Job summary
We are currently recruiting for an Enhanced Practitioner to join our growing multi-disciplinary frailty and visiting service. The role will focus on providing assessment and care for some of our more vulnerable patients with more complex health and social needs. Our ideal candidate will have good assessment skills, recognised training in relevant areas of enhanced practice, experience in frailty and/or care for patients with complex needs as part of a multi-disciplinary team. Whilst frailty specific experience would be valuable, a willingness to develop knowledge and skills is essential.
We are looking for someone to work 25.5 hours per week. This role is part of our response to national initiatives to promote the shift of emphasis towards more proactive models of care, to help keep people well and independent, and to avoid unnecessary hospitalisation. The post holder will be able to rely on the support of our aligned services (including strong GP leadership, primary care mental health team and social prescribers), competent admin and reception teams and will have regular contact with our colleagues in local community services teams. Salary for the role will depend on qualifications and experience.
Main duties of the job
The post holder will be an Enhanced Practitioner who will provide holistic care for patients, their families and carers who are living with frailty and may have acute or chronic complex care needs.
They will work within their professional scope of practice, providing care for patients within their own home, within the practice or via telephone.
The post holder will work collaboratively with the multi-disciplinary general practice team operating within their own sphere of competence and agreed acceptable limits of practice to provide expert professional care to patients, carers and colleagues, ensuring clinical safety and excellence.
Whilst frailty specific experience would be valuable, a willingness to develop knowledge and skills is essential.
About us
Our established and well-led partnerships at St Marys Surgery and Victor Street Surgery have merged form Southampton Sea City Partnership. We are excited about our future and are proud to serve some of the most vibrant and diverse communities in the South of England. Working for us you will have opportunities to develop your clinical skills and make a real difference in peoples lives.
Over 2025 we will be coming together to form a single partnership, single practice and PCN serving circa 40k patients. We are a progressive organisation and have active plans for developing sustainable, high quality and modern general practice. Over 2025 we will be developing and implementing a new clinical model that has improved access and care navigation arrangements, a greater range of services afforded by economies of scale and, at the same time, a strong emphasis on continuity. We understand the importance of being local and we will continue to provide services from our four sites at St Marys, Telephone House, Mulberry and Victor Street surgeries ensuring patients with more complex needs have continuity of care with a clinician they know and trust. We are a well led organisation which has good links within our local health system and beyond. We offer work in a positive and collegiate team and are committed to staff wellbeing and development. You will be provided with in-house clinical supervision and professional development opportunities.
Job description
Job responsibilities
Key Responsibilities
- To ensure that the needs of the patients are placed at the centre of care delivery, whilst aspiring to highest standards of excellence and professionalism.
- To improve the health and well-being of patients, their families and carers who are living with frailty and/or complex care needs.
- Work within a multi-disciplinary team offering a holistic service that recognises the broader determinants of health and well-being of people living with frailty to ensure they maximise their quality of life.
- To improve the experience of health services for patients, their families and carers, living with frailty and/or complex care needs.
- Work within a multi-disciplinary team managing a clinical caseload of patients presenting with frailty and/or complex care needs that may include undifferentiated health needs, responding effectively to patient need and ensuring patient choice and ease of access to services.
- To support patients to remain at home to receive care, preventing non-elective hospital admissions or extended hospital stays.
- To remain clinically competent, registered with appropriate governing body as relevant to profession and ensure continuous professional development opportunities are undertaken to keep up-to-date and maintain competence.
Clinical Role
- Function as a key member of the frailty and home visiting team at Sea City Partnership, delivering primary care services to patients.
- Deliver a high standard of patient care as an Enhanced Practitioner in general practice, using autonomous clinical skills, and an in-depth theoretical knowledge base.
- Provide ongoing holistic care to patients with frailty and/or complex needs, including liaising with appropriate internal and external teams to create holistic care plans and review them as required.
- Perform clinical assessment and management of patients in their home environments in both acute and proactive care contexts. This could include diagnosis, management/treatment plans and referrals as appropriate.
- Maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling.
- Prescribe safe, effective, and appropriate medication as defined by current legislative framework and local prescribing standards, if within scope of practice.
- Refer patients directly to other services/agencies as appropriate including but not limited to services of the primary care network, acute hospital services, community services, mental health services and local social services.
- Work within the practice guidelines, policies, and protocols.
- Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.
Professional role
- Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research.
- Ensure practice which is of high quality, that meets regulatory and contractual requirements and to contribute to the development of clinical governance arrangements across Sea City Partnership services.
- Monitor the effectiveness of their own clinical practice through quality assurance strategies such as the use of audit and peer review.
- Maintain their professional registration with the relevant governing body for their profession.
- Remain clinically competent in relation to their job-plan.
- Participate with/ receive clinical supervision from the Lead GP, frailty and home visiting team on a regularised and ad-hoc basis.
