Job Description

Principal duties to include:

Clinical To work autonomously, managing patient assessments within the specialty whilst working generically as part of the multidisciplinary team, delivering individualised and personalised direct patient care using enhanced assessment skills. Act as an advocate for patients within the team, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant NHSE guidelines. To be pivotal in encouraging and managing appropriate referrals, attending discharge planning meetings and representing service manager at discharge action groups Ensure that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.



Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues to include locality hubs. Direct, support, encourage and advise clinical, therapy and social care teams, by the provision of specialist knowledge and advice in the care of patients. Participate in the promotion of patient-centred care and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and transfer of care. Support and enable patients and carers to make informed decisions relating to their treatment and management.



Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence-based practice, risk assessment and clinical standards. Provide professional and clinical leadership and expertise in the speciality and to act a as a resource for education and clinical expertise in the hospital and community settings. Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.



Responsible for the correct administration of prescribed medication. Promote and deliver high standards of care at all times, which utilises researchbased evidence, and is audited and improved accordingly. Act as a role model, demonstrating high standards of care and providing clinical leadership in the specialist areas. Establish, develop and maintain effective working relationship between clinicians, practitioners and managers within the specialty, across the Trust and (ASPH) Ashford & St Peters Foundation Trust.



Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty. Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review. Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care. Work in conjunction with the Service Manager to lead a patient focused service.

Post Title:

Urgent Community Response (UCR) Matron Page 5 of 15 Date August 24 Post Reference: Act as a patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements. To be designated to take charge of an area within the UCR and Rapid Response service in the absence of the person holding continuing responsibility. Quality Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by CSH Surrey. Lead on and participate in key developments relating to the specialty so that high quality patient focused services are promoted.



Enhance the interface between staff, patients, community staff and visitors. Attend and participate in clinical rounds and multi-professional team meetings. Set, monitor and review standards of care on a regular basis and initiate corrective action plans. Identify and intervene where circumstances contribute to an unsafe environment for patients and staff.



To bring instances to the attention of the Manager/Clinical Lead for UCR and Rapid Response Education Act as a facilitator/mentor/preceptor to student nurses and others. Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council. Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes Work closely with the Matrons and Practice Development Nurses within the department ensuring that relevant clinical based teaching programmes are in place for all staff Contribute to CSH Surreys clinical supervision programme for staff. Teach on relevant courses and training programmes provided by CSH Surrey.



Lecture on external courses as required. Lead and participate in education and training programmes within the speciality service, and develop training packages as required. Co-ordinate the development and delivery of a patient focused education and information giving strategy within UCR and Rapid Response. Motivate, develop, support and identify training needs for department staff and work with the Practice Development Team to meet these.



Participate in appraisals and the setting of objectives for junior staff in the Service to enable them to achieve optimal effectiveness and to understand their contribution to the Business Unit and to CSH Surrey. Ensure that appropriate written induction programmes are available and utilised for all new staff within the department. Research and Development Promote and undertake nursing research and to publish the outcome, updating own knowledge to promote excellent in clinical practice. Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.



Lead and contribute to audit and research within the specialty in collaboration with colleagues, developing action plans and disseminating information. To be familiar with current clinical research protocol issues and relevant treatment and procedures employed in the diagnosis and treatment within their speciality. Management and Leadership Provide a leadership role model and demonstrate expert knowledge and high standards of clinical practice. To be responsible for the operational management of the UCR and Rapid Response Team over a 7-day 8-8 service.



This may include planning effectively the daily case load for oneself and / or the team, responding to urgent referrals and occasionally unpredictable working patterns and working collaboratively with other team leads within UCR and Rapid Response To be able to prioritise clinical and managerial work and balance patient related and professional activity as the team requires. Develop the role according to patients changing needs and research findings, within the resources available. Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to. Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.



Implement new initiatives where possible to run a cost effective, timely service. In conjunction with other multidisciplinary colleagues, provide monthly reports of case mix, work load and education activity. Provide cover for Service Manager as appropriate. Develop policies, protocols and clinical guidelines in support of the specialist service.



Participate in the promotion of the specialty by publishing and presenting innovations and research findings locally and nationally. Provide specialist education to members of the clinical team, which facilitates learning and individual personal development. Implement and work within the Trusts HR policies on all staffing matters. Work with the Manager and Human Resources Dept in the recruitment, selection and appointment and retention of staff.



Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same. In conjunction with the Manager and Team Leaders ensure optimised skill mix for any assigned area. Organise any relevant team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.



Assist the Manager and Team Leaders with planning for the service as an expert practitioner. Represent UCR as an expert practitioner in the speciality in external situations, eg. Conferences. General Act in accordance with the Nursing & Midwifery Council Code of Professional Conduct and Scope of Professional Practice and be accountable for his/her actions at all times.



Maintain up-to-date records. Ensuring that confidentiality is respected and that the standards for Record Keeping are met. This job description is not exhaustive and the post holder may be required to undertake such other duties from time to time as are consistent with the responsibility of the grade. This job description is subject to review and development from time to time in liaison with the post holder.



As an employee of Central Surrey Health Ltd you will be required to adhere to all the organisations policies and procedures.