Job responsibilities
JOB DESCRIPTION
JOB DETAILS:
Job
Title:
Primary Care Network Occupational
Therapist / Nurse / Paramedic
Contract
12 Month Fixed Term hours to be
negotiated / approx. 24 hours pw
Band:
6 /
7
Directorate:
PCN
Department:
PCN
Base:
Various
sites within PCN
Responsible
for:
Supporting
the delivery of Population based Proactive Care - usually within patients
own homes.
Responsible
to:
Proactive
Care Team Lead
JD
updated:
November
2025
Department Core Purpose
Taunton Deane West Primary Care
Network aims to provide patient centred healthcare. We are dedicated
to bringing the general practices together to ensure they are working
collaboratively to provide the best service they can for patients.
The Primary
Care Network has been established alongside Neighbourhood teams to understand
and develop services relevant to their local population. There are network
priorities that have been set nationally however there is the autonomy to
tailor these to local need.
The focus is on
improving the health and wellbeing of the people who live here as well as
taking action to reduce health inequalities.
Job Purpose:
The post holder will provide a high standard of clinical
delivery within the PCN Proactive Care Team.
The post holder
will provide intervention for the presenting patient from initial clinical
assessment, diagnosis, treatment, and evaluation of their care within set cohort
groups. The norm is to assess patients within their own home.
They will demonstrate safe, clinical
decision-making and high-level care for people within the PCN, alongside a
strong understanding and use of risk assessments. They will work
collaboratively with the PCNs multi-disciplinary team (MDT) to meet the needs
of individuals and carers.
Duties
and Responsibilities
Communication
and Key Working Relationships
Excellent
communication and organisational skills
Provides
and receives complex, sensitive information to patients and carers where
there maybe barriers to understanding
Be
able to work in partnership with colleagues at all levels both within and
external to the PCN, to include:
PCN Managers
PCN clinical and non-clinical colleagues
Practice staff
AHPP Lead
Proactive care clinical lead
Neighbourhood teams including
Community Rehabilitation Team, Older Persons Mental Health, District Nurses, Social Services, other
public and voluntary sector
Acute Services
Intermediate Care including Rapid
Response, Discharge to Assess
Adult Mental Health and Learning
Disabilities colleagues
Children and Young Persons Service 2
Stroke Services
Planning and
Organisation
Ability
to manage own time and work flexibly between face to face, and virtual
platforms, as required
Work
with other therapists across the health care systems.
Consistently and accurately follow lone working
policy procedure
Analytics
Ability
to evidence a sound understanding of the PCN & NHS principles and values
Ability
to analyse and interpret complex often incomplete information, pre-empt and
evaluate issues, and recommend and appropriate course of action to address
the issues
Evidence
of working across organisational boundaries within health and social care
Independent
thinker with good judgement, problem-solving and analytical skills
Good awareness of national framework, policy and
guidelines for Proactive Care.
Responsibility for Patient / Client Care, Treatment
& Therapy
To
deliver holistic, comprehensive clinical assessments in patients homes or in
the PCNs GP surgeries.
To
plan, implement, and evaluate Personalised Care and Support Plans - aiming to
increase patients wellbeing and to minimise the risk of them requiring
episodes of unplanned care.
To
work with patients through a shared-decision making approach to plan
realistic, outcomes-focused goals where appropriate using standardised
outcome metrics.
Complete
timely onward referrals into neighbourhood systems as appropriate.
Be
able to signpost patients and their families or carers into relevant
neighbourhood systems
Adhere
to professional standards - escalating concerns in a timely manner.
To
ensure and maintain a high-quality delivery of care that is evidence based,
safe and effective
To
concisely and clearly explain the nature & purpose of Proactive Care to
all stakeholders relevant to patient care.
To
use data, coding and AI systems to enable the effective delivery of upstream,
proactive care to the PCN population.
As
appropriate / depending on profession, complete relevant medical observations
Policy,
Service, Research & Development Responsibility
To
comply with legislation and all the PCNs Policies
To
contribute to and be responsible for implementing any service changes as
guided by national guidance.
Achieve
and demonstrate agreed standards of personal and professional development,
actively participate in mentoring and supervision, proactively support
Practice Delivery Education thought student/apprenticeship placement.
Develop
and share learning with colleagues, promoting peer review and best practice 3
within the work environment, alert other team members to issues of quality
and risk
Participate
in relevant audit processes, evaluation and implementing ongoing service
change to order to meet population need.
Maintain
accurate, contemporaneous healthcare records appropriate to the consultation,
ensuring accurate completion of all necessary documentation associated with
patient health care and registration with the practice. Ensure adhering to
professional standards and code of conduct.
To
participate in business and professional meetings, as appropriate, and in
discussion with your manager, including relevant clinical networks.
Responsibility
for Finance, Equipment & Other Resources
Responsible
for the safe use of and provision of adaptive equipment
Responsibility
for Supervision, Leadership & Management
To
receive regular clinical and management supervision in an agreed and
appropriate format as guided by the Employer.
The
postholder will have access to appropriate clinical supervision and an
appropriate named individual in the PCN to provide general advice and support
on a day-to-day basis.
Information
Resources & Administrative Duties
The
post holder will keep comprehensive notes and records for all patients who
have been referred with professional and PCN policy.
To
complete accurate and timely clinically related administrative duties
relevant to the operation of the service and contributing to the review of
information needs and systems for data collection
To
be able to use email for communications across the organisation and PCN sites
Any
Other Specific Tasks Required
The
post holder will require access to their own private transport to support
visits to patients across the Neighbourhood and travel to different locations
within the county when required. They will be required to have appropriate
insurance cover for business uses.
