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South Tyneside Health Collaboration

Care Home Nurse Practitioner (Ageing Well)

The closing date is 04 July 2025

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Job summary

Previous applicants need not apply

The Nurse Practitioner ensures delivery of the components of the Care Home DES to for all patients within PCN Care Homes. The post-holder is an experienced nurse, interested in frailty, who acting within their professional boundaries, will provide both reactive and proactive care for the patients across a defined number of care homes in South Tyneside. The NP will be responsible for patient care from initial history-taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the care homes. They will work collaboratively with members of the multi-disciplinary team (MDT) to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. The NP will ensure creation of care plans and oversee the management of the plans with the Care Home Co-ordinator. The NP will work closely as a team with the current Clinical lead nurse practitioner in post for that PCN and will be expected to cross cover areas if required (by exception).

Main duties of the job

Deliver weekly ward round and ensure that patients are prioritised appropriately for immediate support or for next MDT. Ensuring that MDTs are held weekly and that assessments cover patient needs. Ensuring that all patients have care plans and new residents have care plans within seven days, developed with the person and their carer. Support delivery of each patients care plan.Overview of requirements from GPs (via Care Home Co-ordinators) allocated to each care home and escalating to GP where necessary for patient treatment. Work closely with and supervising Care home co-ordinator for care homes allocated to the PCN. Establish protocols between care home system partners for information sharing, shared care planning, use of shared care records and clear clinical governance. Support discharge from hospital and transfers of care between settings, including giving due attention to NICE Guideline 27. Manage a clinical caseload, dealing with patients needs in a Nursing & Care Home setting. Provide advanced nursing care and case management to patients with multiple complex long-term conditions. Undertake nursing, medical and social care assessment to initiate interventions. To improve quality of life in the Nursing & Care Home setting. Reduce fragmentation of care. Provide education, training and support to the nursing & care home team (where applicable) and ensure the highest standards of care are provided for patients. See attached Job Description for full info.

About us

STHC is a not-for-profit GP Federation and valued system partner, set up to bring together South Tyneside General Practices to work collaboratively in delivering services at scale across the borough of South Tyneside, reinvesting in primary care services and improving GP capacity.

What we do:

We employ over 80 staff of both clinical and non-clinical roles, across the delivery of our 4 Core Functions:

Clinical Service Delivery

Practice Management

Primary Care Network Hosting

Business Services

STHC manages two of its own General Practices, one in the beautiful coastal village of Whitburn and another, developing Training Practice in Jarrow, with a combined list size circa 8,400 patients.

Details

Date posted

19 June 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Flexible working

Reference number

B0170-25-0002

Job locations

Stanhope Parade Health Centre

Gordon Street

South Shields

NE33 4JP


Job description

Job responsibilities

CLINICAL ROLE:

The post-holder will,

Work with multi-disciplinary team within the PCN, and across the wider Health

Economy, to promote integrated and seamless pathways of care.

Make professionally autonomous decisions for which he/she is accountable

Provide a first point of contact for Nursing & Care Homes for advice regarding medical/nursing conditions of patients, making use of skills in history taking, physical examination, problem solving and clinical decision making.

Instigate necessary invasive and non invasive diagnostic tests or investigations

and interpret findings or reports

Where the post holder is an independent prescriber, to prescribe safe, effective

and appropriate medication as defined by current legislative framework

Provide safe, evidence-based, cost effective, individualised patient care

Offer a holistic service to patients and their families, developing where

appropriate an on going plan of care or support, with an emphasis on prevention

and self care

Promote health and well being through the use of health promotion, health

education, screening and therapeutic communication skills

Refer patients directly to other services or agencies as appropriate

Work with nursing, medical and health care coordinator colleagues to ensure that

National Service Frameworks e.g. Coronary Heart Disease,Older People,

Diabetes ,Mental Health are being delivered

Sustain & maintain high standards of patient care and service delivery

Participate in identification of community health needs and develop patient or family centred strategies to address them.

PROFESSIONAL ROLE:

The post-holder will,

Monitor the effectiveness of their own clinical practice through the quality

assurance strategies such as the use of audit and peer review

Maintain their professional registration

Participate in continuing professional development opportunities to ensure that

up to date evidence based knowledge and competence in all aspects of the role

is maintained

Develop and maintain a Personal Learning Plan

Work within the latest NMC Code of Professional Conduct

Record accurate consultation data in patients records in accordance with the

latest NMC guidance and other pertinent standards

Keep up to date with pertinent health-related policy

Work collaboratively with colleagues within and external partners.

