NATIONAL PROFILES FOR COMMUNITY NURSING CONTENTS

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1 NATIONAL PROFILES FOR COMMUNITY NURSING CONTENTS Profile Title AfC banding Page Clinical Support Worker Nursing (Community) 2 2 Clinical Support Worker Higher Level Nursing (Community) 3 5 Nurse Associate Practitioner (Community) 4 3 Nurse Associate Practitioner (Mental Health) 4 4 Nursery Nurse (Community) 4 6 Nurse (Community) 5 Nurse (GP Practice) 5 2 Nurse (Schools) 5 7 Nurse (Learning Disabilities) 5 8 Nurse Team Leader (Learning Disabilities) 6 9 Nurse Specialist (Learning Disabilities) 6 0 Nurse Specialist (Community) 6 3 Nurse Specialist (GP Practice) 6 5 Nurse Specialist (Schools) 6 7 Nurse Specialist (Special Schools) 6 4 Nurse Specialist Mental Health (Community) 6 6 Nurse Team Manager (Mental Health, Community) 7 9 Nurse Team Manager (Schools) 7 8 Nurse Team Manager (Learning Disabilities) 7 20 Nurse Advanced (schools) 7 2 Nurse Team Manager (Community)** 7 22 Modern Matron Community* 8a 23 * New in October 2006 ** Nurse Team Manager (Community) profile has been revised in the light of recommendations made by the JEG Consistency Monitoring Group, when concerns were expressed that inappropriate matching had been taking place in some sites in respect of jobs that had little or no formal managerial (as opposed to supervisory) responsibility. Profile Group have moved the job statement relating to managerial responsibility to the forefront and deleted level 3 for the HR factor, which is now a level 4 only. It is recommended that sites revisit matched outcomes to this profile to ensure they are correct.

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3 Profile Label: Nurse Associate Practitioner (Community) Job Statement:. Implements care for patients in the community and other settings; observes patient condition and reports to qualified nurse 2. Carries out nursing procedures e.g. re-catheterisation, re-dressing wounds, blood sugar levels, takes blood samples, administers injections Factor Relevant Job Information JE level. Communication & Communicate complex or sensitive information, barriers to 4(a) Relationship Skills understanding Communicates condition related information to patients & relatives: 2. Knowledge, Training & Experience provides empathy, reassurance Range of procedures and practices, majority non-routine, theoretical knowledge to diploma level equivalent Knowledge of nursing procedures and practices; acquired through NVQ3 plus additional training to diploma level equivalent, or equivalent through short courses, experience 3. Analytical & Facts or situations, some requiring analysis Judgemental Skills Skills for deciding e.g. whether to redress wound 4. Planning & Straightforward activities, some going Organisational Skills Organises own workload, prioritises patient visits 5. Physical Skills Highly developed physical skills, accuracy important, manipulation of fine tools Dexterity, co-ordination for taking blood samples 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources Implement programmes of care Implements nursing care programmes, including providing advice Follow policies, may comment on proposals for change May comment on proposed changes to policies Personal duty of care in relation to resources; maintain stock control Safe use of equipment; orders supplies, equipment Demonstrate own duties May demonstrate own duties to less experienced staff Record personally generated information Updates patient records Occasionally undertakes R&D, clinical trials 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development May participate in R&D, clinical trials 2. Freedom to Act Standard operating procedures, someone available for reference Follows procedures and treatment plans, may work alone, supervision available. 3. Physical Effort Occasional/frequent moderate/intense effort for several short periods Moving patients, lifting equipment 4. Mental Effort Frequent concentration, predictable pattern Concentration on patient treatment, care plans, works to schedule of visits 5. Emotional Effort Occasional, frequent exposure to distressing/highly distressing circumstances Supports patients requiring palliative care, families/ care of terminally ill (b) 4(a) - 2(c) 2 2(a)/ 3(c)/ 4(c) 2(a) 6. Working Conditions Frequent highly unpleasant conditions 4(b) Body fluids, wounds JE Score/Band JE Score Band (b) Page 3 of 22

