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Roles in community nursing

Clinical lead / primary care network leads provide team leadership to colleagues and make sure that patients receive a high standard of care. A clinical lead will support clinicians to manage complex clinical caseloads and make sure we provide high quality and safe care for our patients.

Caseload manager supports the management of a designated caseload and makes sure that assessments are performed by a competent practitioner within the nursing team. Care provided varies from routine injectable medication administration to complex end of life Care.

Specialist practitioner district nurses have advanced clinical assessment skills and can prescribe from the nurses’ formulary as non-medical prescribers.

Complex care nurses work with patients to help prevent avoidable hospital admissions.

Community nurses visit housebound patients in their own homes, as well as residential care settings, to provide a comprehensive range of clinical nursing support including wound management, medicines management, end of life care and symptom control.

Nurse associate, registered nursing associates support the provision of holistic, person-centred care and support patients across their lifespan and in a variety of settings.

Apprentice nurse follows the nurse associate and allows experienced health care workers to continue to develop their skills and knowledge.

Associate practitioner can reassess patients and review plans of care but act under direct supervision of a registered nurse

Healthcare assistants can deliver effective, safe and holistic patient centred care providing a range of clinical interventions including wound management and the administration of injectable medications. 

Phlebotomists work as a member of the team and are responsible for taking blood from patients in their own home and care settings under the guidance of the community nursing team.

Health and social care coordinators are responsible for making sure that patients are referred on to the most appropriate health, social and/or voluntary organisations to support them to continue to live well.

Administrators are responsible for providing administrative support for the team, making sure patients, service users, the public and colleagues experience the service as caring, service user focussed, efficient and effective supporting the service user journey.