Job Description
- To Practice as a senior member of the community nursing team, working within the Integrated Community Teams (ICTs)
- To provide a case management approach to care for an identified number of patients working closely with GPs, the ICTs and other Statutory and Voluntary agencies.
- To provide advice, information and education to patients and carers with the aim of enabling patients to enjoy maximum independence, health and wellbeing.
- To creatively manage the holistic and clinical needs of patients with acute, sub-acute and long term conditions, enabling people to live well at home
- To complement the urgent care services to support admission avoidance principles and the development of innovative systems approaches to care which facilitate care in the right place at the right time
- To support operational managers to resource the service and understand the professional and clinical decisions which underpin procurement decisions
- To enable patients living long term physical health challenges to live well within their communities, with a focus on not only their physical health needs but also their wider holistic needs, e.g. mental health, learning disabilities, psychological needs, social needs and spiritual needs.
- Lead Multidisciplinary Team meetings as appropriate and other meeting as required. This will include attendance at GP supported clinical meetings such as Gold Standards Framework or Case Management reviews
- Communicate and liaise with the Multidisciplinary ICT, other colleagues within Gloucestershire Care Services (GCS) and Gloucestershire County Council, Gloucestershire Hospitals NHS Foundation Trust as well as other referring acute and community hospitals
- Discuss patient's conditions with them / carers and families as appropriate and relay information accurately and contemporaneously back to colleagues both within the ICT and other organisations detailed above.
- Has responsibility for the expert assessment, planning, implementation and evaluation of programmes of evidence based nursing care to meet complex health care needs to individuals and their carers within the defined caseload across the community setting
At Gloucestershire Health and Care NHS Foundation Trust, we are supportive of the people we care for in the community and aim to provide a fully responsive service to everyone who needs it. This is the same approach we take for our employees. We look to value the skills and experiences of those we work with, whether they are service users, carers, families or those looking to work with us.
Gloucestershire Health and Care NHS Foundation Trust is part of the NHS. We treat NHS patients according to NHS principles and standards. The difference is the Trust is accountable to local people, rather than to Government, and so we are able to work closely with our community to develop services in the way that best suits the needs of local people.
Our Staff Survey results showed people at our Trust feel they are engaged, part of a team and work for a compassionate and inclusive organisation.
Our overall scores were better than average in eight of nine themes and level in one - the best overall results for a community, mental health and learning disabilities Trust in the south west and first equal amongst all sector NHS providers within the region too.
The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.
Please refer to the Additional Information attachment before submitting your application