Community Matron Community Response

The Community Matron role within the Integrated Neighbourhood Team, in conjunction with a wide range of clinical colleagues and specifically, GP's, Practice Nurses and Social Care professionals, will lead and facilitate a patient or client focused, co-ordinated case management approach across primary and secondary care for people who are most vulnerable to, and at high risk of repeat admissions to hospital.

Along with using a medical model to assess, diagnose and prescribe for acute medical conditions, the clinician will use a holistic approach to consider methods and interventions to prevent recurrence of problems and complete referrals to appropriate members of the wider multidisciplinary team, attending the INT whiteboard meeting where appropriate, or referring directly to services such as older persons mental health, physiotherapy or occupational therapy.

The instigation of investigations to assist with diagnosis and review of chronic conditions would also be within the clinicians' competencies such as blood tests, ECG and spirometry.

The role will include the provision of strong leadership to the team, including day to day leadership responsibilities, development and creative leadership, responsive leadership, enabling the team to achieve a well led culture.