Job summary
Community Specialist Nurse
ARCH (Alfreton, Ripley, Crich
and Heanor) Primary Care Network
Are you passionate about frailty?
Are you keen to work across traditional health and social care
boundaries?
ARCH PCN is seeking a
Community Nurse Specialist to help support our multi-disciplinary and multi-agency team of
professionals working across the PCN area including Alfreton, Ripley, Crich
and Heanor.
This is an exciting and unique
opportunity to be at the forefront of the delivery of our new Ageing Well model
of care part of TeamUp! Derbyshire. The role will operate across the
traditional health and social care organisational boundaries, including with our
GP practice partners, to help clinically lead the service on a day to day
basis. The aim for the service is to ultimately provide an holistic approach to
our acute home visiting service, enhanced care into care homes and enhanced
proactive care for older people with frailty for patients with multifaceted
health problems.
The hours for this post can be negotiable.
Main duties of the job
To support the clinical team
delivering this service we are looking for a Community Nurse Specialist with a strong interest in working with people with frailty/ long term conditions and who
aspires to promote a continuous improvement approach to leading and delivering
responsive, safe, patient-centred and effective care. The successful candidate
will work alongside other clinicians to develop new and responsive clinical
pathways for seamless working, shape and champion the introduction of new clinical
roles, challenge traditional ways of working and proactively support
individuals within the team to develop the necessary skills, competencies and
expertise needed to deliver the service.
About us
About Amber Valley Health
This post will be hosted by Amber Valley Health- the umbrella
organisation for ARCH PCN. The PCN consists of 9 GP practices (89,000 patients)
across the PCN area, which operates as 3 neighbourhoods. The PCN is committed
to improving the care of patients in the local geographical area and sustaining
General Practice.
Job description
Job responsibilities
Key
Responsibilities and Duties:
The PCN ACP areas of
responsibility include:
- Providing specialist care to housebound patients living with frailty/long term conditions
- Collaborating with a clinical team to ensure care home residents
receive co-ordinated medical care. This includes proactive care planning
and consistent support from a multidisciplinary team
- Participation in multidisciplinary team meetings
- Recognition of opportunities for anticipatory care of suitable
patients via treatment plans
- Working with registered practice to ensure seamless care.
Leading and coordinating
across organisations.
- Delivering high quality, methodical and well-informed patient
diagnoses and care plans.
- Developing expertise within the community for improving the lives and
care of the elderly.
- Promoting the use of supportive, non-statutory services to support
self-care and social prescribing agendas.
- Maximise best care in the
patients care home in order to reduce the need for hospital admissions.
Relationship Management:
Local
clinicians, including Geriatricians, ACPs, community Matrons, GPs, members of
the local integrated community service, out of hours and urgent care providers,
care coordinators and care home workforce.
Local
providers of health and social care including the Local authority, GP
practices, and local integrated community service
Local
hospitals, community mental health and Community health services provider.
PCN
colleagues
CCG
Others:
Any responsibility identified during the course of
the job. This is an evolving job.
The list of duties in this job description is not
exhaustive and is intended to outline the main activities of the post holder.
Duties and responsibilities may be subject to change taking into account the
development needs for Ageing Well Service and ARCH Primary Care Network.
Job description
Job responsibilities
Key
Responsibilities and Duties:
The PCN ACP areas of
responsibility include:
- Providing specialist care to housebound patients living with frailty/long term conditions
- Collaborating with a clinical team to ensure care home residents
receive co-ordinated medical care. This includes proactive care planning
and consistent support from a multidisciplinary team
- Participation in multidisciplinary team meetings
- Recognition of opportunities for anticipatory care of suitable
patients via treatment plans
- Working with registered practice to ensure seamless care.
Leading and coordinating
across organisations.
- Delivering high quality, methodical and well-informed patient
diagnoses and care plans.
- Developing expertise within the community for improving the lives and
care of the elderly.
- Promoting the use of supportive, non-statutory services to support
self-care and social prescribing agendas.
- Maximise best care in the
patients care home in order to reduce the need for hospital admissions.
Relationship Management:
Local
clinicians, including Geriatricians, ACPs, community Matrons, GPs, members of
the local integrated community service, out of hours and urgent care providers,
care coordinators and care home workforce.
Local
providers of health and social care including the Local authority, GP
practices, and local integrated community service
Local
hospitals, community mental health and Community health services provider.
PCN
colleagues
CCG
Others:
Any responsibility identified during the course of
the job. This is an evolving job.
The list of duties in this job description is not
exhaustive and is intended to outline the main activities of the post holder.
Duties and responsibilities may be subject to change taking into account the
development needs for Ageing Well Service and ARCH Primary Care Network.
Person Specification
Experience
Essential
- Contemporary clinical experience of older people with complex needs
- Participating in a multi-professional team
- Practical understanding of primary care and community services
- Implementation of best practice
Desirable
- Involvement in service improvement
- Clinical expertise in end of life care
Values, drivers and motivators
Essential
- Integrity and respect
- Care and Compassion
Aptitude & Personal Qualities
Essential
- Articulate, confident, decisive
- Motivated, ambitious, uses initiative
- Dedicated and flexible
- Able to cope with competitive demands in stressful situations
- Self-aware
Skills & abilities
Essential
- Ability to manage a caseload
- Proficient in Microsoft Office and clinical data systems
- Excellent communication and interpersonal skills
- Autonomous practitioner
- Ability to undertake risk assessment
Desirable
- Manages change effectively
Qualifications
Essential
- Professional registration with NMC or HCPC
- Evidence of post-registration study at undergraduate level (Level 6)
- Experience of mentoring and coaching
- Clinical Decision Making Module
Desirable
- Teaching qualification
- MSc in Advanced Clinical Practice (or equivalent)
- Independent Prescribing or study of pharmacology & therapeutics at post-graduate level (Level 7)
Person Specification
Experience
Essential
- Contemporary clinical experience of older people with complex needs
- Participating in a multi-professional team
- Practical understanding of primary care and community services
- Implementation of best practice
Desirable
- Involvement in service improvement
- Clinical expertise in end of life care
Values, drivers and motivators
Essential
- Integrity and respect
- Care and Compassion
Aptitude & Personal Qualities
Essential
- Articulate, confident, decisive
- Motivated, ambitious, uses initiative
- Dedicated and flexible
- Able to cope with competitive demands in stressful situations
- Self-aware
Skills & abilities
Essential
- Ability to manage a caseload
- Proficient in Microsoft Office and clinical data systems
- Excellent communication and interpersonal skills
- Autonomous practitioner
- Ability to undertake risk assessment
Desirable
- Manages change effectively
Qualifications
Essential
- Professional registration with NMC or HCPC
- Evidence of post-registration study at undergraduate level (Level 6)
- Experience of mentoring and coaching
- Clinical Decision Making Module
Desirable
- Teaching qualification
- MSc in Advanced Clinical Practice (or equivalent)
- Independent Prescribing or study of pharmacology & therapeutics at post-graduate level (Level 7)
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).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).