Complex Community Care Lead Practitioner

Job responsibilities

Inclusive demographic:

palliative care

High intensity users A&E / UTC

Housebound and Vulnerable / hard to reach patients

Job summary

A Complex Community Care Lead Practitioner within a Primary Care Network (PCN) focuses on providing holistic, proactive care for individuals with frailty, palliative care needs and those patient who are deemed High intensity users, often working within a multidisciplinary team to improve patient outcomes and support families. Ensuring the appropriate care plans and access is given to prevent fragmented care.

Generic responsibilities

All staff have a duty to conform to the following:

Equality, diversity and inclusion

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in matters of recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, health, environment and fire (SHEF)

We are committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

We are committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality at all times. It is essential that if the legal requirements are to be met and the trust of our patients is to be retained, that all staff protect patient information and provide a confidential service.

Quality and continuous improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only about what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practices and requires them to look for opportunities to improve quality and share good practice.

We continually strive to improve work processes that deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and to enhance patient care.

Learning and development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competencies to perform their role. All staff will be required to partake in and complete mandatory training as directed by the training coordinator, as well as participating in the practice training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately enable them to improve processes and service delivery.

Collaborative working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner that enables the sharing of information in an appropriate manner.

Service delivery

Staff must adhere to the information contained within practice policies and regional directives, ensuring protocols are followed at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the practices is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks with anyone and they must ensure that restricted areas remain effectively secured.

Professional conduct

Staff are required to dress appropriately for their role. Clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure that all of their staff are afforded the opportunity to take a minimum of days leave each year depending on contracted hours, and should be encouraged to take all of their leave entitlement.

Qualifications

Essential

• Essential:
• * Registered Nurse
• * Registered Healthcare Professional ie Paramedic
• * Post graduate diploma or degree (Advanced Practice Qualification) Or
• working towards this.
• * Qualified Independent Prescriber V300
• * Qualified Triage Practitioner
• * Minor Illness Qualification
• * Experience of prescribing and undertaking medication reviews
• * Experience in Clinical Triage
• * Chaperone procedure
• * Requesting pathology tests and processing the results, advising
• patients accordingly
• * Understands the importance of evidence-based practice
• * Broad knowledge of clinical governance
• * Ability to record accurate clinical notes
• & Ability to work within own scope of practice and understanding
• when to refer to GPs
• * Understands the requirement for PGDs and associated policy
• * Excellent communication skills (written and oral)
• * Strong IT skills
• * Clear, polite telephone manner
• * Competent in the use of Office and Outlook
• * Effective time management (Planning & Organising)
• * Ability to work as a team member and autonomously
• * Good interpersonal skills
• * Problem solving & analytical skills
• * Ability to follow clinical policy and procedure
• * Polite and confident
• * Flexible and cooperative
• * Motivated, forward thinker
• * Problem solver with the ability to process information accurately and
• effectively, interpreting data as required
• * High levels of integrity and loyalty
• * Sensitive and empathetic in distressing situations
• * Ability to work under pressure/in stressful situations
• * Able to communicate effectively and understand the needs of the
• patient
• * Commitment to ongoing professional development
• * Effectively utilises resources
• * Punctual and committed to supporting the team effort
• * Flexibility to work outside core office hours
• * Disclosure Barring Service (DBS) check
• * Occupational Health clearance
• * Access to own transport and ability to travel across the locality on a
• regular basis, including to visit people in their own home.

Desirable

• Desirable:
• * Interpretation of ECGs
• * Teaching Qualification
• * Experience of working in a primary care environment
• * Experience of working as a practice nurse or community nurse/
• Practitioner
• * Experience of chronic disease management
• * Diabetes New / Review
• * Hypertension New onset/ Review
• * Asthma Management Acute/Chronic
• Women's health (Cervical cytology, contraception, etc.)
• * Knowledge of public health issues in the local area
• * Awareness of issues within the wider health arena
• * Knowledge of health promotion strategies
• * Knowledge and experience with System one
• * Experience with audit and able to lead audit programmes
• * Experience with clinical risk management
• * Good clinical IT system knowledge

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).