Enhanced Practice Nurse - Care Homes

Job responsibilities

Duties & Responsibilities:

The role will involve working across organisational & professional boundaries to provide clinical care and leadership and co-ordinate the treatment, care, management, and empowerment of care home residents.

The successful individual will take part in the weekly care home rounds to include

Lead weekly ward rounds in our aligned Care Homes

Review medication

• Works as part of an MDT within the PCN.

• Consults with patients, their family, and the multi-professional team to undertake assessments of patient need and devise and evaluate complex care plans.

• Evaluates and analyses clinical problems using their clinical knowledge, seeking out and applying relevant evidence, enhanced techniques, interventions, and equipment to make clinical decisions.

• Delivers enhanced clinical care in the context of continual change, challenging environments, different models of care delivery, innovation and rapidly evolving technologies using analysis and their underpinning knowledge to manage complex interventions.

• Teaches and advises patients and their families on how to manage their condition or support the multi-disciplinary team to do so.

• Participates in clinical audits and research projects and implements changes as required, including the development, and updating of practice protocols /guidelines and procedures locally.

• Works within national and local protocols where these exist.

• Recognises boundaries of their practice and know when and to whom patients should be referred.

• Using the principles of delegation, delegates work to other members of the MDT and take responsibility for the delegated activity as appropriate.

• Demonstrates initiative and are creative in finding solutions to problems.

• Holds responsibility for team performance and service delivery.

• Provides supervision to trainee nurse associate, nurse associates and general practice nurses.

• Facilitate and support the development and delivery of innovative training and education to staff, to improve competence and confidence, in line with best practice and guidance related to area of expertise.

• Participate in and/or lead formal training events promoting best practice in area of expertise.

• Provide professional and clinical leadership and mentorship, acting as a clinical role model on the delivery of evidence-based practice.

• Advise and support on the development and delivery of work streams relating to area of expertise as part of the PCNs strategy, where appropriate.

• Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.

• Contribute to the delivery of local policy, procedures and protocols for the PCN to improve identification, assessment, ongoing support for patients and their family carers.

The Enhanced Practice Nurse will work closely with the Care Coordinators, GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

Duties will vary from time to time under the direction of the clinical director and network management leads, in agreement with the post holder, dependent on current and evolving practice workload and staffing levels.

All staff have an individual responsibility to comply with the organisations policies and practices.

Other Requirements

Essential

• A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010
• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Evidence of continuing professional development

Qualifications

Essential

• Registered Nurse, NMC Registered
• First level Nursing degree
• Holds a post graduate qualification at level 7 or above relevant to their area of enhanced practice, for example in wound care, diabetes plus respiratory and CVD, dementia, womens health and public health and population health management
• Working at an enhanced level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework84
• Non-Medical prescriber
• Physical Assessment Skills

Skills

Essential

• Knowledge of the working of general practice
• Willingness to undertake training at a higher level if necessary
• Willingness to participate in clinical supervision and performance review
• Excellent interpersonal and communication skills
• Ability to work effectively in a multidisciplinary team as a key player
• Effective problem solving and decision-making skills
• Information technology skills including Word, Excel and electronic patient record systems

Personal Qualities

Essential

• Commitment to ongoing personal and professional development
• Ability to be self-directed and self-motivated
• Ability to work alongside, lead and motivate the team
• Ability to work effectively with other members of the team and other partners and agencies

Experience

Essential

• Experience of collaboratively working at a senior level with all health, social care and voluntary sector providers, primary and secondary care professionals, care homes, palliative care services, patients, carers.
• Experience of supervising and appraising staff
• Experience of working collaboratively with other organisations
• Experience of clinical audit, evaluation research and implementation of evidence-based practice

Desirable

• Work within a multicultural environment
• Worked within teaching /training environment

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).