Bank Community Matron

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Central London Community Health Trust, City of Westminster

Full time
Permanent
Onsite working

Posted 2 weeks ago, 23 Oct | Get your application in now before you miss out!

Closing date: Closing date not specified

job Ref: 48cc4ebeae54442f9c7559da8c0bb951

Central London Community Health Trust

Full Job Description

To co-ordinate care provision through a case management approach with the aim to prevent unnecessary hospital admission and facilitate timely discharge. The caseload supports patients with multiple co-morbidities including frailty, COPD, Parkinson's, diabetes, dementia, and CHD.
To provide the highest standard of clinical care by using advanced skills and expert knowledge to holistically assess needs and instigate and provide clinical treatments based on evidence-based practice.
To participate in the delivery of educational programmes to patients, carers and health and social care workers that promotes self-care principles.
To develop and promote robust multidisciplinary team (MDT) working across the wider Health and Social care sectors, including care homes, to ensure integrated service and support networks for patients.
To monitor the quality-of-care provision and to identify and promote areas for service development. To be the named Community Matron for a Primary Care Network (PCN), providing support and care coordination for the wider health team within the network.
To provide clinical leadership and support to end of life pathways, including the Universal Care Planning (UCP) framework., To work in partnership with community health, social care and third sector organisations including care homes. Proactively case finding with GPs, district nursing colleagues and providing links across community nursing.
Working closely with care home aligned GPs and care home staff to support and offer your expert advice.
To work in partnership with acute Trusts through attending at high intensity user forums, linking with frailty and discharge teams and London Ambulance Service.
To support and coordinate the Westminster Integrated Domiciliary Service.
To work as a member of a PCN in line with the Westminster Integrated Care Partnership and the NWL Integrated Care Systems.
Liaise closely with NWL Leads and CLCH Academy on any new initiatives and training to support the service.

We providecommunity health services to more than two million people across eleven London boroughs and Hertfordshire.
stay well
manage their own health with the right support
avoid unnecessary trips to, or long stays in, hospital.

Bank Community Matron

Full Job Description

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