Job summary
ABOUT THE
ROLE
We
are looking for a Senior RGN to join our well-established Enhanced health and
care home team in Nottingham West Primary Care Network. The team supports the
delivery of the Enhanced Health and Care Home element of the PCN Direct
Enhanced Service (DES) and supports both GP practices and Care Homes within
Nottingham West PCN to provide holistic care to Care home residents.
The
post holder will liaise with the Care Coordinator team to ensure that a full
holistic review for all newly admitted residents and recently discharged from
hospital residents are in place and that annual reviews of the care plans
occur. The post holder will work with the Community Geriatricians to ensure the
delivery of the Monthly MDT.
The
post holder will work as a clinical care home lead in the team conducting ward
rounds and completing actions as required including the creation of Care plans
and Respect form and supporting practices with Long term condition reviews,
falls assessments etc.
Main duties of the job
KEY
RESPONSIBILITIES
-
To
participate in and implement the overall strategy for development and delivery
of the Enhanced Health in Care Homes service across NW PCN.
-
The
post holder will lead in the weekly home rounds and have the ability and
knowledge to make decisions regards appropriateness of onward referrals and to
hold themselves and others to account for their delivery of actions from the
home round.
-
To
take a significant role in the holistic assessment and treatment of patients in
care homes with complex illnesses. To confidently consult with
patients/families/carers to determine the needs of individuals and develop and
review care plans and Respect forms to support care.
KEY
REQUIREMENTS
-
Registered
Practitioner NMC
-
Significant
experience of working across different Health Care Settings
-
Experience
of working within a multi-disciplinary team and across organisational
boundaries
About us
PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.
Benefits of working for PICS
We offer a comprehensive package which includes:
Job description
Job responsibilities
KEY
RESPONSIBILITIES
-
To participate in and implement the overall strategy
for development and delivery of the Enhanced Health in Care Homes service
across NW PCN.
-
The post holder will lead in the weekly home
rounds and have the ability and knowledge to make decisions regards
appropriateness of onward referrals and to hold themselves and others to
account for their delivery of actions from the home round.
-
To take a significant role in the holistic
assessment and treatment of patients in care homes with complex illnesses. To
confidently consult with patients/families/carers to determine the needs of
individuals and develop and review care plans and Respect forms to support
care.
-
To confidently make autonomous decisions following
assessments and ensuring that information is collaboratively communicated back
to GP colleagues in a timely and professional manner
-
To make recommendations regarding patient management
in accordance with Local and National guidelines
-
The post holder is responsible for consulting and
collaborating with other health care professionals and specialists across both
primary, secondary, social care and the voluntary care sectors.
-
To establish and improve professional standards of
care in the management of residents within care homes by developing
partnerships with key stakeholders.
-
Demonstrate a good understanding of clinical
governance and risk management and apply to work effectively alerting any risks
and benefits when developing services and practice in new areas.
-
To undertake research and service development.
-
To facilitate clinical supervision to clinicians who
are working within the service and to provide mentorship for clinicians
developing advanced skills.
-
Keep abreast of new developments in treatment and
technology.
-
Promote the philosophy of patient centred care and
with care homes facilitate a forum for patients and their carers to reflect and
feedback issues and concerns.
-
Communications across the MDT is a critical element
for this role. Information will be shared across providers, and the post holder
will support the voice of the residents and care homes as equal members of the
MDT.
-
Utilising and interpreting data, to support service
improvement for care homes and primary care, as well as understanding the
demands on urgent and emergency services to reduce avoidable activity where
possible. Data and local intelligence will be utilised to develop and influence
new ways of working to improve patient care, the resilience of primary care and
system partners.
-
The post holder will be required to evidence the
impacts of the post and provide data monitoring to further shape the role and
delivery of the Care Home DES within the PCN.
-
As a senior clinician the post holder may be
required to support local and system wide meetings as appropriate and have a
visible presence across the care homes, GP practices and Integrated Care Board
work streams which have relevance for care homes.
-
The post holder is responsible for ensuring that the
residents and care home managers within NW PCN locality receive assistance in
accessing health care interventions by signposting to the most appropriate
person to provide care.
Professional Leadership and
Development
-
To be responsible for maintaining own competency to
practice through Continuing Professional Development activities and to
participate in the review and appraisal process.
-
To adhere to the individual Professional code of
conduct and practice at all times.
-
To reflect on own practice individually and through
regular clinical supervision.
-
To participate in any relevant
training/course/conferences to maintain own professional development.
-
To maintain, develop and disseminate specialist
knowledge of evidence-based practice.
-
To critically evaluate own work through the use of
evidence-based projects, audits and outcome measures.
-
To work autonomously as a Clinical Care Homes Lead
within professional and PICS guidelines, policies and procedures.
Communication and Relationship Skills
-
Demonstrate advanced communication skills in
providing advice, empowerment, facilitation, influence, motivation and
counselling.
-
Manage complex communication issues that may arise
between differing health and social care professionals.
-
Demonstrate an understanding of the need to involve
patients and carers in decision making, offering them informed choices,
respecting their views.
-
Seek out different styles and methods of
communicating to assist longer term needs and aims.
