Job description
We are looking for a forward-thinking and motivated nurse to join the Neighbourhood Nursing teams across Lambeth and Southwark areas.

We are the first Trust in the UK to trial the Buurtzorg District Nursing Model: an entirely Nurse-led approach to patient care in the community with self-managed nursing teams. You will find yourself working in a completely different way.

You must demonstrate excellent communication and team working skills. Through clinical case management you will care for patients with long-term conditions, those at risk, end of life care needs, and those with supported self-care programmes.

There will be training and opportunities in addition to clinical supervisions and appraisals. The post holder must be able to undertake a prescribing course and advanced assessment courses once in post.

Working on a 7-day shift service (hours between 8.00 – 20.00), this post also includes rotational weekend work (maximum two per month).

We are currently trialling a new way on interviewing called transparent interviews, whereby we will provide the 60% of the non-clinical questions to the candidates 24 hours in advance – for further details on this please contact [email protected] – Matron for Recruitment & Retention.

Closing Date: 29th September 2024 at Midnight

Proposed Interview Date: 15th October 2024

The Neighbourhood Nurse participates in the clinical case management of patients who have a wide variety of complex, high-risk and supported/self-care conditions.

As a team leader, you will ensure the provision of a high standard of nursing care and health promotion.

Duties include:
Holistic assessment, planning, implementation and evaluation of care. For example, Chronic Disease Management, Tissue viability, Palliative Care, Nurse Prescribing, Extended and Supplementary Prescribing.

First contact assessment, care and referral.

Continuing care, rehabilitation and delivering the National Service Frameworks.

Providing public health, health promotional programmes to improve health and reduce inequalities.

Maintaining contemporaneous written and computerised records.

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

You will have the opportunity to further develop and enhance your skills with the support and training available by working alongside experienced nurses and specialists. We have a supportive culture to encourage each other to strive to be the best within our daily practice. Our feedback as a team reflects this.

Working with us you will have access to numerous benefits:
Mobile devices for personal protection whilst in practice, allowing you to work more flexibly.

Opportunity to apply for training and mentorship programs on all grades of nursing staff.

Access to our partners e.g. Kings College London for Masters level education opportunities.

Financial, health and wellbeing support.

You will be responsible for contributing to joint decision making with colleagues to manage your patients and the good functioning of the team. As there is no hierarchy within the team, you will self-organise to ensure that patient care is delivered effectively and efficiently and to a high standard.

Clinical
• To undertake the first assessment and review, including planning of care, implementation, evaluation, using a solution driven and goal setting process.
• Reviewing complex patients and care plans.
• Source of clinical expertise and advice to the team.
• Take responsibility for ensuring that a named nurse is allocated to each patient.
• To actively manage patients with long term conditions and work towards preventing complications to reduce the need for hospital admissions.
• To participate in multidisciplinary working, involving other agencies as appropriate
• To maintain good working relationships with other health care professionals, statutory and voluntary organisations.
• To utilise links with other agencies and service to facilitate appropriate care packages and provide information for clients that focus on promoting independence, self-care and wellness and keep people out of hospital.
• To work in collaboration with own team and others to ensure all patients that require care are supported appropriately.
• To undertake planned and opportunistic health promotion and education activities with patients, carers, family and neighbours.
• Maintains close communication with GP’s and other members of the Primary health care team to promote effective coordination of care.
• To take responsibility for evaluating and reflecting on his/her own practice.
• To perform and maintain competence in a wide variety of clinical skills to meet the needs of the service.
• Undertake Practice Assessor responsibilities signing off other staff members competencies and supporting and mentoring junior staff and students.
• To actively participate in Nurse-Led clinics within locality e.g. Continence Clinic, Leg Ulcer Clinic, etc.
• Prescribing from the Nurses formulary.
• To work collaboratively with allied agencies in meeting the needs of clients with long term illnesses.
• To participate in intervision (peer to peer clinical supervision).

Education and Development
• To participate in the learning programmes for students on community placements.
• To facilitate the learning of other members of the team and sign off competencies.
• To champion and actively participate in organisational learning and organisational change.
• To take responsibility for your own professional development.
• To participate in clinical supervision in accordance with community services within GSTT.
• Act as Practice Assessor and Supervisor to students and junior staff.
• To undertake performance appraisal of team members.
• Ensure that own mandatory training and PDR are up to date.

Service Development
• To work across the organisation to support and promote Neighbourhood Nursing, including support to other teams on the journey to self-management
• To support continuous improvement and research through clinical and management activity.

Professional

To adhere to the Nursing and Midwifery Council [NMC] Code of Professional Conduct and be conversant with other relevant advisory papers

Team Responsibilities
• Responsible for providing day-to-day co-ordination of workload in your own team and network.
• Review and agree staffing levels, Inc. Bank and Agency requirements ensuring that rostering is efficient and effective and meets the needs of the service.
• Participate in recruitment.
• Informal performance management and management of behaviours and conduct as a team.
• Undertake as a team the process of continuous performance review.
• Give and receive feedback in relation to practice, skills, competence and team-working.
• Respond to complaints and incidences as required and undertake any relevant investigations.
• To actively implement learning from complaints / incidents in your team and the wider network.
• To ensure Health and Safety and Risk requirements are met.
• To assist in monitoring the quality of the Neighbourhood Nursing Service.
• Contribute to the development of quality measures.
• To maintain statistical and written records as required by the GSTT.
• Attend and participate in locality meetings with other teams as well as wider meetings across Health and Social Care.
• To be aware of and work with GSTTs’ Policies and Procedures.

Rotational duties

The below duties will rotate every three months or as required by the teams. Band 5’s will undertake these subject to appropriate support from more experienced members of the team

Mentor: Guide the new starters to the team. Correspond with new starters and back office for preparations to work within the team i.e. phone; email. Ensure local inductions are organised for new staff, training sessions arranged and explore competencies and skills assessment performed.

Reporter: To monitor productivity of the team. Monitor annual leave; patient facing time, extra hours over-time; sickness. To feedback the information gathered every month. How many discharges/referrals every month. Minute taker. Datix investigator, mandatory training, quality dashboard, liaise with back office.

Developer: To monitor and promote team learning and development. Identify team skill needs and look for information/advice and training opportunities, ensure all mandatory training is complete and aware of relevant study days and training to send staff on.

PR: To promote the team. Design and deliver team ethos, delivering training outside team, meeting chair, attends steering group meetings. Represent the team in trust meetings.

Planner: Plan staff and patient needs. Produce four monthly rota; allocate scheduled visits, main liaison with E Roster/Back Office. Meeting timer, outcome team meetings on carenotes.

Housekeeper: Monitor stock. In charge of "kitty" for office essentials and buying office.

Please see attached job description for full details.