Job Title

Care Homes Assessment Team (CHAT) Community MatronThe Care Homes Assessment Team (CHAT) are an award-winning service that support the lives and deaths of residents in Care Homes across Enfield and part of Haringey. CHAT is part of Enfield Community Service (ECS) which is hosted by NMUH. We are looking for a flexible, dynamic and experienced band 7 physical health Community Matron to join our team due to the successful internal promotion of the current post holder. We are a supportive team and organisation and are looking for someone with assessment and diagnosis skills, independent prescribing is essential, experience working with older people, people with mental health and/or learning disabilities in the Care Home environment and experience of having sensitive future care planning conversations and supporting end of life. CHAT support the Trusted Assessor facilitated discharge in NMUH and the successful candidate would work on a rota system both in their allocated Care Homes but also in NMUH delivering Trusted Assessor. The service operates 7 days a week 8am-8pm so late shifts and weekend working on a rota system is expected. Shift patterns are: 8am-4pm 12pm-8pm 9am-5pm - when working as Trusted Assessor in NMUH Main duties of the jobThe Community Matron will manage a cohort of patients in specific, identified Nursing and Residential Care Homes who either have complex long-term conditions or be at the end-of-life care stage and are either currently very high intensity users of hospital care or at risk of becoming so. The post holder will work as part of a multidisciplinary team, maintaining close liaison with all other stakeholders in the patient's care including their carers, relatives and particularly the Care Home staff. Car driver or having access to a vehicle is essential due to requirement to travel between Care Homes, base, home and NMUH. The Community Matron, in consultation with the GP and / or the Consultant Geriatrician in the team will be expected to identify those patients who could potentially most benefit from case management. They will expertly assess patients and individually plan treatment, monitoring and contingency regimes. They will work with hospital ward staff, social care staff and community Nurses to prevent avoidable hospital admissions / readmissions and A & E attendances wherever this is feasible. The role also includes in reach to local acute Trusts and facilitated discharge to improve communication between the Care Home and Acute Trust under the Trusted Assessor model. About usNMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. Job responsibilitiesPlease refer to the attached Job description and Person Specification for main responsibilities of the role. Person Specification1st. level Registered Nurse (RGN) with current registration with the NMC. Evidence of CPD in management of Long Term Conditions Ability to manage complex clinical situations within a defined caseload Ability to work proactively with A&E, ERAS, GPs and social care colleagues to prevent hospital admission Ability to assess and plan individual care needs in partnership with patients/carers Ability to work across the multi-disciplinary health 'social care team Ability to make decisions autonomously but liaise closely with other care providers within the sector Ability to give clear and concise reports against performance targets Ability to handle distressing situations with sensitivity and empathy Clinical assessment skills Clinical leadership skills Significant post-basic work within acute, mental health or physical health community & primary care nursing fields Experience of working in a senior nursing role Experience of working in a multi-disciplinary team Experience of implementing change in clinical practice Knowledge of the NHS primary / social care systems Understanding of clinical governance/ risk management frameworks Car driver with current UK Licence Experience of working with or in care homes IT skills including Data collection & analysis Education at Masters Level Community Specialist Practice Degree in health related topic Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. £51,883 to £58,544 a year Per annum, Inclusive of Outer London HCAS pro-rata#J-18808-Ljbffr