About this role
Job summary
Are you a knowledgeable, dynamic and progressive nurse with substantial experience of looking after complex patients?
Are you looking to develop or consolidate your expertise with heart failure patients?
Then apply to join our friendly team of heart failure and cardiology clinicians.
You would be working within a very experienced heart failure team and autonomously managing a caseload of heart failure patients seeing them in clinic and their homes.
The main aim of your role is to optimise medications to control symptoms, improve prognosis and prevent hospital admission for patients with heart failure with reduced ejection fraction.
You will be expected to have excellent communication skills, be able to work closely within and take a lead role in the cardiology team, as well as work effectively with the wider multidisciplinary team.
Main duties of the job
Job role will require successful candidate to
Use highly developed specialist knowledge to assess, plan, implement and evaluate individualised care for patients with complex cardiac conditions
Closely monitor patient's condition, identify any changes and using own judgment to act appropriately in a timely fashion to ensure optimum patient care
Prescribe and review medication and recommend changes in conjunction with consultant cardiologists and guidelines depending on individual needs.
Demonstrate clinical decision-making skills in referring patients for further tests or discharge to GP.
Act as role model/ mentor to junior staff and manage staff when required. the candidate will deputise for the clinical lead when require.
About us
So what else?
This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you'll even have the opportunity to become an MCH shareholder. We encourage staff to get involved in exploring new ways of working and service development. We'll provide well established, in-service training, one to one supervision, and appraisals with regular support. You'll be able to develop your skills in a friendly and supportive team. Would you like to work flexibly?In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.
The small print
Informal visits can be arranged on request. We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme. MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients. MCH is considering merging with Kent Community Health Foundation Trust (KCHFT). If the merger goes ahead, the proposed transfer date is 30th September 2026 and this role will be subject to TUPE transfer to KCHFT.
Job description Job responsibilities
Job purpose
To support the diagnosis of suspected heart failure patients, arrhythmia patients, and/or cardiac rehab patients.
Take a lead nurse role within the community cardiology team.
To case manage a caseload of patients, optimising their care and treatment and reducing unnecessary hospital admissions.
The post holder will utilise advanced nursing practice, skills and knowledge to enable the ordering of investigations, interpretation of findings, nurse diagnosis, as well as initiation and/or changing of treatments in any part of the patient journey.
To work within national and local Cardiology clinical guidelines and formularies.
To provide care in settings suitable for patients including clinics, by telephone and home visits.
To improve the prescribing rates of evidence based medicines in heart failure and atrial fibrillation patients.
1. Communication and relationship skills
Demonstrates highly developed communication skills when working with patients and carers and shows the ability to provide and receive highly complex, sensitive information regarding patients medical condition and test results. Shows ability to taking into consideration any barriers to understanding and employs appropriate methods to ensure effective communication Provides leadership, management and appraisal to allocated staff. Provides Induction and training of new staff. Promotes the work of the specialist cardiac nurses in formal presentations. Meets with line manager on a regular basis to discuss current and future work Provides emotional support to patients and carers Skilled at motivating patients to make lifestyle changes Communicates effectively with other medical, nursing and Allied Health professionals and external agencies such as patient service user forums. Communicates effectively both in writing and verbally Ability to liaise effectively with senior medical colleagues to ensure best care for patients Effectively communicates service related information to team colleagues and senior management through team meetings and one to one meetings. Works as part of a multidisciplinary team e.g. communicating management plans to primary care colleagues and providing appropriate advice as required.
2. Analytical and judgement skills
Uses highly developed specialist knowledge to assess, plan, implement and evaluate individualised care for patients with complex cardiac conditions
Closely monitor patients condition, identify any changes and using own judgment to act appropriately in a timely fashion to ensure optimum patient care
Requests, performs and interprets appropriate cardiac investigations.
Prescribe and review medication and recommend changes in conjunction with consultant cardiologists and guidelines depending on individual needs.
Demonstrate clinical decision-making skills in referring patients for further tests or discharge to GP.
Analyses the cardiac nursing service effectiveness through audit both nationally and locally.
Planning and organisational skills
Maintains agreed activity levels of service.
Excellent time management skills and the ability to prioritise work
Plans and organises own caseload and cover from within the team while on annual leave
Refers patients to other members of the multidisciplinary team as appropriate
Identifies areas of development nationally within cardiac nursing to ensure that provision remains current and advances in a pioneering fashion (in line with NICE, NSF frameworks etc)
Organise daily work including all face to face contact and to ensure that patients are fully monitored; test results are viewed and acted upon, notes and letters written in a timely fashion.
As part of the team demonstrate flexibility in personal time planning in order to be able to offer face to face visits or telephone contacts at short notice when required in order to support patients and colleagues.
Plan, organise and deliver education programmes for all levels of staff relating to cardiology
Person Specification
Qualifications Essential
Registered General Nurse (Part 1 of the NMC registered) or paramedic qualification registered with HCPC Nurse education to degree level or currently on degree pathway Masters level education or equivalent experience. Non-medical independent prescribing course (or willingness to undertake) Clinical examination course or equivalent experience
Desirable
post graduate qualification in cardiology/heart failure (or working towards) accredited Palliative care course Management qualification Advanced communication skills course
Experience Essential
Significant post registration experience Significant experience senior clinical position (ideally within cardiology) Significant experience of autonomous decision making Experience of health promotion
Desirable
Community nursing experience Palliative care experience Clinical examination experience Experience of caseload management.
disposition, adjustment, attitude and commitment Essential
Effective interpersonal skills Effective teamwork and teaching skills Effective organisational skills Effective prioritisation skills
Disclosure and Barring Service Check 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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Medway Community Healthcare
Address MCH House
Bailey Drive
Gillingham
ME8 0PZ
United Kingdom
Employer's website https://www.medwaycommunityhealthcare.nhs.uk/ (Opens in a new tab)