Job summary
Were looking for an experienced ACP to join our primary
care team, delivering high-quality, person-centred care to residents in care
homes and housebound patients. Youll assess, diagnose, prescribe, and manage
frailty and long-term conditions, working closely with GPs, pharmacists,
nurses, and care staff to improve outcomes and reduce hospital admissions.
If youre passionate about making a difference for some of
our most vulnerable patients and want to work in a supportive, innovative team,
wed love to hear from you.
You will be working within the Enhanced Health in Care Homes
(EHCH) model supporting people living in care homes who can expect to receive
the same level of support as if they were living in their own home.
Supporting our housebound patients to improve the management
of LTCs and help reduce admissions.
Triaging and attending acute home visits in rotation with
the clinical team.
Our aim is working together to provide high quality,
accessible, patient focused and sustainable healthcare.
Main duties of the job
Working with our existing clinicians to support the work of
the GPs in the practice with care-home visits and ward-rounds, housebound
patients and acute home visiting.
Weekly care home rounds, liaising closely with care home
staff, practice GPs and colleagues in support of their residents.
Occasionally support the GPs by triaging and attending acute
home visits in rotation with the established clinical team. To manage acute
illnesses in patients who are not able to attend the surgery, may include
arranging admissions to hospital or liaising with community teams, palliative
care teams and social care.
Delivering support to our housebound patients. To improve
management of LTCs, help with decisions around ceilings of treatment and
reduce hospital admissions.
To deliver a high standard of patient care, using advanced
autonomous clinical skills, and a broad in-depth theoretical knowledge base.
To contribute to the QOF/IIF targets for the Practices and
support the ongoing development of both the care home and visiting service.
About us
The Merchiston practice was established around 1860 in the village of Stratton-St-Margaret. Until the 1950s, Stratton was a small farming community and it still retains its separate identity, despite now being a suburb of Swindon. The Partnership moved from the original Doctors house into new purpose-built premises in 1992.
Merchiston Surgery is the larger Practice with a raw patient list of 13,500 (13,700 weighted list)
We are a teaching practice with 2 Education Supervisors, 2 Clinical Supervisor, supporting 3 Trainee GPs. Rated excellent by the Swindon GP QA Panel for our trainee placement.
Following a recent inspection we are rated Good across all domains by the CQC.
We are a friendly, supportive and hardworking team; reflected by our shared values of caring for each other and our patients. We are committed to providing the highest quality of care for our patients and ensuring that our staff feel valued and motivated. There is a strong team ethos across the practice and have a friendly and relaxed working environment.
The Practices are supported by several ARRS roles employed by Hawthorn & Merchiston PCN:
Clinical Pharmacists
Pharmacy Technicians
First Contact Physiotherapists
Shared Care Home nurses
Repeat Prescription Administrators
Job description
Job responsibilities
Responsibilities
Clinical practice:
To include ward rounds at nursing/care homes to deal with
clinical queries some which may be urgent to avoid admission, medication
reviews, referrals and end of life care.
Manage requests from patients requiring acute
home visits. Triaging appointments as well as visiting.
Support in the care of housebound patients.
Ensure the highest standards of treatment and care for all
patients (including complex patients, both acute and chronic). This will
involve diagnosis, implementation of care plans to ensure physiological and
psychological factors are taken into consideration and ongoing evaluation of
any plans to ensure patient compliance.
Working closely with our team of Pharmacists to prescribe
and review medication for therapeutic effectiveness, appropriate to patient
needs and in accordance with evidence-based practice and national and practice
protocols, and within scope of practice.
Health promotion and motivation of patients to improve
general health.
Communicate effectively with patients and carers/care home
staff (nurses/carers), recognising the need for alternative methods of
communication to overcome different levels of understanding, cultural
background, and preferred ways of communicating.
Recognising issues and gathering sufficient information to
refer (e.g. drugs; domestic violence; child protection; vulnerable adults;
senior patients; social problems).
Manage and assess risk within the areas of responsibility,
ensuring adequate measures are in place to protect staff and patients.
Be mindful of work areas and practices to ensure they are
safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines.
Follow all necessary infection-control measures according to
local and national guidelines.
Job description
Job responsibilities
Responsibilities
Clinical practice:
To include ward rounds at nursing/care homes to deal with
clinical queries some which may be urgent to avoid admission, medication
reviews, referrals and end of life care.
Manage requests from patients requiring acute
home visits. Triaging appointments as well as visiting.
Support in the care of housebound patients.
Ensure the highest standards of treatment and care for all
patients (including complex patients, both acute and chronic). This will
involve diagnosis, implementation of care plans to ensure physiological and
psychological factors are taken into consideration and ongoing evaluation of
any plans to ensure patient compliance.
Working closely with our team of Pharmacists to prescribe
and review medication for therapeutic effectiveness, appropriate to patient
needs and in accordance with evidence-based practice and national and practice
protocols, and within scope of practice.
Health promotion and motivation of patients to improve
general health.
Communicate effectively with patients and carers/care home
staff (nurses/carers), recognising the need for alternative methods of
communication to overcome different levels of understanding, cultural
background, and preferred ways of communicating.
Recognising issues and gathering sufficient information to
refer (e.g. drugs; domestic violence; child protection; vulnerable adults;
senior patients; social problems).
Manage and assess risk within the areas of responsibility,
ensuring adequate measures are in place to protect staff and patients.
Be mindful of work areas and practices to ensure they are
safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines.
Follow all necessary infection-control measures according to
local and national guidelines.
Person Specification
Experience
Essential
- 5 years post registration experience.
- Recent experience within primary, community or emergency setting. Independent consulting.
- Ability to work under pressure with competing priorities
Desirable
- Health-needs assessments including dementia
Qualifications
Essential
- Registration NMC or Registration HCPC paramedic
- Evidence of ongoing professional development.
- Physical Assessment & Clinical Reasoning (PACR),
- Independent Prescriber
Knowledge & Skills
Essential
- Clinical examination skills.
- Clinical practice skills.
- Management of patients with long-term conditions.
- Management of patients with complex needs.
- Accountability of own role.
- Clinical governance issues in primary care.
- Communication skills, both written and verbal
- Ability to assess a situation and get the support required
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
Desirable
- Work within General Practice.
- Understanding of Quality Outcomes Framework Impact Investment Fund
Person Specification
Experience
Essential
- 5 years post registration experience.
- Recent experience within primary, community or emergency setting. Independent consulting.
- Ability to work under pressure with competing priorities
Desirable
- Health-needs assessments including dementia
Qualifications
Essential
- Registration NMC or Registration HCPC paramedic
- Evidence of ongoing professional development.
- Physical Assessment & Clinical Reasoning (PACR),
- Independent Prescriber
Knowledge & Skills
Essential
- Clinical examination skills.
- Clinical practice skills.
- Management of patients with long-term conditions.
- Management of patients with complex needs.
- Accountability of own role.
- Clinical governance issues in primary care.
- Communication skills, both written and verbal
- Ability to assess a situation and get the support required
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
Desirable
- Work within General Practice.
- Understanding of Quality Outcomes Framework Impact Investment Fund
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).