Frailty Specialist Clinical Practitioner

Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of the Frailty Specialist Clinical Practitioner:

Work clinical sessions providing face to face appointments in the patients home and telephone follow up where appropriate

Meet the multiple and often complex needs of frail people through assessment of health and wellbeing, developing a personalise advanced care plan using shared decision making

Utilise a range of effective evidence based palliative rehabilitation and social interventions to promote health, wellbeing and self-management

Provide appropriate preventative health care and advice

Understand the needs of frail patients and be aware of local services which are available to support them

Manage a cross-practice consolidated caseload of frail housebound patients, including prioritising their reviews and planning the visiting schedule

Act on alerts (e.g. QOF, local enhanced services etc.) and reminders during a consultation

Respond to acute medical problems presented by patients, including history taking and examination

Confidently advise on and manage minor illnesses such as UTIs and coughs

Be able to undertake phlebotomy

Give immunisations as required

Organise onward investigation, treatment and referral where appropriate

Be confident and compassionate in discussing advanced care planning, including end of life and resuscitation wishes

Have excellent consultation skills to enable shared patient and practitioner decision-making

Understand the impact of comorbidities and poly-pharmacy and liaise with the clinical pharmacist team where appropriate

Manage your own incoming pathology results and documents

Participate in multi-disciplinary team meetings

Adhere to the practice prescribing formulary, local and national guidelines.

Make autonomous decisions in relation to presenting problems and their management

Recognise your limitations and seek senior support where appropriate

Record clear and contemporaneous IT based consultation notes to agreed standards

Collect data for audit purposes

Secondary Responsibilities

In addition to the primary responsibilities, the Frailty Specialist Clinical Practitioner may be requested to:

Participate in practice audits as requested by the audit lead

Participate in local initiatives to enhance service delivery and patient care

Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)

This list is not exhaustive and there may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload, staffing levels and the needs of the business.

Generic Responsibilities

Confidentiality

All staff are required to respect the confidentiality of all H&W Health, HWPCN and Practice business and the business of the staff, residents, patients and general public which they may learn in the execution of their duties.

Data Protection

All staff are expected to adhere to the current laws regarding data protection.

Health and Safety

All staff are expected:

To carry out the duties placed on employees by the Health and Safety at Work Act 1974, , Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

To take reasonable care for the Health and Safety of themselves and of other persons who may be affected by their acts or omissions at work.

To co-operate with their employer as far as is necessary to meet the requirements of the legislation.

Not to intentionally or recklessly interfere with or misuse anything provided in the interest of health, safety or welfare in the pursuance of any relevant statutory provision.

Equality and Diversity

You must uphold the PCN commitment that all people will be valued regardless of their economic circumstances, disability, race, age, gender, sexual orientation, religion or belief, transgender status, pregnancy, maternity, partnership or marital status.

Risk Management

All staff are expected:

To have a commitment to identifying and minimising risk, report all incidents and any risks which need to be assessed.

To always comply with the Practices/PCNs/Companys Health and Safety policies. To follow agreed safe working practices and report any incidents or concerns to the practice manager, PCN director and senior clinic pharmacist.

Professional Registration

All qualified/professional staff are required to keep professionally registered and updated in accordance with the requirements of the relevant Code of Practice and to follow guidance issued by their professional body.

Policies and Procedures

The post holder is expected to comply with all relevant PCN policies, procedures and guidelines.

Quality & Continuous Improvement (CI)

All staff are expected to strive for continuous improvement and to raise ideas and concerns with their line manager

Learning and Development

All staff will be required to partake and complete a company induction and mandatory training, as well as participating in PCN training activities.

Collaborative Working

All staff are expected:

To recognise the significance of collaborative working.

To communicate in a manner which enables the sharing of information appropriately and professionally.

Professional Conduct

Staff are required to dress appropriately for their role

Leave

Staff are encouraged to use all of their annual leave entitlement.

Person Specification

Other requirements

Essential

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health Clearance

Desirable

• Project lead as required

Experience

Essential

• Experience of working in a primary care environment
• Experience of continued professional development

Desirable

• Experience of QoF and clinical audit
• General understanding of the GMS contract
• Experience of working in palliative care

Personal Qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort

Qualifications

Essential

• Level 7 qualification in Frailty or willingness to undertake an agreed course
• EITHER:
• Registered General Nurse
• Advanced Nurse Practitioner
• Paramedic
• For Registered General Nurses:
• Current registration with the Nursing and Midwifery Council
• Recognised nursing qualification to degree level or equivalent
• For Advanced Nurse Practitioners:
• MSc from a Centre for Advancing Practice; or
• have completed the Centres ePortfolio; and
• maintain relevant professional registrations with the Nursing & Midwifery Council
• For Paramedics:
• hold degree/ diploma in paramedicine; and
• be registered with the Health and Care Professions Council (HCPC);
• have completed two-year Consolidation of Learning period as a newly qualified paramedic; and
• have a further three years experience as a band 6 (or equivalent) paramedic; and
• have completed and been signed off formally within the clinical pillar competencies of the paramedic FCP/AP roadmap to practice.
• The ideal candidate would be an Independent Prescriber, with the appropriate annotation held on record by their regulatory body.

Skills

Essential

• Excellent level of clinical knowledge and skills
• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• SystmOne user skills
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Excellent interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

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.

Employer details

Employer name

Hitchin & Whitwell Primary Care Network

Address

Portmill Surgery

114 Queen Street

Hitchin

Hertfordshire

SG4 9TH

Employer's website

https://surgerywebtemp.org.uk/u81398-pcn/ (Opens in a new tab)