-
The nature of some communication can be
unpredictable and can be of an urgent high priority nature: this can therefore
be responsible for impacting into time allocated towards other necessary tasks.
-
As a senior clinician manage difficult and
challenging conversations, providing clarity and information to seek a mutually
agreeable position between parties.
Knowledge, Training and Experience
-
This post demands a range of developed skills from a
wide and varied background, experience and a broad yet deep knowledge base
underpinned with a proven track record and/or an academically scrutinised
knowledge base.
-
Working with care home staff where English is not
the first language to promote education and training.
-
Analytical judgement underpinned with specialist
knowledge and experience is used to develop evidenced based holistic personal
care plan with patients, carers, relatives and health care professionals based
on a full assessment of medical, nursing, and social care needs.
-
Work collaboratively with colleagues using databases
to actively seek patients who will benefit from clinical cases management
techniques to avoid unplanned hospital admissions and reduce the length of
hospital admissions.
-
Provide evidence based written information, ensuring
easy access to advice and information for patients and their carers.
-
Acts a role model demonstrating high standards of
care and providing clinical leadership to others.
-
Provides specialist education and training to other
professionals involved in patient care.
-
Participate in the education, induction programmes
and support meetings for other professional staff.
-
Actively participate in other multi-professional
meetings, acting as the patient advocate.
-
Monitor own performance by reflective practice and
identify training and educational needs.
-
Contributes to the identification of service goals
and appreciates how this links in with performance targets and quality
indicators.
-
Engage in local and organisational audit.
-
Regular self-direction of learning needs.
-
Maintain up to date mandatory training records.
Clinical Governance
-
To maintain accurate and comprehensive documentation
in line with legal, professional and organisational requirements. Ensure all
information regarding each patient related contact is recorded within SystmOne
records.
-
Identify need for, and undertake, research, clinical
audit, benchmarking and equipment trials, in order to improve effectiveness of
patient care.
-
Disseminate research and audit findings through
presentation to multi-professional groups and publication.
-
Take responsibility for the development and
implementation of policies, procedures and guidelines relevant to own area of
work, which may have an impact across the organization.
-
Promote patient and public involvement activities in
the specialist area, leading to service improvement.
-
Actively promote peoples equality, diversity and
rights.
-
Evaluate service delivery, identify areas for
improvement and initiate change. Assist
in the investigation of complaints and clinical incidents related to the
Enhanced Health in Care Homes service and take the lead in ensuring that
learning takes place as a result of complaints and incidents.
-
Monitor health, safety and security of self and
others and promote best practice.
-
Identify risk issues that impact on the patients
health or social are needs.
-
Take appropriate action to the significance of the
risk and consistent with protection procedures, applying protection procedures,
following lone worker procedure.
-
Demonstrate effective team working inclusive of all
relevant professionals.
-
Report all accidents / incidents, and all ill
health, failings in equipment and / or environment to line managers.
Professional Development / Personal
Performance.
-
Identify learning needs, plan, implement and
evaluate programmes of education to meet identified need.
-
Establish own support mechanisms to enable
structured reflection, including clinical supervision, development of
supportive networks mentoring and coaching.
-
Participate in and undertake clinical supervision of
colleagues on an individual or group.
-
Participate in the divisional appraisal system and
demonstrate the achievement of agreed personal objectives.
For more information, please see the supporting documents
Job description
Job responsibilities
KEY
RESPONSIBILITIES
-
To participate in and implement the overall strategy
for development and delivery of the Enhanced Health in Care Homes service
across NW PCN.
-
The post holder will lead in the weekly home
rounds and have the ability and knowledge to make decisions regards
appropriateness of onward referrals and to hold themselves and others to
account for their delivery of actions from the home round.
-
To take a significant role in the holistic
assessment and treatment of patients in care homes with complex illnesses. To
confidently consult with patients/families/carers to determine the needs of
individuals and develop and review care plans and Respect forms to support
care.
-
To confidently make autonomous decisions following
assessments and ensuring that information is collaboratively communicated back
to GP colleagues in a timely and professional manner
-
To make recommendations regarding patient management
in accordance with Local and National guidelines
-
The post holder is responsible for consulting and
collaborating with other health care professionals and specialists across both
primary, secondary, social care and the voluntary care sectors.
-
To establish and improve professional standards of
care in the management of residents within care homes by developing
partnerships with key stakeholders.
-
Demonstrate a good understanding of clinical
governance and risk management and apply to work effectively alerting any risks
and benefits when developing services and practice in new areas.
-
To undertake research and service development.
-
To facilitate clinical supervision to clinicians who
are working within the service and to provide mentorship for clinicians
developing advanced skills.
-
Keep abreast of new developments in treatment and
technology.
-
Promote the philosophy of patient centred care and
with care homes facilitate a forum for patients and their carers to reflect and
feedback issues and concerns.
-
Communications across the MDT is a critical element
for this role. Information will be shared across providers, and the post holder
will support the voice of the residents and care homes as equal members of the
MDT.
