PCN Care Home Advanced Clinical Practitioner Nurse
Wolverhampton Total Health Limited
This job is now closed
Job summary
We are looking for an experienced Advanced Clinical Practitioner Nurse to support the primary care network (PCN) in implementing the requirements of the Network Contract Direct Enhanced Service including Enhanced Health in Care Homes, Personalised Care, and other PCN care home responsibilities. The service is designed to develop and embed positive, proactive care for people in care home settings, including nursing and residential home settings for adults with social, physical, and mental health needs and people with learning difficulties.
The ACPN will work collaboratively with the Wolverhampton Total Health PCN Care Home team to meet the needs of the patients, supporting the delivery of policies and procedures. The ACPN will be able to assess and treat varied clinical cases, having advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis. Advanced communication, problem-solving and decision-making skills will be used to complete initial assessment and provide on-going patient care.
The post holder will provide clinical expertise for developing and enhancing the service and will demonstrate advanced skills and competencies to ensure that evidence-based practice is inherent in all aspects of care and treatment.
Main duties of the job
Working within the locally and nationally agreed protocols and guidelines, the ACPN exercises independent judgement to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of community patients.
The ACPN will work collaboratively within the multi-professional team and support the education and development of nursing, medical and allied-health professionals.
Working as part of the Care Home Team, participate in a programme of holistic support to care homes, including contributing to ward round activity.
About us
Wolverhampton Total Health Limited is the management support company for Wolverhampton Total Health Primary Care Network.
Wolverhampton Total Health Primary Care Network (PCN) is a collaboration between 6 GP practices in Wolverhampton with a shared population of over 63,000. We have a shared ambition to innovate general practice and build a sustainable model for general practice for the future. We were an early implementer of the primary care home model and have a mature relationship and proven track record of effectively working together.
We have an increasing multi-disciplinary team who work together to drive improvement in health outcomes of our patient population. The post holder will play an integral role within the PCN and will be a leader in the MDT enabling this to happen.
Key working relationships:
- PCN Care Home Team
- GPs, Practice Managers, and other practice staff
- PCN Manager, Clinical Directors
- Care Homes management and staff
Date posted
09 April 2024
Pay scheme
Agenda for change
Band
Band 8b
Salary
£50,592 to £68,525 a year Band 8a/8b depending on skills and experience
Contract
Permanent
Working pattern
Full-time, Flexible working
Reference number
A4925-24-0001
Job locations
East Park Medical Practice
Jonesfield Crescent
Wolverhampton
WV1 2LW
Job description
Job responsibilities
Clinical Responsibilities
Deliver and participate in the clinical care of patients within the PCN care homes.
Undertake weekly ward rounds, which include a full assessment of all new residents including PMH, recent bloods, new and ongoing referrals and medication reviews.
Acute / out of ward round consultations.
Assessment and management of undifferentiated, new presentations causing acute deterioration.
Advanced care planning, completion of Respect documents, identification of disease progression and when entering end of life phase (arranging EOL care e.g anticipatory medication, ensuring appropriate bed etc).
Identification, assessment and management of acute mental health presentations supported by the Mental Health teams.
Referrals to, and close liaison with, palliative care, mental health, community and secondary care teams.
Prioritise health needs and intervene appropriately.
Support with QOF targets.
Organise and support MDT meetings involving social services, providers, specialist services and families; reviewing identified patients, carrying out face to face reviews and participating in MDT meetings as necessary.
Work alongside the other members of the Care Home Team to support the overall delivery and achievement of the Network Contract Direct Enhanced Service for Care Homes, acting as an advocate of the PCN, the Care Homes Team and wider PCN clinical team.
Be professionally and legally accountable for all work undertaken. To practise at an advanced level of professional autonomy and accountability that is within GP practices policies and Professional Codes of Conduct.
Provide a level of advanced and comprehensive clinical nursing assessment based on a specialist body of knowledge and advanced clinical reasoning skills.