4 Profile Label: Nurse Associate Practitioner (Mental Health) Job Statement:. Implements care for patients in range of mental health settings; observes and reports on patient/client condition 2. Carries out nursing care programmes e.g. encourages leisure and social activities, participates in therapeutic interventions, may administer injections Factor Relevant Job Information JE level. Communication & Relationship Skills Communicate complex or sensitive information, barriers to nderstanding Communicates condition related information to patients & relatives: provides 4(a) 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills empathy, reassurance Range of procedures and practices, majority non-routine, theoretical knowledge to diploma level equivalent Knowledge of nursing procedures and practices; acquired through NVQ3 plus additional training to diploma level equivalent, or equivalent through short courses, experience Facts or situations requiring analysis, comparison of range of options Assessment of client s ability to undertake activities, dealing with potential conflict of interest situations 4. Planning & Straightforward activities, some ongoing Organisational Skills Organises own workload, services to support clients 5. Physical Skills Skills obtained through practice/ developed skills, accuracy important, manipulation of objects or people; highly developed skills, accuracy important, manipulation of fine tools Driving skills, breakaway skills, intramuscular injections/ restraint; venepuncture 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development Implement programmes of care; provide clinical advice Implements nursing care programmes; provides advice Follow policies, may comment on proposals for change May comment on proposed changes to policies Personal duty of care in relation to resources/ regularly handle cash; maintain stock control Safe use of equipment; administers client cash; orders supplies, equipment Demonstrate own duties May demonstrate own duties to less experienced staff Record personally generated information Updates patient/client records Occasionally undertakes R&D, clinical trials May participate in R&D, clinical trials 2. Freedom to Act Standard operating procedures, someone available for reference Follows procedures and treatment plans, may work alone, supervision available (a) (b) 4(a)(c) - 2(a)(c) 3. Physical Effort Occasional/frequent moderate effort for several short periods Participating in client activities; manoeuvring patients 2(a)/ 3(c) 4. Mental Effort Frequent concentration, predictable pattern 2(a) Concentration on patient treatment, care plans, works to schedule of visits 5. Emotional Effort Occasional, frequent exposure to highly distressing circumstances Severely challenging behaviour 3(b)- 4 (b) 6. Working Conditions Frequent unpleasant conditions/ some exposure to hazards Body odours, verbal aggression; physical aggression 3(a)- 4(a) JE Score/Band JE Score Band 4 2 Page 4 of 22

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8 Profile label Nurse (Learning Disabilities) Job Statement:. Assesses care needs, implements and monitors care plans, administers medication, provides advice for patients/clients with Learning Disabilities. 2. Carries out nursing procedures to support and care for clients with Learning Disability 3. Provides clinical supervision to other staff, students Factor Relevant Job Information JE Level. Communication & Provide and receive complex, sensitive information; barriers to 4a Relationship Skills understanding Communicates with clients and relatives to explain clinical issues and daily living procedures, use of special communication techniques e.g. sign language for clients with communication difficulties. 2. Knowledge, Training & Specialist knowledge across range of procedures underpinned by theory 5 Experience 3. Analytical & Judgmental Skills Professional /clinical knowledge to degree/diploma level or equivalent Complex facts or situations requiring analysis, interpretation, comparison of a range of options. Assessment of client needs and condition 4. Planning & Organisational Plan and organise straightforward activities, some ongoing Skills Plans daily clinical provision and daily living skills for clients. 5. Physical Skills Developed physical skills; manipulation of objects, people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques 6. Responsibility for Patient/Client Care 7.Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development Develop programmes of care/care packages; Provide specialised advice in relation to care Assesses patient needs and implements programmes of care; provides advice to clients, carers Follow policies in own role, may be required to comment Professionally responsible for adherence to clinical policies and procedures Personal duty of care in relation to equipment, resources / handle cash, valuables; maintain stock control; authorised signatory, small payments Personal duty of care /handles patient valuables; orders supplies when necessary; signs agency time sheets Day to day co-ordination of staff; Professional /clinical supervision Day to day supervision, clinical supervision; allocates work to support staff & students Record personally generated information Records personally generated observations and updates client records Undertake surveys or audits, as necessary to own work/ regularly undertake R&D activity; clinical trials Undertakes surveys or audits as necessary/ undertakes R&D; clinical trials 2. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised Works within codes of practice & professional guidelines, manager is available for guidance if required 3. Physical Effort Frequent sitting or standing in a restricted position / Frequent moderate effort for several short periods Walks, stands for most of shift/ Moving patients for treatment or personal care, use of hoists/ Manoeuvres patients without mechanical aides 4. Mental Effort Frequent concentration; work pattern predictable/ unpredictable Concentration for client assessment & observation, ward rounds, team discussions/ interruptions to attend client needs (a)(b) 5(a) (c) / 2(a) (c) (d) 2(a) (b) 3 2(a) 2(a) - 3(c) 4(b) 2 (a)-3(a) 5. Emotional Effort Frequent distressing or emotional circumstances 3(a) Deals with client anxieties, challenging behaviours from distressed clients 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions Verbal aggression/ body fluids 3(a)(b)- 4(b) JE Score/Band JE Score Band 5 Page 8 of 22

