Job summary
Are you ready to
transform lives?
Imagine a role where your expertise not only enhances health
but empowers individuals to embrace fuller, more independent lives.
At Pathfields Medical Group, we are
seeking an Enhanced Practitioner Specialising in Frailty. We are looking for someone driven by
compassion, innovation, and a commitment to making a meaningful difference.
This role is perfect for those who value working
with older people not just as patients but as individuals with rich stories,
unique strengths, and potential. You will work closely with older individuals
and their families, providing tailored support, clear communication, and a
collaborative approach to care.
While we value experience, we also appreciate
the potential of individuals eager to grow into this role. For the right
candidate, we provide a supportive environment with opportunities to develop
the skills and knowledge needed to thrive.
At Pathfields, we have a dedicated
multidisciplinary team (MDT) specialising in the care of older people with
frailty, focusing on those who are housebound or living in care homes. We are a
close-knit team driven by a shared standard: delivering care wed want for our
own families. Alongside our professional commitment, we value high-quality
coffee and excellent banterits what keeps us going!
If you are passionate about helping older people
live longer, healthier, and more fulfilling lives, and believe youd be a great
fit for our team, we would love to hear from you.
Main duties of the job
Role Purpose
As
an Enhanced Practitioner, you will play a pivotal role in shaping the future of
frailty care. The role is responsible for ensuring first class care and
services are delivered effectively, specifically to our aging patient
population, with frailty. The role is key in maintaining collaborative
relationships with internal and external teams and working together to deliver
these services.
The
enhanced practitioner will also be key to developing and implementing quality
improvement initiatives planned for 2025.
Working
with our dynamic multidisciplinary team, you will:
Deliver
Personalised Care:
Conduct IT-assisted Comprehensive Geriatric Assessments, delving deep to
understand each individuals goals, optimise treatments, and create holistic
care plans that genuinely transform lives, including increased survival.
Lead
Multidisciplinary Teams:
learn to Chair our weekly Ageing Well MDT sessions, collaborating with
professionals from primary care and community services to deliver proactive,
coordinated care.
Champion
Innovation: Be at
the forefront of quality improvement and service development, driving change in
frailty management and setting new standards of excellence.
Empower
Patients and Families:
Through education, advanced care planning, and hands-on support, help older
adults and their loved ones navigate the complexities of frailty care.
About us
Pathfields Practice Primary Care Network (PCN) is a single-practice PCN serving 30,000 patients. We cater to a diverse demographic, from more affluent patients in the leafy suburbs of Plympton to a more deprived population in the inner city.
Our Older Population:
Our older population comprises approximately 3,700 patients aged 65 and over. Key data includes:
- 869 patients on the frailty register
- 250 care home residents, distributed across six care homes.
- An average of 10 weekly referrals to intermediate care from all providers
Service Structure:
Our older peoples multi-disciplinary team delivers both urgent and proactive care to older patients who are housebound or living in care homes with significant frailty, as follows:
Urgent Care: A paramedic and GP provide same-day urgent care every day.
Proactive Care:
- Dedicated weekly home rounds for each of the six care homes.
- Two complex care sessions per week led by GPs, with one being an MDT every other week.
- Four additional proactive care sessions for older people in their own homes
- An aligned MDT from Livewell community services, which supports comprehensive geriatric assessment delivery.
Our small, close-knit team is deeply familiar with our patients, and continuity of care is the cornerstone of our service.
The service is led by Dr David Attwood, GP Partner at Pathfields, who will also act as mentor and supervisor for further training and support.
Job description
Job responsibilities
Primary Responsibilities:
The following are the core
responsibilities of the non-medical prescriber. There may be on occasion a
requirement to carry out other tasks; this will be dependent on factors such as
workload and staffing levels. The non-medical prescriber will work within their
scope of clinical practice and:
- Prepare
and check prescribed medications, providing patient information, collaborating
with multi-disciplinary healthcare teams, and managing clinical documentation.
