Job summary
St Helens Central PCN is seeking an
experienced Band 8a Advanced Clinical Practitioner with a strong interest in
frailty care to join our established multidisciplinary team in a part-time
role of up to 22.5 hours per week, supporting the delivery and development
of our Frailty Service across eight GP practices.
This senior clinical role combines advanced clinical
practice with clinical leadership responsibilities, working alongside the
Frailty Clinical Lead to deliver proactive, coordinated care for patients aged
65 and over living with frailty across the PCN.
The successful candidate will have the opportunity to influence
the ongoing development of the PCN Frailty Service and contribute to shaping
proactive frailty care across the network.
You will be joining an established and successful
multidisciplinary team, including GPs, a Mental Health Practitioner, Health
and Wellbeing Coaches and other PCN clinicians, all committed to improving
outcomes for patients living with frailty.
Additional Information
This role requires travel across the PCN including visits to
GP practices, care homes and patients homes.
Applicants interested in full-time work may wish to
note that weare also recruiting to a part-time Advanced
Clinical Practitioner role within our Mental Health service.
There may be opportunity for suitable candidates to combine both roles into one
full-time position working across Frailty and Mental Health services.
Main duties of the job
The Advanced Clinical Practitioner will:
Provide advanced clinical assessment, diagnosis and
treatment planning for patients living with frailty.
Undertake comprehensive geriatric assessments and develop personalised care
plans with patients and carers.
Support proactive management of patients with moderate to severe frailty,
including those living in care homes and the community.
Support delivery of the Enhanced Health in Care Homes framework,
including care home reviews and MDT discussions.
Act as a senior clinical resource within the frailty multidisciplinary team.
Support complex clinical decision making and admission avoidance.
Work alongside the Frailty Clinical Lead to support the ongoing development
of the PCN Frailty Service.
Promote integrated working across primary care, community services and social
care.
A full clean UK driving licence and access to a car for business use are essential requirements for this role. Applications will not be progressed where this requirement cannot be met.
About us
St Helens Central Primary Care Network serves a population
of approximately 40,000 patients across eight GP practices in central St
Helens, Merseyside.
We have a well-established and supportive multidisciplinary
team delivering a range of services across the network including:
Frailty services
Enhanced Access
First Contact Physiotherapy
Social Prescribing
Mental Health practitioner support
Health and Wellbeing Coaches
Our Frailty Service works closely with GP practices,
community services and care homes to deliver proactive care for patients
living with moderate to severe frailty through comprehensive geriatric
assessment, multidisciplinary working and coordinated care planning.
The role offers the opportunity to contribute to service
development and influence how proactive frailty services evolve across the
network.
Job description
Job responsibilities
Main Duties of the Role
Clinical Practice
Provide advanced clinical assessment, diagnosis and
treatment planning for patients living with frailty and complex health needs.
Undertake comprehensive geriatric assessments and develop
personalised care plans with patients, carers and the multidisciplinary team.
Support proactive management of patients with moderate to
severe frailty, including care home residents and those living in the
community.
Support the delivery of the Enhanced Health in Care Homes
framework, including care home reviews and multidisciplinary case discussions.
Support advance care planning, treatment escalation planning
and end of life discussions where appropriate.
Prescribe medication within scope of professional practice
and competence.
Coordinate care and facilitate referrals across primary
care, community services, secondary care and social care.
Maintain accurate clinical records in line with professional
and organisational standards.
Clinical Leadership
Provide senior clinical support within the PCN Frailty Team
alongside the Frailty Clinical Lead.
Act as a clinical resource within the multidisciplinary
team, supporting complex clinical decision making and case discussions.
Support the development and implementation of clinical
pathways and proactive frailty management across member practices.
Contribute to service development initiatives aimed at
improving outcomes for patients living with frailty and reducing avoidable
hospital admissions.
Promote integrated working across primary care, community
services and social care.
