Job summary
We are looking for a highly motivated Advanced Nurse
Practitioner for Care Homes,
who will work with our local Care Homes
to bring together all parties involved in the care of patients registered with
our member GP Practices.
You will work
closely with the Lead GP for Care Homes, each GP practice and the
multidisciplinary team (MDT) to provide proactive care to the residents in our
PCN Care Homes.
If you are an
Advanced Nurse Practitioner with an Independent Prescribing Qualification or
have experience of working with the elderly and would like to join a dynamic
Primary Care Network to help us shape the future services of our local Care
Homes, then please apply for this position.
Main duties of the job
The Key responsibilities for the Advanced Nurse Care
Practitioner for Care Homes
in
delivering the additional PCN health services to patients will include working with GPs and members of the MDT within the PCN to
identify and clinically manage a case load of patients and to ensure that the PCN fulfils the DES requirements. You will work closely with and in partnership with community
providers, care home staff and other partner organisations to help improve
patient outcomes ensure better access to healthcare and help manage general
practice workload. The role has the potential to significantly improve quality
of care and safety for patients. You will lead on the MDT Teams weekly meetings and manage straightforward clinical issues and refer as necessary.
You will need to possess excellent communication and organisational skillsand be a self motivated individual who is passionate about providing high quality care.
About us
Barnstaple Alliance became a
Primary Care Network (PCN) on 1st July 2019 and consists of four
General Practitioner surgeries; Brannams Medical Centre, Fremington Medical Centre, Litchdon Medical Centre and Queens Medical Centre.
The four practices provide high
quality primary care to over 50,000 patients in the Barnstaple area. Whilst retaining independent surgeries, the
four practices are working together on collaborative projects to improve and
develop the healthcare services offered to patients.
Barnstaple Alliance has appointed Dr Oliver Hassall and
Dr Sophia Erdozain as joint Clinical Directors and their role is to provide
clinical leadership and to support the collaborative working across all four practices. Barnstaple Alliance employs 8 members of
staff including a First Contact Physiotherapist, Clinical Pharmacists, Pharmacy
Technicians, Social Prescriber and an Operational Manager.
For
further information, please visit the website:
www.barnstaplealliance.co.uk
Job description
Job responsibilities
JOB
SUMMARY
To
work closely with the Lead GP for Care Homes, each four GP practice and the
multidisciplinary team (MDT) to provide proactive care to the residents in our
PCN Care Homes.
To
be a focal point for communication between Care Homes and the four practices.
To
be able to offer clinical advice and guidance to the Care Homes.
To
coordinate the MDT and liaise with all relevant agencies.
To
deliver the Care Home DES Specifications to include Enhanced Health in Care
Homes (EHCH).
CORE RESPONSIBILITIES OF THE ROLE
Key responsibilities for the Advanced Nurse Care
Practitioner for Care Homes
in
delivering the additional PCN health services to patients will include but are
not limited to the following:-
To work with GPs and members of the MDT within the PCN to
identify and clinically manage a case load of patients.
To work closely with and in partnership with community
providers, care home staff and other partner organisations to help improve
patient outcomes ensure better access to healthcare and help manage general
practice workload. The role has the potential to significantly improve quality
of care and safety for patients.
To support patients in the development of robust care plans
in line with best practice.
To support the Clinical Directors and member practices in the
delivery of the DES specifications.
To help patients address their needs through answering
queries, making and managing appointments.
To provide coordination and navigation with the aid of
digital tools for patients and their carers across health and care services.
Run the single point of access Care Home
email box and be responsible for the following:
Forwarding/communicating specific emails to
the relevant people e.g. Medication issues to the PCN Pharmacist, complex
medical issues to the Care Home GP.
Respond to general queries from Care Homes
and Multi-Disciplinary Team (MDT) members
Check hospital discharge notifications being
sent to the Care Home email from North Devon District Hospital and check to see
if MDT referral required and do this if so
Update SystmOne notes with relevant clinical
information being sent in from Care Homes (e.g. BPs requested on patient
following MDT) and action this if needed.
Triage MDT referrals coming in from Care
Homes and GPs via email:
Make the MDT case list after triage and send
to all MDT members
Organise MDT Teams weekly meeting
Participate in the weekly MDT:
Home Round call:
Manage straightforward clinical issues e.g.
Patient with suspected UTI, starting confusion screen for a patient. Organise appropriate f/u for such patients
Refer to Care Home GP for more complex non
urgent issues
Refer to
own GP for acute issues
Refer to pharmacist for meds support
Organise MDT referral if needed
Check up on patients due for f/u at the next
MDT
Covid check
Covid advice if needed (can refer to Care
Home GP if needed)
Other work:
Support Care Homes in doing the Initial
Review form or equivalent for all patients.
Communicate any relevant info/updates to Care
Home GP for weekly bulletins
Watch monthly Care Home covid webinar and
summarise any points relevant to the team
Work closely with the Care Home
Administrator.
FREEDOM TO ACT
Work on own initiative within professional boundaries and
within national protocols and legislation.
Act on own professional judgement on a daily basis with
regard to making recommendations in respect of patient caseload
To be responsible and accountable for own actions, working
independently within professional and defined organisational boundaries.
REQUIREMENTS OF THIS ROLE
It is the responsibility of the employee to comply with all organisational
and statutory requirements (e.g. health and safety, infection control, equality
and diversity, confidentiality, safeguarding adults and children, information
governance)
As appropriate to the post, to maintain and develop
professional competence and expertise, keep up to date with medical/therapeutic
evidence and opinion, and local and national service, legislation and policy
developments, agree objectives and a personal development plan and participate
in the appraisal process.
Undertakes additional training where necessary to provide
enhanced services and participate in training programmes implemented by the
PCN/practices as required.
Demonstrates and understanding of current educational
policies relevant to working areas of practice.
To participate in teaching and training of medical, nursing
and all other practice staff.
To attend local, regional and national meetings of relevance.
Supports practice staff and responds to request for advice
and assistance
To undertake any other duties commensurate with the post
holders grade as agreed with the post holders line manager.
BEHAVIOURAL COMPETENCIES AND SKILLS FOR THIS JOB
Have
experience of working with the general public
Be
confident in the use of computer systems, creating searches and completing
templates in Systm1.
Ideally
have experience of working in a healthcare setting.
Have
excellent organisational skills.
Be
an empathetic communicator with good listening skills and be able to explain
and simplify concepts to patients.
Have
experience of working in teams.
COLLABORATIVE WORKING RELATIONSHIPS
Recognises the roles of other colleagues within the
organisation and their role in patient care.
Demonstrates use of appropriate communication to gain the
co-operation of relevant stakeholders (including patients, senior and peer
colleagues, and other professionals, other NHS/private organisations e.g. CCGs).
Demonstrates ability to work as a member of a team.
Is able to recognise personal limitations and refer to more
appropriate colleague(s) when necessary.
Liaises with other GP Practices and staff as needed for the
collective benefit of patients.
Liaises with Care Home Staff as needed for collective benefit
of patients
LEADERSHIP
Demonstrates understanding of the care coordinator role in governance
and is able to implement this appropriately within the workplace
Demonstrates understanding of, and contributes to, the
workplace vision
Demonstrates ability to improve quality within limitations of
service
Demonstrates ability to motivate self to achieve goals
EDUCATION, TRAINING
AND DEVELOPMENT
Complete all mandatory and statutory training required for
this role.
Takes responsibility for personal development, learning and
performance and maintain education through attendance on any courses and /or
study days necessary to ensure that professional development requirements are
met.
Participates in the delivery of formal education programmes.
The Personalised Care Institute will set out what training is available and
expected for Care Coordinators.
Job description
Job responsibilities
JOB
SUMMARY
To
work closely with the Lead GP for Care Homes, each four GP practice and the
multidisciplinary team (MDT) to provide proactive care to the residents in our
PCN Care Homes.
To
be a focal point for communication between Care Homes and the four practices.
To
be able to offer clinical advice and guidance to the Care Homes.
To
coordinate the MDT and liaise with all relevant agencies.
To
deliver the Care Home DES Specifications to include Enhanced Health in Care
Homes (EHCH).