9 Profile label Nurse Team Leader (Learning Disabilities) Job Statement:. Assesses care needs, implements and monitors care plans, administers medication, provides advice in specialist area for patients/clients with Learning Disabilities. 2. Forms a supportive relationship with Learning Disability clients to facilitate care 3. Initiates and promotes practice development 4. Supervises and allocates staff, co-ordination of staff duty rotas, clinical leadership; may manage staff in absence of team manager. Factor Relevant Job Information JE Level. Communication & Relationship Skills Provide and receive complex, sensitive information; barriers to understanding/ hostile, antagonistic or emotive atmosphere Communicates with clients and relatives to explain clinical issues & daily living procedures/ use of special communication techniques eg uses de-escalation 4a-5c 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills 4. Planning & Organisational Skills techniques when dealing with clients with learning disabilities Specialist knowledge across range of procedures underpinned by theory Professional knowledge to degree level or equivalent, plus diploma level training or equivalent in specialist area and experience Complex facts or situations requiring analysis, interpretation, comparison of a range of options. Assessment of client need and condition, determines appropriate response when dealing with clients with learning disabilities. Plan and organise straightforward activities, some ongoing Plans daily clinical provision and training for clients on daily living skills, staff education and rostering. 5. Physical Skills Developed physical skills, manipulation of objects, people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques 6. Responsibility for Patient/Client Care 7.Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development Develop programmes of care/ care packages; provide specialised advice in relation to client care Assesses patient needs and implements programmes of care; provides advice to clients, carers Implement policies and propose changes to practices, procedures for own area Implements, comments and proposes changes for policies for own work area Personal duty of care in relation to equipment, resources/handle cash, valuables; Maintain stock control Personal duty of care/safekeeping of clients cash and valuables; Ordering and the safe storage of medications Day to day co-ordination of staff; Professional /clinical supervision; Provide training in own discipline / Day to day management Day to day supervision, clinical supervision and practical training/ Day to day management Record personally generated information Records personally generated observations and updates client records Undertake surveys or audits, as necessary to own work/ regularly undertakes R&D; clinical trials Undertakes surveys or audits as necessary / undertakes research, clinical trials, lead clinical audit in own area 2. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised/broad occupational policy Work is managed, manager is available for guidance if required/leads team 3. Physical Effort Frequent sitting or standing in a restricted position / Frequent moderate effort for several short periods Walks, stands for most of shift/ Moving patients for treatment or personal care, use of hoists 4. Mental Effort Frequent concentration; work pattern predictable; /Frequent concentration; work pattern unpredictable Concentration for patient assessment & observation, ward rounds, team discussions; interruptions to attend client needs; deals with staff issues (a)(b) 5(a) 2 /2(a) (c) 2abc 3(a) -2 (a) (b) 3/ 4 2(a) - 3(c) 2 (a)/3 (a) 5. Emotional Effort Occasional/ frequent distressing or emotional circumstances 2(a)-3(a) Deals with client anxieties, challenging behaviours from distressed clients 6. Working Conditions Frequent unpleasant, occasional highly unpleasant conditions 3(a)(b)) Verbal aggression/ body fluids JE Score/Band JE Score Band 6 Page 9 of 22

