An excellent opportunity has arisen for a motivated and enthusiastic person to join our enlarged Enfield Overnight Community service.
As a senior member of the Overnight Service Team, you will be expected to be a competent nurse who can adapt to Overnight service (community Admission Avoidance) and Discharge to Assess (accelerated discharge service). You will be part of a community team where your proven ability to make high‑level clinical decisions will aid patient recovery.
This will include having a direct link to the patient's discharging medical team for liaison and support where necessary, and to the patient\'s GP or other health care professionals to prevent hospital admission.
The Overnight Team\'s primary aim is hospital admission avoidance and ensuring patients remain safe in the community. The team reviews patients with worsening medical and functional conditions within their own home and liaises with the wider community teams to prevent clinical deterioration and admission to acute hospital.
Please see the Job description for further details.
Main duties of the job
To undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care.
To make skilled clinical decisions and communicate the rationale clearly.
To ensure that clinical practice is contemporary to meeting the needs of patients and families.
To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity.
To deliver nursing care to patients within their home that is technically excellent, explicitly personal and ensures patients\' and carers\' dignity is enhanced.
To address distressing and emotional needs of patients and carers in an exemplary manner.
Attend regular MDT meetings with acute services, therapists, social services, care homes and GP practices.
To participate in annual appraisal review.
To comply with all mandatory training: fire, violence awareness, CPR, manual handling, child protection and safeguarding of vulnerable adults.
To provide supervision, annual appraisal and monitoring of the work of community nurses (Band 5), Health Care Assistants and students with support from senior staff.
About us
North Mid is part of the North Central London integrated care system — consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and many of our financial and performance objectives are measured at this system level. While all organisations remain as standalone statutory bodies, we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George\'s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Job responsibilities
Management of complex patient care ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate.
To provide health information and health promotion for patients and their families on the caseload including formal pulmonary rehabilitation for patients with chronic obstructive pulmonary disease (COPD).
Please see attached Job Description and Person Specification.
Person Specification
Education & professional Qualifications
- Registered Nurse with current NMC registration or Registered Paramedic
- Bachelor\'s Degree
- Evidence of continued professional development
Experience
- Experience in ITU, A&E, Acute assessment units would be advantageous
- Experience of managing a team
- Understanding of the role of Primary care in admission prevention and supporting a timely discharge
Demonstrable ability to meet Trust values
- Demonstrable ability to meet Trust values
Personal Qualities & attributes
- Ability to identify and prevent stress in self and others, taking effective action to manage the situation when it impacts on capability
- Drivers license with access to a car (full UK driving licence)
Skills and aptitudes
- Ability to assess and identify the deteriorating patient. Excellent oral communication skills and ability to communicate clearly and concisely with the MDT
Disclosure and Barring Service Check
This 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 CRB) to check for any previous criminal convictions.
Senior Matron for outpatient and Patient Access
£44,485 to £52,521 a year, inclusive of HCAS per annum