Care Homes Assessment Team (CHAT) Community Matron

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.

Others Essential
• Car Driver with current UK License
Education & Professional Qualifications Essential
• 1st. Level Registered Nurse (RGN) with current registration with the NMC
• Evidence of CPD in management of Long Term Conditions
Desirable
• Independent Prescribing
• Degree in health related topic
• Community Specialist Practice
• Education at Masters Level
Experience Essential
• 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
Desirable
• Experience of working with or in care homes
Skills and Aptitudes Essential
• 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
Desirable
• IT Skills
Personal Qualities & attributes Essential
• Enthusiastic and motivated
• Demonstrable ability to meet Trust values
Person Specification Others Essential
• Car Driver with current UK License
Education & Professional Qualifications Essential
• 1st. Level Registered Nurse (RGN) with current registration with the NMC
• Evidence of CPD in management of Long Term Conditions
Desirable
• Independent Prescribing
• Degree in health related topic
• Community Specialist Practice
• Education at Masters Level
Experience Essential
• 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
Desirable
• Experience of working with or in care homes
Skills and Aptitudes Essential
• 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
Desirable
• IT Skills, Enthusiastic and motivated
• Demonstrable ability to meet Trust values
  
  NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children
from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk