Job responsibilities
The opportunity
LS25/26 PCN is a PCN with a patient population of circa 75,000
across 7 practices.
Garforth Medical Centre
Gibson Lane Practice
Kippax Hall Surgery
Lofthouse Surgery
Moorfield House Surgery
Nova Scotia Medical Centre
Oulton Medical Centre
We are a dynamic, forward thinking
PCN team who are passionate about developing and delivering excellent quality
local services to meet the needs of our patients. Please have a look at our
website to find out more about our team, projects, services and partners.
(www.ls2526pcn.co.uk)
We
have a team of over 40 staff including pharmacists, pharmacy technicians,
trainee pharmacist, paramedics, social prescribers (general and working with
young people), Health Care Assistant/social prescribers, health and wellbeing
coaches, care coordinators, occupational therapists, physiotherapists,
physician associates, admiral (dementia) nurse, nurse associate, Advanced Nurse Practitioner, and a
Community Matron. Please see our staffing structure but note that it may be
updated as we continue to develop and grow our team.
Our
staff sit within 5 teams: Pharmacy, Clinical, Health & Wellbeing,
Operational and Frailty, with the aim of supporting our practices and improving
the health outcomes for our patients.
The Role
The post
holder will be an autonomous practitioner who will be expected to take an
active role in managing acute care pathways by delivery of advanced assessment,
by responding through assessment, management and treatment of patients, usually
over 65 years of age living with Frailty both in the community and in
care/nursing homes across the PCN.
The
Frailty ANP will have a key role in supporting the work of PCN in transforming
the care of frail patients, delivering integrated out of hospital care. They will support practices to meet the
requirements of the enhanced frailty scheme, QOF and the NHS long term plan.
The
Advanced Nurse Practitioner role within the PCN will provide comprehensive
healthcare sensitive to the needs of the population, including advanced
clinical assessments, history taking, diagnosis, plan and deliver treatment,
prescribe, and evaluate care. Working as part of a multidisciplinary team and
across the primary care, neighbourhood teams and social care in the LS25/26
PCN.
The post
holder will be responsible for working with the frailty team to co-ordinate the
delivery of proactive and reactive care needs of living with frailty . This
includes direct referrals from GP practices, discharge reviews, social care,
Neighbourhood teams, PCN staff, other professionals and from data from the
clinical system.
The post
holder will provide highly specialised health assessments and input as an
independent and autonomous practitioner developing and leading relationships
with members of the multi-professional team allowing for consultation and
collaboration.
The
focus will be to provide ongoing medical support and prevent unnecessary acute
hospital admissions and enable patients to remain safely and supported within
their own homes/nursing and residential homes.
The post
holder will aid in developing, delivering, and evaluating high quality patient
centred interventions in conjunction with the associated clinical teams to
ensure this is incorporated within both the overarching PCN Frailty Service and
LS25/26 PCN objectives.
As an
advanced practitioner defined a first level nurse/allied health professional,
the post holder will work within the PCN and be responsible for:
Working
alongside the PCN manager in developing and leading the PCN frailty team,
taking a lead on developments related to frailty.
Leading
and supervising clinical staff within the service.
Providing
highly specialised care within the community and care settings, to those
patients with unscheduled care needs using advanced clinical knowledge that is
evidence based, assessing, diagnosing, treating patients, and advising people
in respect of their health care needs.
Provide
expert advice and clinical leadership to ensure the needs of the patient are
met by leading, challenging, and changing practice within the community.
Provide
community wide team working in the development of the role of the frailty
advanced Practitioners.
To
pro-actively support and maintain patients within the community.
To help
to develop clinical pathways and protocols, leading on clinical audit and
research.
To
recognise and act as an advocate for patients, carers, services and
organisations.
May
require travel between practices and to carry out home visits.
Key
duties and responsibilities
1. Clinical
Practice
Assess and holistically clinically examine patients with both
minor and complex needs through history taking, physical examination and
appropriate use of investigations to confirm diagnosis.
Recognise the early symptoms of
disease exacerbation and acute illness based on an understanding of disease,
the disease process, and current evidence and practice standards.
Plan, implement and evaluate an effective management plan for the
patient, ensuring safe discharge/referral and/or transfer to an appropriate health
care service.
Provide information and advice on prescribed or over-the-counter
medication on medication regimens, side-effects and interactions.
Prioritise health problems and intervene appropriately to assist
the patient in complex, urgent or emergency situations, including initiation of
effective emergency care.
Triage telephone call referrals
from external clinicians, patients and others into a range of services
appropriately as required utilising video consultation resources
2. Communication
Utilise and demonstrate sensitive communication styles, to ensure
patients are fully informed and consent to treatment.
Communicate effectively with patients and carers, recognising the
need for alternative methods of communication to overcome different levels of
understanding, cultural background and preferred ways of communicating.
Anticipate barriers to communication and take action to improve
communication.
Maintain effective communication within the organisation and with
external stakeholders.
Ensure awareness of sources of support and guidance and provide
information in an acceptable format to all patients, recognising any
difficulties and referring where appropriate.
3. Non-Medical-
Prescribing
If you are employed in a prescribing capacity, you must only do
this if qualified and competent to do so. This applies to those practitioners
with V300 qualification, who have active registration with the NMC or the
practitioners professional regulatory body.
With relevant training, authorisationand experience,
practitioners may be trained to use a set of specific patient group directions
(PGD's). These are applicable only to nominated, authorised and competent
practitioners who have undertaken training in this sphere of practice.
You must maintain your knowledge and skills with regards to
prescribing and administration of drugs, keeping up to date with any changes,
alerts, recalls and other reasonable professional knowledge.
4. Delivering a
Quality Service
Recognise and work within own competence and professional code of
conduct as regulated by the NMC/HPC etc. Understand own role and scope and
identify how this may develop over time.
Produce accurate, contemporaneous and complete records of patient
consultation, consistent with legislation, policies and procedures.
Prioritise, organise and manage own workload in a manner that
maintains and promotes quality.
Ensure professional revalidation requirements are met.
Deliver care according to NSF, NICE guidelines and evidence-based
care.
Assess effectiveness of care delivery through self and peer
review, benchmarking and formal evaluation.
Initiate and participate in the maintenance of quality governance
systems and processes across the organisation and its activities.
In partnership with other clinical teams, collaborate on improving
the quality of health care responding to local and national policies and
initiatives as appropriate.
Support and participate in shared learning across the organisation
and wider organisation.
Understand and apply guidance that supports the identification of
vulnerable and abused children and
adults, and be aware of statutory child/vulnerable patient health procedures
and local guidance.
5. Leadership
Personal and People Development
Take responsibility for own learning and performance including
participating in clinical supervision and acting as a positive role mode.
Provide supervison and mentoring and support staff development in
order to maximise potential.
Actively promote the workplace as a learning environment,
encouraging everyone to learn from each other and from external good practice.
Encourage others to make realistic self-assessment of their
application of knowledge and skills, challenging any complacency or actions
that are not in the interest of the public and/or users of services.
Critically evaluate and review innovations and developments that
are relevant to the area of work.
Take a lead role in planning and implementing changes within the
area of care and responsibility.
Please see attached job description