District Nurse - Proactive Care Team

The Red & Green Practice; Southampton; Hybrid; GBP 30,000 - 40,000; Full time

Job summary

A healthcare provider in Southampton is seeking a dedicated District Nurse to join their Proactive Care Team for a fixed term of 2 years. This role involves providing tailored nursing care for housebound patients, offering a range of services including chronic disease monitoring and palliative care. Ideal candidates will possess a strong community nursing background and excellent communication skills. The position is flexible, welcoming various working arrangements.

Benefits

Flexible working hours

Dynamic team environment

Ongoing professional development

Qualifications

• Registered Nurse with significant post-registration community experience.
• Experience of caseload management and complex patient management.
• Ability to work collaboratively across professional boundaries.

Responsibilities

• Provide clinical nursing care to housebound patients.
• Manage a defined caseload of patients and delegate tasks.
• Evaluate programmes of care for vulnerable patients.

Skills

Patient care

Wound management

Chronic disease monitoring

Clinical decision-making

Excellent communication

Education

Registered Nurse (1st Level)

First level degree in related subject

Tools

EMIS

Job description

Therehas never been a more exciting time to work in primary care, and The WatersidePrimary Care Network (PCN) is expanding its Clinical Team.

Weare seeking to recruit a positive, caring, and self-motivated individual totake on the role of District Nurse within our new Proactive Care Team. Thisnew team provides a dedicated multidisciplinary team, allowing us to deliverstandardised, high-quality care for care home residents and other houseboundpatients, thereby reducing inefficiencies and enhancing proactive healthcareservices. This approach aligns with our vision of proactive, patient-centredcare.

TheWaterside PCN are looking for an enthusiastic District Nurse to join our teamon a fixed term basis of 2 years. The role will be part of the GP ResilienceScheme (Enhanced Service) and may have the potential to be extended beyond 2years however this is subject to NHS funding and guidance.

Therole will be based across several sites: our local care homes and individualresidences across the Waterside area, our three Practices within the PCN and inour Urgent Care Centre at Hythe Hospital.

We are flexible with the number of sessions and would welcome allapplications.

Main duties of the job

The District Nurse is responsible for providing clinical nursing careincluding wound management, chronic disease monitoring and palliative caresupport to our housebound patients, both in local care homes and in personalresidences.

They will be an integral part of and support Proactive Care Team andwill be involved with designing, implementing and evaluating programmes of carefor this vulnerable group of patients, including preventative deterioration ofcomplex health, social prescribing and signposting, management of comorbiditiesand supporting the prevention of an urgent care need.

About us

The Waterside PCN is hugely successful in providing proactiveand coordinated care to 43,000 patients and we would love for you to be a partof that! We have a strong focus on health promotion and personalised care,supporting people to make informed decisions about their health and socialcare.

We are a dynamic, friendly, and supportive PCN with significantexperience in training healthcare professionals and offering new models of careutilising a diverse skill mix of professionals. We also have some fun along theway and are confident that if you join us, you will be warmly welcomed and soonfeel a firm part of our amazing team!

Job responsibilities

You will take responsibility and professionalaccountability for the management of a defined caseload of housebound patientsincluding the delegation of tasks to other members of the Proactive Care Team.

Prescribe within your individual scope of practiceand ensure that nurse prescribing is undertaken in a safe, cost-effectivemanner.

Develop a caseload profile, identifying thosegroups with specific health needs and implement and evaluate programmes of careto target groups taking a case management approach.

Act in accordance with current SafeguardingVulnerable Adults and Trust guidelines/policy to protect vulnerable adults.

Provide appropriate nursing care to patients on yourdefined caseload. Provide specialist advice appropriate to health and socialcare to patients, carers, relatives and other agencies.

To attend the Proactive Care Team meetings, reviewingpatients, contributing ideas and developing strategies for housebound patients.

Demonstrate excellent communication and negotiationskills in situations which may be complex, highly sensitive and emotive. Allcommunication will be underpinned by the principles of data protection, dignityand confidentiality.

Take responsibility for initiating and/or engagingin open discussion with statutory and voluntary agencies and all members of thewider multi-disciplinary team as appropriate.

Ensure effective communication to supportcontinuity of care on transfer between hospital, community, residential andcare home settings and vice versa.

Promotes and maintains accurate record keeping,confirming to policy and data protection legislation.

Responsible for communicating and receivingsensitive, complex, and sometimes contentious information, dealing effectivelywith staff, relatives, and carers whilst ensuring confidentiality. Will usedeveloped persuasive, motivational, negotiating skills, where agreement andcooperation is required.

To input information by electronically recordingdaily activity on EMIS, ensuring each contact/activity is recorded in realtime.

Demonstrate and contribute to a positive teamculture which promotes a collaborative and supportive environment. Supportingthe Lead GP of the team and being receptive to mentorship, clinicalsupervision, openness and candour, and provision of an educational environment.

Take responsibility for the complex and holisticassessment or delegation of planning, implementation and evaluation of care onan individual basis, utilising recognised models and tools, e.g. end of lifecare and long-term conditions.

Diagnostic assessment, routinely utilising patienthead to toe examinations in order to diagnose, implement treatment plan,including prescribing, and/or escalating when clinically required andappropriate.

Be prepared to be flexible and to provide cover asrequired in our Urgent Care Centre or for our reactive home visiting team asdemand requires, e.g. in response to increased winter pressures.

As a District Nurse there will be a need for a varied clinical skillset, including, but not limited to the following -

End of Life Care - symptom control

Wound Care Including complex e.g. Vacuum assistedtherapy

Leg Ulcers Including compressions therapy

Patient education and training of self-managementtechniques

Multi Comorbidities and prevention of deteriorationmanagement e.g. Heart Failure, Diabetes, Respiratory, Frailty, Dementia

Social prescribing

Be proactive in offering health promotion andparticipate in health promotion activities for a defined caseload.

You will be able to quickly build excellent working relationships andcommunication links with all stakeholders including Local Authorities, SocialCare teams and voluntary services as appropriate for patient care.

The above is not an exhaustive list of duties and you will beexpected to perform tasks as necessitated by your changing role within, and theoverall objectives of, the organisation agenda. Discussions on any majorchanges will be held with the postholder.

Person Specification

Qualifications

• Registered Nurse (1st Level)
• First level degree in related subject

Experience

• Experience - Essential
• Significant Post registration community experience.
• Evidence of Continued Professional Development.
• 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 culture for interdisciplinary and interagency teams.
• Ability to critically understand and apply relevant legal, regulatory and governance requirements, policies, and professional and ethical frameworks.
• Advanced clinical decision-making skills to support patient centred care.
• Advanced clinical skills to include a variety of patient conditions and comorbidities.
• Must have excellent prioritisation and time keeping skills.
• IT Literate.
• Ability to work collaboratively across professional and organisational boundaries.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Full-time,Part-time,Job share,Flexible working