KEY RESOPNSIBILITIES:Communication Works collaboratively to ensure good working relationships across the Primary Care Network Communicates effectively with GPs, practice nurses, community nurses, social services, acute/community hospital colleagues, borough council staff, care agencies and the local voluntary sector Works collaboratively to utilise a range of effective communication skills, tools and techniques that may be complex and sensitive and that overcomes barriers to understanding Acts as an advocate for all individuals and carers to ensure a culture in which an individuals needs, wishes and preferences are prioritised Communicates effectively with patients, families, and carers to interpret complex information and formulate solutions to recommend the best course of action/treatment for the individual Maintains accurate and legible documentation and clinical records in line with professional and organisational requirements this includes paper records and EMIS electronic clinical record system
Associate Community Matron will work with the Community Matron Team to deliver proactive patient centred care across Guildford and Waverley, working in an integrated way with other health, social and voluntary services.
The Associate Community Matron will work towards developing expert clinical skills relating to the management of long term conditions. The role is pivotal in ensuring patients receive appropriate care and treatment as close to home as possible and that health and social care is patient centred and delivered to a high standard. This involves making close links with acute and community hospitals to reduce unnecessary admission to hospital and facilitate appropriate and timely discharges. The post holder will work across the local Primary Care Network area under the direction of the Community Matron to ensure equity of care.
The post holder will work as part of the Community Matron Service under supervision of a Community Matron and in conjunction with the wider multidisciplinary team (MDT) to:o assist in the proactive identification of adults who are at high risk of unnecessary admission to hospital and would benefit from a proactive approach to health and care needso work as part of the wider MDT including (but not limited to) GPs, adult social care, mental health, community nursing, geriatricians to ensure the best outcome for individuals, families, and carerso utilise a proactive and anticipatory approach to assessment in the home settingo work in conjunction with patients, carers, and families to develop proactive care plans that reduce risks, promote self-management, and prevent the need for urgent careo deliver new and improved pathways for individuals with long term conditions and complex needs ensuring improved outcomes for local peopleo using the electronic clinical record-keeping system, EMIS, to compete all documentation and be provided with a work iPhone and iPad for mobile working
KEY RESOPNSIBILITIES:Communication Works collaboratively to ensure good working relationships across the Primary Care Network Communicates effectively with GPs, practice nurses, community nurses, social services, acute/community hospital colleagues, borough council staff, care agencies and the local voluntary sector Works collaboratively to utilise a range of effective communication skills, tools and techniques that may be complex and sensitive and that overcomes barriers to understanding Acts as an advocate for all individuals and carers to ensure a culture in which an individuals needs, wishes and preferences are prioritised Communicates effectively with patients, families, and carers to interpret complex information and formulate solutions to recommend the best course of action/treatment for the individual Maintains accurate and legible documentation and clinical records in line with professional and organisational requirements this includes paper records and EMIS electronic clinical record system
Associate Community Matron will work with the Community Matron Team to deliver proactive patient centred care across Guildford and Waverley, working in an integrated way with other health, social and voluntary services.
The Associate Community Matron will work towards developing expert clinical skills relating to the management of long term conditions. The role is pivotal in ensuring patients receive appropriate care and treatment as close to home as possible and that health and social care is patient centred and delivered to a high standard. This involves making close links with acute and community hospitals to reduce unnecessary admission to hospital and facilitate appropriate and timely discharges. The post holder will work across the local Primary Care Network area under the direction of the Community Matron to ensure equity of care.
The post holder will work as part of the Community Matron Service under supervision of a Community Matron and in conjunction with the wider multidisciplinary team (MDT) to:o assist in the proactive identification of adults who are at high risk of unnecessary admission to hospital and would benefit from a proactive approach to health and care needso work as part of the wider MDT including (but not limited to) GPs, adult social care, mental health, community nursing, geriatricians to ensure the best outcome for individuals, families, and carerso utilise a proactive and anticipatory approach to assessment in the home settingo work in conjunction with patients, carers, and families to develop proactive care plans that reduce risks, promote self-management, and prevent the need for urgent careo deliver new and improved pathways for individuals with long term conditions and complex needs ensuring improved outcomes for local peopleo using the electronic clinical record-keeping system, EMIS, to compete all documentation and be provided with a work iPhone and iPad for mobile working