Senior District Nurse inShipston inShipston PUBLISHED FRI 20 DEC 2024

Are you a District Nurse with the Specialist Practice Qualification (SPQ) looking for the opportunity to develop your career in an organisation rated outstanding by CQC?

Do you want to be part of an innovative team that is remodelling its adult community nursing services to ensure we are driven and focused on achieving clinical excellence in line with the national community direction?

We have an exciting and interesting opportunity for an ambitious and enthusiastic Senior District Nursing Practitioner to join our Out of Hospital Division.

We are looking for a District Nurse who holds the District Nurse SPQ, along with the Non-Medical Prescribing qualification to clinically lead our Stratford and Shipston Place Based Teams (PBT) collaboratively working within and across professional and organisational boundaries.

The successful candidate will:

Demonstrate a comprehensive specialist knowledge base and promote excellence in nursing practice within a dynamic healthcare environment.

Hold clinical responsibility for the diagnosing, prescribing, planning and evaluation of care, always ensuring provision of high standards of care to patients and their families within the community.

Act as an autonomous expert practitioner and role model to the whole team, work alongside the Professional Lead and be responsible for the clinical development and delivery of a safe, effective, well-led, quality driven service.

Hold a UK driving licence and have use of a car.

This post is advertising pending Job Matching.

The post holder is required to be a Registered Nurse with substantial community experience of managing patients with complex needs and holding advanced clinical assessment skills. The post requires the completion of the DNSPQ qualification and be an independent prescriber.

The Senior District Nurse is responsible for the assessment and management of the complex health needs of an identified population and for the development, implementation and evaluation of programmes of care. The post holder will be a registered nurse and hold the DNSPQ qualification. They will be providing clinical leadership for all patients within the community nursing caseload through proactive management. They will focus on ways to achieve and demonstrate overall improvements in health care. They will work collaboratively with all members of the multidisciplinary team to establish a whole systems approach to the management of patients accessing healthcare in the area.

The Senior District Nurse will support their peers and be an effective team member. Whilst working on their own initiative, they will be responsible for ensuring that all members of the nursing team are providing the highest standard of evidenced based clinical care. They will clinically supervise and be responsible for the development and competencies of all staff within their team. To include performance development reviews, clinical supervision and recruitment and selection.

About us

Clinical Practice

The post holder will be aligned to a Place Based Team and be clinically responsible for the diagnosing, prescribing, planning and evaluation of care, ensuring provision of high standards of care to patients and their families within the community. They will work as part of an Integrated Team, working within and across professional and organisational boundaries.

The post holder will be a practitioner who can demonstrate a broad range of competencies and is able to adapt to a wide variety of clinical circumstances. They will be part of a community team where their proven ability to make high level clinical decisions will aid patient outcomes.

Providing highly developed clinical leadership for all patients on the Community Nursing caseload through advanced level autonomous practice including taking managed risks, for example where the patient is kept at home, rather than hospital or hospice admittance as would previously been the practice.

Provide highly specialist clinical leadership for patients on the caseload and work collaboratively with all professionals, carers and relatives to gain a deep understanding of all aspects of the patients physical, emotional and social situation. This includes physical examination and detailed history taking, diagnosis, prescribing, planning and evaluation of care.

Provide highly specialist clinical leadership for the development and maintenance of personalised care plans for patients on the community nursing caseload, based on the full assessment of medical, nursing and care needs. This includes preventative measures and anticipation of future needs.

Order investigations and tests and interpret and act on results, using clinical guidelines and policies to support clinical decision-making.

Maintain competence in prescribing according to level of prescribing qualification i.e. Independent Prescriber and participate in regular continuing professional development in relation to the role.

Prescribe medication in accordance with the local Non-medical Prescribing Policy, and local and national prescribing guidance. It is expected that all prescribers will prescribe within the limits of their individual competence.

Liaise with other agencies, including the voluntary sector, to mobilise resources to meet patient needs and to support them at home securing additional support as required.

Act as a resource for the PBT and community teams, providing teaching and education to them as required.

