Job summary
People living in care homes should expect the same level of support as those living in their own homes. The national framework for the Enhanced Health in Care Homes (EHCH) model of care provides steps to achieve this. We are moving away from traditional reactive models of care delivery, to proactive care, that is centred on the needs of individual residents, their families and care home staff.
The post holder will work collaboratively with health, social care, voluntary, community and care home partners. If you think you have excellent core skills in community nursing, then we are keen to extend your knowledge in the frailty specialty, and foster your enthusiasm.
The Enhanced Health in Care Homes (EHCH) team is a forward-thinking team supported by the Southport and Formby federation. We are responsible for implementing the EHCH DES. We are passionate about working collaboratively with our Care Homes to enhance the care provision for those who live locally in their later lives. In my role as the EHCH GP Lead, I provide clinical support to all team members. We are hoping for skilled practitioners, who bring their own experience and personality, to join our wonderful team as we develop and continue to provide a truly holistic approach for our Care Home residents.
Dr B Pennington
If you have any questions please contact Louise Sproat on louise.sproat1@nhs.net, interviews will take place from w/c 15th April.
Main duties of the job
We wish to recruit a nurse with advanced skills to participate in the community-based Enhanced Health in Care Homes team, consisting of Frailty Specialist Nurses, Advanced Clinical Pharmacists, Nurse Associates and Care Coordinators, working with system partners to deliver the EHCH specification.
Although the post is advertised as full-time, we will happily accept applications from those individuals who are looking for part-time hours.
The successful candidate will complete Comprehensive Geriatric Assessments, providing
feedback on assessment outcomes to
the weekly multi-disciplinary meetings, and produce
proactive, individualised care plans for care
home residents. The desired outcomes
are to improve clinical outcomes
for care home residents, to proactively
support primary care service provision, improve interprofessional relationships
across community and secondary care, and to
reduce unnecessary hospital admissions.
You will work alongside Care Co-ordinator team members to communicate individual care plans with their GP Practice and develop relationships with care homes, community teams, mental health services,
palliative care services, social services, and secondary care frailty teams,
to enable residents to meet their health goals
and be cared for in their preferred place of care.
About us
Southport and Formby Health is a dynamic and expanding GP federation, working with local GP Practices and other system providers to provide high quality, integrated, patient services. We are commissioned to provide the Enhanced Health in Care Homes Specification across Southport and Formby.
As a Frailty Specialist Nurse for the Enhanced Health in Care Homes Team, I feel valued and supported in my work. The team is welcoming and friendly; we have a wonderful opportunity to work together as a multidisciplinary team to make a difference in the care of the elderly. We offer a collaborative approach in managing patients, recognising increased complex health needs in our frail and elderly Care/Nursing Home residents. We have valuable discussions with the residents, their loved ones and the Care/Nursing Home staff, in planning to meet their holistic needs as an individual, which is something I am very passionate about. - Lydia Johnson, Frailty Specialist Nurse for the Enhanced Health in Care Homes team
The role will require the successful candidate to hold a full driving license to allow for travel to and from care homes and our central coordination hub in Southport.
We are looking for a passionate & motivated team player to join our growing team. On top of joining an amazing team of people all dedicated to helping the wider community, we can offer you an excellent benefits package as well as a commitment to your own development and wellbeing.
Job description
Job responsibilities
The duties
and responsibilities of the
Frailty Specialist Nurse are to:
-
Have experience of working with frailty/older
population demographic.
-
Understand
the care home provision in the locality and offer clinical support and direction to care home team
members.
-
Seek
to educate and inform care home team members to assist with excellent care
provision for residents.
-
Complete
Comprehensive Geriatric Assessment (CGA) for care home residents.
-
Create
problem lists and formulate management plans to address problems identified via
the Comprehensive Geriatric Assessment (CGA).
-
Make
independent clinical decisions/judgements based on patients clinical needs,
request investigations/ tests, carry out when necessary, and review the management plan following.
-
Provide individualised, proactive care plans for residents living in Care Homes, considering the choices and needs of individual residents, their families, and care home staff.
-
Consider
anticipatory clinical management planning, when appropriate, to support with
hospital admission avoidance, and
advocate for expressed preferred place of care for individuals.
-
Use digital
technology to support
the recording of assessments and facilitate the medical input.
-
Work
collaboratively with other colleagues in acute and community settings as part
of an integrated system that puts patients and their families/carers at the forefront of management plans.
-
Work with community service providers and other relevant
partners to coordinate attendance at external multidisciplinary
team (MDT) meetings and present patients for discussion.
-
Identify
and/or engage in locally organised shared learning opportunities as appropriate
and as capacity allows.
The postholder will:
-
Embed the core NMC
values and expectations of care, compassions, courage, communication, commitment, and competence into everyday
practice.
