Pro-active Care Nurse
| Dyddiad hysbysebu: | 28 Gorffennaf 2025 |
|---|---|
| Cyflog: | £38,682 i £40,823 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £38682 - £40823 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 31 Awst 2025 |
| Lleoliad: | Southampton, SO31 4NQ |
| Cwmni: | NHS Jobs |
| Math o swydd: | Cytundeb |
| Cyfeirnod swydd: | A5189-25-0003 |
Crynodeb
This role will provide support to patients in the community with long term conditions such as diabetes, chronic respiratory disease, chronic pain etc. and will require some clinical activity through supporting practices with the vaccination programme for house bound patients, working as part of the practices extended team. Establish treatment and care plans that anticipate clinical changes, deterioration or escalation of need. Plans may include decisions around end of life; preferred place of care, preferred place of death and cardio-pulmonary resuscitation. Make clinical decisions for patients on the caseload with GP support. Promote the understanding and use of standardised monitoring and predictive tools, investigations and techniques. Support carers and develop personalised approaches to care. Work with patients on self-management strategies. Support carers and patients to have confidence and competence to self-test and monitor and be proactive on known triggers to ill-health. Promote the appropriate use of prescribed and over the counter medications, homely remedies, wound care and nutritional products. Take appropriate urgent action where the risk of harm is identified and initiate alerts to appropriate agencies where non-clinical risk is suspected or identified. Liaise with pharmacists/specialist community elderly care pharmacist on the appropriate documentation, information, packaging and labelling of medication to support self-management and reduce risk. Liaise and provide support on the management of patients across primary, secondary and tertiary care services. Identify strategies to avoid unnecessary, multiple or missed attendance at hospital appointments. Signpost patients to access appropriate dental, optical and nail cutting services. Leadership Supporting the primary care network teams, having a flexible approach to managing the day to day priorities of their workload and support the objectives of the team as a whole. Performance and attitude to reflect the principles of the professional code of conduct and be commensurate to the role as a clinical practitioner. Support the development and review of policies for the clinical team, procedures, supporting with audits and strategies to ensure progress in the delivery and outcomes of the project. Develop communication links and maintain good working relationships within the primary care network team and external agencies. Advocate for patients in situations where concerns about care or professional conflict arise. Use appropriate avenues of reporting and escalate concerns in a timely fashion. Adhere to safeguarding policies. Education and Development To develop and maintain own clinical practice, identify clinical supervision needs and participate in mandatory training and appraisals. Support the educational, training and professional development of colleagues. To advise the clinical team and organisation on learning needs that arise through clinical practice, outcomes of audits, contacts within the project. To maintain a willingness to explore and undertake new and different ways of working that offer improvements to practice, service delivery or clinical outcomes for patients. Participate in link and educational events with other organisations aiming to promote same or similar outcomes. Positively promote the aims of the project to other professional organisations, to patients and the public. Information Governance Maintain accurate and appropriate recording of confidential and sensitive information. Ensure consistency of information held across different media. Maintain the security and integrity of information held electronically or in paper format. Ensure written or verbal consent is sought where information needs to be shared outside of agreed networks. Ensure clinical investigations, results, their interpretation and treatment options are discussed and documented appropriately within the team and with appropriate external agencies. Confirm and support the role of all patient designated legal health advocates. Communicate the rationale for determining the level of urgency of interventions and where necessary, initiate onward referral to appropriate agencies. Service Development Identify processes that identify prevention of hospital admissions/ other savings for future project funding Identify developing themes and trends that sit outside of the current project and may require consideration for inclusion in later service level agreements. Identify and advise on reduced or redundant activity to be reviewed or excluded in later planning arrangements. Identify risks to the project arising from unknown or unforeseen situations in the locality or within the client group. Identify equipment, skills or further learning to support the future success of the project.