PCN Care Homes Advanced Clinical Practitioner

Job responsibilities

Job Description

Advanced Clinical Practitioner

Rushcliffe PCN Care Home Team

SALARY -competitive salary

HOURS -22.5 hours per week

BASE -Keyworth Primary Care Centre, Bunny Lane, Keyworth, NG12 5JU

Reporting to -Care Home Manager

Accountable to -Care Home Clinical Lead

PURPOSE OF THE ROLE

The purpose of this role is to work closely with the GP to provide clinical consultations, assessment and develop clinical management plans for older people living in residential care within the Rushcliffe PCN.

This role will utilise your advanced clinical skills as autonomous practitioner. You will lead the delivery of regular care home rounds in the Rushcliffe Older People residential and nursing homes. Providing clinical management of care home residents presenting with acute and non-acute medical needs, undifferentiated and long-term condition presentations. You will be developing a management plan following robust clinical consultations including assessment, examination, investigation, diagnosis, care planning, treatment and evaluation of care.

You will foster good working relations with the care home staff make a difference to the quality of healthcare provided to residents in Rushcliffe PCN care homes.

Support the delivery of the National Enhanced Healthcare in Care Homes, Direct Enhanced Service Framework (DES).

Main duties of the Role

Our service operates Monday to Friday, with no late shift, nights, weekend or bank holiday requirement.

You will be undertaking ward rounds in the care homes, reviewing residents with complex, non-complex, acute, and chronic conditions, and providing a proactive care approach. This will require clinical consultations, examination, investigation, diagnosis, care planning, treatment and evaluation of care.

Medications management is a key priority of the service offer. An an independent prescriber you will be undertaking regular medication reviews, interim prescriptions requests, developing covert medication plans, prescribing, including covert medication panning and deprescribing as clinically appropriate. Liaising with the clinical pharmacists based in GP practices as required.

Complete ReSPECT documentation, in conjunction with residents and relatives to support end of life planning. Residents and relatives will be at the centre of decision making to ensure clear, concise and informed wishes are documented and communicated.

As part of the Enhanced Healthcare in Care Homes enhanced service, this role will also support the delivery of the specification. Using the CGA approach to new resident assessments, post resident reviews, and working with the care home and GP practice to provide enhanced healthcare within a care home environment.

You will deliver a high standard of patient care with in-depth theoretical knowledge and evidence-based practice, working autonomously and with the support and supervision of a Clinical Lead GP, as well as the care home aligned GP.

You will support the delivery of COVID and flu programme, by clinically screening and vaccinating care home residents as part of the Rushcliffe and National vaccination programme.

As a senior clinician, you will provide clinical leadership and expert professional advice to patients, relatives, carers, and colleagues to support the delivery of high-quality clinical care, and this will, at times involve teaching, and education of Care Home or other staff.

The post holder will work across organisational boundaries, fostering good relationships between providers and statutory bodies and improve care for people living in long term residential and nursing care.

As a registered Advanced Clinical Practitioner, you will be supported with a GP clinical lead and PartnersHealth to continually develop ACP knowledge and skills, in conjunction with the University and Nottingham Training Alliance (NATH) and other educational organisations.

This job requires the postholder to travel and have face to face consultations with residents in care homes, undertake remote consultations and discussions, liaise with GP practices, and the aligned GPs, as well as with other health and social care providers, residents and relatives.

ADMINISTRATION

Ensure consultations are documented accurately, clearly, and contemporaneously, in a timely manner.

Work with clinical ledgers to ensure good time management and efficiencies.

Update patient records in accordance with PCN policies and procedures meeting the requirements of professional bodies NMC/HCPC. You will support delivery of the metrics required within the Enhanced Healthcare in Care Homes are met.

Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

Actively participate in clinical notes and prescribing audits, along with clinical supervision as part of the ongoing CPD and governance compliance requirements.

Maintain professional registration with the NMC/HCPC as required to maintain the healthcare professional registration.

Provide evidence of a digital badge in Advanced Clinical Practice.

Undertake a fair share of the overall administration associated with clinical practice within primary care, including answering the phone, supporting ledger management etc.

Be involved with clinical audit as part of new service implementation, quality improvement, patient reviews, QOF and any other audit work undertaken by the PCN Care Home Team and/or PartnersHealth

Show a caring and respectful attitude towards patients, care home staff and colleagues. Have well-developed communication skills to provide treatment plans and work to a professional code of ethics

Undertake and keep up to date with relevant medical research, technology, and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.

As an employee of PartnersHealth, working with patients registered with GP practices across the PCN, you will take due diligence and care regarding any information collected, recorded, processed or handled by you during the course of your work and that such information is collected, recorded, processed and handled in compliance with PCN requirements and instructions.

The post holder will be required to travel as part of their duties to other sites in the PCN, and travel expenses will be reimbursed by the employer.

