Job Description

The Neighbourhood Nurse Lead is responsible for managing a community nursing team including the district nursing team in a neighbourhood.



Manages and provides clinical leadership; expert clinical advice and supervision to community nurses



Supports the management of patients with complex health and social needs on the district nursing caseload to enhance positive patient experience through the various patient pathways



Works in partnership with service users, General Practitioners, Social Care and the voluntary sector to promote a seamless service to patients



Provides proactive case management to prevent unplanned admissions to hospital; assessing, diagnosing and prescribing in partnership with General Practitioners



Advocates for patients and becomes the lead clinician for Health and Social Care integration



Responsible for patient safety, ensuring high quality care



Gets involved in data stratification by accessing and analysing relevant data, actively finding people who would benefit from case management



The Neighbourhood Nurse Lead manages and provides clinical leadership; expert clinical advice and supervision to community nurses within the neighbourhood. Supports the management of patients with complex health and social needs on the district nursing caseload to enhance positive patient experience through the various patient pathways



The Neighbourhood Nurse Lead works in partnership with service users, General Practitioners, Social Care and the voluntary sector to promote a seamless service to patients. Providing proactive case management to prevent unplanned admissions to hospital for patients on the caseload



The Neighbourhood Nurse Lead will be assessing, diagnosing and prescribing in partnership with General Practitioners. Advocates for patients and becomes the lead clinician for Health and Social Care integration. Responsible for patient safety and ensuring the delivery of high quality care.



Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:



Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development



Widening access (anchor institution) and employability



Improving the experience of staff with disability



Improving the EDI literacy and confidence of trust staff through training and development



Making equalities mainstream



Assesses, diagnoses, and implement treatment plans using advanced clinical skills and knowledge, working collaboratively with patients in treatment decisions such as planned advance directives near end of life care



Analyses and interprets highly complex information gained during clinical assessments to make a differential diagnosis of an individual's problem or illness and decide on an appropriate course of action or treatment



Instigates therapeutic treatment/interventions consistent with the best available evidence; transferring and applying knowledge and skills in order to improve health outcomes



Recognises and manages early symptoms of disease exacerbation and acute illness based on an understanding of disease process and current evidence on practice standards



Advocates for the patient and confers as appropriate, working with GPs and/or hospital consultants to ensure robust communication around clinical care as indicated



Designs and monitors care plans for patients being cared for by the integrated community teams, general medicine and other specialist teams as appropriate



Empowers carers and family members, recognising and utilising the skills and expertise of carers as equal partners in care



Makes patient referrals to other specialist where indicated



Independently prescribes in accordance with the Department of Health, Professional and Trust guidelines



Embraces and uses technology such as telehealth and telecare as appropriate to enhance patient outcomes



Delivering High Quality Care and Measuring Impact



Leads on the implementation of the Chief Nursing Officer Strategy ensuring that our nurses are aligned with the national direction for improvement. By aligning the fundamental approach led by the Chief officer of using the 10 key commitments to design care and continuing to use the 6C's as a basis for 'good' nursing care.



Be the Patient Safety Champions, identifying and managing adult safeguarding incidents in collaboration with Social Care



Conducts regular nursing care audits including reviewing care on joint visits with team members and/or multi-professional team members



Role models and embeds the Trust core values and behaviours within members of the community nursing team



Facilitates clinical multi-disciplinary supervision groups encouraging reflection in and on nursing practice for continuous improvement



Evaluates the need for practice improvement to promote safe, effective and reliable care that as a positive impact on patients



Evaluates and critiques current practice against best available evidence/benchmarks



Takes responsibility for producing the data for the Dashboard or balanced score care every month



Records keeping



Maintains accurate and contemporaneous patient records immediately after nursing interventions in line with the Trust and NMC standards for record keeping



Contemporaneously records all communications relating to patients with other professionals



Develops outcome focused care plans with clear timeframes and review dates



Reviews and audits patient records within the team to ensure compliance with the Trust and NMC records keeping standards



Records all meetings and communications regarding staff management and performance with support from the Human Resources Advisor



Applicants should have a broad understanding of application of research to practice, and current professional issues. You will be expected to have sound clinical skills, demonstrate a flexible approach and commitment to providing a high level of care to clients in the community and be an excellent change agent.



A full UK driving licence and daily access to a car is essential.