Job responsibilities
JOB DESCRIPTION
Post
Primary Care Network Advanced Clinical Practitioner - Care Homes
Salary Grade
£50,624 - £56,236.
Reporting to
Accountable to
PCN Care Home Clinical Lead
GP Lead for Care Homes
PURPOSE OF THE ROLE
The post holder, as a qualified Advanced Clinical Practitioner with a digital badge, will support the development and provision of the Enhanced Health in Care Homes service across the Rushcliffe Primary Care Network (PCN) by working closely within a Multi-Disciplinary team and working as an autonomous practitioner:
Support the medical management of care home residents with chronic health conditions, non-acute medical needs and undifferentiated acute presentations through clinical assessment, examination, investigation, diagnosis, care planning, treatment and evaluation of care
Deliver a high standard of patient care with in-depth theoretical knowledge and evidence based practice, working autonomously and with the support and supervision of a GP
Manage a clinical caseload and deal with presenting patient needs within a care home setting
Work within their clinical competencies as agreed with the PCN GP Lead for Care Homes
Contribute to the proactive assessment of new care home admissions using the Comprehensive Geriatric Assessment Framework.
Lead the delivery of weekly care home rounds
Provide clinical leadership and expert professional advice to patients, relatives, carers and colleagues to support the delivery of high quality clinical care
Support the teaching, training and education of PCN and Care Home Staff
Work across organisational boundaries, developing new ways of working to promote relationships between providers and statutory bodies and improve care for people living in long term residential care.
The successful applicant will have an MSc in Advanced Clinical Practice, be a non-medical prescriber and come from a Nursing, Pharmacy, Physiotherapy or Paramedic Background with a digital badge in advanced clinical practice.
MAIN DUTIES AND RESPONSIBILITIES
Working autonomously with accountability for their professional actions, the post holder is responsible for undertaking care home ward rounds to proactively manage the health needs of care home residents within Rushcliffe to make decisions regarding the appropriateness of onward referrals and hold others to account for their delivery of actions.
The post holder will provide first point of contact for care home residents presenting with undifferentiated, long term conditions and undiagnosed problems utilising history taking, physical examinations, problem solving and clinical decision making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable)
Undertake consultations (in person, via video and telephone) for emergency or routine problems including management of long-term conditions.
Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within your scope of competence. Discuss the result and implications of laboratory investigations with patients.
Utilise available diagnostics, plus interpretation, to support diagnosis, treatment, and management plans.
Where required and within skill competence and relevant training, offer specialised support in areas including but not limited to COPD, asthma, diabetes heart failure and anti-coagulation. Additional training will be provided to upskill where needed.
Undertake a Comprehensive Geriatric Assessment on residents new to a care home and following hospital discharge including the prescribing of treatment for patients in care homes with complex illnesses: consulting the wider medical team of GPs and Geriatricians as required.
Provide health/disease promotion and prevention advice to care home residents and their carers/family
- To confidently consult with patients/families/carers to determine the needs of individuals and develop and review care plans to support care including end of life planning and discussions.
Utilise and work within the boundaries of local and national clinical guidelines and promote evidence-based practice.
Deliver integrated patient centred care through appropriate working with the wider primary care network multi-disciplinary team and social care networks
- Working autonomously with accountability for their professional actions, make onward referral to medical specialities for further assessment
- Work within Professional guidelines and code of conduct
Utilise clinical guidelines and promote evidence-based practice, participate in clinical audits, significant event reviews and other research and analysis tasks.
- Utilising the non-medical prescribing qualification, develop their area of expertise in frailty to meet the needs of the care home population and with accountability for their professional actions prescribe and deprescribe medication in line with local and national guidelines
- The post holder is responsible for ensuring that the residents and care home managers within Rushcliffe receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care
- The post holder is responsible for consulting and collaborating with other healthcare professionals and specialists across both primary, secondary, social care and the voluntary care sectors
As a registered Advanced Clinical Practitioner, you will be supported with a GP clinical lead and Partners Health to continually develop ACP skills, in conjunction with the University and Nottingham Training Alliance (NATH)
ADMINISTRATION
Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.
Maintain professional registration with the NMC/HCPC as required to maintain the healthcare professional registration.
Provide evidence of a digital badge in Advanced Clinical Practice
Undertake a fair share of the overall administration associated with clinical practice within primary care.
Involvement in clinical audit as part of new service implementation, quality improvement, patient reviews, QOF and any other audit work undertaken by the PCN Care Home Team and/or PartnersHealth
Show a caring attitude towards patients and show a caring attitude towards patients, have well-developed communication skills to provide treatment plans. And work to a professional code of ethics
Keep up to date with relevant medical research, technology and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.
As an employee of PartnersHealth, working with patients registered with GP practices across the PCN, you will take due diligence and care regarding any information collected, recorded, processed or handled by you during the course of your work and that such information is collected, recorded, processed and handled in compliance with PCN requirements and instructions.
The post holder will be required to travel as part of their duties to other sites in the PCN, and travel expenses will be reimbursed by the employer.
Ensure consultations are documented accurately, clearly and contemporaneously.
Update patient records in accordance with PCN policies and procedures meeting the requirements of professional bodies NMC/HCPC
To undertake research and service development.
Support the teaching, training and education of PCN and Care Home Staff
To ensure observance and adherence to the Health and Safety at Work Act 1974.
To participate in staff meetings, 1-2-1 meetings and the appraisal scheme and undertake training appropriate to the development of the job role and in line with the PCNs statutory obligations.
To work to the agreed standards, policies and procedures and protocols of the PCN and be fully conversant with emergency procedures.
To reflect on own practice individually and/or through regular clinical supervision.
Work with The GP lead and Care Home Team Lead in developing the strategic and operational management of the Enhanced Health in Care Homes Service
The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.
SAFEGUARDING RESPONSIBILITIES
The organisation takes the issues of Safeguarding Children, Adults and addressing domestic violence very seriously. All employees have a responsibility to support the organisation in our duties by:
- Attending mandatory training on Safeguarding children and adults.
- Making sure they are familiar with their and the organisations requirements under relevant legislation.
- Adhering to all relevant national and local policies, procedures, practice guidance (e.g. LSCB Child Protection Procedures and Practice Guidance) and professional codes.
- Reporting any concerns to the appropriate authority.
