Senior Community Nurse / District Nurse

Cambridgeshire and Peterborough NHS Foundation Trust (CPFT); Peterborough; On-site; GBP 32,000 - 46,000; Full time

Job summary

Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) invites applications for a Senior Community Nurse based in the Peterborough City Team. You will work autonomously within an integrated multidisciplinary team, managing your own caseload and delivering care at patients' homes to promote independence and reduce hospital admissions.

You will travel across the county, hold a full UK driving licence and have access to a vehicle.

Qualifications

• Autonomous practitioner within an integrated multi-professional team.
• Manage own caseload and assess complex patients.
• Provide high standards of home-based nursing care.
• Supervise junior staff and peers; delegate caseloads.
• Must hold full UK driving licence and have access to a vehicle.

Responsibilities

• Work as autonomous practitioner with MDT.
• Assess, interpret, plan, implement and evaluate treatment.
• Keep patient at centre of care with involvement of carers.
• Provide education to peers and students; supervise junior staff.
• Deliver nursing interventions in patients' homes, including lone working.

Skills

Autonomous practitioner

Caseload management

Team collaboration

Time management

Driving licence

Education

Nursing qualification (RN)

Community Nursing CPD

Post-registration District Nursing qualification

Job description

An exciting opportunity has arisen for a Senior Community Nurse to work within our Peterborough City Team.

You will be working as part of a team which includes Community Nurses (RN), Community Nursing Clinical Leads & Healthcare Assistants. You will link closely with colleagues outside of CPFT including General practitioners and other members of the multidisciplinary team to support excellent nursing care at home, reducing the necessity for acute hospital admission.

The successful candidate will need to have the relevant community CPD.

We are keen to support and develop our employees through a clear career pathway and encourage promotional opportunities within the Trust.

Main duties of the job

Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs.

• To work as an autonomous practitioner with the integrated multi professional team
• To be responsible for own caseload and undertake assessment of complex patients
• To be accountable for assessing interpreting, planning, implementing and evaluating treatment to patients within professional guidelines
• To keep the patient at the centre of care, ensuring patient and carer participation in decision making
• Provide support and education of peers, new staff, non registered staff, and students
• To supervise junior colleagues
• Accountable for the delegation of caseload
• To provide high standards of nursing intervention within a patients own home, this includes lone working , with access to specialist and advanced practitioners when required
• To provide support, guidance and leadership to a team of nurses and non registered team members

*DVLA have a number ofreciprocalarrangements with overseas countries, for further information please visit the DVLA website

Working for our organisation

Cambridgeshire and Peterborough NHS Foundation Trust is a health and social care organisation dedicated to providing high quality care with compassion to improve the health and wellbeing of the people we care for, as well as supporting and empowering them to lead fulfilling lives.

Our clinical teams deliver a wide range of NHS services across inpatient, primary care and community settings, including children’s, adult and older people’s mental health, forensic and specialist mental health, learning disabilities, primary care and liaison psychiatry, substance misuse, social care, and research and development.

To achieve our goals, we recruit high calibre candidates who share our vision and values. As an equal opportunities’ employer, we welcome applications from all sections of the community, particularly under represented groups including people with long term conditions and members of our ethnic minority and LGBTQ+ communities.

All appointments are subject to the successful completion of a probationary period.

Please note we reserve the right to close adverts early should we receive sufficient applications.

Regrettably, we cannot offer sponsorship for all roles. If you apply for a post that does not attract sponsorship, your application will be withdrawn from the process.

For further information on CPFT, please visit our website at https://www.cpft.nhs.uk

Detailed job description and main responsibilities

Please refer to the attached job description and person specification for full details of responsibilities.

