Community COPD Nurse/Physiotherapist
| Dyddiad hysbysebu: | 23 Mehefin 2025 |
|---|---|
| Cyflog: | £51,883.00 i £58,544.00 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £51883.00 - £58544.00 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 07 Gorffennaf 2025 |
| Lleoliad: | Greenwich, SE2 0AS |
| Cwmni: | NHS Jobs |
| Math o swydd: | Parhaol |
| Cyfeirnod swydd: | C9277-25-0774 |
Crynodeb
The COPD Community Matron / case manager will be expected to achieve the competencies set nationally by Skills for Health 2005 (www.skillsforhealth.org.uk). These can be summarised as follows; To be responsible and accountable for providing expert care to COPD patients who are registered with a Greenwich GP Utilisation of advanced clinical skills and expert knowledge to plan, implement, monitor and review individualised patient-directed programmes of care to patients with COPD including health promotion interventions. To undertake goal centred interventions that are evidence-based, evaluating the effectiveness of these at regular intervals with a view to improving care continuously. Develop risk management plans that will enable individuals to remain safely within their homes Use expert knowledge and skills as a non medical prescriber to manage patient medication within own areas of competency, developing clinical management plans in partnership with GP colleagues where necessary. Anticipate individual care needs and develop appropriate care plans, involving carers and relatives To provide individuals and their carers with the necessary education that will enable them to plan for unavoidable disease progression and self manage as far as possible. To work collaboratively with members of the multi professional team to ensure that the patients needs are met, making appropriate referrals are made where necessary. Develop practices which promote patient choice and well-being To be responsible for ordering stock and other resources when asked Ensure that the needs of individuals who are vulnerable are highlighted and addressed in a timely manner To be a competent clinical leader demonstrating a willingness to work as an integral part of a multi professional team Be a highly skilled communicator, written and verbal, with a capability for communicating within a variety of professional groups, challenging attitudes where necessary To manage a caseload of patients with COPD (Specialist community matron/case manager) To practice at an advanced level demonstrating an in-depth knowledge of all aspects of the management of COPD that is evidence-based To undertake advanced physical and social assessments and examinations, and initiate appropriate diagnostic activity and treatment To work with other community matrons/case managers to ensure a consistency of approach to patient care and to support clinical supervision arrangements within the Trust To work collaboratively with other specialist and multidisciplinary teams, such as GPs, District Nurses, Consultants To support the and COPD self management programmes such as GRACE and pulmonary rehabilitation To contribute towards reducing frequent admissions and bed days of patients with COPD To help improve the diagnostic rate of COPD in primary care supporting the delivery of an ARTP accredited quality assured spirometry clinic. To work alongside the clinical lead in the new/confirmed diagnosis of COPD in producing treatment plans including self-management and education at consultant lead MDT sessions To participate in the delivery of education sessions on the Greenwich Respiratory Advice and self-Care Education (GRACE) programme in a community To be confident in the delivery of educational topics including: pathophysiology of COPD, COPD medications, managing exacerbations, breathlessness, productive cough, anxiety and low mood and the importance of exercise and a balanced diet To participate in the delivery of pulmonary rehabilitation with the support of the pulmonary rehabilitation lead To participate in disease specific audit and data collection To act in accordance with the clinical governance framework within the Trust To share knowledge and skills with patients and families as a key therapeutic intervention and to enable self care and autonomy To identify the educational requirements of primary and social care colleagues in relation to the management of COPD and lead on meeting these needs To participate in clinical supervision, appraisal and personal development programme Ensure own professional development and clinical skills through attending courses, workshops and conferences and applying the knowledge gained in clinical practice To interface with primary and secondary care teams to enable the implementation of managed care pathways in line with local and national guidance To advise on and develop new initiatives and ways of working informed by local and national policy To be involved in the development of guidelines, policies and protocols within the Trust To promote effective collaborative working relationships with health and social care colleagues and those within support networks and the voluntary sector To act as a change agent and innovator, planning, instigating and evaluating changes To proactively demonstrate the positive impact of case management on the reduction of avoidable admissions and lengths of hospital stay Contribute to the service development within the Trust in line with national strategies particularly the COPD To maintain accurate and legible and timely records To act as leader, mentor and preceptor to staff within the Trust