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Job summary

Main area
Community Matron
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
  • Part time
  • Flexible working
22.5 hours per week (Monday to Friday)
Job ref
179-7939850-I
Employer
West Suffolk NHS Foundation Trust
Employer type
NHS
Site
Stanton
Town
Stanton
Salary
£49,387 - £56,515 per annum pro rata
Salary period
Yearly
Closing
31/07/2026 23:59

Employer heading

West Suffolk NHS Foundation Trust logo

Community Matron Bury Rural INT

NHS AfC: Band 7

Job overview

West Suffolk Foundation Trust is recruiting to the Matron role within Bury Rural and the surrounding Integrated Neighbourhood Teams (INTs). While the aim of reducing hospital admissions remains a priority, the role of the Matron will evolve through the introduction of a new and exciting Care Management Service.

This service will operate within a GP-led multidisciplinary team (MDT) across the INT, supporting patient assessment and ensuring individuals are appropriately signposted to the most suitable services for their ongoing care. This will be achieved through regular MDT meetings.

This INT team is one of a total of six INT teams. The other INT localities are based in Mildenhall/Brandon, Bury Rural, Haverhill, Sudbury and Newmarket.

If you really enjoy supporting patients with long term conditions and those patients who need support with complex health and social issues? If so, then you will be well suited to this role.

Do you also love working with a multidisciplinary team to optimise patient outcomes?  Well, the INT accommodation 'Hubs' are the base for a wide range of other health professionals and agencies including Adult Social Care, social prescribers, GPs, police and mental health team members. Colocation and great relationships with these colleagues means we are able to work together, in a fully integrated way, to ensure the best care is delivered to the patients within our localities.

Main duties of the job

KEY TASKS: 

Assessment and Treatment Planning:  

  • The ability to assess physiological and psychological functioning when there are complex and undifferentiated abnormalities, diseases and disorders using evidenced based advanced nursing knowledge and develop monitor and review related treatment plans e.g. clinical history taking and examination, diagnosis, treatment planning, arranging tests, investigations and prescribing. 

  • Understanding of and advanced knowledge of pharmacodynamics and pharmacokinetics when treating varying conditions and communicating to patients and carers the complexity of side effects and contra indicationsThis involves interacting using a variety of communication methods. Case managing complex cases to avoid unnecessary admission, reduce length of hospital stay and support independent living at home

Working for our organisation

#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

We are a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and children's ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

 

Join us. What will you #BeKnown for?

Detailed job description and main responsibilities

JOB PURPOSE: 

  • To co-ordinate care provision through a case-management approach for a defined high risk patient group with complex long-term conditions (such as COPD, diabetes and CHD) with the aim of preventing unnecessary hospital admissions and facilitating timely discharge. 

  • To provide the highest standard of clinical care by using advanced skills and expert knowledge to holistically assess needs and instigate and provide clinical treatments based on evidence-based practice. 

  • To participate in the delivery of educational programmes to patients, carers and Health & Social Care workers that promote self care principles. 

  • To develop and promote robust multidisciplinary working across the wider Health and social Care sectors to ensure integrated services and support networks for patients. 

  • To monitor the quality of care provision and to identify and promote areas for service development. 

Person specification

Education & Qualification

Essential criteria
  • Level 1 Registered Nurse
  • First Level Degree or equivalent
  • Current MNC registration
  • Relevant post registration qualification eg Specialist Community Practitioner or Nurse Practitioner
  • Evidence of continuing professional development
  • Commitment to study at Masters Level
  • Independent Nurse Prescriber or prepared to work towards
Desirable criteria
  • Masters level study or evidence of working at Masters level
  • Independent Non Medical Prescriber

Experience & Knowledge

Essential criteria
  • Experience of assessing and providing care to people with LTC’s
  • Experience of change management and implementing in practice
  • Experience of teaching others
  • Experience of receiving and delivering clinical supervision
  • Experience of delivering evidence-based care
  • Extensive post-registration clinical experience at minimum of Band 6 (AfC) or equivalent
  • Knowledge of clinical governance and application to practice and service delivery
  • Evidence of a high level of clinical skills and expertise
  • Knowledge of case management principles and admission avoidance strategies
  • Knowledge and understanding of professional and ethical issues
  • Demonstrate a knowledge of health and safety legislation for self and others
  • Demonstrable experience of autonomous clinical practice
  • Experience of coordinating complex programmes of care
  • Experience of implementing service improvements and managing change
Desirable criteria
  • Knowledge of National Initiatives in relation to people with Long Term Conditions
  • Experience of Case Management
  • Understanding of quality and outcome measures and relevance to service delivery
  • Knowledge of research and audit processes

Skills & Abilities

Essential criteria
  • Able to effectively communicate highly complex information both verbally and in writing
  • High level of skill in developing and maintaining working relationships
  • Sound knowledge of IT skills
  • High level of presentation and training skills
  • Experience of mentoring Students
  • Advanced clinical assessment skills
  • Experience of history taking and physical examination
  • Experience of working autonomously
  • Experience of working with people with long term conditions
  • Ability to lead service development and practice improvement
Desirable criteria
  • Prior use of System 1
  • Palliative Care/end of life experience
  • Knowledge of mental health conditions

Personal Qualities

Essential criteria
  • To be adaptable, innovative and creative in pursuit of efficient and effective patient centred services
  • High level of ability to reflect on and critically appraise own practice and performance
  • Ability to travel to rural locations

Employer certification / accreditation badges

NHS Pastoral Care Quality AwardDisability confident employerArmed Forces Covenant

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.

Application numbers

Please note that this advert may close early if we receive a high number of applications.

Documents to download

Apply online now

Further details / informal visits contact

Name
Trina Odebrecht
Job title
Team Manager Bury Rural INT
Email address
[email protected]
Telephone number
07895332859