Senior Community Nurse - Community Response Team (CRT)

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South Warwickshire University NHS Foundation Trust is one of the top performing organisations within the NHS. Our staff think this is a great place to work and we hope you will agree. We have recently been rated as 'Outstanding' by the Care Quality Commission (CQC) following our most recent inspection.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the whole county. This includes our Community Teams in North Warwickshire.

We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Over 6000 people work for the Trust and many of them have been here a long time. People find they don't need to go elsewhere to find a fulfilling career in healthcare.

The first thing you will notice about us is how we take our values seriously. We believe that our values underpin everything we do. If you are interested in a role with us you need to make sure our values match your own.

Our values can be summed up in one sentence. We are 'Trusted to provide inclusive, safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Probationary Period

All new staff to the Trust will be subject to a standard 6 month probationary period, the details of which will duly follow in your contract of employment.

Equality, Diversity, and Inclusion

South Warwickshire University NHS Foundation Trust is committed to creating and sustaining a positive and inclusive working environment for all our employees. Our aim is to ensure that employees are equally valued and respected and that our organisation is representative of all members of society. We define diversity as valuing everyone as an individual - we value our employees, job applicants, students, patients and visitors as people. This is reflected within our values of being Inclusive, Safe, Effective, Compassionate and Trusted.

Agile and Flexible Working

All our staff will have a work base. However the Trust operates as an Agile Working Team therefore staff may be working from home on a regular basis as required by the service. However, occasionally travel around Warwickshire and into your base will be required so access to your own transport would be helpful.

The Trust also welcome staff to work flexibly and we would welcome the conversation at interview regarding flexible working.

Staff Benefits

The Trust offer a wide range of additional benefits to staff. Anyone who joins us on a substantive basis can assess things such as the Lease Car Scheme, Electronics Scheme, Discounted Leisure and Travel, Cycle to work scheme amongst many others available.

Car Parking

The Trust have recently completed the construction of a multi-storey car park at our Warwick Hospital site which has allowed us to reduce waiting times for car parking passes.

To keep up to date on our latest recruitment activity follow us on twitter @swftrecruit or look us up on Facebook (Recruitment - South Warwickshire NHS Foundation Trust).

Job overview

An exciting opportunity has arisen for a dynamic, forward thinking, self-motivated individual to join our Community Response Team based in Stratford.

The Community Response Team operates across the hours of 08:30 to 21:30, 7 days a week, including weekends and bank holidays.

As a Senior Community nurse you will be responsible for assessing and managing the health and care needs of patients in their homes, aiming to prevent unnecessary hospital admissions and supporting to facilitate discharges from hospital. You will be supporting patients in the community with long term conditions, providing end of their life support and providing holistic, comprehensive care to patients in their own homes. You will also work closely with the Multidisciplinary team including: Therapists, GPs, Social Services, Urgent Response , working collaboratively with the other community service teams to deliver seamless care across the locality, working within an unpredictable and unscheduled workload.

You will also be responsible for deputising on behalf of the Band 7 professional Lead and providing coordination for the team. You will have proven organisational and management skills and will be able to motivate and effectively lead the teams in delivering high quality care to our patients. You will be a clinical role model and have a willingness to develop the team as well as your own professional growth.

Main duties of the job

Working in a leadership role as a member of the community response team, responding to visits via Clinical Triage assessing, planning, coordinating, delivering and evaluating the programmes of care provided across health, social and voluntary care sectors as part of a multi-disciplinary community-based rehabilitation team. Within the community, client's home, residential homes and other sites as the service requires.

Working for our organisation

Come and join a Trust rated Outstanding by the CQC. South Warwickshire NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are 'Trusted to provide safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Detailed job description and main responsibilities

To provide effective clinical leadership within the Community Response Team, enabling the service to deliver to the highest possible care standards, ensuring that evidence-based practice is used. To act as a role model and exercise good leadership.