-
Utilising and interpreting data, to support service
improvement for care homes and primary care, as well as understanding the
demands on urgent and emergency services to reduce avoidable activity where
possible. Data and local intelligence will be utilised to develop and influence
new ways of working to improve patient care, the resilience of primary care and
system partners.
-
The post holder will be required to evidence the
impacts of the post and provide data monitoring to further shape the role and
delivery of the Care Home DES within the PCN.
-
As a senior clinician the post holder may be
required to support local and system wide meetings as appropriate and have a
visible presence across the care homes, GP practices and Integrated Care Board
work streams which have relevance for care homes.
-
The post holder is responsible for ensuring that the
residents and care home managers within NW PCN locality receive assistance in
accessing health care interventions by signposting to the most appropriate
person to provide care.
Professional Leadership and
Development
-
To be responsible for maintaining own competency to
practice through Continuing Professional Development activities and to
participate in the review and appraisal process.
-
To adhere to the individual Professional code of
conduct and practice at all times.
-
To reflect on own practice individually and through
regular clinical supervision.
-
To participate in any relevant
training/course/conferences to maintain own professional development.
-
To maintain, develop and disseminate specialist
knowledge of evidence-based practice.
-
To critically evaluate own work through the use of
evidence-based projects, audits and outcome measures.
-
To work autonomously as a Clinical Care Homes Lead
within professional and PICS guidelines, policies and procedures.
Communication and Relationship Skills
-
Demonstrate advanced communication skills in
providing advice, empowerment, facilitation, influence, motivation and
counselling.
-
Manage complex communication issues that may arise
between differing health and social care professionals.
-
Demonstrate an understanding of the need to involve
patients and carers in decision making, offering them informed choices,
respecting their views.
-
Seek out different styles and methods of
communicating to assist longer term needs and aims.
-
The nature of some communication can be
unpredictable and can be of an urgent high priority nature: this can therefore
be responsible for impacting into time allocated towards other necessary tasks.
-
As a senior clinician manage difficult and
challenging conversations, providing clarity and information to seek a mutually
agreeable position between parties.
Knowledge, Training and Experience
-
This post demands a range of developed skills from a
wide and varied background, experience and a broad yet deep knowledge base
underpinned with a proven track record and/or an academically scrutinised
knowledge base.
-
Working with care home staff where English is not
the first language to promote education and training.
-
Analytical judgement underpinned with specialist
knowledge and experience is used to develop evidenced based holistic personal
care plan with patients, carers, relatives and health care professionals based
on a full assessment of medical, nursing, and social care needs.
-
Work collaboratively with colleagues using databases
to actively seek patients who will benefit from clinical cases management
techniques to avoid unplanned hospital admissions and reduce the length of
hospital admissions.
-
Provide evidence based written information, ensuring
easy access to advice and information for patients and their carers.
-
Acts a role model demonstrating high standards of
care and providing clinical leadership to others.
-
Provides specialist education and training to other
professionals involved in patient care.
-
Participate in the education, induction programmes
and support meetings for other professional staff.
-
Actively participate in other multi-professional
meetings, acting as the patient advocate.
-
Monitor own performance by reflective practice and
identify training and educational needs.
-
Contributes to the identification of service goals
and appreciates how this links in with performance targets and quality
indicators.
-
Engage in local and organisational audit.
-
Regular self-direction of learning needs.
-
Maintain up to date mandatory training records.
Clinical Governance
-
To maintain accurate and comprehensive documentation
in line with legal, professional and organisational requirements. Ensure all
information regarding each patient related contact is recorded within SystmOne
records.
-
Identify need for, and undertake, research, clinical
audit, benchmarking and equipment trials, in order to improve effectiveness of
patient care.
-
Disseminate research and audit findings through
presentation to multi-professional groups and publication.
-
Take responsibility for the development and
implementation of policies, procedures and guidelines relevant to own area of
work, which may have an impact across the organization.
-
Promote patient and public involvement activities in
the specialist area, leading to service improvement.
-
Actively promote peoples equality, diversity and
rights.
-
Evaluate service delivery, identify areas for
improvement and initiate change. Assist
in the investigation of complaints and clinical incidents related to the
Enhanced Health in Care Homes service and take the lead in ensuring that
learning takes place as a result of complaints and incidents.
-
Monitor health, safety and security of self and
others and promote best practice.
-
Identify risk issues that impact on the patients
health or social are needs.
-
Take appropriate action to the significance of the
risk and consistent with protection procedures, applying protection procedures,
following lone worker procedure.
-
Demonstrate effective team working inclusive of all
relevant professionals.
-
Report all accidents / incidents, and all ill
health, failings in equipment and / or environment to line managers.
Professional Development / Personal
Performance.
-
Identify learning needs, plan, implement and
evaluate programmes of education to meet identified need.
-
Establish own support mechanisms to enable
structured reflection, including clinical supervision, development of
supportive networks mentoring and coaching.
-
Participate in and undertake clinical supervision of
colleagues on an individual or group.
-
Participate in the divisional appraisal system and
demonstrate the achievement of agreed personal objectives.
For more information, please see the supporting documents
Person Specification
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your NMC professional registration.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
Person Specification
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your NMC professional registration.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
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).
