Advanced Community Practitioner - Thame ACHT

• Provide skilled, professional assessment of health needs and relevant nursing complex case management
• To proactively case find patients who are very high intensity users of community and primary healthcare and / or are at high risk of unplanned admission to hospital
• To educate and support the members of the multi-disciplinary teams to intensively case manage these patients.
• To intensively case manage their own caseload of patients with highly complex and unstable health needs
• Develop systems and processes to support intensive case management within the multi-disciplinary team and with partners across the health system.
• To work with and refer appropriately to other agencies to enable identified patients to be intensively managed in a pro-active way with the aim of preventing hospital admission, supporting early discharge and reduce GP contact.

• As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.
• We offer flexible and agile workingopportunities,alongside your NHS benefits ofgenerous annual leave entitlement, pension andaccess toNHS discount schemes.
• We provide a range of health and wellbeing services to promote a healthy, happy workforce.

• We're committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
• As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
• Greater diversity withinourBHT familyimprovespositive outcomes for the people and communities we serve.
• A keen supporter of the Armed Forces Community who know the value of employing a service leaver/veteran and their families.

• Our vision is to provide outstanding care, support healthy communities and be a great place to work.
• Our mission is to provide personal and compassionate care every time.
• Our care values are collaborate, aspire, respect and enable.

Essential

• Educated to Degree level or equivalent competencies in health related subjects
• Level 1 Registered Nurse
• Recognised teaching or mentorship qualification equivalent to level 3
• District Nursing SPQ
• Relevant post graduate clinical training e.g. Elderly, Long Term Conditions, Respiratory Disease, Cardiac Disease, Dementia, Rehabilitation, Trauma and Orthopaedics and End of Life

Essential

• Experience of working as advanced clinical practitioner/ case management long terms conditions Complex Case manager
• Medicines management at a senior level
• Supporting self-care and enabling independence
• Professional practice and leadership
• Managing care at the end of life
• Experience of interagency and partnership working
• Developing highly specialised programmes of care, providing advice concerning treatment of patients
• Professional practice and leadership
• Managing care at end of life Experience of inter-agency and partnership working

Essential

• Highly specialist knowledge in managing patients in the community with complex medical needs, long term/chronic disease management and palliative care
• Highly developed professional knowledge base, supported by educational development and different work environments
• Knowledge of current political drivers, health and social care issues
• Specialist knowledge of governance and risk strategies and their application in a community setting
• Highly developed general management practice, including organisational performance management, finance, human resources and equality and diversity
• Highly specialist clinical and technical skills in managing long term conditions / end of life care
• Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and the public
• Excellent written and verbal communication skills Strong IT skills - including Excel and PowerPoint
• Good presentation skills /public speaking
• Ability to plan and manage resources within allocated budget effectively
• Ability to work autonomously without supervision Ability to meet deadlines and work under pressure
• Ability to adapt to the demands of a constantly changing environment
• Patient Focused Responsive and flexible innovative approach to improving patient experience Promotes service improvement
• Maximising Value Seeks opportunity to provide medium - long term value Addresses inefficiencies quickly Evaluates and streamlines ways of working
• Achieving Results Proactive, solutions focused attitude Focuses self and team to deliver results Provides clear goals and objectives Takes responsibility for resolving problems
• Inspirational Leadership Makes things happen Motivates and nurtures talent Celebrates success Manages underperformance Promotes continuous learning
• Working Together Promotes cohesion and team working Works collaboratively with teams within the Trust and across the Local Health Economy Resolves conflict effectively Assertive, honest and open