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Senior Integrated Community Nurse

Band 7

Main area
Band 7
  • Part time
  • Other
22.5 hours per week (Secondment for 8 months)
Job ref
Parkway Health centre
£46,836 - £52,849 pro rata per annum inc of HCAS
Salary period
11/10/2022 23:59

As an NHS Trust we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19.


Job overview

This post holder will be responsible for improving, maintaining and monitoring the Community Nursing
Service, to ensure that patient care is delivered to the standards detailed in the Performance
Management Framework and Nursing Strategy. This will be achieved through leadership, the promotion
of advanced clinical skills and the performance management of the caseload holder /District Nurse within
To actively provide case management for patients with complex long-term conditions or who are high
intensity users of secondary care, to prevent hospital admissions, to achieve a reduction in ‘length of
hospital stay’ and enable independence. This will include collaboration with the Rapid Response Service
and stakeholders in the local health economy

Main duties of the job

Senior Integrated Community Nurse  Band 7  

Secondment cover - 8 months duration 

Must have a valid license and access to a vehicle

Parkway Health Centre 22.5 hours 

We require part time  Senior Integrated Community Nursing Sisters to work within our Community Nursing Teams to provide leadership and caseload management to patients in their own homes.

The post holder will be responsible for improving, maintaining and monitoring care provided within our newly reconfigured service. This will include working in partnership with Croydon Outcome Based Commissioning Alliance, part of the Integrated Care Network.

The ideal candidate will be a Registered Nurse with a Specialist Practice and teaching Qualification as well as experience of managing patients with complex nursing needs.

All applicants should have a clean UK driving license and car for work purposes.


Working for our organisation

Croydon Health Services NHS Trust provide hospital and community services from a number of community and specialist clinics throughout Croydon.

These include:
• Croydon University Hospital
• Purley Hospital
• The Sickle Cell and Thalassaemia Centre in Thornton Heath
• Community bases at Purley, Sanderstead, New Addington, Broad Green, Woodside
• A minor injuries unit in New Addington

The Trust was formed on 1st August 2010 through the integration of Croydon Community Health Services and Mayday Healthcare NHS Trust. Around 3,500 staff provide services for a population of over 360,000 people who are relatively young with a high level of ethnic diversity.

Our Vision:

“Excellent integrated care for you and your family, when and where you need it”

Our 5 key ‘Here for you’ promises to the people of Croydon are:

• You feel cared for by helpful and welcoming staff
• You feel in safe hands with highly professional staff
• You feel confident in your treatment from skilled teams of compassionate clinicians
• You feel we value your time with convenient appointments, minimal waiting and care closer to home
• You feel it’s getting better all the time as we continue to improve our services

We are one of 17 Trusts in the country who have been accepted as national pioneers on staff engagement and empowerment, through the adoption of "Listening into Action" as a new way of working. The approach we are taking to “Listening into Action” is new and different.



Detailed job description and main responsibilities

To provide a comprehensive assessment of the physical, psychological and social care needs of patients
and their main care providers followed by the instigation of an appropriate care package that maximises
health and wellbeing and promotes independence.
To take overall responsibility for the ongoing co-ordination of complex care packages including for those
patients requiring facilitated discharge form hospital, or other places of care, hospital avoidance and ongoing care.
To provide advanced, effective evidence based nursing care and case management to patients with
moderate and highly complex care needs, in a variety of community settings ensuring patient safety,
patient experience and patient outcomes are optimised and patients are free from harm.

To provide professional leadership, and direction to the integrated community nursing teams within the
cluster, acting as a resource and role model at all times.
In the absence of the Cluster Matron be responsible for Cluster management and escalate issues that
cannot be resolved locally to the identified Cluster Matron allocated to provide professional support.

Lead and participate in transformation of community nursing services in order that it can manage the
increasing demands and move to a fully integrated service in line with the accountable provider alliance
(APA) model of care.
Be accountable for the development, monitoring and maintenance of the standards of nursing care
delivered, by closely monitoring the clinical performance and competencies of the caseload holders /district
nurses in the ICNT; in partnership with Practice Educators.
The senior integrated Community Nurse will be involved with the ICN Multi-Agency GP Huddles. This is
working closely with the GP networks within Croydon to ensure patients who are medium high risk are
identified quickly and are proactively case managed by one or more members of the MAWS team.
Activity ensure the effective and efficient use of resources available including taking responsibility for the
care and safe keeping of equipment issued for personal, team and/or patient use. Ensure delivery of a
service that is responsive, high quality, value for money and achieves key performance indicators and
patient outcomes.
To use advanced clinical decision making skills, physical assessment skills and expert knowledge to
assess the physical and psychosocial needs of patients on the caseload in order to identify early
symptom exacerbation in order to instigate treatment promptly, and therefore reduce the chance of
To develop an individualised care plan with the patient, carers, relatives and health care professionals
based on a comprehensive assessment of medical, nursing and social care needs.
To order investigations as necessary and to instigate therapeutic treatments based on best available
evidence in order to improve health outcomes and to provide expert clinical care and health promotion
To work in collaboration with GPs; consultants in elderly care, Nurse Consultants and other health and
social care colleagues to determine diagnosis; provide specialist assessment, to establish appropriate
care planning, treatment and outcomes.
To prescribe within Nurse prescribing and independent or supplementary formulary and initiate medicines
review with colleagues to improve patient outcomes. Advice patients and staff on the safe storage and
administration of medication, liaising with other professionals as appropriate (e.g. pharmacists).
To regularly monitor / review the patient’s care plan and condition to increase independence and to identify
changes in condition to reduce the need for inappropriate hospital admission and to facilitate discharge
from the caseload.

