Job overview

The Care Homes Assessment Team (CHAT) are an award-winning service that support the lives and deaths of residents in Care Homes across Enfield and part of Haringey. CHAT is part of Enfield Community Service (ECS) which is hosted by RFL.

We are looking for a flexible, dynamic and experienced band 7 physical health Community Matron to join our team. We are a supportive team and organisation and are looking for someone with assessment and diagnosis skills, independent prescribing is essential, experience working with older people, people with mental health and/or learning disabilities in the Care Home environment and experience of having sensitive future care planning conversations and supporting end of life. 

CHAT support the Trusted Assessor facilitated discharge in NMUH and the successful candidate would work on a rota system both in their allocated Care Homes but also in NMUH delivering Trusted Assessor.

The service operates 7 days a week 8am-8pm so late shifts and weekend working on a rota system is expected.

Shift patterns are

• 8am-4pm
• 12pm-8pm
• 9am-5pm - when working as Trusted Assessor in NMUH

Main duties of the job

The Community Matron will manage a cohort of patients in specific, identified Nursing and Residential Care Homes who either have complex long-term conditions or be at the end-of-life care stage and are either currently very high intensity users of hospital care or at risk of becoming so.

The post holder will work as part of a multidisciplinary team, maintaining close liaison with all other stakeholders in the patient’s care including their carers, relatives and particularly the Care Home staff.

Car driver or having access to a vehicle is essential due to requirement to travel between Care Homes, base, home and NMUH. 

The Community Matron, in consultation with the GP and / or the Consultant Geriatrician in the team will be expected to identify those patients who could potentially most benefit from case management.   

They will expertly assess patients and individually plan treatment, monitoring and contingency regimes.  They will work with hospital ward staff, social care staff and community Nurses to prevent avoidable hospital admissions / readmissions and A & E attendances wherever this is feasible.

The role also includes in reach to local acute Trusts and facilitated discharge to improve communication between the Care Home and Acute Trust under the Trusted Assessor model.

Working for our organisation

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/