Enhanced Practice Nurse (Frailty )

Job responsibilities

Key duties and responsibilities

To assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the primary care team.

To manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

To use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

To actively take a personalised care approach and population centered care approach to enable shared decision making with the presenting person.

To complete the relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

To provide specialised clinical knowledge to assess patients, order and interpret diagnostics and initiate treatment.

To provide skilled team leadership to clinicians within the wider Multidisciplinary team.

To provide a high level of clinical expertise.

To support and undertake audit, research projects, and recommend changes in practice within specialist clinical area.

The post holder is an autonomous practitioner who will manage a caseload of patients, using evidence-based practice/patient focused principles to assess, plan, implement and evaluate interventions.

To ensure Shared Decision Making (SDM) is embedded within the service and evidenced.

To communicate appropriate complex information effectively to patients and/or carers where there may be barriers to understanding.

To inform them of the benefits and risks of suggested treatment options and to undertake this with groups or individuals.

To demonstrate a sound reasoning of clinical governance, clinical risk and to demonstrate the use of treatment plans with an evidence-based link.

To use advanced clinical reasoning skills enabling formal supervision, specialist support and advice for the AARS roles on a regular basis and be available to advise other staff on the management of complex patients as appropriate, in area of specialist expertise.

Building capacity through effective leadership

To provide clinical leadership to the AARS team, provide 1:1 and carry out appraisal and training plans when needed.

Management of workload and personal development

Act on own initiative in prioritising and managing workload, delegating tasks appropriately and referring to MDT Members in respect of clinical, managerial, and administrative areas, as necessary.

Enrolled into review and appraisal systems within the PCN.

Maintain your own personal and professional development as agreed at your annual review.

Manage own time, workload, and resources effectively.

Collaborative Working Relationships

Recognises the roles of other colleagues within the organisation and their role to patient care.

Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations)

Demonstrates the ability to work as a member of a team.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Actively work toward developing and maintaining effective working relationships both within and outside the PCN and locality

Foster and maintain strong links with all services across the locality.

Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.

Education, Training and Development:

Attending training and events organised by the Practices/PCN or other agencies, where appropriate.

Participate positively and actively in clinical and Practice/PCN meetings.

Understands and demonstrates the characteristics of a role model to members in the team and/or service.

Demonstrates understanding of the mentorship process.

Participate in the delivery of formal education programmes when needed.

Ensures appropriate clinical supervision is in place to support development.

published procedures. This will include (but will not be limited to):

Contribution to the implementation of services:

The post-holder will:

• Apply practices/PCN policies, standards, and guidance.
• Discuss with other team members how policies, standards and guidelines will affect own work.
• Undertaken any additional duties appropriate to the post as requested by the Partners/Practice Manager/PCN Manager and Clinical Director.

Respect for Patient Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

The post-holder should always respect patient confidentiality and not divulge patient information unless sanctioned by the requirements of the role.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the Practice/PCN policies and procedures relating to confidentiality and the protection of personal and sensitive data.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with patients and carers.

Recognise peoples needs for alternative methods of communication and respond accordingly.

Safeguarding Children and Vulnerable adults

The PCN is committed to safeguarding children, young people, and vulnerable adults within its care. As an employee you are accountable to ensure that you know how to respond when you are concerned for the safety of a child, young person, or vulnerable adult. The PCN will support you in this process by providing training, support, and advice. There is a safeguarding team for children and young people and leads for vulnerable adults, who can be contacted for guidance in each practice who provide safeguarding supervision. For children you should be aware of your responsibilities detailed in the 4 Local Safeguarding Children Boards Child Protection Procedures and for vulnerable adults in the Safeguarding Adults Policy.

All employees have a duty to safeguard and promote the welfare of children and adults and are required to act in such a way that always safeguards their health and wellbeing. Familiarisation with and adherence to national and local safeguarding adults and childrens policies is an essential requirement upon all employees.

Staff are also required to participate in related mandatory/statutory training and to ensure that they undertake this to a level appropriate to their role.

Special Working Conditions

The post-holder is required to travel independently between practice sites (and other locations such as the vaccination centres, care homes and home visits), and to attend meetings etc. hosted by other agencies.

The post-holder will have contact with body fluids i.e., wound exudates while in clinical practice.

To be prepared to work flexibly, including evenings, bank holidays and weekends if requiredin line with Working Time Regulations 1998 regarding rest breaks, maximum weekly working hours, and paid leave.

Qualifications

Essential

• Behaviours
• Communicates with colleagues well to ensure the smooth delivery of services
• Proactively supports others to deliver team objectives
• Takes responsibility for actions and looks to enhance the service and its reputation in all activities undertaken
• Actively engages with building personal capacity and resilience
• Values
• Working Together
• Improvement and Development
• Respect and Compassion
• Engagement and Involvement
• Knowledge
• Has a post graduate qualification at level 7 or above relevant to their area of enhanced practice, for example in frailty wound care, diabetes plus respiratory and CVD, dementia, womens health and public health and population health management, or other area of enhanced practice.
• Is working at an enhanced level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework;
• Has a detailed knowledge and understanding in practice of applying Caldicott Principles, Data Protection Act 2018 and appropriately protects an individuals personal data, disclosing where appropriate only
• Skills
• To deliver outcomes based on set targets
• Work to perpetuate a culture that is transparent and open
• A good listener who demonstrates empathy
• Communicate effectively in a calm and timely manner, respecting the views, autonomy and culture of others
• Demonstrates a professional approach including emotional intelligence and resilience.
• Awareness of and has well-developed IT skills to facilitate quick and confident learning of new systems to support the management of patients in a primary care setting (including Microsoft packages)
• Experience
• Has a primary Care experience and/or worked in General practice
• Being motivated to deliver excellent services to support Primary Care in our region
• Evidence of previous service improvement involvement, with a positive mindset towards development, engaging others effectively to achieve this at individual and organisational levels
• Demonstratable success in the performance management, coaching and supervision of colleagues
• Demonstrates commitment to CPD
• Other
• Drive and have access to transport to attend visits or sites across the PCN, this may include home visits (reasonable adjustments or alternative arrangements will be considered for disabled applicants who cannot drive, provided the core requirements can still be met)

Experience

Essential

• Being motivated to deliver excellent services to support Primary Care in our region
• Evidence of previous service improvement involvement, with a positive mindset towards development, engaging others effectively to achieve this at individual and organisational levels
• Demonstratable success in the performance management, coaching and supervision of colleagues
• Demonstrates commitment to CPD

Desirable

• Has a primary Care experience and/or worked in General practice

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).