To promote new research, innovation and evidence to support quality improvements and evidence based practice within the team.

Clinically lead by example showing a high level of motivation and a positive attitude.

Carry out regular reviews of the caseload with the Caseload Holder to maintain oversite and identify patients who are not progressing towards expected health outcomes.

Support teams, individual clinicians and patients with recommendations regarding individualised treatment plans.

Provide care interventions and higher level assessments for patients with highly complex conditions to ensure that patients achieve their optimum level of wellness.

Autonomous Clinical Practice

To take a comprehensive history, perform a systematic physical examination and establish baseline data to inform the development of a comprehensive care plan.

Utilise highly specialist assessment, planning, treatment and evaluation skills appropriate to Routine Pathway.

Analyse signs and symptoms, laboratory tests, investigations and other measures of function in formulating a diagnosis.

Use highly complex analytical and problem solving skills in unpredictable situations.

Provide evidence-based treatment plans based on sound clinical decision making, including the unique presentation of illness and response to treatment of patients on the community nursing caseload.

Collaborate with the multi-disciplinary team to plan and implement treatment for acute illness/injury/chronic illness as required, using skills in nurse prescribing and medicines management.

Negotiate, collaborate and support individuals and families to make sometimes difficult decisions about plans of care by empowering them to decide on the most appropriate course of action.

Ensure a robust process is in place to review care and treatment plans.

Take a leading role in auditing and monitoring all components of care delivery.

Review and develop clinical competency as required to support clinical practice, participating in ongoing personal development of self and of others.

Ensure all clinical records are kept in line with SWUF and NMC guidelines.

Communication

Establish the dynamic process of understanding, reflecting, active listening and checking understanding, thus developing a therapeutic relationship with patients and their carers.

Enable and support patients as active partners in the care planning process for present and future needs.

Dissemination of information throughout the multidisciplinary team, taking into account the patients right of confidentiality.

Education

Utilise communication skills and knowledge to promote patients and families abilities to make informed decisions and participate in care planning.

Participate in the development of the teams knowledge for Routine Care Pathways.

Work alongside team managers to support staff in clinical examinations and assessments unfamiliar to them.

Continue to develop own expert practice.

Critically evaluate research and educate the team to ensure that this theory is integrated into practice.

Role model and support staff to ensure that they are clinically competent to undertake new complex skills which are maintained to ensure that patients receive the highest possible standards of care in the most appropriate environment as close to home as possible, preferably in their own home if that is their express wish.

Delivering educational sessions regarding benefits of supervision, quality improvement and Learning from Experience sessions.

Leadership

Contribute to the development of clinical policies, procedures and guidelines ensuring they are implemented and monitored.

Participate in the clinical appraisal process, providing feedback on performance.

Participate and lead on the embedding of regular clinical and safeguarding supervision for all appropriate staff.

Contribute to the recruitment and selection process.

Act with colleagues to identify clinical development needs within the service.

Act as an advocate at all times for both patients and the service.

Be a role model for other clinical members of the team, taking an active role in ensuring staff are safe in clinical practice, work with team managers to risk assess areas of practice, reporting to senior staff with education/training plans to aid the mitigation of risk as required.

Embed activities within the community team to achieve organisational quality priorities.

Deliver clinical supervision and undertake supervision for own practice.

Professional

Work within the NMC Code of Conduct.

Remain updated and ensure that clinical practice is evidence based.

Have a personal development plan and professional portfolio.

Access regular clinical supervision.

Freedom to Act

The post is a clinically autonomous one and the post holder is expected to manage their caseload and the care of their patients independently recognising the limits of their knowledge and experience and seeking help and support appropriately.

Undertake and lead on quality improvement initiatives.

Working Conditions

Based within SWUFT District Nurse Place Based Team within Routine Care Pathway working mainly in patients place of residence.

Carrying light cases and other equipment.

Computer based work and data inputting.

Car driving.

Expected to deal with difficult situations on a regular basis.

Working in patients own home.