- Contribute to peer-to-peer and other supervision arrangements within Sea City Partnership
- Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
- Work within the latest Code of Professional Conduct relevant to profession.
- Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues within and external to the practice
Team role
- Demonstrate and model positive behaviours that are aligned with the values of Sea City Partnership (refer to the Employee Handbook).
- As a clinician be available to support other healthcare team members and to accept referrals from other team members.
- Liaise with all members of the primary health care Team and other agencies local authority, social services, secondary care, voluntary sector, and primary care trust to assure appropriate and timely care is provided for the practice population.
- Participate as a key member of the multi-professional Sea City team through the development of collaborative and innovative practice.
- To work within the frailty and home visiting team and with wider clinical team and senior management team to develop and implement strategies which promote excellent patient care and evidence-based practice.
- Contribute to the development of the frailty and home visiting team and wider practice multi-disciplinary team as a high functioning team where team members are supported to share responsibilities and lead on agreed areas of work. To work with peers to foster strong levels of autonomy within the team. To promote an environment where issues and challenges are addressed collectively.
- Value all team members across Sea City Partnership and associated partner health and social care agencies.
- Work with colleagues and the wider Sea City clinical team ensure that services are patient centred. To ensure that patients are actively engaged in the planning and delivery of their care. To promote the voice of patients and carers and to ensure that feedback, complaints, and other representations from patients are thoroughly considered in the planning and delivery of services. To ensure that all concerns and complaints raised by patients are managed in accordance with the practices complaints procedures.
- Delegate appropriate tasks to other members of the primary care team whilst still maintaining responsibility for this area.
- Attend meetings as required.
- Ensure that orders for supplies are within a reasonable budget and one is constantly seeking to reduce costs to the Partnership.
- Complete records, audits, reports and respond to appropriate questions and requests as required to support the continued improvement of clinical services at Sea City Partnership.
- Support and contribute to effective communication channels across the Sea City Partnership. Work within and contribute to the practices clinical governance framework and relevant policies including but not limited to the investigation of significant events, sharing of best practice, and learning and infection prevention and control.
- Actively participate in the delivery of QOF targets and other Sea City Partnership contractual arrangements
- To contribute to relevant processes and activities which promote compliance with regulatory and contractual requirements. Ensure the appropriate delivery of such processes and that effective records are appropriately filed to provide evidence of compliance. Provide assurance reports as required on a regular and ad-hoc basis to the Partners and Senior Management team.
- To support the placement and supervision of healthcare learners supporting their development and the delivery of services to patients of Sea City Partnership.
- To maintain awareness of national and local policies, guidance, and best practice relevant to the role and to adapt practice accordingly.
Job description
Job responsibilities
Key Responsibilities
- To ensure that the needs of the patients are placed at the centre of care delivery, whilst aspiring to highest standards of excellence and professionalism.
- To improve the health and well-being of patients, their families and carers who are living with frailty and/or complex care needs.
- Work within a multi-disciplinary team offering a holistic service that recognises the broader determinants of health and well-being of people living with frailty to ensure they maximise their quality of life.
- To improve the experience of health services for patients, their families and carers, living with frailty and/or complex care needs.
- Work within a multi-disciplinary team managing a clinical caseload of patients presenting with frailty and/or complex care needs that may include undifferentiated health needs, responding effectively to patient need and ensuring patient choice and ease of access to services.
- To support patients to remain at home to receive care, preventing non-elective hospital admissions or extended hospital stays.
- To remain clinically competent, registered with appropriate governing body as relevant to profession and ensure continuous professional development opportunities are undertaken to keep up-to-date and maintain competence.
Clinical Role
- Function as a key member of the frailty and home visiting team at Sea City Partnership, delivering primary care services to patients.
- Deliver a high standard of patient care as an Enhanced Practitioner in general practice, using autonomous clinical skills, and an in-depth theoretical knowledge base.
- Provide ongoing holistic care to patients with frailty and/or complex needs, including liaising with appropriate internal and external teams to create holistic care plans and review them as required.
- Perform clinical assessment and management of patients in their home environments in both acute and proactive care contexts. This could include diagnosis, management/treatment plans and referrals as appropriate.
- Maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling.
- Prescribe safe, effective, and appropriate medication as defined by current legislative framework and local prescribing standards, if within scope of practice.
- Refer patients directly to other services/agencies as appropriate including but not limited to services of the primary care network, acute hospital services, community services, mental health services and local social services.
- Work within the practice guidelines, policies, and protocols.
- Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.
Professional role
- Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research.
- Ensure practice which is of high quality, that meets regulatory and contractual requirements and to contribute to the development of clinical governance arrangements across Sea City Partnership services.
- Monitor the effectiveness of their own clinical practice through quality assurance strategies such as the use of audit and peer review.
- Maintain their professional registration with the relevant governing body for their profession.