Providing highly skilled nursing assessment, intervention and advice to clients and carers. Communicating with members of the multi-disciplinary team to maintain high standards of care

To work as an accountable and autonomous professional responsible for the diagnosis, advanced assessment and treatment of community dwelling clients who are experiencing a sudden health crisis, who may have additional complex multiple pathology and or social circumstances, including Palliative and End of Life Care.

The post holder will guide and support junior staff and students in the organisation of their work, providing clinical advice and specialist expertise.

To deputise for the Professional Lead on an equitable basis with other senior nurses as needed

To be professionally and legally accountable for all aspects of own work, including the management of their work, ensuring a high standard of clinical care.

To undertake a comprehensive assessment of clients with a wide variety of complex conditions using advanced investigative and analytical skills of clinical and non-clinical information to form accurate diagnosis and prognosis

To formulate individualised treatment plans, using sound clinical reasoning skills and utilising a wide range of evidence-based treatments to formulate a specialised programme of care which is client led and goal orientated.

To assess competency for and delegate appropriate tasks to other team members, carers and their families

To have clinical responsibility for dealing with unplanned and unpredictable urgent referrals for clients living in the community

To demonstrate ongoing evaluation of nursing interventions with the client and respond accordingly

To carry out treatment plans for other professionals in their absence under delegation and within your competency.

To work innovatively to address the challenges posed by providing treatment in a variety of community settings.

To undertake specialist-nursing interventions, which require accuracy and precision, some of which will be invasive.

To demonstrate highly developed knowledge and skills in the health surveillance of acutely ill community-based clients.

To take an active lead in advising and teaching health education and health promotion to clients, other professionals, families and carers.

To assess for and provide equipment in accordance with ICES (Integrated Community Equipment Store) guidelines

To regularly work unsupervised and alone in clients' homes

To immediately report to the Professional Lead/Clinical lead any variance to the clients care pathway and document in accordance with the agreed procedure.

To identify urgent need for, and initiate an emergency response, giving appropriate first aid as necessary within own capabilities.

To work at all times strictly within the Trust's Infection Control Guidelines. To ensure that therapy / treatment / care does not constitute a risk of infection either to the health professional, the patient / client or to visitors, and to report any situation that compromises the safety of staff, clients / patients or visitors with regard to risk of infection.

To communicate effectively with clients and carers to maximise rehabilitation potential, using a wide range of verbal and non-verbal communication skills

To gain valid consent to intervention where possible in accordance with the legal framework and consent policy. To identify and report concerns where clients may lack capacity.

To liaise and effectively communicate assessment and rehabilitation outcomes with other multi- disciplinary teams, voluntary agencies and health and social care professionals in accordance with South Warwickshire Foundation Trust information sharing guidelines. This communication will include verbal, report or letter format and include case conferences and multidisciplinary team meetings

To maintain accurate, comprehensive, contemporaneous documentation and maintain confidentiality in accordance with local intermediate care protocols, South Warwickshire Foundation Trust records policy and national professional standards

Under the direction of the Professional Lead/Clinical Lead assist in the delivery of training/clinical education for staff and students, including: peer clinical supervision, interdisciplinary reflection, individual clinical supervision of junior staff, the training and support of NVQ candidates including writing expert witness statements and annual appraisal of specific junior staff.

To attend professional meetings and study days appropriate to the needs of the service. Thereafter, to provide written evidence of learning and feedback to the Urgent Response Team.

To undertake all mandatory training.

Following the principles of clinical governance to maintain a high quality of service through liaison with the Team leaders, leading the implementation of: recognised professional standards, evidence based practice, effective clinical audit and clinical bench marking, risk management and validated clinical outcome measures. Make recommendations for change.

Participate in the development and implementation of clinical initiatives and protocols.

To work within agreed national and local clinical guidelines and be aware of and abide by the guidelines and protocols of the Integrated Team.

To be aware of and abide by the approved policies and procedures of the Trust and the Nursing and Midwifery Councils guidelines on professional conduct.

To be responsible for your own continuing professional development which is demonstrated in a portfolio.

