Nursing Associate – Proactive Care

Job overview

We are looking for a Registered Nursing Associate (RNA) to join the Haringey Multi‑Agency Care and Coordination Team (MACCT) who is passionate about integrated community care and supporting frail and complex patients. You will work closely with GPs, Physiotherapists, Social Workers, Pharmacists, Occupational Therapists, Community Matrons, Trusted Assessors, Mental Health Practitioners, Dementia Navigators, and the administrative team.

In this role you will undertake activities beyond traditional RNA duties, adopting shared competencies across the multidisciplinary team (MDT) in line with the Multi-Agency Care and Coordination Team (MACCT) model. You will be supported to develop advanced skills in frailty, proactive case finding, pressure ulcer care and medication management where needed, continence and holistic assessment.

Main duties of the job

You will work as a core member of the Multi‑Agency Care and Coordination Team (MACCT), delivering proactive, holistic, person‑centred care for adults (18+) in Haringey who are living with frailty, complex needs, or are at high risk of unplanned hospital admission.

You will undertake delegated and competency‑based tasks from:

• Community Matrons (CM)
• Associate Community Matrons (ACM)
• Occupational Therapists (OT)
• Physiotherapists (PT)
• Social Worker (SW)
• Pharmacists
• Other MDT clinicians

You will be allocated a caseload by the Community Matron/Associate Community Matron undertaking holistic assessments, planning and prioritising workload, implementing evidence‑based interventions, and evaluating outcomes.

Following successful completion of the frailty induction process, you will:

• Undertake frailty assessments and coordinate care
• Present patients at multi-disciplinary meetings (MDT)
• Initiate referrals within competence
• Escalate emerging risks promptly

Working for our organisation

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Detailed job description and main responsibilities

Undertake follow up assessments for patients previously reviewed by senior clinicians (see above).

Complete actions identified during Comprehensive Geriatric Assessment, initiating internal/external referrals within competencies.

Undertake frailty assessments following frailty induction and competence signed off by supervisor.

Present patients at MDT meetings and acts as a care coordinator, when deemed appropriate.

Escalate changes, emerging risks, or concerns promptly.

Manage an allocated caseload independently within competence.

Reassess patients holistically and escalate concerns via internal pathways,

Work collaboratively with GPs, Physiotherapists, Social Workers, Pharmacists, Occupational Therapists, Community Matrons, Trusted, Mental Health Practitioners, Dementia Navigators, and the administrative team.

Act in the best interests of patients and service users to promote and prevent ill health and contribute to their integrated care.

Monitor the condition and health needs of patients and service users on a continual basis in partnership with colleagues, families and carers, referring to others for reassessment, when required.

Actively contribute to an effective learning environment and support others in their learning.

Recognise and adhere to the Nursing and Midwifery Code of Conduct for Nurses, Midwives and Nursing Associates and work within their scope of practice following the professional standards of practice and behaviours for nurses, midwives and nursing associates and the standards of proficiency.

Please see attached job description for full details.

Person specification

Education & Qualifications

Essential criteria

• Registered Nursing Associate on the NMC register
• GCSE Grade A-C in Maths & English or skills level 2

Desirable criteria

• Study/Training evidenced for Frailty, Older Adults, Self-Management

Skiills & Abilities

Essential criteria

• Ability to identify and escalate clinical concerns and risks appropriately and promptly
• Ability to communicate effectively (verbal and nonverbal communication) with patients/relatives and carers and all members of the multi-disciplinary team.
• Ability to communicate effectively in writing
• Ability to function well under pressure by prioritising and planning workload

Knowledge & Experience

Essential criteria

• Experience of working under appropriate supervision as part of a multi-disciplinary team
• Ability to work effectively as part of a multidisciplinary team (MDT) and contribute to collaborative care planning.
• Able to recognise importance of and demonstrate Whittington Health's ICARE values

Desirable criteria

• Acute or community clinical experience/Frailty experience
• Experience of multi-agency working across health, social care and voluntary-sector services.

SAFEGUARDING CHILDREN AND ADULTS

To comply with the Trust’s Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:

• Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people.
• Ensure you are familiar and comply with the London Multi Agency Safeguarding Vulnerable Adults Pan London Procedures.
• Ensure you are familiar and comply with local protocols and systems for information sharing.
• Know the appropriate contact numbers and required reporting lines.
• Participate in required training and supervision.
• Comply with required professional boundaries and codes of conduct

Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.