Band 6- Associate Community Matron Haringey Urgent Response Services

Job overview

The post holder will work in the Haringey Rapid Response and Hospital at Home team which is part of the wider multi-agency Haringey Urgent Community Response service which supports hospital discharges and admission avoidance.

Hospital @ Home is co-located and integrated with therapy and district nursing colleagues and aims to respond to patient referrals in the community within 2 hours to prevent admission to hospital.

The post holder will primarily be working in Haringey borough but may be required to see patients in other NCL boroughs.

Main duties of the job

Provide specialist, high quality, expert nursing care and support for patients who are suitable for Rapid Response and Hospital at Home care in liaison with the multidisciplinary teams (MDT) through assessment and care planning.

• Initiate agreed range of diagnostic tests.
• Refer to other disciplines/professions when required.
• Support patients to self-manage, monitor their condition and make informed choices.
• Act as a named nurse for designated patients within the service
• Ensure that nursing documentation ismaintainedtorequired standards and to beacompetent user of and participate inthe ongoing development of the Trust’s planned Electronic Patient Record
• Promote the development of evidenced based practice.
• Participate in clinical supervision to agreed standard.
• Ensure high standards of care are given to all patients.
• Advise patients on the promotion of health and the prevention of illness.
• Be responsible for gaining intravenous access and administration of prescribed medication for patients requiring short-term antibiotics and for monitoring their care.
• Collaborate with medical colleagues in ensuring that appropriate investigations and procedures are performed to complete the patients’ treatments and that patient and their families are fully informed and understand the purpose for these.

Detailed job description and main responsibilities

• Promote the service and support clinical staff to facilitate the safe, effective and appropriate transfer of patients identified as suitable for Hospital @ Home and Rapid Response care from ED, wards and the community.
• Work with and be responsible for the case management of patients identified for Hospital @ Home and Rapid Response.
• Attend multidisciplinary meetings and participate in cascading information from these meetings to relevant parties.
• Record data and support the collection of data for performance monitoring and reports.
• Maintain a patient database to monitor patient outcomes and also to audit the effectiveness of the Hospital @ Home and Rapid Response Service with the aim of developing the service.
• Understand the protocols and pathways for Hospital @ Home and Rapid Response and work with the MDT.
• Advise and recommend appropriate discharge options to patient, family and MDT in relation to any further care needs following discharge such as community nursing.
• Provide a follow up process of contacting patients being case managed, for example following up test results
• Manage and co-ordination of patient care
• Develop patient condition specific management plans with medical staff to improve patient clinical management
• Ensure other nursing staff are aware of pathways and procedures relating to Hospital @ Home and Rapid Response. Disseminate any changes in policy and procedures in a timely manner and to work within the
• Attend appropriate internal and external meetings as representative of the Trust in relation to the Hospital @ Home and Rapid Response Nursing role and responsibilities.
• Actively participate in the development of the Hospital @ Home and Rapid Response service.
• Assist in the development of Hospital @ Home and Rapid Response pathways, associated protocols and relevant patient group directions to ensure that patients are suitable for the service are identified as early as possible during their ED visit, inpatient stay, are recruited into the service, assessed and a plan of care agreed.
• Gain real time feedback from the users of the service to ensure that they are benefiting and that the service delivery is the best possible.
• Contribute to a summary report and clinical audit of the service and evaluate its effectiveness on patient outcomes.
• Act within the Nursing and Midwifery Council “The Code (2018 revised)”
• Undertake further educational qualifications and training in order to increase professional knowledge and remain updated
• Assist in ensuring that clinical risk is assessed and managed in line with professional NMUH and Whittington Health standards.
• Ensure that comprehensive risk assessment and management strategies are incorporated into all patient assessment and care
• Ensure that the information contained in any Comprehensive Risk Assessment is responsibly shared with members of the Multidisciplinary team, Social Services and other agencies in order to appropriately manage and reduce risk.
• Always adhere to NMUH and Whittington Health and Safety guidance and to lead by personal example of good practice.
• Ensure accurate, contemporaneous records are kept that facilitate safety and continuity of patient care. This is to include both paper and electronic records kept within the office and in the patient’s own home.
• Ensure accurate statistical data is promptly submitted in line with NMUH and Whittington Health Guidelines.

Work within NMUH and Whittington Health Quality and Assurance Standards including the monitoring and reviewing of quality standards, policies and protocols as required within the service.

• Take the service lead in areas where there is a specific nursing need as agreed with the Lead Matron.
• Ensure that the care given meets the standards and policies set by NMUH and Whittington Health. To inform line management of constraints that will prevent these standards from being met.
• Respond promptly to any incident where service quality has fallen below an acceptable standard and report to the Lead Matron. To investigate such incidents and set action plans to ensure that identified weaknesses are resolved.
• Investigate complaints and clinical incidents as delegated by the Lead Matron making recommendations about changes to practice and service that may result.
• Participate in research projects, clinical audit and/or innovations following agreed policy and protocol, leading on these in certain areas as agreed with the Lead Matron
• Contribute to the development of the Hospital @ Home and Rapid Response by participating in working parties, committees and planning and discussion groups as agreed with Lead Matron and
• Submit timely information relating to service performance indicators and balanced score cards to the Lead Matron and the Quality and Assurance Department.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.