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Specialist district nurse

Rugby
South Warwickshire University NHS Foundation Trust
District nurse
£45,000 - £65,000 a year
Posted: 19 November
Offer description

South Warwickshire University NHS Foundation Trust is one of the top performing organisations within the NHS. Our staff think this is a great place to work and we hope you will agree. We have recently been rated as 'Outstanding' by the Care Quality Commission (CQC) following our most recent inspection.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the whole county. This includes our Community Teams in North Warwickshire.

We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Over 6000 people work for the Trust and many of them have been here a long time. People find they don't need to go elsewhere to find a fulfilling career in healthcare.

The first thing you will notice about us is how we take our values seriously. We believe that our values underpin everything we do. If you are interested in a role with us you need to make sure our values match your own.

Our values can be summed up in one sentence. We are 'Trusted to provide inclusive, safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Disclosure and Barring Service (DBS) Checks

Many of the roles we advertise have a requirement for a DBS check to be carried out. If you are successful for a role and it requires a DBS check the Trust will carry out the initial check and subscription to the DBS Update Service, however successful candidates will be expected to cover the associated costs. Details of this will be sent to successful candidates in their offer letter.

Probationary Period

All new staff to the Trust will be subject to a standard 6 month probationary period, the details of which will duly follow in your contract of employment.

Equality, Diversity, and Inclusion

South Warwickshire University NHS Foundation Trust is committed to creating and sustaining a positive and inclusive working environment for all our employees. Our aim is to ensure that employees are equally valued and respected and that our organisation is representative of all members of society. We define diversity as valuing everyone as an individual – we value our employees, job applicants, students, patients and visitors as people. This is reflected within our values of being Inclusive, Safe, Effective, Compassionate and Trusted.

As part of our commitment to Equality, Diversity and Inclusion we encourage all applicants to complete a short survey. This can be accessed via the link below:

We appreciate you completing the survey.

Agile and Flexible Working

All our staff will have a work base. However the Trust operates as an Agile Working Team therefore staff may be working from home on a regular basis as required by the service. However, occasionally travel around Warwickshire and into your base will be required so access to your own transport would be helpful.

The Trust also welcome staff to work flexibly and we would welcome the conversation at interview regarding flexible working.

Staff Benefits

The Trust offer a wide range of additional benefits to staff. Anyone who joins us on a substantive basis can assess things such as the Lease Car Scheme, Electronics Scheme, Discounted Leisure and Travel, Cycle to work scheme amongst many others available.

Car Parking

The Trust currently have limited availability of car parking spaces, as such are operating a waiting list for new starters joining the organisation.

To keep up to date on our latest recruitment activity follow us on twitter @swftrecruit or look us up on Facebook (Recruitment - South Warwickshire NHS Foundation Trust).




Job overview


Are you an experienced District Nurse ready to lead, inspire, and shape the future of community nursing? South Warwickshire University NHS Foundation Trust is recruiting four Specialist District Nurses to join our Out of Hospital Care Collaborative (OOHCC). These exciting roles offer the opportunity to lead care in four distinct and rewarding localities.

As a Specialist District Nurse, you will be responsible for the assessment and management of complex health needs within your locality. You will lead the development, implementation, and evaluation of care programmes, working autonomously and collaboratively within a Place-Based Team. Your advanced clinical assessment and prescribing skills will be central to delivering high-quality, person-centred care. You will work in collaborative leadership with the Professional Lead, who oversees the operational running of the team, ensuring alignment with service goals and standards.

Rugby is a historic market town in eastern Warwickshire, famed as the birthplace of rugby football and home to the prestigious Rugby School. One of the fastest growing towns in the country and surrounded by villages like Dunchurch, Bilton, and Hillmorton which offer picturesque countryside with strong community ties. This new role will provide the opportunity to help lead and develop a large established nursing team whilst working with colleagues to build personalised, effective care.




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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 Specialist 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 Specialist 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.




Working for our organisation


Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.




Detailed job description and main responsibilities


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 patient's 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

Responsible for the safe use of clinical equipment for the team and individual practice

Autonomous Clinical Practice

The post holder will undertake highly specialised treatment which includes but not limited to leg ulcer treatment, end of life care, wound care, continence management, management of plural drains and manoeuvring patients.

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 especially when developing care plans for complex and sensitive cases.

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 regularly 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

Effectively communicate and manage the delivery and reception of complex, sensitive, or potentially contentious information, utilising advanced skills in persuasion, motivation, mediation, and assurance to support team members and provide excellent care. These are particularly necessary for safeguarding concerns, challenging behaviours against team members, capacity assessments and broader social concerns.

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 patient's 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

Responsible for the delivery of high-quality clinical supervision across the whole team for all team members including students.



IMPORTANT INFORMATION

Sometimes we get a lot of applications for our roles. On those occasions we might close the job early. If you don't want to miss out we recommend submitting your application as early as possible.

The Trust use an Applicant Management System called TRAC which helps us manage the recruitment process. All communications regarding your application will come via TRAC (even if you applied via NHS Jobs).

Please check your TRAC account regularly and ensure your email is set up to accept messages so they don't go into your junk/spam folder.

We aim to shortlist all vacancies within 2 days of the vacancy closing, we will get back to all candidates ASAP.

Please ensure all sections of the application form are completed fully. Please particularly ensure that you provide full details of all referees including business email address, telephone contact details and postal address.

South Warwickshire University NHS Foundation Trust is an equal opportunities employer who is committed to Equality and Diversity and does not tolerate discrimination or harassment on the grounds of any protected characteristic as defined by the Equality Act 2010.

All South Warwickshire University NHS Foundation Trust sites are smoke free. We feel it's a great way to help our patients, visitors and staff stay healthy.

The Trust is part of a 'Foundation Group' through a strategic alliance with Wye Valley NHS Trust, George Eliot Hospital NHS Trust and Worcestershire Acute Hospitals NHS Trust. This partnership is great for the sustainability of all four organisations and allows us to share learning and maximise opportunities to ensure the delivery of high quality health and care services for our local populations.

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