Appropriately assess, examine, investigate, diagnose and treat a wide range of complex or urgent care home patients, resulting in the safe management and appropriate referral of patients with undifferentiated, undiagnosed and complex presentations.
Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate.
Take responsibility for the management of patients within own caseload alongside supervision / development of junior members of the multi-professional team.
Able to identify the need for appropriate diagnostic tests and interpret the results.
Identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately.
Share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate.
Contribute to the development and improvement of systems and processes that facilitate patients being able to stay in their own homes.
Improve the quality of the patient experience by identifying and meeting the individual clinical needs of the patients, including issues pertaining to child protection and vulnerable adults.
Prescribe and review medication for therapeutic effectiveness, appropriate to the patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of the PCN.
Maintain up to date patient records in accordance with GP Practices policies including the use of the Electronic Patient Records System.
Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.
Responsible for rapidly and continuously evaluating the patients condition and response to therapeutic interventions and treatment modalities, and modifies the plan of care for optimal patient centred outcomes.
Contribute to the review and development of clinical pathways to ensure a standardised approach to care.
Actively implement effective systems and processes for infection prevention and control management and relevant audit within their clinical area.
Educate patients, relatives and staff as necessary ensuring understanding has been interpreted accurately.
Ensure patients views are considered in the decision-making process.
Participate in meeting and promoting the health education needs of patients and carers.
Promotes health through co-ordinated activities and programmes with the patients, colleagues and carers where appropriate.
Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.
Managerial Responsibilities
Work within the multidisciplinary team, within agreed medical, nursing and AHP protocols and guidelines.
Provide team leadership to the PCN Care Home team. Work as an effective and responsible team lead, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Lead in the development of evidence-based policies and procedures specifically required by the team.
Work collaboratively and strategically with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
Manage own workload to ensure patients are seen within emergency access timeframe.
Promote and adhere to the principles and practice of clinical governance.
Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members, ensuring that expertise is seen as a resource within the team.
Utilise a developed knowledge of child protection and vulnerable adult safeguarding procedures.
Research & Audit
Accountable for own professional actions, undertaking all duties in accordance with Codes of Professional Conduct, departmental and PCN policy and protocols.
Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.
Contribute and at times lead the development of multidisciplinary research and clinical audit implementing effective and evidence-based practice.
Conduct audit to evaluate the advanced clinical practitioner team and any strategies that have been implemented and disseminate results within the PCN, locally and nationally.
Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within the department/clinical area.
Participate in audit, clinical governance and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care; give case presentations as required.
Lead on specific audit cycles to enhance the quality of clinical nursing and medical practice.
Be aware of the results of mandatory audits, amend own practice where necessary and support change in practice of others.
Involvement in the development of specific guidelines, protocols and standards, including contributing to multidisciplinary team guidelines.
Continue to be proactive in the improvement of the department by enhancing levels of evidence-based practice and the development of guidelines and protocols to ensure high standards of care are consistently maintained.
Training & Development
The post holder will be supported to fulfil any Health Education England portfolio requirements.
Undertake statutory and mandatory training as required by the GP Practices / PCN.
Contribute to the development of knowledge and skills to other members of the multi-professional team.
Use specialist knowledge to actively participate in the clinical and theoretical education, training and support of nurses, allied health professionals and medical staff.
Orientate and support the Wolverhampton Total Health PCN Care Home Team staff during induction and onboarding.
Responsible for accessing own continuing education, having undertaken modules and courses at Masters Level, including advanced health/physical assessment and managing the complex patient. In addition, having undertaken non-medical prescribing course.
Participate in competency-based learning programmes to enable developmental and enhancement of clinical skills and role.
Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education.
Evaluate personal achievement of identified and agreed short- and long-term development objectives from person development plan.
Maintain own professional portfolio in-line with the ACP policy document.
Risk Management
Contribute to clinical risk management and act as a link within the department.
