Associate Community Matron- West Waverley

Associate Community Matron will work with the Community Matron Team to deliver proactive patient centred care across Guildford and Waverley, working in an integrated way with other health, social and voluntary services. The Associate Community Matron will work towards developing expert clinical skills relating to the management of long term conditions. The role is pivotal in ensuring patients receive appropriate care and treatment as close to home as possible and that health and social care is patient centred and delivered to a high standard. This involves making close links with acute and community hospitals to reduce unnecessary admission to hospital and facilitate appropriate and timely discharges. The post holder will work across the local Primary Care Network area under the direction of the Community Matron to ensure equity of care., The post holder will work as part of the Community Matron Service under supervision of a Community Matron and in conjunction with the wider multidisciplinary team (MDT) to:

• assist in the proactive identification of adults who are at high risk of unnecessary admission to hospital and would benefit from a proactive approach to health and care needs
• work as part of the wider MDT including (but not limited to) GPs, adult social care, mental health, community nursing, geriatricians to ensure the best outcome for individuals, families, and carers
• utilise a proactive and anticipatory approach to assessment in the home setting
• work in conjunction with patients, carers, and families to develop proactive care plans that reduce risks, promote self-management, and prevent the need for urgent care
• deliver new and improved pathways for individuals with long term conditions and complex needs ensuring improved outcomes for local people
• using the electronic clinical record-keeping system, EMIS, to compete all documentation and be provided with a work iPhone and iPad for mobile working, The Procare Chief Operating Officer is a Nurse by background, who has a real passion for all aspects of Community working. Our board is clinically led with a Director of Nursing and GPs who have vast community experience, ensuring that Procare has the expertise and knowledge base needed to develop sustainable integrated services.
With a strong emphasis on high-quality care, patient safety, and a positive patient and carer experience as the core of our strategy, our goal is to ensure excellent care for our local community. We aim to achieve this by creating a supportive and highly skilled workforce, making Procare a great place to work. We are an innovative, ambitious, friendly, and supportive local team. We take pride in our clinically led and flat management structure, which ensures transparent leadership from all directors. We are in search of an individual with the requisite skills and attributes, someone who is pragmatic and solution-focused, and who desires to be a part of our local Community Nursing Services.,
• Works collaboratively to ensure good working relationships across the Primary Care Network
• Communicates effectively with GPs, practice nurses, community nurses, social services, acute/community hospital colleagues, borough council staff, care agencies and the local voluntary sector
• Works collaboratively to utilise a range of effective communication skills, tools and techniques that may be complex and sensitive and that overcomes barriers to understanding
• Acts as an advocate for all individuals and carers to ensure a culture in which an individual's needs, wishes and preferences are prioritised
• Communicates effectively with patients, families, and carers to interpret complex information and formulate solutions to recommend the best course of action/treatment for the individual
• Maintains accurate and legible documentation and clinical records in line with professional and organisational requirements - this includes paper records and EMIS electronic clinical record system