Virtual Wards Matron

NottinghamCityCare is looking for an experienced, innovative, enthusiastic, andmotivated individual to join our clinicians within the virtual ward team inNottingham City.

The Virtual ward support patients, who wouldotherwise be in hospital, to receive the acute care, remote monitoring, andtreatment they need in their own home or usual place of residence.

Our VirtualWard Matrons are an integral part of our virtual ward team providingLeadership, clinical expertise and knowledge to our patients and fellowclinicians. The aim is to reduce hospital admissions and facilitate safeearly discharges to reduce the amount of acute hospital bed days.

The Virtualward provides expert clinical care and support for to patients who have anacute illness, by offering additional support from an multi-disciplinaryteam, under the direction of a medical consultant (Step down) or NEMS GP (step up), to enable them to betreated in their own homes, The patients will remain on the virtual ward,under the care of a medical consultant/GP for up to 14 days.

The corehours of the virtual ward team are 8am to 8pm, 7 days a week and the clinicalteam work a variety of shifts across the week and an average of 1weekend in 4.

Youwill be part of the wider multi-disciplinary team, working in collaborationwith consultants, senior nurses, assistant practitioners, GPs,Physiotherapists, OTs, Pharmacists, secondary care, and social services.

Main duties of the job

You Will

• Provide strong clinical leadership to the VW team.
• Be an Independent prescriber and either hold the V300 qualification or be ready to undertake the course within 12 months of commencing in post.
• Carry out physical examinations.
• Provide intense clinical input and monitoring to acutely unwell patients.
• Use your expert knowledge and clinical judgment to identify the potential diagnosis and where appropriate make a final diagnosis.
• Use your extensive practice experience to plan and provide skilled and competent care that meets patients' health and social care needs, involving other members of the healthcare team as appropriate.
• Ensure the provision of continuity of care, including follow-up visits.
• Assess and evaluate with patients, the effectiveness of the treatment and care provided and make changes as needed.
• Work independently, although often as part of a healthcare team.
• See patients in their own home and ensure that each patient's treatment and care is based on best practice.
• Work as part of multi-professional and multi-agency teams.
• Provide supervision, education and support to patients and colleagues as appropriate.
• Support the Clinical Service Manager in operational management of the team.

About us

We are a provider of NHS Community Health Services, CityCareexists to support the health and wellbeing of all local people, workingalongside other health and care partners to achieve this. We are a valuedriven, people business with a passion for excellence. Our vision and socialpurpose is to make a difference everyday to the health & wellbeing of ourcommunities and our values of kindness, respect, trust and honesty lie at theheart of everything we do, guiding how we work together with partners and eachother to consistently deliver high quality compassionate care. As a socialenterprise we aim to add social value by investing in the future of our localcommunities and helping to make a difference in peoples lives.

CityCare value the benefits of a diverse and inclusiveworkforce. We encourage applications from candidates who identify as disabled,LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they arecurrently under-represented within our organisation.

CityCare is an equal opportunities employer. We are positiveabout employing people with disabilities. If you require your application in adifferent format please contact Human Resources on 0115 8839418. CityCare iscommitted to the protection of vulnerable adults and children.

Job responsibilities

Job Purpose

Virtual wards support patients, who would otherwise be in hospital, to receive the acute care, remote monitoring, and treatment they need in their own home or usual place of residence. This will consist of a mixed caseload of the step down from hospital whereby patients are still under the care of a hospital consultant and step up from the community where the medical oversight is provided by NEMS GPs.

Virtual wards provide acute clinical care at home for a short duration (up to 14 days) as an alternative to care in hospital. The overriding purpose of the Virtual Ward Matron is to support the provision of the highest quality patient care to individuals whilst on the virtual ward pathway, supporting the service manager.

The post holder will support the virtual ward registered staff and clinical team ensuring the delivery of high-quality patient care upholding patient dignity delivered with kindness and compassion. Clearly demonstrating a clinical leadership role, with responsibility for planning, co-ordinating and delivering care as appropriate per the daily MDT, initiate and manage medical and nursing care interventions, co-ordinating the care of people with highly complex needs lead care and co-ordinate partner agencies and stakeholders. The successful candidate will hold the NMP qualification or be ready to undertake this within 12 months of being in post.

The Virtual Ward Team core hours are 08.00 20.00 over 7 days, covered by a shift pattern of 08.00-16.00, 10.00 18.00 and 12.00 20.00 also working an average of 1 weekend in 4. Each clinician will be expected to be part of the Rota.

Role Context:

• To provide appropriate and effective care management through the virtual ward pathway unnecessary hospital admission from the Community managing the active caseload and providing necessary oversight and support
• Demonstrate/develop advanced skills and competencies in prescribing, health assessment, medicines management, leadership and management.
• To holistically assess the needs of patients and carers, plan, implement and evaluate nursing care interventions.
• Embrace multi professional and partnership working to facilitate co-ordination, promotion of optimum health and social outcomes independence and self-care.
• Undertake virtual monitoring and escalate concerns to the daily MDT.
• Will be responsible for holistic assessments, implementation of care, overall co-ordination of self-care management or care management.

Please see the attached full Job Description for more details.

Person Specification

Knowledge and skills

• Evidence of the ability to champion issues of individuals, the team, and patients.
• Evidence of the ability to perform effectively in a changing, stressful situation.
• Evidence of engaging staff in change, ensuring effective processes in place for constructive debate and challenge
• Evidence of effective leadership influencing and initiating service developments and orchestrating change
• Knowledge of virtual ward pathways and concepts
• Evidence of effective team working and organisation skills
• Experience of working between primary and secondary care settings
• Evidence of working in partnership and collaboration with other professionals/ organisations
• Experience in implementing change to promote high quality health outcomes.
• Demonstrate effective communication at all levels.
• Experience of teaching and dissemination of knowledge to enhance the skills of others.
• Evidence of using IT system
• Evidence of innovative practice
• Leadership training
• Cannulation and Intravenous administration of medications package.

Experience

• Evidence of working at a senior level
• Evidence of teaching and assessing in clinical practice.
• Evidence of ability to direct and co-ordinate programmes of care working autonomously and collaboratively.
• Can demonstrate knowledge of case management.
• Up to date professional portfolio demonstrating evidence of reflective practice and ongoing professional development.
• Experience of leading/managing a team
• Competent in undertaking a comprehensive assessment process and developing care plans.
• Evidence of having used expert knowledge, advanced nursing practice and autonomous decision making to manage patients conditions and care needs.
• Community based or primary care experience.
• Experience of supporting self-managed care
• Competent in physical examination and history taking, diagnosis and treatment planning.
• Evidence of participation in research/ audit activity

Special Requirements

• Ability to be flexible over hours worked within contracted hours to meet the needs of the service.
• Ability to travel between patients.
• A full UK driving license and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.

Qualifications

• Level 1 Registered General Nurse or registered AHP.
• Enhanced Clinical Skills Course
• Post registration study/qualification at masters level.

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.