- Provide
clear and accurate information to patients about their treatments.
- Collaborate
with healthcare staff and multi-disciplinary teams while maintaining accurate
clinical records.
- Participate
in training and professional development to maintain professional registration.
- Organise
and document meetings with prescribers and other medical/clinical staff as
needed.
- Follow
safeguarding policies and procedures to ensure patient safety.
- Assist
with repeat prescription processes, including preparing and distributing them
to relevant pharmacies.
- Work
with medical and clinical colleagues to ensure the safe and appropriate
prescribing of medications within shared care guidelines.
- Uphold
high standards in all areas of the role, including patient care and internal
team interactions.
- Communicate
effectively with patients, caregivers, and primary and secondary healthcare
services, as well as other external agencies.
- Facilitate
communication and collaboration among all staff members and disciplines.
- Identify
and share opportunities for developing or enhancing clinic services, care and
treatment based on user needs.
- Manage
internal systems to ensure the confidentiality and accuracy of patient
documentation and records.
Secondary Responsibilities:
- In addition to the primary
responsibilities, the non-medical prescriber may be requested to:
- Support
the practice audit programme, undertaking audits when necessary.
- Support
junior members of the team, providing guidance when necessary.
- Participate
in local initiatives to enhance service delivery and patient care.
- Support
and participate in shared learning within the practice.
- Continually
review clinical practices, responding to national policies and initiatives
where appropriate.
- Participate
in the review of significant and near-miss events, applying a structured
approach, i.e. root cause analysis (RCA)
- Take
personal responsibility for own learning and development, including the
requirement to maintain currency, achieving all targets set in own Personal
Development Plan (PDP)
Job description
Job responsibilities
Primary Responsibilities:
The following are the core
responsibilities of the non-medical prescriber. There may be on occasion a
requirement to carry out other tasks; this will be dependent on factors such as
workload and staffing levels. The non-medical prescriber will work within their
scope of clinical practice and:
- Prepare
and check prescribed medications, providing patient information, collaborating
with multi-disciplinary healthcare teams, and managing clinical documentation.
- Provide
clear and accurate information to patients about their treatments.
- Collaborate
with healthcare staff and multi-disciplinary teams while maintaining accurate
clinical records.
- Participate
in training and professional development to maintain professional registration.
- Organise
and document meetings with prescribers and other medical/clinical staff as
needed.
- Follow
safeguarding policies and procedures to ensure patient safety.
- Assist
with repeat prescription processes, including preparing and distributing them
to relevant pharmacies.
- Work
with medical and clinical colleagues to ensure the safe and appropriate
prescribing of medications within shared care guidelines.
- Uphold
high standards in all areas of the role, including patient care and internal
team interactions.
- Communicate
effectively with patients, caregivers, and primary and secondary healthcare
services, as well as other external agencies.
- Facilitate
communication and collaboration among all staff members and disciplines.
- Identify
and share opportunities for developing or enhancing clinic services, care and
treatment based on user needs.
- Manage
internal systems to ensure the confidentiality and accuracy of patient
documentation and records.
Secondary Responsibilities:
- In addition to the primary
responsibilities, the non-medical prescriber may be requested to:
- Support
the practice audit programme, undertaking audits when necessary.
- Support
junior members of the team, providing guidance when necessary.
- Participate
in local initiatives to enhance service delivery and patient care.
- Support
and participate in shared learning within the practice.
- Continually
review clinical practices, responding to national policies and initiatives
where appropriate.
- Participate
in the review of significant and near-miss events, applying a structured
approach, i.e. root cause analysis (RCA)
- Take
personal responsibility for own learning and development, including the
requirement to maintain currency, achieving all targets set in own Personal
Development Plan (PDP)
Person Specification
Skills
Essential
- Excellent written and oral communication skills
- Strong IT skills
- Clear, polite telephone manner
- Competent in the use of Office and Outlook
- Ability to use SystmOne
- Effective time management. Planning & Organising
- Ability to work as a team member and autonomously
- Excellent interpersonal skills
- Problem solving & analytical skills
- Experience with clinical risk management
Desirable
Other Requirements
Essential
- Flexibility to work outside of core office hours in exceptional circumstances
- Disclosure Barring Service check
- Maintains confidentiality at all times
Desirable
Experience
Essential
- Minimum of three years of experience in a specialty that is relevant to older people with frailty e.g. primary care, community services, or frailty-related specialty.
