Advanced Nurse Practitioner- Home Visits

Job description

Job responsibilities

As an Advanced Nurse Practitioner, you will work in a nurse led multi-disciplinary team providing both acute and proactive planned home visits for our housebound patients.

The post holder will be able to demonstrate a sound knowledge in Advanced Nursing practice and the four pillars of practice. They must be an experienced non-medical nurse prescriber and used to working autonomously.

This is an exciting opportunity to support the development of an acute home visiting service within an already established service.

Clinical Responsibilities:

Provide acute and planned home visits for patients within the local Brownlow Health housebound population. These will typically be moderately/severely frail, living with dementia or homeless, as well as refugee and Asylum seekers.

Proactive management of Long- Term Conditions.

Conduct, as appropriate holistic assessments using the British Comprehensive Geriatric Assessment Tool.

• Clinically examine and manage acute illness, including undifferentiated conditions and red flag presentations.
• Use non-medical prescribing skills to initiate and manage appropriate treatment plans.
• Screen for dementia, depression, and long-term conditions, and ensure timely onward referrals.
• Complete medication reviews and optimise prescribing, with an awareness of anti-cholinergic burden.
• Deliver immunisations during home visits (e.g., B12, Flu, Pneumonia, Shingles) to reduce follow-up appointments.
• Facilitate care planning, including anticipatory care plans, DNACPR decisions, and GSF register inclusion.

Collaborative and Holistic Care:

• Work closely with internal and external partners including GPs, Geriatricians, Mental Health teams, Community Matrons, District Nurses, Specialist nurses, Social Workers, Social Prescribers, health coaches etc.

• Support informal carers and their health needs by liaising with external agencies and our inhouse Frailty Administrator.
• Engage in safeguarding and MDT reviews for vulnerable patients.

Leadership and Management:

• Take a leading role in the development of an acute home visiting service.
• Mentor and support junior staff and team members; contribute if needed to monthly educational updates.
• Lead or contribute to clinical audits, significant event reviews, and quality assurance processes.
• Act as a role model within the nursing team, promoting clinical excellence and continuous learning.

Education Research and Development:

• Support and participate in Brownlow Healths research projects and educational initiatives.
• Collaborate with universities and public health bodies to embed current evidence-based practices.
• Present findings, audits, and case studies in clinical meetings and contribute to policy development.

Confidentiality:

• Working within the Practice you may gain knowledge of confidential matters which may include personal and medical information about patients and staff. Such information must be considered strictly confidential and must not be discussed or disclosed. Failure to observe this confidentiality could lead to disciplinary action being taken against you.

Codes of Conduct and Accountability:

• You are expected to comply with relevant codes of conduct and accountability.

Health and Safety:

• In accordance with the Health and Safety at Work Act 1974 and other supplementary legislation, you are required to take reasonable care to avoid injury during the course of work and co-operate with the Practice and others in meeting statutory regulations. You are also required to attend statutory training as required to fulfil your duties. You are expected to comply with safety instructions and Practice policies and procedures.

To use in a proper safe manner the equipment and facilities provided.

To refrain from wilful misuse of, or interference with, anything provided in the interest of health and safety and any action, which might endanger yourself and others.

You are expected to report, as soon as practical, any hazards and defects to your senior manager.

To report as soon as practical accidents and untoward incidents and to ensure that accident forms are completed.

Safeguarding Children and Adults:

The organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All employees are required to promote and safeguard the welfare of children and young people and comply with the Local Safeguarding Children Board Procedures and the Children Act (1989, 2004). In accordance with the Safeguarding Adult Policy all staff must ensure the health and wellbeing of vulnerable adults is appropriately safeguarded.

All staff members are required to attend training appropriate to their role in safeguarding children and adults, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuse are noticed in a person.

Postscript:

The list of duties in this job description is not exhaustive and is intended to outline the main activities of the post holder; we expect that this role will evolve, and the post holder will adapt to its needs. Duties and responsibilities may be subject to change considering the development needs of the organisation.

Person Specification

Experience

Essential

• Substantial Experience of working within primary care or Community
• Proven experience in managing frailty or complex care
• Management of long- term conditions
• Knowledge of the local and national health policy and wider health economy
• Autonomous practitioner
• Teaching/supervising/mentorship experience
• Knowledge of adults safeguarding policies and procedures and how to apply them

Desirable

• Knowledge of Quality Outcomes Framework (QOF) and its application in primary care
• Experience of Palliative Care
• Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
• Leadership in service development/quality initiatives
• Experience of initiating protocols and clinical guidelines, implementing them and evaluating the effectiveness
• Experience/ understanding of the needs of vulnerable adults and their carers

Qualifications

Essential

• Registered Part 1 NMC
• Substantial experience as an Independent / supplementary non- medical prescriber
• Msc/ PGCert in Advanced Practice or equivalent
• Clinical examination and Diagnostics qualification

Desirable

• Completion of Frailty training/module or similar

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

Brownlow Group Practice

Address

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF

Employer's website

https://www.brownlowhealth.co.uk/ (Opens in a new tab)