10 Profile label Nurse Specialist (Learning Disabilities) Job Statement:. Assesses care needs, implements and monitors care plans, administers medication, provides advice in specialist area e.g. paediatrics, adolescents, adults for patients/clients with Learning Disabilities. 2. Forms a supportive relationship with Learning Disability clients to facilitate care 3. Initiates and promotes practice development 4. Provides clinical supervision to other staff, students Factor Relevant Job Information JE Level. Communication & Relationship Skills Provide and receive complex, sensitive information; barriers to understanding/ hostile, antagonistic or highly emotive atmosphere Communicates with clients and relatives to explain clinical issues and daily living procedures/ use of special communication techniques e.g. uses de-escalation techniques when dealing with clients who may be 4a-5c 2. Knowledge, Training & Experience 3. Analytical & Judgmental Skills hostile, antagonistic Specialist knowledge across range of procedures underpinned by theory Professional knowledge to degree level or equivalent, plus diploma level training or equivalent in specialist area and experience. Complex facts or situations requiring analysis, interpretation, comparison of a range of options. Assessment of specialist client need and condition, determining appropriate response when dealing with clients with learning disabilities 4. Planning & Organisational Plan and organise straightforward activities, some ongoing Skills Plans daily clinical provision and daily living skills for clients 5. Physical Skills Developed physical skills, manipulation of objects or people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques 6. Responsibility for Patient/Client Care 7.Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources Develop specialised programmes of care/ care packages Assesses patient needs and implements specialist programmes of care Implement policies and propose changes to practices, procedures for own area Implements, comments and proposes changes for policies for own work area Personal duty of care in relation to equipment, resources/ Handle cash, valuables; Maintain stock control Personal duty of care/safekeeping of clients cash and valuables; Ordering and the safe storage of medications Day to day supervision, co-ordination of staff; Professional /clinical supervision Day to day supervision, allocates work to support staff & students; clinical supervision. 0. Responsibility for Record personally generated information Information Resources Records personally generated observations and updates client records. Responsibility for Undertake surveys or audits, as necessary to own work Research & Development Undertakes surveys or audits as necessary 2. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised/broad occupational policies Work is managed, manager is available for guidance if required/lead specialist for own area 3. Physical Effort Frequent sitting or standing in a restricted position / Frequent moderate effort for several short periods Walks, stands for most of shift/ Moving patients for treatment or personal care, use of hoists 4. Mental Effort Frequent concentration; work pattern predictable; Occasional concentration; work pattern unpredictable Concentration for patient assessment & observation, ward rounds, team discussions; Occasional interruptions to attend client needs. 5. Emotional Effort Occasional/ frequent distressing or emotional circumstances Deals with client anxieties, challenging behaviours from distressed clients 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions Verbal aggression/ body fluids (a)(b) 6(a) 2-2(a) (c) 2(a) (b) 3/4 2(a) - 3(c) 2 (a)-3(a) 2(a)-3(a) 3(a)(b)-4(b) JE Score/Band JE Score Band 6 Page 0 of 22

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20 Profile label Nurse Team Manager (Learning Disabilities) Job Statement:. Leads nursing services for patients with learning disabilities, collaborates with social services, educational, & voluntary sector staff 2. Assesses specialist care needs, implements and monitors care plans, administers medication, provides specialist advice. 3. Leads practice development and trains learning disability staff, patients and carers. 4. Manages team resources and staff. Factor Relevant Job Information JE Level. Communication & Relationship Skills 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills 4. Planning & Organisational Skills Provide and receive complex, sensitive information, barriers to understanding/ hostile, antagonistic or highly emotive atmosphere Communicates sensitive information with patients, carers & relatives to explain and discuss clinical issues and treatments/ uses de-escalation techniques for dealing with clients with learning disabilities who may be hostile or antagonistic Specialist knowledge across range of procedures underpinned by theory Professional knowledge to degree level or equivalent plus training and experience in clinical leadership & management to diploma level equivalent Complex facts or situations, requiring analysis, interpretation, comparison of range of options Assessment of patient needs and condition, determines appropriate response when dealing with clients with learning disabilities, staffing issues Plan and organise complex activities, programmes, requiring formulation, adjustment Plans delivery of specialist nursing care, allocation and deployment of staff, coordinates multi agency activities 5. Physical Skills Developed physical skills, manipulation of objects or people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques 6. Responsibility for Patient/Client Care 7.Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development Develop programmes of care/care packages/develop specialised programmes of care/ care packages Assesses patient needs, implements care programmes/ implements specialist programmes of care for learning disabilities Propose policy or service changes, impact beyond own area Participates in working groups to develop new policies for learning disability services which impact beyond own work area Authorised signatory; hold delegated budget/ budget holder for department, service Authorises overtime for nursing and support staff; holds delegated budget/ holds budget Day to day management / Line manager for single function or department Manages Learning Disability staff / Line manager Record personally generated information Records personally generated observations and updates client records Undertake surveys or audits, as necessary to own work/ regularly undertakes R&D; clinical trials Undertakes surveys or audits as necessary / undertakes research, clinical trials, lead clinical audit in own area 2. Freedom to Act Broad occupational policies Accountable for own professional action; leads in own area 3. Physical Effort Occasional moderate effort for several short periods Occasional manoeuvring patients for treatment or personal care 4. Mental Effort Frequent concentration; work pattern unpredictable Concentration for patient assessment and observation, interruptions to deal with staff issues 4a 5c (a)(b) 5 (a)/6(a) 3 3(a) (d) - 4(a) 3(a) 4(a) -2 (a) (b) 5. Emotional Effort Frequent distressing or emotional circumstances 3(a) Deals with client anxieties, challenging behaviours from distressed clients 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions Verbal aggression/ body fluids 3(a)(b)- 4(b) JE Score/Band JE Score Band 7 4 2(d) 3 (a) Page 20 of 22