- Experience of dealing with a range of clinical conditions
Desirable
- Experience of leading services
- Experience of audit or research
Clinical Knowledge and Skills
Essential
- Ability to effectively triage, assess and diagnose
- Knowledgeable in the management of wound care and long term conditions such as Frailty, Heart Failure, Diabetes, Hypertension, -
- Asthma, and Coronary Heart Disease
- Understands the fundamentals of chaperoning
- Requests pathology tests and processes the results, advising patients accordingly (or desire to learn)
- 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 of when to refer to GPs
Desirable
- Undertakes procedures such as ECGs & Spirometry
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- Knowledge of health-promotion strategies
Personal Qualities
Essential
- 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 and in stressful situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Effectively utilises resources
- Punctual and committed to supporting the team effort
Desirable
Qualifications
Essential
- Qualification as Nurse, Pharmacists, Allied Health Professional
- Current registration with a Professional Body
- Qualification as Non-Medical Independent Prescriber
- Qualification in a module that enables learners to develop a comprehensive knowledge of anatomy, physiology, and pathology to take a history and conduct proficient clinical assessments, identify abnormalities, and apply selective physical examination skills to inform clinical judgment. An appropriate example module is the advanced assessment for clinical practice course at Plymouth University
Desirable
- Postgraduate certificate in advanced professional practice.
- Postgraduate diploma in advanced professional practice.
- Postgraduate masters in advanced professional practice.
Person Specification
Skills
Essential
- Excellent written and oral communication skills
- Strong IT skills
- Clear, polite telephone manner
- Competent in the use of Office and Outlook
- Ability to use SystmOne
- Effective time management. Planning & Organising
- Ability to work as a team member and autonomously
- Excellent interpersonal skills
- Problem solving & analytical skills
- Experience with clinical risk management
Desirable
Other Requirements
Essential
- Flexibility to work outside of core office hours in exceptional circumstances
- Disclosure Barring Service check
- Maintains confidentiality at all times
Desirable
Experience
Essential
- Minimum of three years of experience in a specialty that is relevant to older people with frailty e.g. primary care, community services, or frailty-related specialty.
- Experience of dealing with a range of clinical conditions
Desirable
- Experience of leading services
- Experience of audit or research
Clinical Knowledge and Skills
Essential
- Ability to effectively triage, assess and diagnose
- Knowledgeable in the management of wound care and long term conditions such as Frailty, Heart Failure, Diabetes, Hypertension, -
- Asthma, and Coronary Heart Disease
- Understands the fundamentals of chaperoning
- Requests pathology tests and processes the results, advising patients accordingly (or desire to learn)
- 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 of when to refer to GPs
Desirable
- Undertakes procedures such as ECGs & Spirometry
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- Knowledge of health-promotion strategies
Personal Qualities
Essential
- 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 and in stressful situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Effectively utilises resources
- Punctual and committed to supporting the team effort
Desirable
Qualifications
Essential
- Qualification as Nurse, Pharmacists, Allied Health Professional
- Current registration with a Professional Body
- Qualification as Non-Medical Independent Prescriber
- Qualification in a module that enables learners to develop a comprehensive knowledge of anatomy, physiology, and pathology to take a history and conduct proficient clinical assessments, identify abnormalities, and apply selective physical examination skills to inform clinical judgment. An appropriate example module is the advanced assessment for clinical practice course at Plymouth University
Desirable
- Postgraduate certificate in advanced professional practice.
- Postgraduate diploma in advanced professional practice.
- Postgraduate masters in advanced professional 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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