CORE RESPONSIBILITIES OF THE ROLE
Key responsibilities for the Advanced Nurse Care
Practitioner for Care Homes
in
delivering the additional PCN health services to patients will include but are
not limited to the following:-
To work with GPs and members of the MDT within the PCN to
identify and clinically manage a case load of patients.
To work closely with and in partnership with community
providers, care home staff and other partner organisations to help improve
patient outcomes ensure better access to healthcare and help manage general
practice workload. The role has the potential to significantly improve quality
of care and safety for patients.
To support patients in the development of robust care plans
in line with best practice.
To support the Clinical Directors and member practices in the
delivery of the DES specifications.
To help patients address their needs through answering
queries, making and managing appointments.
To provide coordination and navigation with the aid of
digital tools for patients and their carers across health and care services.
Run the single point of access Care Home
email box and be responsible for the following:
Forwarding/communicating specific emails to
the relevant people e.g. Medication issues to the PCN Pharmacist, complex
medical issues to the Care Home GP.
Respond to general queries from Care Homes
and Multi-Disciplinary Team (MDT) members
Check hospital discharge notifications being
sent to the Care Home email from North Devon District Hospital and check to see
if MDT referral required and do this if so
Update SystmOne notes with relevant clinical
information being sent in from Care Homes (e.g. BPs requested on patient
following MDT) and action this if needed.
Triage MDT referrals coming in from Care
Homes and GPs via email:
Make the MDT case list after triage and send
to all MDT members
Organise MDT Teams weekly meeting
Participate in the weekly MDT:
Home Round call:
Manage straightforward clinical issues e.g.
Patient with suspected UTI, starting confusion screen for a patient. Organise appropriate f/u for such patients
Refer to Care Home GP for more complex non
urgent issues
Refer to
own GP for acute issues
Refer to pharmacist for meds support
Organise MDT referral if needed
Check up on patients due for f/u at the next
MDT
Covid check
Covid advice if needed (can refer to Care
Home GP if needed)
Other work:
Support Care Homes in doing the Initial
Review form or equivalent for all patients.
Communicate any relevant info/updates to Care
Home GP for weekly bulletins
Watch monthly Care Home covid webinar and
summarise any points relevant to the team
Work closely with the Care Home
Administrator.
FREEDOM TO ACT
Work on own initiative within professional boundaries and
within national protocols and legislation.
Act on own professional judgement on a daily basis with
regard to making recommendations in respect of patient caseload
To be responsible and accountable for own actions, working
independently within professional and defined organisational boundaries.
REQUIREMENTS OF THIS ROLE
It is the responsibility of the employee to comply with all organisational
and statutory requirements (e.g. health and safety, infection control, equality
and diversity, confidentiality, safeguarding adults and children, information
governance)
As appropriate to the post, to maintain and develop
professional competence and expertise, keep up to date with medical/therapeutic
evidence and opinion, and local and national service, legislation and policy
developments, agree objectives and a personal development plan and participate
in the appraisal process.
Undertakes additional training where necessary to provide
enhanced services and participate in training programmes implemented by the
PCN/practices as required.
Demonstrates and understanding of current educational
policies relevant to working areas of practice.
To participate in teaching and training of medical, nursing
and all other practice staff.
To attend local, regional and national meetings of relevance.
Supports practice staff and responds to request for advice
and assistance
To undertake any other duties commensurate with the post
holders grade as agreed with the post holders line manager.
BEHAVIOURAL COMPETENCIES AND SKILLS FOR THIS JOB
Have
experience of working with the general public
Be
confident in the use of computer systems, creating searches and completing
templates in Systm1.
Ideally
have experience of working in a healthcare setting.
Have
excellent organisational skills.
Be
an empathetic communicator with good listening skills and be able to explain
and simplify concepts to patients.
Have
experience of working in teams.
COLLABORATIVE WORKING RELATIONSHIPS
Recognises the roles of other colleagues within the
organisation and their role in patient care.
Demonstrates use of appropriate communication to gain the
co-operation of relevant stakeholders (including patients, senior and peer
colleagues, and other professionals, other NHS/private organisations e.g. CCGs).