- Remain clinically competent in relation to their job-plan.
- Participate with/ receive clinical supervision from the Lead GP, frailty and home visiting team on a regularised and ad-hoc basis.
- Contribute to peer-to-peer and other supervision arrangements within Sea City Partnership
- Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
- Work within the latest Code of Professional Conduct relevant to profession.
- Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues within and external to the practice
Team role
- Demonstrate and model positive behaviours that are aligned with the values of Sea City Partnership (refer to the Employee Handbook).
- As a clinician be available to support other healthcare team members and to accept referrals from other team members.
- Liaise with all members of the primary health care Team and other agencies local authority, social services, secondary care, voluntary sector, and primary care trust to assure appropriate and timely care is provided for the practice population.
- Participate as a key member of the multi-professional Sea City team through the development of collaborative and innovative practice.
- To work within the frailty and home visiting team and with wider clinical team and senior management team to develop and implement strategies which promote excellent patient care and evidence-based practice.
- Contribute to the development of the frailty and home visiting team and wider practice multi-disciplinary team as a high functioning team where team members are supported to share responsibilities and lead on agreed areas of work. To work with peers to foster strong levels of autonomy within the team. To promote an environment where issues and challenges are addressed collectively.
- Value all team members across Sea City Partnership and associated partner health and social care agencies.
- Work with colleagues and the wider Sea City clinical team ensure that services are patient centred. To ensure that patients are actively engaged in the planning and delivery of their care. To promote the voice of patients and carers and to ensure that feedback, complaints, and other representations from patients are thoroughly considered in the planning and delivery of services. To ensure that all concerns and complaints raised by patients are managed in accordance with the practices complaints procedures.
- Delegate appropriate tasks to other members of the primary care team whilst still maintaining responsibility for this area.
- Attend meetings as required.
- Ensure that orders for supplies are within a reasonable budget and one is constantly seeking to reduce costs to the Partnership.
- Complete records, audits, reports and respond to appropriate questions and requests as required to support the continued improvement of clinical services at Sea City Partnership.
- Support and contribute to effective communication channels across the Sea City Partnership. Work within and contribute to the practices clinical governance framework and relevant policies including but not limited to the investigation of significant events, sharing of best practice, and learning and infection prevention and control.
- Actively participate in the delivery of QOF targets and other Sea City Partnership contractual arrangements
- To contribute to relevant processes and activities which promote compliance with regulatory and contractual requirements. Ensure the appropriate delivery of such processes and that effective records are appropriately filed to provide evidence of compliance. Provide assurance reports as required on a regular and ad-hoc basis to the Partners and Senior Management team.
- To support the placement and supervision of healthcare learners supporting their development and the delivery of services to patients of Sea City Partnership.
- To maintain awareness of national and local policies, guidance, and best practice relevant to the role and to adapt practice accordingly.
Person Specification
Qualifications
Essential
- Registered paramedic or registered nurse
- Evidence of extended learning that may include, physical assessment & history taking, clinical decision making.
Desirable
- Multi-professional prescribing qualification
Experience
Essential
- Experience of working independently as an Enhanced Practitioner with patients living with frailty and/or complex care needs.
- Experience of providing care to patients in their own homes
Desirable
- Experience of working to support patients from more diverse, deprived and/or inner city communities.
- Experience of collaboration across Primary Care Network or other local care delivery systems
Knowledge and Skills
Essential
- IT literate
- Communication skills, both written and verbal
Desirable
- Primary Care Clinical system preferably TPP System-one
- Knowledge of communities, geography, partners, stakeholders in Central Southampton
Qualities and Attributes
Essential
- Excellent communicator
- Strong person-centred values
- Able to work autonomously and within an MDT
- Commitment to service improvement
- Attention to detail.
- Demonstrable professional behaviours, i.e. flexibility, integrity, good work ethic, ability to use initiative.
Person Specification
Qualifications
Essential
- Registered paramedic or registered nurse
- Evidence of extended learning that may include, physical assessment & history taking, clinical decision making.
Desirable
- Multi-professional prescribing qualification
Experience
Essential
- Experience of working independently as an Enhanced Practitioner with patients living with frailty and/or complex care needs.
- Experience of providing care to patients in their own homes
Desirable
- Experience of working to support patients from more diverse, deprived and/or inner city communities.
- Experience of collaboration across Primary Care Network or other local care delivery systems
Knowledge and Skills
Essential
- IT literate
- Communication skills, both written and verbal
Desirable
- Primary Care Clinical system preferably TPP System-one
- Knowledge of communities, geography, partners, stakeholders in Central Southampton
Qualities and Attributes
Essential
- Excellent communicator
- Strong person-centred values
- Able to work autonomously and within an MDT
- Commitment to service improvement
- Attention to detail.
- Demonstrable professional behaviours, i.e. flexibility, integrity, good work ethic, ability to use initiative.
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