Pro actively promote the role of the NP internally and to key

stakeholders and agencies

Encourage and develop teamwork.

Participate in multi disciplinary protocol and Patient Group Directions development

Participate in MDT meetings reporting progress as required. The only reason

for not attending will be annual, study or sick leave.

Participate in audits and inspections as appropriate.

The post-holder is required to travel independently between care homes where

applicable, and to attend meetings etc hosted by other agencies.

The post holder will have contact with body fluids i.e., wound exudates, urine etc

while in clinical practice.

This Job Description provides a guide to the duties and responsibilities of the post and is not an exhaustive list. The post holder may be asked to undertake any other relevant duties appropriate to the post. The Job Description may be amended over time, in consultation with the post holder to meet the needs of the service.

Job description

Job responsibilities

CLINICAL ROLE:

The post-holder will,

Work with multi-disciplinary team within the PCN, and across the wider Health

Economy, to promote integrated and seamless pathways of care.

Make professionally autonomous decisions for which he/she is accountable

Provide a first point of contact for Nursing & Care Homes for advice regarding medical/nursing conditions of patients, making use of skills in history taking, physical examination, problem solving and clinical decision making.

Instigate necessary invasive and non invasive diagnostic tests or investigations

and interpret findings or reports

Where the post holder is an independent prescriber, to prescribe safe, effective

and appropriate medication as defined by current legislative framework

Provide safe, evidence-based, cost effective, individualised patient care

Offer a holistic service to patients and their families, developing where

appropriate an on going plan of care or support, with an emphasis on prevention

and self care

Promote health and well being through the use of health promotion, health

education, screening and therapeutic communication skills

Refer patients directly to other services or agencies as appropriate

Work with nursing, medical and health care coordinator colleagues to ensure that

National Service Frameworks e.g. Coronary Heart Disease,Older People,

Diabetes ,Mental Health are being delivered

Sustain & maintain high standards of patient care and service delivery

Participate in identification of community health needs and develop patient or family centred strategies to address them.

PROFESSIONAL ROLE:

The post-holder will,

Monitor the effectiveness of their own clinical practice through the quality

assurance strategies such as the use of audit and peer review

Maintain their professional registration

Participate in continuing professional development opportunities to ensure that

up to date evidence based knowledge and competence in all aspects of the role

is maintained

Develop and maintain a Personal Learning Plan

Work within the latest NMC Code of Professional Conduct

Record accurate consultation data in patients records in accordance with the

latest NMC guidance and other pertinent standards

Keep up to date with pertinent health-related policy

Work collaboratively with colleagues within and external partners.

Pro actively promote the role of the NP internally and to key

stakeholders and agencies

Encourage and develop teamwork.

Participate in multi disciplinary protocol and Patient Group Directions development

Participate in MDT meetings reporting progress as required. The only reason

for not attending will be annual, study or sick leave.

Participate in audits and inspections as appropriate.

The post-holder is required to travel independently between care homes where

applicable, and to attend meetings etc hosted by other agencies.

The post holder will have contact with body fluids i.e., wound exudates, urine etc

while in clinical practice.

This Job Description provides a guide to the duties and responsibilities of the post and is not an exhaustive list. The post holder may be asked to undertake any other relevant duties appropriate to the post. The Job Description may be amended over time, in consultation with the post holder to meet the needs of the service.

Person Specification

see attached info

Essential

  • see attached info

Desirable

  • see attached info

Qualifications

Essential

  • see attached info

Desirable

  • see attached info

Experience

Essential

  • see attached info

Desirable

  • see attached info
Person Specification

see attached info

Essential

  • see attached info

Desirable

  • see attached info

Qualifications

Essential

  • see attached info

Desirable

  • see attached info

Experience

Essential

  • see attached info

Desirable

  • see attached info

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).

Employer details

Employer name

South Tyneside Health Collaboration

Address

Stanhope Parade Health Centre

Gordon Street

South Shields

NE33 4JP


Employer's website

https://www.thesthc.co.uk (Opens in a new tab)

Employer details

Employer name

South Tyneside Health Collaboration

Address

Stanhope Parade Health Centre

Gordon Street

South Shields

NE33 4JP


Employer's website

https://www.thesthc.co.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Clinical Lead Care Home Team

Sara Bailey

sara.bailey2@nhs.net

Details

Date posted

19 June 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Flexible working

Reference number

B0170-25-0002

Job locations

Stanhope Parade Health Centre

Gordon Street

South Shields

NE33 4JP


Supporting documents

Privacy notice

South Tyneside Health Collaboration's privacy notice (opens in a new tab)