21 PROFILE LABEL: NURSE ADVANCED (SCHOOLS) JOB STATEMENT:. Develops, plans and implements specialised programmes of health and education for school age children, e.g. sex education, health promotion. 2. Provides advice in specialist area to teachers and other field workers 3. Contributes to the development of policies in the specialist area 4. Undertakes research in specialist area Factor Relevant Job Information JE Level. Communication & Relationship skills Provide and receive complex information; barriers to understanding; persuasive, motivational, negotiating, training skills are required/ present complex, sensitive information to large group Communicates condition related information to children, parents & carers/ presentations 4(a)-5(b) 2. Knowledge, Training & Experience 3. Analytical & Judgement skills 4. Planning & Organisational skills to groups on sensitive issues Highly developed specialist knowledge across range of procedures underpinned by theory and practice Professional knowledge acquired through degree/ diploma supplemented by post graduate diploma specialist training, experience, short courses plus further specialist training to master s equivalent level Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for development of specialised programmes Plan and organise complex activities or programmes, requiring formulation, adjustment Plans specialised health education programmes; co-ordinates multi-disciplinary group in specialist area 5. Physical Skills Physical skills obtained through practice Dexterity co-ordination for driving, immunisation 6. Responsibility for Patient/client care 7. Responsibility for Policy/Service development 8. Responsibility for financial and physical resources 9. Responsibility for Human Resources Develop specialised programmes of care, care packages; provide highly specialised advice in relation to care Develops, plans, implements specialised health and education programmes; advice to school age children, teachers, carers Implement policies and proposes changes to practices, impact beyond own area Contributes to development of specialist protocols with impact on other disciplines Maintain stock control Orders specialist supplies Clinical supervision; provide training in own discipline/ provide specialist training Supervises School Nurses and other students, trainees; provides training to teachers, school staff/ provides specialist training to teachers, school nurses Record personally generated information Updates client records Regularly undertake R&D activity; clinical trials Undertakes R&D activity, carries out specialist surveys, clinical trials (a)(c) 3 2(c) 2(b)(c)-3(c) 0. Responsibility for Information Resources. Responsibility for 2(a)(b) Research & Development 2. Freedom to act Broad occupational policies 4 Accountable for own professional actions; lead specialist 3. Physical effort Occasional light effort for several short periods Some lifting e.g. training equipment 4. Mental effort Frequent concentration, work pattern predictable 2(a) Concentration on reports, meetings, data analysis 5. Emotional effort Occasional/frequent distressing situations 2(a)-3(a) Challenging behaviour from school pupils, teenage pregnancies 6. Working conditions Occasional/frequent unpleasant; occasional highly unpleasant conditions 2(a)-3(a) (b) Verbal aggression; lice, body fluids JE Score/Band JE Score Band 7 Page 2 of 22

22 Profile Label: Nurse Team Manager (Community) Current Job Tiles: District Nursing Sister (Team Manager) Job Statement:. Manages team of community nurse specialists and other staff covering a geographical area, including recruitment, appraisal 2. Assesses patients, plans & implements care; maintains associated records 3. Carries out nursing procedures Factor Relevant Job Information JE Level. Communication & Relationship Skills Provide & receive complex, sensitive information; barriers to understanding Communicates sensitive information concerning patient s medical condition, requires persuasive, reassurance skills; some patients have 4 (a) 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills 4. Planning & Organisational Skills special needs/learning disabilities. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree supplemented by diploma level specialist training, experience, short courses.2 Complex facts & situations requiring analysis, interpretation, comparison of range of options Skills for assessing & interpreting acute & other patient, client conditions, appropriate action Plan and organise complex activities or programmes, requiring formulation, adjustment Organises team workload, staff meetings, rotas, adjusts as necessary; co-ordinates activities with other professionals & agencies 5. Physical Skills Highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for e.g. intravenous injections, syringe pumps and infusions, insertion of catheters, removal of sutures 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 0. Responsibility for Information Resources. Responsibility for Research & Development.3 Accountable for direct delivery of a sub-division of a clinical, clinical technical or social care service Responsible for delivery of district nursing service for a geographical area Propose policy or service changes, impact beyond own area Responsible for policies for area, impact on other services Authorised signatory; hold delegated budget Authorises payments for supplies & expenses; manages budget for service for area 2. Line manager for a single function or department Line manager for team Record personally generated information Maintains patient/ client records Undertake surveys or audits, as necessary to own work/ regularly undertake R&D activity; clinical trials Undertakes R&D activity, clinical trials 2. Freedom to Act 2. Broad occupational policies Manages a team of nurses in the community 3. Physical Effort Occasional moderate effort for several short periods Manoeuvres patients, moves equipment 4. Mental Effort Frequent concentration, work pattern unpredictable Concentration on patient assessments, scheduling team workload, deals with urgent issues (b) 6(d) 3 3(a) (d) 4(a) -2 (a) (b) 5. Emotional Effort Occasional exposure to distressing or emotional circumstances 2(a) Cares for terminally ill patients 6. Working Occasional/ frequent highly unpleasant conditions 3(b)- 4(b) Conditions Body fluids JE Score/Band JE Score: Band 7 4 2(d) 3(a) Page 22 of 22

