PCN Care Home/Primary Care Advanced Nurse Practitioner

Job responsibilities

Assess, diagnose and treat care home patients with complex and undifferentiated health conditions, acting independently within professional guidelines.

Manage the complete clinical care of patients, including planning and delivering treatments, making necessary referrals to other specialists, and facilitating continuity of care

Work as a core member of the multi-disciplinary HomeHealth team, providing expert clinical advice to colleagues and other members of the healthcare team.

Request investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans and x-rays in accordance with IR(ME)R regulations and local policy.

Use high-level communication skills to explain complex medical information and sensitive issues to patients, their families and other healthcare professionals.

Provide additional capacity support for the PCN within our member practices and support day to day access and capacity.

Assess and triage patients, including same day triage, and as appropriate provide definitive treatment (including prescribing medications following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways) or make necessary referrals to other members of the Primary Care team.

Manage undifferentiated undiagnosed conditions and identify red flags and underlying serious pathology and take appropriate action.

Use complex decision making to inform the diagnosis, investigation and complete management of episodes of care within a broad scope of practice.

Actively take a personalised care approach to enable shared decision making with the patient, their family or carers.

Continuously re-evaluate findings and clinical response to treatment and establish an on-going management plan as appropriate.

Prioritise health problems and intervene appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.

Complete the relevant training in order to provide multi-professional, clinical practice and CPD supervision to other roles within Primary Care, for example, first contact practitioners and personalised care roles.

Undertake clinical audit and quality improvement work across the PCN.

Be responsible for the day-to-day planning of personal workloads.

Follow organisational policies, protocols, procedures, and standards.

Report any incidents, accidents or complaints in a timely manner, taking appropriate action where necessary.

Develop themselves and the role through participation in clinical supervision, training and service redesign activities.

Contribute to a patient safety culture through reporting and investigation of incidents and undertaking proactive measures to improve patient safety.

Maintain accurate clinical records of all patient consultations and related work.

Support in the delivery of enhanced services and other service requirements on behalf of the PCN.

Participate in the management of patient complaints when requested to do so and participates in the identification of any necessary learning brought about through clinical incidents and near-miss events.

Undertake all mandatory training and induction programmes.

Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed.

Perform other general tasks as assigned.

This list is an outline of the key tasks and responsibilities and is not intended to be an exhaustive list. The postholder will be expected to carry out other tasks, which may be reasonably required by the employer. The post may be subject to change/review as the needs of the role change.

Experience

Essential

• Have at least 1 years advanced clinical practice experience in a primary care or urgent care setting to evidence autonomous clinical practice
• Be working at masters level or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competencies
• Highly developed specialist knowledge which is underpinned by theory and experience
• Experience of dealing with vulnerable patients
• Has a personalised care and What Matters to Me approach embedded within working practices
• Ability to work under pressure and manage varied workloads with changing demands
• Prior experience working within or closely with care homes, or with complex frail older people in a community or primary care setting.

Desirable

• Experience in palliative care and advanced care planning
• Experience of work using telephone/remote triage
• Experience of working in a multi-disciplinary team within a primary care environment
• Knowledge of local primary care services

Skills

Essential

• Effectively demonstrate delivery of the 4 pillars of advanced practice through a portfolio
• Knowledge of local and national healthcare agendas/strategy and policies and how they relate to the specific service
• Demonstrate an understanding of the legal, ethical and professional responsibilities and accountability with regards to the advanced level, autonomous practice
• Ability to support and manage patients including assessment, planning, evaluation and monitoring, including signposting and provision of health promotion and education to patients and carers
• Ability to triage patient needs and manage a clinical caseload
• Ability to demonstrate effective written, communication, counselling and interpersonal skills
• Ability to work autonomously and within professional boundaries, including when ordering tests, requesting investigations and developing interventions
• Ability to exercise a high level of personal and professional autonomy, including making critical judgements to meet the expectations and demands of the role
• Ability and awareness to seek support from peers when faced with patients with presenting conditions outside of clinical knowledge
• Possess a commitment to ethical decision making, professional responsibility, and a high standard of clinical care
• Ability to work within a team, and with multiple teams in different settings
• Participation in clinical audit/quality improvement work

Desirable

• Skills and experience in leadership
• Participation in research
• Effective time management (planning & organising)
• Demonstrate personal accountability, emotional resilience and work well under pressure
• Good clinical system IT knowledge of SystmOne

Personal Qualities

Essential

• Team player with a can do attitude
• Good communicator
• Empathy and sensitivity
• Willing to embrace change that will enhance the quality of the service and contribute to developing patient quality audits and pathways
• Flexible and cooperative
• Able to provide leadership and to finish work tasks
• Problem solving & analytical skills
• Ability to maintain confidentiality
• Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Other Requirements

Essential

• Flexibility to work outside of core General Practice hours
• Disclosure Barring Service (DBS) check
• Access to own transport and ability to travel across the locality on a regular basis

Qualifications

Essential

• NMC registered nurse
• NMC registered non-medical prescriber
• MSc Advanced Clinical Practice
• Evidence of continued professional development

Desirable

• 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 for Advancing Practice, demonstrating recognised educational and experiential preparation in advanced practice
• or
• Currently enrolled as a trainee on a Centre for Advancing Practice accredited MSc advanced practice programme
• or
• Currently enrolled on and progressed past the initial Learning Needs Analysis (LNA) stage of the Centre for Advancing Practice ePortfolio (supported) Route

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).