To participate in appraisal scheme and attend external courses where identified as part of individual appraisal.

To be aware of the agreed procedures and Community Nurse involvement in the event of a major accident

To liaise with the team leader in deploying staff on a day-to-day basis, allowing flexibility within the team so that the needs of the service are met.

To maintain adequate levels of nursing stock and undertake a quarterly equipment audit within work area

To undertake and promote efficient use of available resources

To assist in the recruitment and selection of junior staff

Organise the induction of new staff.

Adhere to information governance both for internal and external sources for patient data.

Such other duties as are within the spirit of the job purpose, the title of the post and it's grading

This is an outline job description. It is subject to review at periodic intervals and may change over time with the development of Community Services following discussion with the post holder.

Post holder will be required to have access to independent means of transport for work purposes to travel across the South Warwickshire Foundation Trust and to other agencies.

South Warwickshire Foundation Trust endorses the principle that whether people smoke or not is a matter of personal choice but where they smoke is a matter of public concern. The policy on smoking and health protects non-smokers and requires that all the South Warwickshire Foundation Trust premises are smoke free.

General Items:

Person specification

Qualifications

Essential criteria

• Degree or equivalent
• NMC registered
• Evidence of relevant post graduate courses/CPD
• Health Assessment Module
• Leadership Qualification/Training or demonstrable experience

Desirable criteria

• Nurse Prescriber (independent)

Experience

Essential criteria

• Relevant post registration experience including a variety of specialities including Palliative/EOL care.
• Two years' experience in working in the community setting.
• Experience in the clinical supervision and training of staff and students.

Skills

Essential criteria

• Demonstrates knowledge of clinical governance and experience of audit.
• Ability to work independently.
• Excellent interpersonal, communication Skills.
• Forward thinking.
• Ability to pass on skills and knowledge to others within both formal and informal environments.
• Critical appraisal, research and presentation skills.
• Ability to influence and adapt to service need and demand
• Experience of nurse leadership and management
• Ability to prioritise and delegate
• IT literate.
• Ability to work collaboratively across professional and organisational boundaries.

Personal

Essential criteria

• Committed to personal and team development.
• Ability to work at fast pace
• Adaptable, flexible and good problem-solving skills.
• Motivation, drive and enthusiasm.
• Confident and assertive.
• Clear vision of role/commitment to speciality

Other

Essential criteria

• Able to travel independently in the community.
• Car driver.
• Willingness to work on a flexible basis to meet the needs of the service

IMPORTANT INFORMATION

Sometimes we get a lot of applications for our roles. On those occasions we might close the job early. If you don't want to miss out we recommend submitting your application as early as possible.

The Trust use an Applicant Management System called TRAC which helps us manage the recruitment process. All communications regarding your application will come via TRAC (even if you applied via NHS Jobs).

Please check your TRAC account regularly and ensure your email is set up to accept messages so they don't go into your junk/spam folder.

We aim to shortlist all vacancies within 2 days of the vacancy closing, we will get back to all candidates ASAP.

Please ensure all sections of the application form are completed fully. Please particularly ensure that you provide full details of all referees including business email address, telephone contact details and postal address.

South Warwickshire University NHS Foundation Trust is an equal opportunities employer who is committed to Equality and Diversity and does not tolerate discrimination or harassment on the grounds of any protected characteristic as defined by the Equality Act 2010.

All South Warwickshire University NHS Foundation Trust sites are smoke free. We feel it's a great way to help our patients, visitors and staff stay healthy.

The Trust is part of a 'Foundation Group' through a strategic alliance with Wye Valley NHS Trust, George Eliot Hospital NHS Trust and Worcestershire Acute Hospitals NHS Trust. This partnership is great for the sustainability of all four organisations and allows us to share learning and maximise opportunities to ensure the delivery of high quality health and care services for our local populations.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• B6 Job Description (PDF, 168.6KB)
• Person Specification for Band 6 Community Nurse (PDF, 152.6KB)