Complete documentation and gather evidence relevant to clinical risk management.
Anticipate, recognise and prevent situations that maybe detrimental to self and the health and wellbeing of patients or staff.
Adhere to and participate in the implementation of recommendations and guidelines related to health & safety at work, Control of Substances Hazardous to Health legislation and control of infection procedures.
Implement actions to be taken in event of an emergency.
Demonstrate correct moving and handling procedures following protocols and guidelines.
Investigate, respond to and formulate action plan for complaints as required by line manager.
Job description
Job responsibilities
Clinical Responsibilities
Deliver and participate in the clinical care of patients within the PCN care homes.
Undertake weekly ward rounds, which include a full assessment of all new residents including PMH, recent bloods, new and ongoing referrals and medication reviews.
Acute / out of ward round consultations.
Assessment and management of undifferentiated, new presentations causing acute deterioration.
Advanced care planning, completion of Respect documents, identification of disease progression and when entering end of life phase (arranging EOL care e.g anticipatory medication, ensuring appropriate bed etc).
Identification, assessment and management of acute mental health presentations supported by the Mental Health teams.
Referrals to, and close liaison with, palliative care, mental health, community and secondary care teams.
Prioritise health needs and intervene appropriately.
Support with QOF targets.
Organise and support MDT meetings involving social services, providers, specialist services and families; reviewing identified patients, carrying out face to face reviews and participating in MDT meetings as necessary.
Work alongside the other members of the Care Home Team to support the overall delivery and achievement of the Network Contract Direct Enhanced Service for Care Homes, acting as an advocate of the PCN, the Care Homes Team and wider PCN clinical team.
Be professionally and legally accountable for all work undertaken. To practise at an advanced level of professional autonomy and accountability that is within GP practices policies and Professional Codes of Conduct.
Provide a level of advanced and comprehensive clinical nursing assessment based on a specialist body of knowledge and advanced clinical reasoning skills.
Appropriately assess, examine, investigate, diagnose and treat a wide range of complex or urgent care home patients, resulting in the safe management and appropriate referral of patients with undifferentiated, undiagnosed and complex presentations.
Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate.
Take responsibility for the management of patients within own caseload alongside supervision / development of junior members of the multi-professional team.
Able to identify the need for appropriate diagnostic tests and interpret the results.
Identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately.
Share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate.
Contribute to the development and improvement of systems and processes that facilitate patients being able to stay in their own homes.
Improve the quality of the patient experience by identifying and meeting the individual clinical needs of the patients, including issues pertaining to child protection and vulnerable adults.
Prescribe and review medication for therapeutic effectiveness, appropriate to the patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of the PCN.
Maintain up to date patient records in accordance with GP Practices policies including the use of the Electronic Patient Records System.
Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.
Responsible for rapidly and continuously evaluating the patients condition and response to therapeutic interventions and treatment modalities, and modifies the plan of care for optimal patient centred outcomes.
Contribute to the review and development of clinical pathways to ensure a standardised approach to care.
Actively implement effective systems and processes for infection prevention and control management and relevant audit within their clinical area.
Educate patients, relatives and staff as necessary ensuring understanding has been interpreted accurately.
Ensure patients views are considered in the decision-making process.
Participate in meeting and promoting the health education needs of patients and carers.
Promotes health through co-ordinated activities and programmes with the patients, colleagues and carers where appropriate.
Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.
Managerial Responsibilities
Work within the multidisciplinary team, within agreed medical, nursing and AHP protocols and guidelines.
Provide team leadership to the PCN Care Home team. Work as an effective and responsible team lead, supporting others and exploring the mechanisms to develop new ways of working.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Lead in the development of evidence-based policies and procedures specifically required by the team.
Work collaboratively and strategically with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
Manage own workload to ensure patients are seen within emergency access timeframe.
Promote and adhere to the principles and practice of clinical governance.
Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members, ensuring that expertise is seen as a resource within the team.