Education, Quality Improvement and Governance
Support the development of clinical knowledge and skills
relating to frailty care across the multidisciplinary team.
Participate in clinical audit, service evaluation and
quality improvement initiatives.
Apply current evidence and research to clinical practice.
Contribute to clinical governance processes including
incident review and learning.
Working Relationships
The post holder will work closely with:
- GPs and practice teams across the PCN
-
Frailty Clinical Lead and PCN Clinical Director
-
PCN multidisciplinary team including pharmacists, paramedics, social
prescribers and care coordinators
-
Community nursing and therapy teams
-
Hospital and discharge teams
-
Local authority and voluntary sector partners
-
Care homes and community providers
Working Conditions
The role involves working across GP practices, care homes
and community settings within the PCN. The post holder will undertake community
visits and may travel between practices and care settings as required.
The role involves managing complex clinical situations and
may include emotionally challenging circumstances such as end of life care and
safeguarding concerns.
Additional Information
Job Description Disclaimer
This job description provides an outline of the duties and
responsibilities of the role and is not intended to be exhaustive. Duties may
change in line with the needs of the service and the post holder may be
required to undertake additional responsibilities appropriate to the role and
grade.
Safeguarding
All staff have a responsibility to safeguard children and
vulnerable adults and must work in accordance with PCN safeguarding policies.
Confidentiality and Information Governance
All information relating to patients, staff and the
organisation must be treated confidentially and handled in accordance with the
Data Protection Act, UK GDPR and organisational policies.
Driving Requirement
This role requires travel across the PCN including visits to
GP practices, care homes and patients homes.
Afull clean UK driving licence and access to a car for
business use are essential requirements for this role. Applications will not be
progressed where candidates cannot meet this requirement.
Job description
Job responsibilities
Main Duties of the Role
Clinical Practice
Provide advanced clinical assessment, diagnosis and
treatment planning for patients living with frailty and complex health needs.
Undertake comprehensive geriatric assessments and develop
personalised care plans with patients, carers and the multidisciplinary team.
Support proactive management of patients with moderate to
severe frailty, including care home residents and those living in the
community.
Support the delivery of the Enhanced Health in Care Homes
framework, including care home reviews and multidisciplinary case discussions.
Support advance care planning, treatment escalation planning
and end of life discussions where appropriate.
Prescribe medication within scope of professional practice
and competence.
Coordinate care and facilitate referrals across primary
care, community services, secondary care and social care.
Maintain accurate clinical records in line with professional
and organisational standards.
Clinical Leadership
Provide senior clinical support within the PCN Frailty Team
alongside the Frailty Clinical Lead.
Act as a clinical resource within the multidisciplinary
team, supporting complex clinical decision making and case discussions.
Support the development and implementation of clinical
pathways and proactive frailty management across member practices.
Contribute to service development initiatives aimed at
improving outcomes for patients living with frailty and reducing avoidable
hospital admissions.
Promote integrated working across primary care, community
services and social care.
Education, Quality Improvement and Governance
Support the development of clinical knowledge and skills
relating to frailty care across the multidisciplinary team.
Participate in clinical audit, service evaluation and
quality improvement initiatives.
Apply current evidence and research to clinical practice.
Contribute to clinical governance processes including
incident review and learning.
Working Relationships
The post holder will work closely with:
- GPs and practice teams across the PCN
-
Frailty Clinical Lead and PCN Clinical Director
-
PCN multidisciplinary team including pharmacists, paramedics, social
prescribers and care coordinators
-
Community nursing and therapy teams
-
Hospital and discharge teams
-
Local authority and voluntary sector partners
-
Care homes and community providers
Working Conditions
The role involves working across GP practices, care homes
and community settings within the PCN. The post holder will undertake community
visits and may travel between practices and care settings as required.
The role involves managing complex clinical situations and
may include emotionally challenging circumstances such as end of life care and
safeguarding concerns.
