Clinical Sister/ Charge Nurse - Frailty

To be responsible and accountable for assessing, planning, implementing and evaluating patient care, demonstrating evidence based/best practice. To adhere to Walsall healthcare NHS Trust policies, procedures and protocols in order to promote the quality of the patient experience in the community, ensuring the highest standard is received

The post holder will be responsible for providing evidence based high quality palliative and end of life care to patients with life limiting illnesses and support for their families

To hold continuing responsibility and accountability for the quality of patient care demonstrating evidence based/best practice. To adhere to Walsall Healthcare NHS Trust policies, procedures and protocols in order to promote the quality of the patient experience in the community, ensuring the highest standard.

To provide professional support and mentoring to individual staff members and community place based teams, initiating continued professional development to help improve the care and management of palliative and end of life patients

To maintain effective channels of communication with the wider multi-professional team, to ensure co-ordinated patient care

To support implementation of the integrated care model within Walsall healthcare Trust and work in -partnership with key organisations, promoting patient care in the right place at the right time

Main duties of the job

To work as part of an integrated Community nursing team with a focus on case management for the frail elderly in their own home.

Using risk stratification identify patients who are vulnerable of hospital admission and implement a case management approach to maintain effective care and treatment in care environment

Work in partnership with home care staff, managers, Primary care, patients, relatives and the wider health and social care team to maintain high quality care, prevent avoidable patient harms, prevent avoidable hospital admission and reduce length of stay if acute intervention is required

About us

Walsall Healthcare NHS Trust is an integrated Trust and the only provider of NHS acute care in Walsall, serving a population of 284,300. It provides inpatient and outpatient services at the Manor Hospital as well as a wide range of services in the community. Walsall Manor houses the full range of district general hospital services under one roof. The £170 million development was completed in 2010, and ongoing upgrades ensure the Trust now has state-of-the-art facilities, including a Critical Care Unit, Neonatal Unit, Obstetric Theatre, and Integrated Assessment Unit. A new Urgent and Emergency Care Centre, opened in March 2023, has significantly improved emergency care facilities and capacity, providing almost 5,000 square metres of additional clinical space.

Job responsibilities

To deliver advanced skills and expert knowledge to assess the physical and psycho social needs of a defined client group with complex multiple long term conditions, instigating therapeutic treatments, including extended and supplementary prescribing, based on best available evidence in order to improve health outcomes

To deliver advanced skills and expert knowledge to identify subtle and unpredictable changes in condition.

To deliver advanced skills and expert knowledge to make both a comprehensive and focussed assessments

Work in partnership with GPs, consultants in Secondary care, Integrated community nursing team to ascertain diagnosis, develop care plans, interpret highly complex factors and situations and initiate follow up for people who are frail and elderly.

Negotiate and agree with Patient, Carers and other care professionals, individual roles and responsibilities with regard to actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate

Challenge professional and organisational boundaries, identifying areas for skill/ knowledge development and apply these to practices to provide continuity and high quality patient centred health care

Person Specification Qualifications

• oLevel 1 Registered Nurse
• Evidence of continuing professional development
• Extensive clinical experience /Case management experience
• Willingness to undertake Extended & Supplementary Nurse Prescribing Course

Knowledge

• Evidence of up-to-date based knowledge and skills, particularly in long term condition issues
• Working knowledge of the roles and values of Case Management
• Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals
• Knowledge and experience of working between acute and Primary Care settings Evidence of working in partnership and collaboration with other professionals

Experience

• Experience in embracing and implementing change to provide high quality health outcomes
• Ability to communicate both verbally and in writing at all levels in multidisciplinary forum and with users and carers
• Ability to work in a changing, and stressful situations

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 known as CRB) to check for any previous criminal convictions.