In line with the national drivers for long term condition management and the priorities of health and social care commissioning, we are seeking an experienced, highly motivated registered nurse to join our locality based community team in Gateshead.
As a complex case manager you will work in partnership with our patients and their families to lead in the delivery of individualised, safe and effective high quality care.
You will have extensive clinical experience within an NHS acute, primary care or community provider service with sound knowledge and skills relating to the care of those with multiple conditions and associated complex needs. You must be able to demonstrate experience of working within a multi-disciplinary team environment and provide evidence of dealing with professionals across a range of agencies and disciplines. You will also be expected to provide evidence of excellent leadership and communication skills with the ability to manage challenging situations in a professional and effective manner.
You will be a leader who will be able to measure the impact of your work through clinical audit and formal outcome measurement tools.
We are looking for a dynamic individual who has drive and motivation and is looking for a new challenge.
You must be a car owner/driver.
Please note previous applicants need not apply
To work effectively within a multi-disciplinary/agency locality based team managing patients identified as at risk so that they receive appropriate interventions to be able to improve their health and wellbeing and achieve their maximum level of independence. These patients will have complex needs and potentially numerous co-morbidities including frailty.
Based in the North East of England we provide a range of hospital and community health services from our leading facilities, including the Queen Elizabeth Hospital, Blaydon urgent care centre and Bensham Hospital, all within Gateshead.
Established in 2005, we were one of the first foundation trusts in the country and since then have consistently achieved the highest levels of care for patients.
We now employ around 4,800 staff and currently provide 444 hospital beds across the Gateshead region.
Our values should be the ‘golden thread’ which runs through everything we do – they are the core of who we are. Our five values can easily be remembered by the simple acronym ICORE; Innovation, Care, Openness, Respect, Engagement.
We have a number of staff networks including the Global Ethnic Majority (GEM) network, D-Ability network, LGBTQ+ Network and the Women’s Network, to challenge us and help us to constantly improve. Our Armed Forces network is one of our emerging networks.
The health and wellbeing of our staff is one of our highest priorities, and we offer a range of support and initiatives as part of our ‘Balance’ programme balancegateshead.com to cater for our diverse workforce, so that your individual needs can be supported, allowing you a happy and healthy working experience with us.
Dimensions
The post will be based in one defined locality within Gateshead.
The multidisciplinary teams are made up of Locality Team Leaders, District Nurses, Community Nurse Practitioners, (this post) Community Staff Nurses, Healthcare Assistants, phlebotomists and Admin Assistants
There will also be named linked professionals in each locality from health and social care eg, physiotherapist, occupational therapist, social care worker, podiatrist, Speech and Language therapist, MacMillan nurse Specialist.
Each locality will work with defined GP Practices and Care Homes within the locality.
Patient referrals will be triaged and allocated to the appropriate caseload holder depending on need
Specific dimensions
To participate in the planning, development and evaluation of clinical services using advanced clinical skills and knowledge.
To provide specialist advice on the assessment, care planning and interventions of patient’s needs.
To further develop knowledge and skills specific to the community setting through undertaking regular audit, research and development activities.
The post holder will have a community base but will also spend time at their link GP practices and care homes.
A key part of the role will be cross agency liaison, training, research and development, and being a clinical resource for the local Health Community.
Clinical responsibility for a defined complex caseload with accountability for the health outcomes for the individuals within their care.
To be the accountable clinician in the development, delivery and provider of complex case management within the community setting.
- To ensure safe systems and processes are in place to support multidisciplinary team working.
- To ensure all professional standards and codes of conduct are adhered to.
Facilitate the development of clinical expertise and advanced practice within the team to support the right person, right place right time agenda.
To provide senior leadership and clinical expertise in caseload management for a variety of multidisciplinary staff.
Be responsible for, provide and monitor the standard of assessment, planning, implementation and evaluation of care ensuring the quality of care provided is of a high standard.
Act as a Caseload holder to oversee all aspects of clinical care planning and delivery to ensure maximum positive outcomes for patients within the defined locality and delegate to other members of the team as appropriate.
Work as an autonomous practitioner, clinically, professionally and practically.
To lead clinically and professionally ensuring compliance with all statutory and mandatory professional requirements.
Continually develop own clinical expertise, knowledge and clinical skills to enhance effective care and support. Ensure this expertise is shared with other clinical staff.
Champion the development of leadership competencies within the team.
To ensure continuity and co-ordination of care across the health and social care community.
To develop protocols relating to advanced practice and work in an extended clinical role.
To continually review patient/client dependency, staff skill mix, caseload and shift patterns in line with patient/client needs and staff development across the 24/7 period.
- Facilitate the development of self-awareness of self and others in the team through reflection, and clinical supervision.
- Through effective role modelling develop positive behavior, encourage an open and non-threatening environment that
o Rewards decision making and creativity
o Facilitates change and the implementation of new ideas
o Promotes staff retention
o Empowers employees
o Encourages the reporting of patient safety incidents and uses reflection to learn from as a result
o Identifies risk and develops mitigation to minimise it.
