Community NurseNHS

Job summary

22.5 hours per week.

The Community Nurse is responsible for assessing, planning, coordinating, and reviewing a caseload of adults with learning disabilities. They may have either or both physical and mental health complex care needs. This will include relationships with Primary and Secondary health care, as well as private and voluntary care agencies.

The Community Learning Disability Service covers Plymouth City offering a specialist service to Adults with a Learning Disability registered to a Plymouth GP surgery and comes under the City-Wide Locality Services.

The service is led by the Service Manager and 2 Group Managers and professional leads. We focus on Multi-Disciplinary/Professional led care. The team provides Consultant Psychiatry care alongside Psychology, Nursing (learning Disability and Mental Health), Speech and Language, Occupational Therapy, Dietician, Positive Behavioural Support, Health Education and Promotion, Primary Care Liaison Nurses and Community Support Workers.

Main duties of the job

To be responsible for providing clinical support whilst promoting the effective and efficient delivery of high-quality outcome focused service in a person-centred approach.

This is a generic community care role providing support and cover across Plymouth city localities.

To be responsible for providing clinical support whilst promoting the effective and efficient delivery of high-quality service to the LD population.

There is responsibility for participating in reviewing a persons eligibility for Continuing Healthcare funding and is responsible for making consistent and well-informed professional decisions about the determination of CHC funding, ensuring that the national framework is applied, and they adhere to all local policies and procedures.

This role may not be eligible for sponsorship under the Skilled Worker route; please refer to the Direct Gov website for more information with regards to eligibility.

Please note that Livewell may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. Therefore, we recommend you submit your application at the earliest opportunity.

All Livewell staff are expected to be able and willing to work across a 7 day service.

Job description

Clinical Responsibilities

• Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly.
• To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health.
• To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate.
• To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals.
• To work within the Mental Capacity Act and evidence best interest decision making.
• To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met.
• To contribute to multi-disciplinary team specialist assessments.
• Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service.
• To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication.
• To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services.
• To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct.
• To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities.
• To work with all other agencies with regards to the safeguarding process.

Managerial Responsibilities

• To be responsible for coordinating reviews as per guidelines
• Prioritise caseload to meet competing demands
• To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives.
• Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process.
• Involvement in continual audit and review of services to determine quality.
• Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process.
• To ensure electronic record keeping policy is adhered to.

Professional Responsibilities

• To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register.
• To maintain own re-validation portfolio.
• Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate.
• Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations.
• Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training.
• Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate.
• Participate in regular line management, caseload management and clinical supervision.
• To deliver appropriate training and subsequent support to other staff, students and outside agencies when required.

COMMUNICATIONS AND RELATIONSHIPS

• The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need.
• The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision.
• The post holder will also work with other voluntary and secondary care providers.

PHYSICAL DEMANDS OF THE JOB

• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
• Use of keyboard and computer screen for assessments and record keeping daily.

Please see attached full Job Description and Person Specification

About us

Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.