Additional Information
Job Description Disclaimer
This job description provides an outline of the duties and
responsibilities of the role and is not intended to be exhaustive. Duties may
change in line with the needs of the service and the post holder may be
required to undertake additional responsibilities appropriate to the role and
grade.
Safeguarding
All staff have a responsibility to safeguard children and
vulnerable adults and must work in accordance with PCN safeguarding policies.
Confidentiality and Information Governance
All information relating to patients, staff and the
organisation must be treated confidentially and handled in accordance with the
Data Protection Act, UK GDPR and organisational policies.
Driving Requirement
This role requires travel across the PCN including visits to
GP practices, care homes and patients homes.
Afull clean UK driving licence and access to a car for
business use are essential requirements for this role. Applications will not be
progressed where candidates cannot meet this requirement.
Person Specification
Experience
Essential
- Substantial post-registration clinical experience including experience at Band 7 level or above.
- Experience working as an autonomous practitioner.
- Experience managing patients living with frailty or complex long-term conditions.
- Experience of multidisciplinary working across health and social care.
- Experience supporting audit, service development or quality improvement initiatives.
- Experience supporting education or supervision of colleagues.
Desirable
- Experience working within primary care or PCN environments.
- Experience working with care homes.
- Experience in palliative or end of life care.
Personal Attributes
Essential
- Self-motivated and able to work independently.
- Approachable and supportive in working with colleagues.
- Committed to improving care for older people and vulnerable populations.
- Able to manage complex or challenging situations professionally.
- Flexible and responsive to service needs.
Qualifications
Essential
- Masters degree in Advanced Clinical Practice or equivalent.
- Relevant professional healthcare qualification.
- Current professional registration with NMC, HCPC or equivalent professional body.
- Evidence of ongoing professional development.
- Independent Non-Medical Prescriber (V300)
Desirable
- Teaching or mentorship qualification.
- Leadership or management qualification.
Skills and Knowledge
Essential
- Advanced clinical assessment and diagnostic skills.
- Ability to work autonomously and make complex clinical decisions.
- Strong communication and interpersonal skills.
- Ability to work effectively within multidisciplinary teams.
- Leadership skills with the ability to support service improvement and development.
- Ability to manage complex clinical situations.
- Good organisational and time management skills.
- Competent IT skills including use of electronic patient record systems.
- Knowledge of frailty management, comprehensive geriatric assessment and proactive care planning.
Person Specification
Experience
Essential
- Substantial post-registration clinical experience including experience at Band 7 level or above.
- Experience working as an autonomous practitioner.
- Experience managing patients living with frailty or complex long-term conditions.
- Experience of multidisciplinary working across health and social care.
- Experience supporting audit, service development or quality improvement initiatives.
- Experience supporting education or supervision of colleagues.
Desirable
- Experience working within primary care or PCN environments.
- Experience working with care homes.
- Experience in palliative or end of life care.
Personal Attributes
Essential
- Self-motivated and able to work independently.
- Approachable and supportive in working with colleagues.
- Committed to improving care for older people and vulnerable populations.
- Able to manage complex or challenging situations professionally.
- Flexible and responsive to service needs.
Qualifications
Essential
- Masters degree in Advanced Clinical Practice or equivalent.
- Relevant professional healthcare qualification.
- Current professional registration with NMC, HCPC or equivalent professional body.
- Evidence of ongoing professional development.
- Independent Non-Medical Prescriber (V300)
Desirable
- Teaching or mentorship qualification.
- Leadership or management qualification.
Skills and Knowledge
Essential
- Advanced clinical assessment and diagnostic skills.
- Ability to work autonomously and make complex clinical decisions.
- Strong communication and interpersonal skills.
- Ability to work effectively within multidisciplinary teams.
- Leadership skills with the ability to support service improvement and development.
- Ability to manage complex clinical situations.
- Good organisational and time management skills.
- Competent IT skills including use of electronic patient record systems.
- Knowledge of frailty management, comprehensive geriatric assessment and proactive care planning.
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).