Job summary
Advanced Care Practitioner
Hours: Part time
20-30 hours per week. Salary dependant on experience and pro rata
An exciting opportunity has arisen to join our expanding Frailty
Team.
We are growing our service to enhance the care we provide to our local
community, and were looking for a dedicated professional to become part of
this forward-thinking team.
Our established Frailty Team currently includes a Community
Frailty Practitioner, a Community Frailty Paramedic, and a Care Coordinator. A
Non-Medical Prescribing qualification is essential for this role, and
applicants must have successfully completed this qualification.
The PCN Frailty Team plays a key role in supporting our practices
by conducting weekly ward rounds, monitoring new care home residents, and
providing high-quality long-term condition management. In addition, the team
delivers a non-urgent housebound service, offering vital support for patients
who are unable to attend the surgery but require ongoing management of their
long-term conditions.
This is a fantastic chance to be part of a dynamic, compassionate
team dedicated to improving frailty care across our community.
Main duties of the job
Applicants should be experienced clinical
practitioners who, acting
within their professional boundaries, will provide care for housebound and care
home patients including initial history taking, clinical assessment, diagnosis,
treatment, and evaluation of care.
Lead
long-term condition management focusing on elderly, frail, and housebound
patients, including those in care homes.
They will demonstrate safe clinical decision-making and expert
care, including assessment and diagnostic skills, for housebound and care home patients
within the general practice setting.
The post holder will demonstrate critical thinking in the clinical
decision-making process, with the ability to prioritise and triage the needs of
the patients, accordingly, instigating appropriate investigations or referrals
to colleagues and other care providers.
They will work collaboratively as part of the general practice
multidisciplinary team to meet the needs of patients. The role is both varied
and diverse with clinical support and mentorship provided to allow the
successful candidate to flourish. The workload will consist of a mixture
of home visits, care home visits and telephone consultations.
About us
Severnvale PCN (Primary Care Network) comprises five GP practices
in South Gloucestershire delivering services to a population of circa 33,500
patients which includes 10 care homes. We are an enthusiastic, dynamic, and
friendly PCN who constantly strive to improve patient pathways and health care
outcomes.
The PCN team includes a Clinical Director, a PCN Manager, a Community
Frailty Practitioner, a Community Frailty Practitioner, a Care Co-ordinator, 4
Clinical Pharmacists, a Pharmacy Technician, 7 Care Coordinator Prescription
Clerks, 2 dedicated Social
Prescribing Link Workers and First Contact Physiotherapists. The PCN is
looking to appoint an Experience Practice Nurse to join our Frailty & Care
Home Service.
Job description
Job responsibilities
Job responsibilities,
To work as part of a multi-disciplinary team across the PCN to
care for our housebound and care home patients, including proactive assessment,
diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds.
To assess, diagnose, investigate, treat, refer or signpost
patients/service users within the community with undifferentiated or
undiagnosed condition relating to minor illness, minor injury or urgent
problems.
The post holder will use advanced clinical skills to provide
education to service users, promoting self-care and empowering them to make
informed choices about their treatment.
The post holder must have access to a vehicle for home visits with
mileage expenses remunerated by submission of a monthly mileage form. (Please
note it is the postholders responsibility to ensure that their car insurance
is covered for business use).
-
Visiting
patients who are frail/have co morbidity in their homes or in a care home. Undertake
care home ward rounds with the support of the PCNs Community Frailty
Practitioner, Community Frailty Paramedic and Care Coordinator
-
Prescribe/issue
medications as appropriate following policy, patient group directives and local
pathways. Independent Prescriber qualifications is essential.
-
May
be required to help with the Avoiding Unplanned Admission reviews
-
Consult
with patients, take medical histories, perform physical examinations, analyse,
diagnose and explain medical problems during consultations and home visits.
-
Recommend
and explain appropriate diagnostic tests and treatment.
-
Formulate
differential diagnoses and develop and deliver appropriate treatment and
management plans. Request and interpret results of laboratory investigations
when necessary.
-
Advanced
end of life care planning to include ReSPECT discussions and development of
Personalised Care and Support Plans.
-
Advise
patients on general health care and minor ailments, with referral to other
members of the primary and secondary health care team as necessary.
-
Undertake
assessment for patients within their place of residence using diagnostic skills, initiation of
investigations and feeding back to the patients GP where appropriate.
-
To
help manage/support patients with their long term condition.
-
Support quality improvement and assurance initiatives within the
PCN.
-
Promote public health and screening programs, including
immunisations and cervical screening.
-
Integrate population health management approaches to reduce health
inequalities.
-
Work collaboratively with the wider practice team to enhance
patient care.
-
Work
with local and national evidenced based policies and procedures.
-
To
communicate at all levels within the team ensuring an effective service is
delivered.
-
Ensure
evidenced-based care is delivered at the highest standards ensuring delivery of
high-quality patient care.
Job description
Job responsibilities
Job responsibilities,
To work as part of a multi-disciplinary team across the PCN to
care for our housebound and care home patients, including proactive assessment,
diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds.
To assess, diagnose, investigate, treat, refer or signpost
patients/service users within the community with undifferentiated or
undiagnosed condition relating to minor illness, minor injury or urgent
problems.
The post holder will use advanced clinical skills to provide
education to service users, promoting self-care and empowering them to make
informed choices about their treatment.
The post holder must have access to a vehicle for home visits with
mileage expenses remunerated by submission of a monthly mileage form. (Please
note it is the postholders responsibility to ensure that their car insurance
is covered for business use).
-
Visiting
patients who are frail/have co morbidity in their homes or in a care home. Undertake
care home ward rounds with the support of the PCNs Community Frailty
Practitioner, Community Frailty Paramedic and Care Coordinator
-
Prescribe/issue
medications as appropriate following policy, patient group directives and local
pathways. Independent Prescriber qualifications is essential.
