical governance, audit, and risk management.
• Advanced clinical decision-making skills to support patient centred care
• Advanced clinical skills to include a variety of patient conditions and comorbidities
• In-depth understanding of community nursing and long-term condition management.
• Must have excellent prioritisation and time keeping skills
• IT Literate
• Ability to supervise, support, and mentor junior staff
• Ability to work collaboratively across professional and organisational boundaries, Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges
• Practise autonomously, proactively and innovatively, demonstrating selfawareness, emotional intelligence and openness
• Willingness to work flexibly and travel across the district.
• Excellent role model demonstrating compassion and a patient-centred approach
• Showcases trust values at all times, Must have means of own transport and able to drive in variable weather conditions
• Must be a non-smoker during working hours
• Must be willing to undertake Criminal records Bureau Disclosure to Enhanced / Standard level
• Must be legally entitled to work in this country

Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

As part of our commitment to Equality, Diversity and Inclusion we encourage all applicants to complete a short survey. This can be accessed via the link below: https://forms.office.com/e/ahWY3eAGM2