Provide information and support to patients, relatives and other carers that promote and optimise
positive health and to undertake health promotion and disease prevention activities such as flu
immunisation, advice on stopping smoking, dietary advice and foot health.
To be accountable for the delivery of safe effective care provided to patients admitted to the ICNT. This
will include the coordination prioritisation and delegation of care to the most appropriate, competent staff
To be accountable for the delivery of safe effective care provided to patients admitted to the ICNT. This
will include the coordination, prioritisation and delegation of care to the most appropriate member of the
team who is competent to undertake the delegated task.
To work collaboratively with the line manager, Practice Educators and other ICNT team leaders to meet
the organisations clinical governance agenda and to actively contribute in this process.
To work in partnership and collaboration with the Clinical Governance leads to ensure practice is evidence
based; guidelines and policies are developed, monitored and implemented across the service.
To ensure that statutory requirements and directives of the NMC are promoted and adhered to and staff
work with their scope of practice.
To promote a suitable learning environment for staff and students to enable individuals develop the
required competencies according to their role and needs of the service.
To develop, monitor and evaluate staff objectives, personal development plans in accordance with the
organisations KSF Performance Management Framework.
Organise appropriate ICNT management and performance meetings to disseminate information to the
team and to keep staff informed on their team’s performance and the Organisations transformation
Report, investigate, review and monitor complaints and clinical incidents and undertake clinical audit in
conjunction with Cluster Matrons, governance and performance leads and work collaboratively to develop
strategies around prevention of future occurrences and shared learning.
Work with clinical, pathway and professional leads to develop and re-design care pathways with other
partners and to implement best practice and ensure maximum utilisation of available resources
Lead on recruitment and selection initiatives and the subsequent employment and induction of new staff
and contribute to the trust wide workforce development programme.
To monitor and review the needs of the community clusters and prioritise as appropriate using effective
management of resources.
To ensure that off duty rotas are planned appropriately so that the needs of the service can be met and to
manage any resource implication related to this and to inform the line manager.
To keep accurate and up to date records jointly produced with patients, in accordance with the integrated
organisations and NMC policies and guidelines

To undertake regular caseload analysis in order to target health needs, and reduce inequalities in service
To manage complaints promptly according to the Organisations Policy in collaboration with Cluster
Matrons and Head of Service.
Professional Development
Facilitate the learning placement for students on post-initial qualification/advanced learning programmes
identifying appropriate mentors.
Manage all aspects of performance, development and training of staff in line with Trust policies, ensuring
that systems are in place to ensure that all staff within remit have an annual appraisal and personal
development plan and attend annual mandatory refresher training.
To keep self up to date on clinical and professional developments in line with NMC revalidation process
and evidence based practice; to share knowledge with other team members where appropriate.
To actively contribute to and participate in research, screening programmes and audits where appropriate.
To utilise research findings and evidence based practice to inform clinical decision making.
Service and Practice Development
To support staff engagement by encouraging team members to be involved in shaping and influencing
service delivery and ensuring that the contributions and perspectives of all staff are heard, valued and
influence management decision making.
To facilitate the engagement of staff within the ICNT with the Listening into Action process in order to
improve the care provided to our patients.
By effective role modelling promote effective communications within and between teams.
Actively participate in team, cluster, directorate and other relevant meetings, working groups and
Ensure that directorate, professional practice and service developments are implemented efficiently and
effectively within the team.
Actively contribute to developing guidelines, polices and protocols relevant to the delivery of care within
the ICNT. This will include participating in relevant steering groups.
To inform the line manager of any changes in service need and assist where possible to address the
changing need.
To motivate and lead the ICNT in developing a professionally accountable and responsible approach to
work, by acting as an exemplar role model.

Person specification

Education and Qualification

Essential criteria
  • Mentorship Qualification Successful study at 1st degree level
  • Willingness to undertake relevant modules at Masters level. Nurse prescriber Willingness to undertake Independent (V300) prescribing study.
  • Advanced practitioner qualification or Community nursing qualification e.g. DN, HV, Practice nurse


Essential criteria
  • Significant experience working as a qualified District Nurse. HVOP or Community Matron
  • Experience of managing conflict with a team Experience of caseload management
  • Experience managing staff within a team, resources and workload, e.g. effective use of team skill mix, appropriate delegation of patient care, supervision of junior staff
  • Experience identifying learning needs and line management experience or demonstrates the ability to be a line manager

Relevant Knowledge and Awarene

Essential criteria
  • Understanding of current issues, policies and frameworks affecting primary care practice and district nursing i.e. practice based commissioning, community matron and Health care closer to home
  • Understanding of professional and personal accountability and responsibility in line with NMC Code of Professional Conduct.
  • Knowledge of management strategies and leadership styles

Skills, Abilities and Aptitude

Essential criteria
  • Ability to deliver evidence based care that is responsive to the needs of patients and carers and that is negotiated in partnership with service users Ability to carry out concise, comprehensive patient assessments, prescribe appropriate nursing care, delegate implementation of care appropriately, and evaluate outcomes
  • Ability to assess the needs of the caseload and to prioritorise and manage the resources.

Other Factors

Essential criteria
  • Car driver, current UK licence and access to car for work purposes
  • Able to work flexibly including unsocial hours
  • Evidence of having met revalidation requirements

Employer certification / accreditation badges

Trust IDCapital Nurse, LondonListening into Action (LiA)No smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationPositive about disabled peopleImproving working livesAge positiveDisability confident employer

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.

Documents to download

Apply online now

Further details / informal visits contact

Joy Brookes
Job title
Cluster matron
Email address
Telephone number
07870 381468
Additional information