-
Utilise excellent
interpersonal and communication skills, provide enhanced
discussions with resident and family regarding end of
life wishes/planning
-
Motivate others
by influencing and inspiring others in new enhanced ways of working
-
Provide strong
leadership and a shared
vision for better
care
-
Highly
developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
-
Communicate with stakeholders and convey complex
messages to different recipient groups.
-
Develop effective and mutually supportive relationships with key partner organisations.
-
Provide strong intellectual, strategic, and systematic thinking
skills, and will think creatively and laterally to achieve outcomes.
Job description
Job responsibilities
The duties
and responsibilities of the
Frailty Specialist Nurse are to:
-
Have experience of working with frailty/older
population demographic.
-
Understand
the care home provision in the locality and offer clinical support and direction to care home team
members.
-
Seek
to educate and inform care home team members to assist with excellent care
provision for residents.
-
Complete
Comprehensive Geriatric Assessment (CGA) for care home residents.
-
Create
problem lists and formulate management plans to address problems identified via
the Comprehensive Geriatric Assessment (CGA).
-
Make
independent clinical decisions/judgements based on patients clinical needs,
request investigations/ tests, carry out when necessary, and review the management plan following.
-
Provide individualised, proactive care plans for residents living in Care Homes, considering the choices and needs of individual residents, their families, and care home staff.
-
Consider
anticipatory clinical management planning, when appropriate, to support with
hospital admission avoidance, and
advocate for expressed preferred place of care for individuals.
-
Use digital
technology to support
the recording of assessments and facilitate the medical input.
-
Work
collaboratively with other colleagues in acute and community settings as part
of an integrated system that puts patients and their families/carers at the forefront of management plans.
-
Work with community service providers and other relevant
partners to coordinate attendance at external multidisciplinary
team (MDT) meetings and present patients for discussion.
-
Identify
and/or engage in locally organised shared learning opportunities as appropriate
and as capacity allows.
The postholder will:
-
Embed the core NMC
values and expectations of care, compassions, courage, communication, commitment, and competence into everyday
practice.
-
Utilise excellent
interpersonal and communication skills, provide enhanced
discussions with resident and family regarding end of
life wishes/planning
-
Motivate others
by influencing and inspiring others in new enhanced ways of working
-
Provide strong
leadership and a shared
vision for better
care
-
Highly
developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
-
Communicate with stakeholders and convey complex
messages to different recipient groups.
-
Develop effective and mutually supportive relationships with key partner organisations.
-
Provide strong intellectual, strategic, and systematic thinking
skills, and will think creatively and laterally to achieve outcomes.
Person Specification
Experience
Essential
- Demonstrates high level of competence/advanced skills in clinical examination and diagnosis
- Interpret pathology/radiology results/reports and action where appropriate
- Excellent interpersonal and communication skills, provide enhanced discussions with resident and family regarding end of life wishes/planning Embed the core NMC values and expectations of care, compassions, courage, communication, commitment, and competence into everyday practice.
Personal Qualities
Essential
- Disclosure Barring Service (DBS) check as defined Car driver
Skills and Knowledge
Essential
- Ability to motivate others by influencing and inspire others in new enhanced ways of working
- Strong leadership and a shared vision for better care
- Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills Ability to communicate with stakeholders and convey complex messages to different recipient groups
- Able to develop effective and mutually supportive relationships with key partners within and without organisations
- Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes Ability to recover and recuperate quickly from difficult or challenging situations Strong IT skills
- Experience of recording care plans electronically
Qualifications
Essential
- Current qualification/nurse registration with NMC
- Demonstration of CPD and revalidation (if appropriate)
Desirable
- Knowledge of EMIS clinical software
Person Specification
Experience
Essential
- Demonstrates high level of competence/advanced skills in clinical examination and diagnosis
- Interpret pathology/radiology results/reports and action where appropriate
- Excellent interpersonal and communication skills, provide enhanced discussions with resident and family regarding end of life wishes/planning Embed the core NMC values and expectations of care, compassions, courage, communication, commitment, and competence into everyday practice.
Personal Qualities
Essential
- Disclosure Barring Service (DBS) check as defined Car driver
Skills and Knowledge
Essential
- Ability to motivate others by influencing and inspire others in new enhanced ways of working
- Strong leadership and a shared vision for better care
- Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills Ability to communicate with stakeholders and convey complex messages to different recipient groups
- Able to develop effective and mutually supportive relationships with key partners within and without organisations
- Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes Ability to recover and recuperate quickly from difficult or challenging situations Strong IT skills
- Experience of recording care plans electronically
Qualifications
Essential
- Current qualification/nurse registration with NMC
- Demonstration of CPD and revalidation (if appropriate)
Desirable
- Knowledge of EMIS clinical software
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).