Utilise a developed knowledge of child protection and vulnerable adult safeguarding procedures.
Research & Audit
Accountable for own professional actions, undertaking all duties in accordance with Codes of Professional Conduct, departmental and PCN policy and protocols.
Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.
Contribute and at times lead the development of multidisciplinary research and clinical audit implementing effective and evidence-based practice.
Conduct audit to evaluate the advanced clinical practitioner team and any strategies that have been implemented and disseminate results within the PCN, locally and nationally.
Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within the department/clinical area.
Participate in audit, clinical governance and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care; give case presentations as required.
Lead on specific audit cycles to enhance the quality of clinical nursing and medical practice.
Be aware of the results of mandatory audits, amend own practice where necessary and support change in practice of others.
Involvement in the development of specific guidelines, protocols and standards, including contributing to multidisciplinary team guidelines.
Continue to be proactive in the improvement of the department by enhancing levels of evidence-based practice and the development of guidelines and protocols to ensure high standards of care are consistently maintained.
Training & Development
The post holder will be supported to fulfil any Health Education England portfolio requirements.
Undertake statutory and mandatory training as required by the GP Practices / PCN.
Contribute to the development of knowledge and skills to other members of the multi-professional team.
Use specialist knowledge to actively participate in the clinical and theoretical education, training and support of nurses, allied health professionals and medical staff.
Orientate and support the Wolverhampton Total Health PCN Care Home Team staff during induction and onboarding.
Responsible for accessing own continuing education, having undertaken modules and courses at Masters Level, including advanced health/physical assessment and managing the complex patient. In addition, having undertaken non-medical prescribing course.
Participate in competency-based learning programmes to enable developmental and enhancement of clinical skills and role.
Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education.
Evaluate personal achievement of identified and agreed short- and long-term development objectives from person development plan.
Maintain own professional portfolio in-line with the ACP policy document.
Risk Management
Contribute to clinical risk management and act as a link within the department.
Complete documentation and gather evidence relevant to clinical risk management.
Anticipate, recognise and prevent situations that maybe detrimental to self and the health and wellbeing of patients or staff.
Adhere to and participate in the implementation of recommendations and guidelines related to health & safety at work, Control of Substances Hazardous to Health legislation and control of infection procedures.
Implement actions to be taken in event of an emergency.
Demonstrate correct moving and handling procedures following protocols and guidelines.
Investigate, respond to and formulate action plan for complaints as required by line manager.
Person Specification
Experience
Essential
- Significant relevant post-registration experience within the speciality;
- Competent in the planning and managing of complete clinical episodes of care for all patients, working autonomously;
- Experience of teaching at informal and formal level;
- Able to role model and lead whilst working independently and within a team;
- Participated in research, audit and developed service improvement strategies
Desirable
- Experience in delivering service improvement;
- Proven leadership skills
Knowledge and Skills
Essential
- Demonstrable clinical skills in Community working;
- Advanced knowledge of the range of presentations, diagnoses & current management options within the speciality area;
- Evidence of planning & organisational skills;
- Demonstrates up to date theoretical and clinical knowledge and expertise of Advanced practice;
- Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate;
- Effective communication at all levels & ability to manage complex situations;
- Awareness of local and national issues relating to healthcare provision. Awareness of current professional issues;
- Evidence of continuing professional development;
- Completion/ working towards/ willingness to complete speciality portfolio (where required and if indicated nationally)
Qualifications
Essential
- Degree Level Education, NMC registered;
- MSc in Advanced Practice (accredited by Centre for Advancing Practice);