• To work as an autonomous practitioner within the Borderline Community Nursing Team.
• To be responsible for own caseload and undertake an assessment of patients with complex and multiple pathologies using specialist clinical reasoning skills.
• To be accountable for assessing, interpreting, planning, implementing and evaluating treatment to patients within professional guidelines, with the support of the multidisciplinary team.
• To keep the patient at the centre of care, ensuring patient and carer participation in decision making.
• Provide support and education to peers, new staff non-registered staff and students.
• To supervise junior staff and students overseeing patient intervention and ensure that a high standard of care is delivered and staff achieve set competencies.
• To be accountable for a delegated caseload
• To priorities, all referrals according to clinical lead and allocate or signpost appropriately
• To provide a high standard of nursing intervention within patients own homes this includes lone working, with access to Specialist and Advanced Practitioners when required.
• To identify patient needs, agree on goals and provide appropriate holistic nursing interventions, to refer to other services and provide or order equipment.
• To be professionally and legally accountable for all aspects of your own and delegated work.
• To work within codes of practice and professional guidelines.
• To undertake a holistic assessment (including those with complex presentations and multi pathologies) making use of clinical reasoning skills.
• To use evidence-based practice, to ensure clinical care is effective and appropriate.
• To promote independence and wherever possible to avoid hospital admission and reduce inpatient length of stay to ensure those patients receive the appropriate care in the most appropriate setting.
• Organise and manage own time, delegating work appropriately.
• Contribute to risk assessments and health and safety assessments and including immediately reporting any changes/newly identified risks.
• To demonstrate the importance of gaining patient and carer consent in all interventions.
• To effectively communicate verbally with patients, carers and colleagues using tact and persuasive skills. This may involve using skills where patients have difficulties in communication, e.g. hearing loss, diminished sight, depression, speech problems, cognitive impairment, behavioural problems and pain.
• To contribute to and work towards the service/organisational aims and objectives of the Team and the new model of care.
• To work effectively within the team structure and liaise appropriately with members of the MDT and other agencies by attending MDT meetings, case reviews.
• To ensure that accurate and timely written records are kept which comply with the Trust policy and NMC guidance, reporting on any issues as appropriate.
• To inform/update all members of the multi-disciplinary team, service users and appropriate others, of changes involving current care plans, patients progress and other relevant matters that pertain to the care of the patient.
• To support the Community nursing team with day to day planning and delivery of high-quality care.
• To support the team with a case management model.
• To support, educate and advise formal and informal carers with the nursing care which they can provide.
• To act as a patient advocate, providing information, health education and support to facilitate patient choice with regard to nursing care, promoting independence.
• To ensure that medications are stored and recorded according to the rules relating to the drugs policy of CPFT.
• To administer immunisations and vaccinations to adults in accordance with agreed protocols for patients on the current caseload.

Person specification

Education / Qualifications

• RGN level 1 educated to degree level.
• Post-registration qualification relevant to district nursing (DNSPQ or equivalent: Community Nursing Degree/ comprehensive community nursing CPD)
• Evidence of ongoing professional development
• Practice Assessor/ Supervisor
• Management of leg ulcer qualification
• Prescriber or willing to undertake
• Wound care qualification

Experience

• Multidisciplinary working experience
• Relevant and proven experience post registration in a variety of settings
• Nursing in both acute and community settings
• Demonstrate application of clinical governance and experience of clinical supervision
• Experience in delivering training

Skills & Abilities

• The ability to respond to changing situations
• Ability to develop effective working relationships
• Ability to exercise initiative
• Ability to prioritise and manage workload to meet the needs of the service
• Ability to innovate
• Extensive understanding of clinical supervision
• Demonstrate an understanding of national government initiatives in health and social care and how these impact on local services
• Accepts responsibility and accountability for own work and can define the responsibilities of others
• Listens to and understands directly and indirectly expressed feelings.
• Demonstrates empathy for the concerns of others.

Physical Requirements

• Ability to travel independently around Cambridgeshire and Peterborough area meeting required timescales. A Full driving licence and access to a vehicle is essential.
• Manoeuvre patients using safe techniques in accordance with care plan.

Here at Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) we are dedicated to providing high quality care with compassion. We deliver many of the NHS services that are provided outside of hospital and in the community such as physical, mental health and specialist services.

We are a health and social care organisation, offering a wide range of services, including:

• Integrated physical and mental health services for adults and older people;
• Specialist mental health and learning disability services;
• Children’s community services in Peterborough;
• Ground-breaking research

We strongly encourage applications from all sections of the community, particularly from under-represented groups including disabled people and members of our ethnic minorities and LGBTQ+ communities. For further information about our positive equality, diversity and Inclusion work, please visit https://www.cpft.nhs.uk/equalityanddiversity .

CPFT is looking to build upon its pool of temporary workers with Temporary Staffing Services (TSS). You will be asked at interview if you would be willing to register with TSS. This is an excellent opportunity for those looking to take on additional hours that are flexible around your personal circumstances.

Please be advised that in line with the WHO Health Workforce Support and Safeguards List, 2020 Cambridgeshire and Peterborough NHS Foundation Trust currently are unable to accept applications from overseas candidates whose country of residence is classed as a 'Red List' country.

Applicants who require entry into the UK will be required to provide a valid police certificate from the relevant authority from each country (except the UK) where the applicant has been present for 12 months or more, 10 years before the date of visa application, while aged 18 or over.

If you are successful at interview you will be subject to pre-employment checks, including a DBS (if appropriate), references and Occupational Health. To ensure a smooth process please bring all identity documents to your interview. A list of required identity documents will be attached to your interview invitation.

All communications will be sent to you via TRAC Systems. By applying for this post you are agreeing to CPFT transferring the information contained in this application to TRAC. If you are made an offer, information will also be transferred into the national NHS Electronic Staff Records system.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.