23 Profile Label: Job Statement: Modern Matron Community. Manages and provides leadership for managers, specialist nurses/midwives and other staff in a primary care setting 2. Ensures patient/client/carer involvement in development of services and promotes better health, social care and medicines management 3. Provides specialist education and training to other staff 4. Maintains compliance with, and development of, policies, procedures and guidelines, including case management; co-ordinates care in a community setting Factor Relevant Job Information JE Level JE Score. Communication & Relationship skills Provide and receive highly complex, sensitive or contentious information; barriers to understanding; present complex, sensitive or contentious information to large groups Communicates service-related information to senior managers, staff, patients, carers, external agencies: requires negotiating, persuasive, motivational, 5(a) (b) Knowledge, Training & Experience 3. Analytical & Judgement skills 4. Planning & Organisational skills reassurance skills; gives formal presentations Highly developed specialist knowledge, underpinned by theory and experience Professional knowledge acquired through degree/diploma supplemented by knowledge of community care management acquired through specialist training, or equivalent community experience, short courses to master s level equivalent Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for analysis of service, patient /client, organisational and case management issues Plan and organise broad range of complex activities, formulates, adjusts plans or strategies Planning of care co-ordination strategies which impact across the service and sector 5. Physical Skills Physical skills obtained through practice; developed physical skills; use of tools/ equipment; highly developed physical skills, accuracy important; manipulation of fine tools or materials Driving, keyboard skills/ skills needing accuracy and/ or speed required for relevant professional practice e.g. IV cannulations, injections 6. Responsibility for Patient/client care 7. Responsibility for Policy/Service development 8. Responsibility for financial and physical resources 9. Responsibility for Human Resources Provide highly specialised advice concerning care; accountable for delivery of subdivision of service Delivers highly specialised case management advice to the multi disciplinary team across sectors; accountable for service delivery Responsible for policy implementation & development of a service Develops and implements integrated care policies across primary and acute settings Authorised signatory for financial payments; responsible for the purchase of some physical assets; monitors financial assets Signs off expenses; orders supplies; oversees management of budget Line manager for a single function or department; responsible for the delivery of training and development programmes Manages own staff, including recruitment, development, performance; devises training packages and teaches other groups of staff. 0. Responsibility for Record personally generated information Information Resources Updates patient/client records. Responsibility for Undertake surveys or audits, as necessary to own work; equipment research & testing development Undertakes audits of complaints, clinical incidents; trials of equipment 2. Freedom to act General policies, need to establish interpretation Responsible for establishing how policies should be interpreted 3. Physical effort Combination of sitting, standing, walking/frequent light effort for short periods; occasional moderate effort for several short periods Light physical effort/effort required for carrying out clinical duties 4. Mental effort Frequent concentration, work pattern unpredictable Concentration for writing reports, meetings, patient/client assessment, interruptions to deal with service issues 5. Emotional effort Frequent distressing/occasional highly distressing or emotional circumstances Care of the terminally ill, conveys unwelcome news/unexpected deaths 6. Working conditions Occasional /frequent unpleasant; occasional highly unpleasant exposure to unpleasant conditions Conditions related to clinical duties (a) (b) 6(c) (d) (a) (b) (c) 2 4(a) (b) (b)(d) 3-7 3(a) 2 3(a)-(b) 8 2(a)-3(a) (b) JE Score/Band Band 8A Page 23 of 23 Published October 2006

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