Senior Community Staff Nurse

Job Overview
The successful candidate will be required to support the DN Team Leader with leadership initiatives including caseload and staff management within the District Nurse Service structure. Depending on the demand of service, the post holder will be expected to support with any new initiatives including post Covid business as usual. You will also be required to complete home visits to provide nursing care, as well as providing complex patient management and support.
You will be expected to manage a clinical caseload which will meet the needs of all patients across the local landscape and network. The post will also allow unlimited opportunities to develop clinical skills and test your leadership styles accordingly.
The role requires the post holder to work weekends on a rotational basis to support and coordinate weekend working across the locality.
Previous applicants need not to apply.
Main duties of the job
Are you caring, compassionate and committed to providing the best service possible to patients?
We have a permanent Band 6 Deputy District Nurse opportunity within our Hillingdon District Nursing team.
In Hillingdon we are proud of the community service we offer and we expect a lot from our nurses. We want you to be kind, compassionate, clinically skilled and able to put the needs of patients first.
You will be taking delegated responsibility for the assessment, management and evaluation of evidence based nursing care to patients in a variety of community settings. We are looking for a pro-active Deputy Team manager who is able to lead and motivate a team of community staff nurses and Health Care Support Workers. You will be line managed by the District Nurse Team Leader.
You will also have access to continuing professional development resources to support your learning as well as the development of the service and you will receive regular supervision.
The position will require you to visit various locations throughout our supported area. It is therefore essential that candidates hold a full UK driver’s licence and have use of a car for business purposes or have the ability to commute within the Trust’s geographical area with access to an appropriate means of transport to ensure a timely delivery of patient care.
Working for our organisation

• Work in line with all CNWL Trust values.
• Encourage partnership working including all neighbouring hospitals, Local Authorities and all other providers.
• Working in line with all CNWL policies and guidance.
• Working in line with the Trust Vision and key priorities.
  Detailed Job Description And Main Responsibilities
  A Band 6 Deputy District Nurse contributes to the provision of safe and reliable services by:
• Using their clinical judgement and risk assessments to keep the people using our services as safe as possible.
• Safeguarding people by recognising and responding when an adult or child might be at risk from abuse but also recognising their own limits and asking for help and escalate concerns when necessary.
• Escalating safety concerns and by doing so acting as effective advocates for those who use our services.
• Being open and transparent about their own practice.
• Supervising the work of others.
• Reflecting on everyday practice to identify areas where improvements in safety or quality can be made.
• Working with others to create a culture of continuous improvement.
• Maintaining accurate, legible, comprehensive records.
• Maintaining compliance with their mandatory training requirements.
  The NMC plays an important role in safeguarding the public by regulating the work of nurses and all nurses, including Band 6 nurses, are expected to register with the NMC each year and adhere to the NMC Code of Conduct.
  Clinical Outcomes
  A Band 6 Deputy District Nurse often works with people who have complex needs and contribute to the effectiveness of services by:
• Being confident, autonomous practitioners who take responsibility for the care they give to patients but also take responsibility for overseeing the work of others in the team including less experienced nurses and staff without a professional qualification.
• Providing skilled, evidence based nursing care which adheres to agreed policies and procedures.
• Working with patients and families in all stages of the care planning process including assessing risks and needs.
• Acting as patient advocates in the multi-disciplinary team and overseeing the work of others to ensure that they are also responding to the needs of patients and providing clinically effective care.
• Working as autonomous practitioners and taking responsibility for the care they give to patients but also work as team members.
• Contributing to creating and maintaining high performing teams by:
  • Communicating well with all members of the team.
  • Understanding their role in the team and how they help the team achieve its objectives.
  • Reflecting on their own practice regularly and encouraging the whole team to reflect on their practices in handovers and team meetings.
  • Encouraging the team to learn from adverse events or respond to data analysis from audits or benchmarking exercises and implement sustainable initiatives which improve clinical outcomes.
