Frailty Team Senior Clinical Practitioner

Job responsibilities

Job title Senior Clinical Practitioner

Salary Band 7

Hours Monday Friday up to 37 hours/week for individual negotiation

Accountability Operationally accountable to ACPs and GPs within the Kingfisher PCN Frailty Team

Applicants to contact Frailty Lead Helen Abdullah in the first instance helen.abdullah3@nhs.net

Kingfisher PCN

Kingfisher Primary Care Network (PCN) is a collaboration between 5 GP partnerships (across 6 sites) in Redditch Town with a shared population of 58,955. Kingfisher has an overarching ambition to innovate general practice and build a sustainable model for general practice for the future. Kingfisher PCN practices have a mature relationship and a proven track record of effectively working together.

One of the successes of Kingfisher PCN has been the introduction of the Frailty Team. Led by Frailty Team ACPs and working alongside GPs for clinical supervision and support. The multi-professional team has the ability to effectively manage patients diverse needs within their place of residence. The initial focus for the Frailty Team is to fulfil the requirements of the National PCN Enhanced Health in Care Homes Service Specification. This has now expanded and our exciting new development within the team is offering holistic home assessments to frail people within their own homes.

Job Purpose

This job description is generic and there will be variation to the position dependent upon the locality where the job is. All of the locality roles include care planning; attending MDT meetings; reviewing of medication; reviewing of patients following a hospital discharge; assisting with avoiding unplanned admissions; working closely with GPs; recording information on the EMIS clinical system; being a patients first point of care as their named care coordinator. However, there will be variants across the locality which will be made clear prior to appointment.

Care Home Practitioner roles will also be considered as a merged role with the care coordinator role in various localities based upon the applicants previous experience and skill set. These localities and merged roles will be made clear prior to appointment.

The successful candidate will work under the clinical supervision of the Frailty Team ACPs and GPs, visiting patients in residential and nursing homes, as well as patients in the community to assess a variety of health conditions.

You will be working within the PCN in a general practice environment based at Maple View Medical Practice. The core hours will be Monday Friday 0800 1600 hours, which aids a good work life balance. On occasion you may be required to work additional hours to suit the needs of the team.

Main duties of the job

Behave consistently with the values and beliefs of the organisation and promote these on a day-to-day basis.

Act as a role model to colleagues, always seeking to maintain the highest standards of professionalism.

Use their initiative and take responsibility for themselves and the quality of their work and the service they provide to patients.

Act as a source of nursing expertise, knowledge and skills in accordance with the NMC scope of practice.

Undertake clinical assessment of patients in their own homes, or registered Care Homes who have complex and or chronic disease presentations. This includes screening patients for disease risk factors and early signs of illness, making a differential diagnosis and prescribing treatments as an independent non-medical prescriber.

Assess those that are high risk of admission into an acute hospital setting with a view to reduce unplanned admissions and A&E attendances.

Be professionally accountable for the assessment, planning, implementation and evaluation of care which is evidence based.

Maintain records as an autonomous practitioner liaising closely with the frailty team ANPs and patients medical practitioner.

Work collaboratively and cooperatively with clinical colleagues to develop integrated care services and quality of care delivered.

Job responsibilities

Clinical

Participate in the clinical assessment of patients referred with complex, urgent or chronic health care needs. This involves using critical judgement and health assessment skills in providing the most appropriate care pathway.

Following clinical assessment and diagnosis, support care management plans with pharmacological and non-pharmacological treatment methods.

In collaboration with the frailty ANPs prioritise health care needs and refer for diagnostic investigations.

Develop, implement and evaluate individual plans of care with patients and their carers/relatives according to their current and changing health care needs.

Participate in MDT discussion to facilitate high quality, safe, effective care.

Independently prescribe and review medications for therapeutic effectiveness, appropriate to patient need and in accordance with evidence-based practice and national and local policy and protocols.

Work within appropriate legislation, policies and best practice evidence relevant to clinical area.

Initiate and review ReSPECT documents as required with patients and where appropriate their carers/relatives.

Demonstrate critical thinking and analytical skills incorporating critical reflection.

Administrative

Collect, collate, evaluate and report patient information, maintaining accurate and contemporaneous records.

Input data daily on EMIS patient administration systems.

Managerial

Monitor health, safety and security of self and others in the community.

Participate in root cause analysis for clinical/quality issues.

Participate in identifying innovation that culminates in service improvement.

Demonstrate the use of negotiation and influencing skills.

Demonstrate the ability to use skills aligned to digital advances in healthcare delivery

Other Essential

Essential

• Other Essential
• Able to meet the travel requirements of the role
• Ability to influence and negotiate
• Ability to work flexibly
• 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.

Qualifications

Essential

• Experience Essential
• Registered Nurse Level 1
• Degree
• Non-Medical Prescribing (V300)
• Advanced Assessment Skills Module (Masters level)
• Evidence of portfolio of knowledge, skills and professional development
• Current and valid certification
• Demonstrable post-graduate experience in a relevant area
• Post-graduate experience in a role undertaking assessments of complex needs
• Experience of working with people with long-term illness and / or older people
• Clinical experience of caring for people with cognitive impairment
• Experience of working across professional boundaries

Desirable

• Desirable
• Mentorship or teaching qualification / workplace assessor
• Qualification(s) in long term conditions

Experience

Essential

• Essential
• Put patient care at the heart of the work you do to improve health care outcomes and service delivery
• Deliver the highest standards and quality outcomes possible
• Be the best you can be, always look for ways to improve and develop to reach your potential
• Encourage others to develop themselves and the service through improvement, innovation and continuous development
• Joint working with others, e.g. patients, colleagues in the delivery of high-quality healthcare
• Build positive working relationships, respecting and valuing others, being helpful and inclusive
• Knowledge Essential
• Advanced clinical skills and knowledge base
• Understanding of professional and current issues in elderly / community care.
• Demonstrate an understanding of clinical governance
• Understanding of the Mental Capacity Act 2005 and DOLS
• Understanding of Enhanced Health in care home framework
• Skills and Abilities Essential
• Ability to challenge poor practice
• Role modelling good behaviour
• A positive attitude and able to act on feedback
• Ability to praise and be supportive to others
• Ability to communicate clearly and effectively in English in both verbal and written formats
• Advanced clinical assessment and clinical skills
• Advanced interpersonal and communication skills at multi- disciplinary level
• Ability to prioritise workload effectively
• Computer and keyboard skills at intermediate level or above
• Ability to work with minimal supervision
• High-level problem-solving skills
• Solution focused
• Teaching skills

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).