Community Matron

The post holder will proactively manage a caseload of patients requiring complex case management to prevent hospital admissions and facilitate early discharge to improve patient health outcomes.

Patients requiring case management in the MACCT Service will be identified through a combination of referrals from trusted professionals (GP, Social Services, A& E department, Whittington Health wards, NMUH, LAS and via District Nursing and by case-finding).

Working both autonomously and as part of a busy MDT, the post holder will have continuing responsibility for proactively monitoring and managing, patients on the caseload. The post holder will be expected to develop skills in physical assessment, diagnostic reasoning and nurse independent prescribing using these skills in a community setting. Using these skills will assist in the recognition of early symptoms of disease exacerbation, acute illness and injuries. You will be expected to co-ordinate care and navigate the patient through pathways across the primary, secondary care interface, including the prevention of unnecessary admissions, via Community referrals.

The post holder will be a senior nurse within the MACCT service and therefore act as a clinical leader and role model to staff within the service, offering clinical advice on the care of patients with complex needs as required. They will work with colleagues and managers to support the integration of care pathways and patient care across community and acute settings., Support of frail & complex Haringey clients in their homes & supporting the avoidance of unplanned hospital admissions through clinical knowledge. Facilitating community long term conditions management & integrated working.

Undertake comprehensive baseline assessments for patients with the MACCT, relatives, & carers-utilise assessment to agree & implement patient held personalised plan of care

Prescribing as required & to ensure that medications are reviewed & highlight possible interactions & changes in line with WH Nurse Prescribing

Perform & document episodic examinations to support proactive monitoring of chronic diseases and identification of early symptoms of exacerbation & liaise with professionals from specialist teams as necessary

Participate in managing & coordinating the work of junior staff/support & development/recruitment & selection of staff for the team & participate in induction & orientation programmes

Ensure accurate, contemporaneous records are kept that facilitate safety & continuity of care

Work within WH Quality & Assurance Standards including the monitoring & reviewing of quality standards, policies & protocols

Investigate complaints & clinical incidents Act within the Nursing and Midwifery Council "The Code (2018 revised)"

Utilise expertise, act as advisor/resource person to undergraduate student nurses/ as a clinical supervisor to junior staff

Submit timely information relating to service performance indicators & the Quality and Assurance

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.