Senior Proactive Care Matron (Part-Time) - Community & Home Care

NHS Jobs

Leeds

On-site

GBP 40,000 - 60,000

Part time

4 days ago
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Job summary

Cross Gates Primary Care Network is seeking a PCN Proactive Care Matron (Band 8a) to lead proactive, person-centred care for patients at greatest risk of deterioration across East Leeds, including care homes and patients' homes.

The post holder will deliver advanced clinical assessment, diagnosis, treatment and prescribing, develop care plans, and work with GPs, community teams and housing services to prevent hospital admissions and support independence.

Qualifications

  • Senior autonomous clinician delivering advanced clinical assessment, diagnosis, treatment and prescribing for complex health needs.
  • Developing and reviewing personalised care plans and escalation plans with patients and multidisciplinary teams.
  • Supporting prevention, medicines optimisation and admission avoidance initiatives.

Responsibilities

  • Deliver advanced clinical assessment, examination, diagnosis, treatment and prescribing for people with complex or deteriorating health needs.
  • Undertake planned and urgent home visits, care home ward rounds and proactive frailty reviews.
  • Develop and review personalised care plans, anticipatory care plans and treatment escalation plans in partnership with patients, carers and multidisciplinary team colleagues.
  • Support prevention, medicines optimisation, self-management and admission avoidance initiatives.
  • Use population health management tools, proactive care dashboards and clinical intelligence to identify patients who would benefit from proactive intervention.
  • Participate in multidisciplinary team meetings and work collaboratively with primary care, community services, mental health teams, social care, housing services and voluntary sector organisations.
  • Contribute to vaccination programmes for care home residents, housebound patients and proactive care cohorts.
  • Support quality improvement, clinical audit, service evaluation and ongoing development of proactive care services.
  • Provide advice, support and learning opportunities for colleagues within the multidisciplinary team.

Skills

Autonomous clinician
Advanced clinical assessment
Care home & community care
Frailty management

Tools

Proactive care dashboards

Job description

Cross Gates Primary Care Network is seeking a PCN Proactive Care Matron (Band 8a) to lead proactive, person-centred care for patients at greatest risk of deterioration across East Leeds, including care homes and patients' homes.

The post holder will deliver advanced clinical assessment, diagnosis, treatment and prescribing, develop care plans, and work with GPs, community teams and housing services to prevent hospital admissions and support independence.

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