-
May
be required to help with the Avoiding Unplanned Admission reviews
-
Consult
with patients, take medical histories, perform physical examinations, analyse,
diagnose and explain medical problems during consultations and home visits.
-
Recommend
and explain appropriate diagnostic tests and treatment.
-
Formulate
differential diagnoses and develop and deliver appropriate treatment and
management plans. Request and interpret results of laboratory investigations
when necessary.
-
Advanced
end of life care planning to include ReSPECT discussions and development of
Personalised Care and Support Plans.
-
Advise
patients on general health care and minor ailments, with referral to other
members of the primary and secondary health care team as necessary.
-
Undertake
assessment for patients within their place of residence using diagnostic skills, initiation of
investigations and feeding back to the patients GP where appropriate.
-
To
help manage/support patients with their long term condition.
-
Support quality improvement and assurance initiatives within the
PCN.
-
Promote public health and screening programs, including
immunisations and cervical screening.
-
Integrate population health management approaches to reduce health
inequalities.
-
Work collaboratively with the wider practice team to enhance
patient care.
-
Work
with local and national evidenced based policies and procedures.
-
To
communicate at all levels within the team ensuring an effective service is
delivered.
-
Ensure
evidenced-based care is delivered at the highest standards ensuring delivery of
high-quality patient care.
Person Specification
Experience
Essential
- Experience of working to protocols or guidelines.
- Experience in frailty care, chronic disease management, and care planning in community or primary care settings
- CDM Management
- Ongoing evidence of CPD
Desirable
- Experience of offering mentorship and supervision to other nursing staff.
- Experience of developing and implementing training programs.
- Experience of working in care homes
Other
Essential
- Meets DBS reference standards and criminal record checks
- Willingness to work flexible hours when required to meet work demands
- Access to own transport and ability to travel across the locality to visit people in their own homes.
- Awareness of data protection (GDPR) and confidentiality issues particularly within a healthcare setting.
Qualifications
Essential
- Batchelor Degree in Life Science/Biomedical/Nursing or Allied Health Science or equivalent
- Health & Care Professions Council (HCPC) registration.
- Able to operate at an advanced level of clinical practice, using Level 7 capabilities as defined by (NHE/I GP DES, ARRS funding) and HEE guidance.
- Undergraduate attainment at minimum of Framework for Higher Education Qualification (FHEQ) Dip.HE. In a relevant subject.
- Non-medical prescribing qualification
- Full UK driving license and access to vehicle (for home visits as required
Desirable
- Minimum 3 years post-registration experience.
Specialist knowledge/skills
Essential
- IT literate / proficient in the use of the computer
- Excellent interpersonal and organisational skills
- Good problem solving and decision-making skills
- Ability to manage workload effectively
- A high standard of clinical skills and experience of using these skills in different situations.
- Willingness to always work towards the best interest of the patient.
- Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
- Ability to write comprehensive, accurate clinical notes, implement and evaluate care plans.
Desirable
- Understand own scope of practice, the context of continual learning and the need to develop constantly to ensure safe, competent and confident practice.
- Evidence of success in efficient and effective project and program management
Personal attributes & abilities
Essential
- Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
- High degree of personal credibility, emotional intelligence, patience, and flexibility
- Ability to cope with unpredictable situations.
Desirable
- Confident in facilitating and challenging others
- Demonstrates a flexible approach to ensure patient care is delivered.
Person Specification
Experience
Essential
- Experience of working to protocols or guidelines.
- Experience in frailty care, chronic disease management, and care planning in community or primary care settings
- CDM Management
- Ongoing evidence of CPD
Desirable
- Experience of offering mentorship and supervision to other nursing staff.
- Experience of developing and implementing training programs.
- Experience of working in care homes
Other
Essential
- Meets DBS reference standards and criminal record checks
- Willingness to work flexible hours when required to meet work demands
- Access to own transport and ability to travel across the locality to visit people in their own homes.
- Awareness of data protection (GDPR) and confidentiality issues particularly within a healthcare setting.
Qualifications
Essential
- Batchelor Degree in Life Science/Biomedical/Nursing or Allied Health Science or equivalent
- Health & Care Professions Council (HCPC) registration.
- Able to operate at an advanced level of clinical practice, using Level 7 capabilities as defined by (NHE/I GP DES, ARRS funding) and HEE guidance.
- Undergraduate attainment at minimum of Framework for Higher Education Qualification (FHEQ) Dip.HE. In a relevant subject.
- Non-medical prescribing qualification
- Full UK driving license and access to vehicle (for home visits as required
Desirable
- Minimum 3 years post-registration experience.
Specialist knowledge/skills
Essential
- IT literate / proficient in the use of the computer
- Excellent interpersonal and organisational skills
- Good problem solving and decision-making skills
- Ability to manage workload effectively
- A high standard of clinical skills and experience of using these skills in different situations.
- Willingness to always work towards the best interest of the patient.
- Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
- Ability to write comprehensive, accurate clinical notes, implement and evaluate care plans.
Desirable
- Understand own scope of practice, the context of continual learning and the need to develop constantly to ensure safe, competent and confident practice.
- Evidence of success in efficient and effective project and program management
Personal attributes & abilities
Essential
- Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
- High degree of personal credibility, emotional intelligence, patience, and flexibility
- Ability to cope with unpredictable situations.
Desirable
- Confident in facilitating and challenging others
- Demonstrates a flexible approach to ensure patient care is delivered.
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).
Employer details
Employer name
Severnvale PCN
Address
Eastland Road
Thornbury
Bristol
BS35 1DP