Job summaryThe post holder will work as part of a multi-professional team managing a GP-aligned caseload of patients in the community, ensuring the needs of the patients are identified and met. Promoting the independence of patients, assisting them to maintain/or improve their own physical, psychological and social wellbeing.To ensure that the service we deliver is adaptable and resilient, commercially focused and creates innovative solutions to enhance the patient experience.Job PurposeTo work as part of a community integrated service that is responsive to the needs of housebound patients within a define caseload.To reduce inappropriate hospital admissions, minimise hospital lengths of stay and support vulnerable clients at home by undertaking comprehensive holistic assessment and care plans in order to facilitate and coordinate packages of care in partnership with GPs, patients, health and social care colleagues.Work closely with aligned GP surgery, Clinical Commissioning Group and all relevant primary and secondary care and social care professionals, voluntary agencies and London Ambulance Service.Main duties of the jobBand 5 - Community Nurses *COME JOIN US!*Must have access to a vehicle and a valid driving license*Open to newly qualified nurses*Previous experience of community nursing is desirable but not essential. We offer a structured preceptor ship programme, a 'new to community' course, clinical supervision and access to learning and development to support your continuous professional development. We encourage student nurses with an interest in pursuing a career in community nursing to apply.********************************************************************************Sutton Health and Care is a pioneering partnership made up of the GP federation in Sutton, the London Borough of Sutton, South West London and St George's Mental Health Trust and Epsom and St Helier hospitals. Working together, we provide community services in Sutton, caring for adults in their own homes across the borough.The partnership of Sutton Health and Care is truly exciting, and together, we can achieve more for the people we care for. We want local people to receive the care that they need in the right environment.We offer flexible shift patterns and encourage informal visits.We are a 7 day extended hours service; working Monday to Sunday, 7am - 7pm including weekends and bank holidays.Must have access to a vehicle and a valid driving licenseAbout usEpsom and St Helier University Hospitals NHS Trust provides a range of medical services to approximately 490,000 people living across southwest London and northeast Surrey. In addition, we provide more specialist services, in particular renal and neonatal intensive care, to a wider area, covering parts of Sussex and Hampshire.We serve an area that is rich in diversity, with a mix of urban and rural areas, and differing levels of quality of life. We cover some of the most prosperous postcodes in the country, as well as some poorer areas. Together with our colleagues at NHS Surreyand NHS Sutton and Merton, we work to make sure that we deliver the best possible care to the communities we serve.The Trust employs approximately 5,000 staff across its hospitals and issupported by over 500 volunteers.Job descriptionJob responsibilitiesKEY RESULT AREAS/PRINCIPAL RESPONSIBILITIESAct as an autonomous practitioner, working with the support of Senior Team Members.Provide high quality, comprehensive holistic assessment (including physical assessment) and treatments for patients and their families referred to the service utilising a Single Assessment Process to achieve person centred care. Provide assessments of risk and complex situations as required, utilising knowledge and skills to interpret and make accurate analysis of patients and carers needs.To work closely and communicate effectively with all members of the Primary Health Care team, ensuring attendance at GSF/MDT, participating in multidisciplinary working with internal and external agencies and partners.Manage the assessment, risk assessment, supply, review and safety of equipment used to support nursing care in the homes of patients.Assist in the professional development of junior team members with the support of the Nursing Team Sister.Maintain clear, concise and up-to-date records of care. Undertake data collection as required by the Clinical Commissioning Groups.Comply with the obligation to maintain data through RiO.Provide patients and carers with details of health care information and how they may access services. Act as a patient advocate, if required.Be proactive in offering health promotion and participate in health promotion activities, including health needs assessment for the caseload and local population.To participate in clinical supervision, appraisal and in-service training as identified on own personal development plan.To respond to complaints as delegated by the locality Sister.Supervise pre-registration students allocated to the team, providing mentorship and leadership as and when required.To contribute to the development of new nursing knowledge and support the implementation of evidence based practice using audit and other tools including user and stakeholder feedback.To keep a personal professional profile of study in line with NMC requirements.To identify own training needs to maintain and develop clinical skills and practice in line with NMC Fitness to Practice.Person SpecificationEducation/ QualificationsEssentialQualified RGN with current registration with NMCDesirableMentorship courseExperienceEssentialMultidisciplinary team workExperience in managing the needs of complex patientsExperience of conflict managementCare PlanningDesirableExperience in working in a community settingExperience of mentoring studentsSkills/Abilities/ KnowledgeEssentialAbility to work unsupervised or with minimal supervisionAbility to work under pressureInsight into current issues relating to delivery of community/primary careOther requirementsEssentialCar owner/driver insured for business useDisclosure and Barring Service CheckThis 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.UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameEpsom and St Helier University Hospitals NHS TrustAddressWallington/Sutton/Cheam/CarshaltonWallington/Sutton/Cheam/CarshaltonSM1 2RJEmployer's websitehttps://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)