Demonstrates ability to work as a member of a team.
Is able to recognise personal limitations and refer to more
appropriate colleague(s) when necessary.
Liaises with other GP Practices and staff as needed for the
collective benefit of patients.
Liaises with Care Home Staff as needed for collective benefit
of patients
LEADERSHIP
Demonstrates understanding of the care coordinator role in governance
and is able to implement this appropriately within the workplace
Demonstrates understanding of, and contributes to, the
workplace vision
Demonstrates ability to improve quality within limitations of
service
Demonstrates ability to motivate self to achieve goals
EDUCATION, TRAINING
AND DEVELOPMENT
Complete all mandatory and statutory training required for
this role.
Takes responsibility for personal development, learning and
performance and maintain education through attendance on any courses and /or
study days necessary to ensure that professional development requirements are
met.
Participates in the delivery of formal education programmes.
The Personalised Care Institute will set out what training is available and
expected for Care Coordinators.
Person Specification
Qualifications
Essential
- Registered General Nurse (Currently registered with the Nursing and Midwifery Council)
Desirable
- Teaching/Mentoring experience and/or qualification
- Recognised NP qualification at Masters Level or equivalent
- Independent Nurse Prescriber
Experience
Essential
- Minimum of 5 years post registration experience including 2 years in Primary and Community Care
- Experience in managing long term conditions eg: asthma, COPD, diabetes, CHD
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role
- Proven ability to evaluate the safety and effectiveness of their own clinical practice
Desirable
- Interpreting and implementing local and National policy agendas for Health
- Evidence of working autonomously and as part of a team
Knowledge
Essential
- Understanding and knowledge of policy developments related to the delivery of Primary Care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality and Outcomes Framework
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to Primary Care
- Understanding of evidence based practice
- Knowledge of National Standards that inform Practice eg: National Service Frameworks, NICE guidelines etc.
- Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role including safeguarding
- Understanding of equal opportunity and diversity issues
Skills
Essential
- Ability to assess and manage patients risk effectively and safely
- Well-developed word processing/data collection/IT skills
- Excellent interpersonal, verbal and written communication skills
- Reflective Practitioner
- Time management and ability to prioritise workloads
- Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
- Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders
- Self-motivated
- Organisational skills
- Enthusiastic
- Car driver/access to car
Desirable
- Experience of use of a Sysm1
- Proven record of effective use of networking and influencing skills
- Ability to think strategically
- Experience of presenting information to wider audience
- Ability to work flexible hours when required
Person Specification
Qualifications
Essential
- Registered General Nurse (Currently registered with the Nursing and Midwifery Council)
Desirable
- Teaching/Mentoring experience and/or qualification
- Recognised NP qualification at Masters Level or equivalent
- Independent Nurse Prescriber
Experience
Essential
- Minimum of 5 years post registration experience including 2 years in Primary and Community Care
- Experience in managing long term conditions eg: asthma, COPD, diabetes, CHD
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role
- Proven ability to evaluate the safety and effectiveness of their own clinical practice
Desirable
- Interpreting and implementing local and National policy agendas for Health
- Evidence of working autonomously and as part of a team
Knowledge
Essential
- Understanding and knowledge of policy developments related to the delivery of Primary Care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality and Outcomes Framework
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to Primary Care
- Understanding of evidence based practice
- Knowledge of National Standards that inform Practice eg: National Service Frameworks, NICE guidelines etc.
- Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role including safeguarding
- Understanding of equal opportunity and diversity issues
Skills
Essential
- Ability to assess and manage patients risk effectively and safely
- Well-developed word processing/data collection/IT skills
- Excellent interpersonal, verbal and written communication skills
- Reflective Practitioner
- Time management and ability to prioritise workloads
- Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
- Able to establish and maintain effective communication pathways within the organisation, the local PCT and with key external stakeholders
- Self-motivated
- Organisational skills
- Enthusiastic
- Car driver/access to car
Desirable
- Experience of use of a Sysm1
- Proven record of effective use of networking and influencing skills
- Ability to think strategically
- Experience of presenting information to wider audience
- Ability to work flexible hours when required
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).