Support the teaching, training and education of PCN and Care Home Staff

To ensure observance and adherence to the Health and Safety at Work Act 1974.

To participate in staff meetings, 1-2-1 meetings and the appraisal scheme and undertake training appropriate to the development of the job role and in line with the PCNs statutory obligations.

To work to the agreed standards, policies and procedures and protocols of the PCN and be fully conversant with emergency procedures.

To reflect on own practice individually and/or through regular clinical supervision.

Work with The GP lead and Care Home Team Lead in developing the strategic and operational management of the Enhanced Health in Care Homes Service

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

SAFEGUARDING RESPONSIBILITIES

The organisation takes the issues of Safeguarding Children, Adults and addressing domestic violence very seriously. All employees have a responsibility to support the organisation in our duties by:

Attending mandatory training which includes Safeguarding children and adults.

Ensuring you are familiar with your own and the organisations requirements under relevant legislation.

Adhering to all relevant national and local policies, procedures, practice guidance (e.g. LSCB Child Protection Procedures and Practice Guidance) and professional codes.

Reporting any concerns to the appropriate authority.

PartnersHealth is a growing organisation with a strong commitment to supporting the professional development of our employees. If you are an enthusiastic ACP who has a passion for frailty healthcare, we would love to hear from you.

About us

About Partners Health

Partners Health LLP was formed on 2nd October 2015 by the GP Partners of the General Practices in Rushcliffe in recognition and response to the changing NHS landscape. It is constituted as a membership organisation, a partnership of partnerships.

By providing a different and collaborative local response, we will adapt and transform general practice to create a sustainable platform for the future.

Our Vision & Values

Our vision is to continue to care for our patients and our community by creating a sustainable provider of modern general practice. We are committed to Living Life Better for and on behalf of our patients, our colleagues and the communities we serve.

Three values are at the core of who we are and how we act: courage, creativity and commitment.

A more exhaustive list of job responsibilities and the necessary skills, experience and qualifications can be found in our Job Description and Person Specification.

Please note you will need to meet the essential criteria as outlined in the person specification to be considered for the role.

For an informal discussion please contact Liz Harris, Care Home Clinical Team Lead on liz.harris4@nhs.net

Circumstances

Essential

• Car owner/driver, with exclusive access to a vehicle
• Ability to work alone in the primary care setting

Knowledge, Skills and Experience

Essential

• Hold an advanced clinical skills qualification, with a digital badge.
• Hold a Non-Medical Prescriber qualification.
• Experience of working as an Advanced Clinical Practitioner within a multi-disciplinary team and across organisational boundaries
• Ability to provide a holistic clinical consultation for a frail, older patient cohort, including assessments, history taking, examination, diagnosis, plan, monitoring and follow up.
• Dealing with acutely unwell patients and distressed relatives / carers, including unwelcoming news, as to future prognosis of patients condition
• Ability to apply clinical judgements involving complex facts or situations, requiring analysis, interpretation, comparison of a range of options.
• Experience managing acute, sub-acute, long term conditions, minor and major health conditions, and consider differential diagnosis.
• Ability to present patient cases to allow comprehensive and thorough debrief of the patient with the GP as required.
• Experience of requesting investigations and interpret their findings in view of other clinical information as per guidelines within the acute setting.
• Demonstrate own professional judgement and in discussion with the medical and nursing team decide when patients require referral to another speciality.
• Ability to work flexibly across different locations as required and multi-task when necessary, including as required out of hours work.
• Able to work independently as well as part of a multi-disciplinary team utilising good interpersonal skills.
• Evidence of excellent organisational and planning skills
• Ability to manage clinical ledgers and prioritise workload.
• Ability to use and navigate TPP SystmOne clinical system, plus good IT skills in word processing, excel and e-mail.
• Excellent communication skills written and verbal
• Ability to influence and challenge colleagues appropriately.
• Demonstrate working with wider system partners such as social care, acute and community services.
• Adaptable to changing working environment and service needs.
• Planning, organising and prioritising tasks, activities, or programmes some of which may be urgent or ongoing.
• Physically and mental capable of undertaking full duties of post. There may be occasional requirements to exert moderate physical effort to meet the flexible needs of the service.
• Understanding of Confidentiality and the Data Protection Act
• Understanding of clinical governance and its significance and impact upon practice.
• Dealing with situations where family situations or circumstances can be a difficult emotional experience, including the delivery of difficult messages in relation to a deterioration in patients condition
• Awareness of equality and valuing diversity principles
• Experience of clinical supervision
• Evidence of experience / competency in the form of a professional portfolio.
• Able to work on own initiative, but knows limitations of own competencies

Desirable

• Experience of working with frail older people.
• Experience of working with SystmOne clinical system, and Ardens.
• Experience of working with care home staff, and older people living in residential care homes.

Commitment to PartnersHealth Values and Behaviours

Essential

• Must be able to demonstrate behaviours consistent with PartnersHealth values and behavioural standards

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).