    Patient Experience
    A Band 6 Deputy District Nurse contributes to the people using our services feeling respected and empowered to make decisions about their health and wellbeing by:
• Working in partnership with patients and their families and carers.
• Gaining consent and, as far as possible, involving people in all decision making.
• Signposting patients and carers to the courses provided by the Recovery and Wellbeing College or services provided by the local authority or voluntary sector.
• Reassuring people by being professional, responsive, knowledgeable and confident.
• Demonstrating clinical leadership and challenging any poor behaviour to patients, families or other staff members and creating a positive, inclusive culture in which everyone is treated with kindness and respect and the trust’s values are embedded in all practice.
• Responding to complaints or concerns effectively and quickly in line with the Trust policy.
  Supporting yourself and others
  All services and teams in the Trust should be able to demonstrate that they are meeting the Care Quality Commission (CQC) standards of care. Band 6 Deputy District Nurses are expected to be Clinical Leaders and play an active role in ensuring that the team understands the CQC standards and what individual team members do to help achieve those standards by:
• Taking a lead role in gathering and recording evidence which demonstrates that CQC and locally agreed standards are being met: assessing the performance of the whole team by using audit and benchmarking exercises and often contribute to the implementation of quality improvement initiatives.
• Contributing to the performance management of teams and creating a positive culture in which the team can learn from mistakes and is enthusiastic to improve.
• Deputising for the team leader / ward manager and ensuring that there is no fall in performance in their absence. This may include managing the team and coordinating shifts.
  Engaged staff are more productive and Band 6 nurses play a role in engaging in other staff members in the Trust and the work we do by:
• Providing supervision and annual appraisals to individuals and giving constructive, regular feedback which helps those individuals reflect on their work, understand their objectives and the CQC standards and monitor their progress towards achieving them.
• Participating constructively in their own supervision and annual appraisal processes.
• Using continuing professional development funds to develop a relevant clinical specialism, gain sign-off mentorship skills or undertake accredited leadership or management modules.
  Person specification
  Qualification
  Essential criteria
• Currently registered NMC Adult Nurse.
• Evidence of relevant Continuous Professional Development.
• Numeracy skills required for the safe administration of medicines.
  Desirable criteria
• Mentorship qualification.
  Experience
  Essential criteria
• Previous experience as a Band 5/6 community nurse or equivalent level.
• HR skills training e.g. recruitment, managing absence.
• Care planning: being able to assess patients, develop, implement and evaluate a care plan.
• Empowering and working in partnership.
• Knowledge and understanding of Safeguarding/Advocacy.
• Knowledge and understanding of Mental Capacity Act and Deprivation of Liberty Safeguards.
• Knowledge and understanding of Mental Health Act.
• Manual Handling patients.
• Obtaining Consent.
• Medicines management and administration.
• Infection control and Aseptic Non Touch Technique.
  Desirable criteria
• Supervision, Line management and appraisal training.
  Skills And Abilities
  Essential criteria
• Able to communicate with the multi-disciplinary team, present cases, take note of actions, update others in the team and use handover effectively. Speaking face to face but also by telephone and writing letters and reports.
• Maintaining accurate, timely, concise and legible clinical records both electronic and handwritten which adhere to the CNWL policies.
• Able to talk to people about sensitive issues in a supportive manner but also challenge others assertively where necessary.
• Able to maintain electronic patient records.
• Clinical Skills Specific to Service:
  • Catheterisation.
  • Wound care.
  • Palliative Care & End of life care.
  • IV administration.
  • Injections.
  • Doppler assessments.
  • Compression bandaging.
  • Diabetes Management.
  • Venepuncture.
• Coordinate work allocation and shifts (if appropriate).
  Personal Qualities
  Essential criteria
• Work well with other members of the team including communicating effectively, being kind and considerate, reliable and enthusiastic.
• Manage others and contribute to the management of the team.
• Contribute to the culture of the team and play a role in making it inclusive, kind and hardworking.
• Help others in the team achieve their objectives and deliver safe, effective care.