PCN Advanced Clinical Practitioner (Care Homes)

Job description

Job responsibilities

Assess, diagnose, plan, implement and evaluate treatment, interventions and care for patients presenting with an undifferentiated diagnosis.

Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.

Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into your treatment plans.

Undertake necessary discussions with patients, NOK, POA with regards to admission avoidance and advance care planning.

Undertake capacity assessments and act appropriately with regards to the patient's ability.

Deliver a service towards proactive care that is centred on the needs of individual residents, their families and care home staff.

Deliver care according to NSF, NICE guidelines, and evidence-based care.

To support Care Home staff to maximum better patient outcomes, experience and use of resources.

Understand and implement the principles of the EHCH model (personalised care, coproduction, collaboration, quality, leadership and digital means.

Support staff development to maximize potential.

Undertake learning and information gain to other team members to share good practice and inform others about current and future developments.

Provide an educational role to patients, carers, families, and colleagues in an environment that facilitates learning.

Clinical Practice Expectations

Work as an autonomous clinician across all areas to develop and provide expert clinical advice, support and care

Develop and use advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatments of patients.

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.

Interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of patients.

Act as lead specialist and a resource to all staff in the delivery of clinical care to patients both inside the Care Home and back at Practice.

Evaluate the outcomes of interventions.

Prioritise and co-ordinate the multiple health care needs of the patient, co-ordinating and facilitating timely referrals to other team members within acute and primary care settings.

Facilitate the integration of patient goals for health and social care into care plans and plan for future health needs.

Undertake diagnostic assessments, health screening and therapeutic interventions and will recommend further investigations and refer to other agencies as appropriate.

Advocate high quality care for people, act as a champion for people by representing supporting the persons interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers.

Empower patients and their families through appropriate support and education.

Influence, support and take an active role in Public Health Self-care of the individual and community.

Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning.

Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.

Review medication and act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own NMP formulary and competencies relevant medication and liaise with pharmacy and medical staff.

To regularly evaluate practice to ensure continuous improvement.

Act as an advocate for the patient negotiating and consulting with other clinicians and associated staff to ensure high quality care.

Work with clinicians and management in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.

Work across professional boundaries providing expert clinical knowledge whilst developing new and transferable skills.

To support best practice end of life planning (last twelve months) including advance care planning for patients identified according to best practice end of life care.

To work with patients and carers to develop care plans which encourage self-care and reduce avoidable hospital admissions.

They should be responsible for implementation, monitoring and training of infection control policies and procedures.

Initiate and contribute to the audit processes as required by the organisations

Responsible for monitoring clinical equipment register, and ensuring own equipment fit for purpose and, calibration is up to date.

Work within the Advanced Practice Competency framework as agreed by the PCN board to ensure a predetermined level of practice is achieved. They will be required to work with their clinical supervisor to produce a portfolio of skills knowledge and extended practice as outlined which will be reviewed annually during the appraisal process.

Person Specification

Qualifications

Essential

• Knowledge of current clinical issues and the changing landscape of the NHS
• Experience of, understanding of managing professional development
• Good understanding of regulatory requirements from the Care Quality Commission, and other regulatory bodies
• Highly developed persuasive, motivational and negotiating skills.
• Clinical experience working with older people
• Contributes to quality improvement
• Understanding of the principles and practice of Knowledge of clinical audit and evaluation of services.

Desirable

• Experience of clinical systems (SystmOne).
• Experience working in Primary Care.
• Experience working within a Care Home or Elderly Care setting.

Experience

Essential

• Knowledge of local pathways and clinical systems.

Qualifications

Essential

• Relevant professional qualification with affiliated professional registration - RMN with NMC registration.
• Masters level degree in Advanced Clinical Practice.
• Evidence of continuing professional development e.g. relevant training
• Significant post registration experience in a mental health setting (A)
• Desirable
• Experience in a Frailty/Care Home setting.

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).

Employer details

Employer name

Tadcaster and Selby Rural Primary Care Network

Address

South Milford Surgery

14 High Street

South Milford

North Yorkshire

LS25 5AA

Employer's website

https://www.valeofyorkccg.nhs.uk/about-us/primary-care-networks/tadcaster-and-rural-selby-pcn/ (Opens in a new tab)