- (Have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route; both pathways enable eligibility for an Advanced digital badge issued by the Centre, demonstrating recognised educational and experiential preparation in advanced practice);
- Independent prescriber;
- CPD Portfolio to demonstrate learning and development
Desirable
- Teaching/Assessment and mentoring qualification;
- Leadership course
Other
Essential
- Demonstrates understanding of relevant national strategy/policy and how to relate this to the service;
- Ability to work in various locations throughout the speciality area;
- Driving License to travel to Care Homes across Wolverhampton Total Health PCN;
- Must be eligible to work in the UK
Desirable
- Knowledge of PCN IT systems/ IT proficient
Personal Attributes
Essential
- Demonstrate a clear vision and the role of ACPN service;
- Demonstrates skilled written and verbal communication, presentation and decision-making skills;
- Organised, able to prioritise, make decisions and meet targets/deadlines;
- Wilingness to embrace change to meet the short and long term needs of the PCN;
- Ability to support staff in a demanding and challenging environment;
- Good role model;
- Able to work under pressure & flexibility in approach;
- Good negotiation and advocacy skills
Desirable
- Team Player
Person Specification
Experience
Essential
- Significant relevant post-registration experience within the speciality;
- Competent in the planning and managing of complete clinical episodes of care for all patients, working autonomously;
- Experience of teaching at informal and formal level;
- Able to role model and lead whilst working independently and within a team;
- Participated in research, audit and developed service improvement strategies
Desirable
- Experience in delivering service improvement;
- Proven leadership skills
Knowledge and Skills
Essential
- Demonstrable clinical skills in Community working;
- Advanced knowledge of the range of presentations, diagnoses & current management options within the speciality area;
- Evidence of planning & organisational skills;
- Demonstrates up to date theoretical and clinical knowledge and expertise of Advanced practice;
- Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate;
- Effective communication at all levels & ability to manage complex situations;
- Awareness of local and national issues relating to healthcare provision. Awareness of current professional issues;
- Evidence of continuing professional development;
- Completion/ working towards/ willingness to complete speciality portfolio (where required and if indicated nationally)
Qualifications
Essential
- Degree Level Education, NMC registered;
- MSc in Advanced Practice (accredited by Centre for Advancing Practice);
- (Have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route; both pathways enable eligibility for an Advanced digital badge issued by the Centre, demonstrating recognised educational and experiential preparation in advanced practice);
- Independent prescriber;
- CPD Portfolio to demonstrate learning and development
Desirable
- Teaching/Assessment and mentoring qualification;
- Leadership course
Other
Essential
- Demonstrates understanding of relevant national strategy/policy and how to relate this to the service;
- Ability to work in various locations throughout the speciality area;
- Driving License to travel to Care Homes across Wolverhampton Total Health PCN;
- Must be eligible to work in the UK
Desirable
- Knowledge of PCN IT systems/ IT proficient
Personal Attributes
Essential
- Demonstrate a clear vision and the role of ACPN service;
- Demonstrates skilled written and verbal communication, presentation and decision-making skills;
- Organised, able to prioritise, make decisions and meet targets/deadlines;
- Wilingness to embrace change to meet the short and long term needs of the PCN;
- Ability to support staff in a demanding and challenging environment;
- Good role model;
- Able to work under pressure & flexibility in approach;
- Good negotiation and advocacy skills
Desirable
- Team Player
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
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
Wolverhampton Total Health Limited
Address
East Park Medical Practice
Jonesfield Crescent
Wolverhampton
WV1 2LW
Employer's website
https://www.wolverhamptontotalhealth.co.uk/ (Opens in a new tab)
Employer details
Employer name
Wolverhampton Total Health Limited
Address
East Park Medical Practice
Jonesfield Crescent
Wolverhampton
WV1 2LW
Employer's website
https://www.wolverhamptontotalhealth.co.uk/ (Opens in a new tab)
For questions about the job, contact:
Date posted
09 April 2024
Pay scheme
Agenda for change
Band
Band 8b
Salary
£50,592 to £68,525 a year Band 8a/8b depending on skills and experience
Contract
Permanent
Working pattern
Full-time, Flexible working
Reference number
A4925-24-0001
Job locations
East Park Medical Practice
Jonesfield Crescent
Wolverhampton
WV1 2LW
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