About the Role

Newport Pagnell Medical Centre are looking to welcome a Community Nurse to their Matron Team.

This role will see the successful individual deliver proactive, holistic care for patients with complex health and social needs, supporting the Community Matron Team and Integrated Community Support Team (ICST) functions. The role aims to improve health and wellbeing, prevent unnecessary hospital admissions, and promote independence. The post holder will also deputise for the Senior Nurse when required. The role reports into Senior Nurse, ICST.

Key responsibilities will include;

Receive and triage referrals for patients with complex health and social care needs.
Undertake holistic clinical assessments for patients referred to the service.
Develop and review personalised care plans, promoting self-care and independence.
Provide medication support and education; assist with prescribing if qualified.
Collaborate with GPs, social care, frailty teams, district nurses, and voluntary agencies.
Attend multidisciplinary team meetings and contribute to integrated care planning.
Support dementia care, memory assessments, annual reviews for housebound patients, and bereavement support.
Assist in patient support groups and carer clinics. Provide support for carers.
Maintain accurate and detailed patient records on electronic systems.
Deputise for Senior Nurse, supervising HCAs and Care Coordinator when required.
Ensure compliance with clinical governance, safeguarding, and quality standards.

About the Candidate

All applicants should have the following qualifications, registrations, skills and experience:

Essential:

Registered Nurse with current NMC registration.
Degree in Nursing or equivalent.
Evidence of continuing professional development.
Advanced clinical assessment skills.
Mentorship or teaching qualification.
Significant experience in community nursing and managing patients with complex needs.
Experience in case management and holistic assessment.
Ability to work autonomously and as part of a team.
Evidence of collaborative working across health and social care boundaries.
Good clinical decision-making and problem-solving skills.
Excellent communication and interpersonal skills.
Strong IT skills and ability to use electronic patient record systems.
Knowledge of safeguarding, clinical governance, and NHS policies.

Desirable

Postgraduate qualification in community or advanced practice.
Experience in service integration projects.
Leadership or supervisory experience.
Previous experience in integrated care settings.
Knowledge of risk stratification tools and population health management.
Understanding of commissioning and performance reporting requirements.

Values & Behaviours

Commitment to NHS values: compassion, respect, collaboration, and integrity.
Patient-centred approach with focus on empowerment and independence.
Flexible and adaptable to changing service needs.

About Us

Based in excellent premises, Newport Pagnell Medical Centre offer a wide range of services. You would be working alongside a forward thinking and supportive practice-employed integrated nursing team and dedicated administration team.

- List size 22,000+
- 6 GP partners, 6 salaried GPs, 2 GP trainees
- 2 GP trainers/practice educators
- Support for both student nurses and medical students
- Urgent care team – that manages on the day demand in the practice
- Support of GP personal assistants
- SystmOne practice
- Visiting consultants in urology, colorectal and general medicine
- High QoF achievement
- Active in the local LMC
- Part of a PCN

If you are a GP interested in this opportunity, further information is available on our website www.npmc.nhs.uk or by contacting Wendy Kerr, HR & provider services manager, e-mail [email protected] tel 01908 619749.

Disclosure and Barring Service Check

Please note 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 to check for any previous criminal convictions.

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