Job summary
We are recruiting to a team of dedicated community nursing staff to work with the Ageing Well and Frailty Service and our Primary Care Networks. This exciting opportunity means that you'll be working as part of a combined team of community care staff and PCN colleagues to proactively support people with moderate and severe frailty as part of WCHC's Population Health Management and NHS Proactive Care model.

You will be based within the Ageing Well and Frailty Service service working 22.5 hours per week over 3 days.

This is a permanent post

Main duties of the job
This post requires good communication and interpersonal skills and the ability to be adaptable, reliable and approachable.

You will be working with the patients, their family/carers and the wider team (including PCN colleagues) to create outcome goals for the patient to achieve during their time actively within the service, and lead on the development, implementation and monitoring of the patient specific care plan to ensure these goals are achieved.You will be working in both lone capacity and in conjunction with other team members, ensuring clinical standards are maintained using evidence based practice. You will have a good knowledge of the components of Clinical Governance, Best Practice, Risk Management, Clinical Audit and relevant Professional Codes. You will be able to evidence excellent clinical skills.

About us
We believe that investing time with people with more complex needs will not only improve their quality of life, but will also reduce the pressure on unplanned care. The team will continuously review activity and outcomes to show the difference care provision is making to patients and the wider health and care system. This will inform how Wirral plans its future proactive care services.

Job responsibilities
Please see the attached job description and Person specification for more details regarding this exciting role

Qualifications and Professional Training
Essential

• Registered General Nurse educated to degree level (or equivalent)
• Nurse Prescriber or willing to undertake
• Specialist Practitioner Qualification - District Nursing (or equivalent postgraduate modules, nursing qualification/ experience
• Care of the Older Person or similar course (or willing to undertake)
• Evidence of further recent study/ professional development
• Leadership qualification - ILM level 6 or equivalent (or willing to work towards) or relevant equivalent experience; mentorship

Desirable

• Minimum 3 years post registration experience

Experience and Knowledge
Essential

• Knowledge/experience of working with older people
• Knowledge of vulnerable adult's procedures and safeguarding
• Community Nursing experience
• Experience of clinical assessment, analysis, planning, delivery and evaluation skills
• Experience of managing complex and challenging cases
• An excellent understanding of Frailty and applying this to practice
• Specialist knowledge of the effects of the ageing process
• Professional awareness of development and innovations in Community Nursing
• Knowledge of national agendas and the effect on practice eg NHS Long Term Plan and National Service Framework
• Knowledge and understanding of Comprehensive Geriatric Assessment
• Knowledge of local health needs strategies

Desirable

• Experience of managing a caseload
• Knowledge of services available for older people in the community and the referral process
• Knowledge and experience of Emergency Health Care Planning
• Excellent knowledge of End of Life care including GSF Prognostic Indicators and knowledge of Advanced Care Planning
• Knowledge and experience of managing people living with Dementia and their carers
• Knowledge and understanding of the Frailty register

Skills and Attributes
Essential

• Excellent verbal and written communication skills
• Ability to provide integrated, timely and efficient care for the Older Person
• Ability to work autonomously and as part of a team
• Able to demonstrate commitment to high quality care and service provision
• Ability to prioritise and manage workload to meet the needs of the service users and the service
• Able to form and sustain positive working relationships with other services, agencies, and providers
• Demonstrable problem solving skills, prioritising and delegating appropriately
• Able to participate in the development of care standards and service development
• Demonstrates negotiation skills through working in partnership with others
• Reflective practitioner
• Assertiveness
• Ability to inspire confidence
• Demonstrates commitment to high quality care and service provision, addressing peoples changing health needs
• Experience of discharge and transfer planning for patients between services
• Computer literate

Desirable

• Advanced Communication Skills or willing to work towards it
• Experience of completing a Comprehensive Geriatric Holistic Assessment
• Clinical skills
• Leadership skills

Personal Qualities
Essential

• Passion and drive to deliver excellent person centred care for Older People
• Effective interpersonal skills
• Empathy and compassion
• Commitment
• Resilience
• Full driving licence holder and insurance for business use and able to travel independently throughout the Wirral

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applicants must have current UK professional registration.