Job responsibilities
Job purpose/summary:
An opportunity has arisen to join a dynamic team within Wolverhampton South-East Collaborative PCN and Health and Beyond. The post holder will provide clinical services for the Enhanced Health in Care Homes Service and be responsible for ensuring consistent, high-quality person-centred care is delivered to patients in our organisations nursing homes.
The postholder will be a driven, enthusiastic and experienced Advanced Clinical Practitioner (ACP), they must be a skilled Registered Nurse, Registered Pharmacist or Registered Allied Health Professional such as Paramedic, Physiotherapist, Dietitian or Podiatrist with the appropriate attitude, skills and knowledge.
The ACP will use advanced autonomous clinical skills and a broad and in-depth theoretical knowledge base to assess the individual patients needs, formulating a diagnosis, appropriate holistic evidence-based treatment, including independent prescribing and proactively identify, implement and evaluate patient care and treatment, working closely with the team and partners to ensure that a robust management plan is in place for all patients.
The post holder will work very closely within a team of clinical and non-clinical support staff and with an allocated service lead GP attached to the service. They will ensure that delivery of all aspects of care is provided as per the EHCH framework to the residents allocated within Care Homes to the PCN. They will work closely with care home providers to ensure high standards of care and support the wider organisation in delivery of all required KPIs aligned to Primary Care.
The Advanced Clinical Practitioner (ACP) will act autonomously within their professional scope of practice providing care for patients face to face and with telephone consultations managing weekly ward rounds.
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The Advanced Clinical Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.
The postholder will use skills, knowledge and competencies as a qualified Advanced Clinical Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.
Overview of the Role:
To fully understand the EHCH framework (see link below) and the expectations of delivery of the service.
To support on all clinical aspects of care to the residents allocated
To ensure a fully working system is in place for patient review and care schedules
To deliver all aspects of KPIs within the scope of the EHCH Framework and Primary Care
To work closely within the EHCH team, attending weekly huddles, 1:1 with the Lead GP and monthly meetings to discuss cases, share education and constantly strive to improve team work for better outcomes.
To manage delivery of high-quality care by working closely with and supporting care home staff and care home management by being the point of contact for aligned homes.
To clinically manage home rounds with the team, being the point of contact for clinical enquiries and case management for aligned homes
To ensure patient outcomes are at the forefront of care, incorporating Primary Care goals are met and campaigns and vaccinations are supported.
To ensure teamwork and good communication within the team at all times
Further information:
The Enhanced Health in Care Home Service
the-framework-for-enhanced-health-in-care-homes-v2-0.pdf (england.nhs.uk)
Job Responsibilities:
Clinical Practice
- Work as part of a multi-disciplinary team to deliver safe and high quality care.
- Carries out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.
Delivery of care in line with NSF, NICE guidelines and evidence-based care
Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in the care home who require medical attention and/or refer to appropriate agency.
Refers patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal clinical practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team
Accurate and legible notes of all consultations and treatments are recorded in the patients notes
Ensure clinical systems kept up to date, recording and/or amending accurate details
Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Attend and participate in practice meetings as required
Restocking and maintenance of clinical areas and consulting rooms
Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Prescribing reviews and monitoring will take place
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
Act as a mentor for junior staff, assessing competence against set standards.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Develop and maintain a Personal Learning Plan.
Regularly participate in clinical supervision.
Participate in NMP clinical supervision/audit of practice with mentor
Maintain Professional PIN by completing revalidation and inform HR of revalidation date.
