Care Home Practitioner and Coordinator - Newcastle South PCN

Job description

Job responsibilities

1

JOB DESCRIPTION

JOB TITLE: PCN Care Home Practitioner and Coordinator

SALARY: £31,365 - £37,890 PA pro rata (Equivalent to Band 6 Agenda for Change) Dependent on Experience

LOCATION: Required to work at Care Home and Primary Care sites across the Newcastle North PCN area (Audley, Chesterton, Talke and Kidsgrove)

Some remote working may be required

HOURS: 20-25 hrs per week

CONTRACT LENGTH: Initial Fixed Term Contract for 12 months

ACCOUNTABILITY: Nominated PCN Lead or equivalent

OVERVIEW:

Newcastle North PCN comprises of 5 separate Member GP Practices in 4 locations working together to provide patient care to a population of just over 35,000.

The primary focus of the role is to work as an experienced practitioner (nurse, paramedic, PA) providing high quality and timely patient centred care within Newcastle North Primary Care Network (PCN).

This role is part of an efficient, developed and well supported NNPCN Care Home Team.

JOB PURPOSE:

The post holder will be part of a team delivering the Enhancing Health in Care Homes specification to the 11 care homes covered by our primary care network. The post holder will be responsible for the assessment, diagnosis, treatment and referral of a diverse range of patients within their level of competence and agreed protocols.

The successful candidate will be kind, reflective and self-aware and will enjoy working with a wide range of people. They will be proactive with a flexible attitude, keen to work as part of a team and committed to developing themselves in this skilled role and supporting colleagues to do the same.

MAIN DUTIES AND RESPONSIBILITIES:

1. Clinical

Assessment upon admission of new patients to care homes

Advanced end of life care planning to include every patient being offered ReSPECT discussions

Support prescribing anticipatory care medications where appropriate with the

support of prescribers within the PCN

Proactive, timely and consistent weekly support to the home both in person and virtually using technology enabled care services

Timely same day response to the in-reach teams where appropriate ie: CRIS, PIRT, IST

Provide direct clinical care to patients using established clinical guidelines for both routine and urgent complaints.

Consult and refer patients to specialists and other health professionals as appropriate and in line with locally agreed protocols

Interview patients, take medical histories, perform physical examinations (once physical health assessment qualification gained), analyse, diagnose and explain medical problems

Recommend and explain appropriate diagnostic tests and treatment.

Formulate differential diagnoses and develop and deliver appropriate treatment and management plans. Request and interpret results of laboratory investigations when necessary.

Instruct and educate patients in preventative health care.

Perform both diagnostic and therapeutic procedures following appropriate training and experience as required.

Conduct telephone/video/ face to face consultations which may involve discussing the result and implications of laboratory investigations with patients along with routine and emergency complaints.

Perform proactive, holistic reviews of patients long term conditions and support development of personalised care plans

Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes.

Work collaboratively with other members of the PCN including the clinical pharmacy team, dietitian, social prescriber and GP practice staff to deliver a high quality, joined up service to our care home residents

2. Training / Educational Development

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

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

To have, or be studying for, physical assessment and prescribing qualifications

Perform a variety of research and analysis tasks associated with improvement of clinical care, medical diagnosis and treatment where appropriate using the following means:

- Audit of clinical practice

- Case based reviews

Research unusual symptoms and treatment options through consultation with General Practitioners,

Attend regular multi-disciplinary meetings organised by the PCN in order to

discuss and learn from recent significant events relating to clinical practice occurring within the PCN.

Attend regular educational meetings organised by the PCN or PCN practices in order to update clinical knowledge, practice policy and guidelines and disseminate other useful information relevant to the provision of adequate healthcare for patients.

Regularly reflect on own practice (and keep a record of learning encounters) in order to identify learning needs and encourage self-directed lifelong learning and continued professional development.

3. Administration

Communicate when necessary with colleagues in the PCN in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care.

Send and receive written information on behalf of the Practices within the PCN regarding matters relating to the physical and social welfare of patients.

Work to deliver together with other members of the Practice and Primary Healthcare Team, the objectives of the GP contract, including the terms of the Quality and Outcomes Framework.

Co-ordinate and attend regular multi-disciplinary meetings in order to discuss the health and social needs of particular patients.

KEY & WORKING RELATIONSHIPS:

The Care Home Practitioner and Coordinator will work within our Newcastle North PCN Care Home Time, which includes a Physician Associate, Clinical Pharmacists, Pharmacy Technician and a Dietician, to embed the personalised care approach across the NNPCN

To work as a flexible member of the PCN providing support to other team members when necessary

To take an active role in the development and embedding of the PCNs culture, values and reputation as providers of high quality services

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

o Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation;

o Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues;

o Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feeling priorities and rights

In order to fulfil your role and for the collective benefit of patients, you will be expected to develop positive working relationships with a wide range of colleagues and stakeholders as follows:

o Clinical supervisor

o GP practice teams (Doctors, Nurses, Health care assistance and

other such allied healthcare professionals)

o PCN employed staff such as clinical pharmacists, first contact physios, dietician and physician associate

o Local care home staff and residents

o Patients and their representatives (PPG groups)

o CCG colleagues

o North Staffordshire GP Federation

o Local professional networks to benefit from peer support and enhance collaborative working relationships

SUPERVISION/PERSONAL PROFESSIONAL DEVELOPMENT:

The post-holder will participate in any training programme implemented by the PCN as part of this employment, such training to include:

Access to relevant GPs to discuss patient related concerns, and be supported to follow appropriate safeguarding procedures

Taking responsibility for own development, learning and performance and demonstrating skill and activities to others who are undertaking similar work

Training may need to be undertaken outside of normal practice hours, and off site

Assess own performance and take accountability for own actions, either directly or under supervision.

QUALITY GOVERNANCE:

The post-holder will strive to maintain quality within the PCN, and will;

Alert other team members to issues of quality and risk

Work effectively with individuals in other agencies

Effectively manage own time, workload and resources

Establish strong working relationships with GPs and practice teams and work collaboratively with the Social Prescribing Link Worker, supporting each other, respecting each others views and meeting regularly as a team

Act as a champion for health coaching as a part of the PCNs personalised care offer for patients and organisations

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner

Identify opportunities and gaps in the service - and review risks and issues that could impact on service delivery - and provide feedback to continually improve the service and contribute to business planning;

Contribute to the development of policies and plans relating to equality, diversity and health inequalities;

Work in accordance with the practices and PCNs policies and procedures;

Contribute to the wider aims and objectives of the PCN to improve and support primary care

Person Specification

Specialist, knowledge and skills

Essential

• Passionate about caring for the elderly and have a flair for helping people maintain their independence, choice and dignity
• An effective communicator who is able to build strong and honest relationships with residents and staff
• A respectful and compassionate team player with the belief in giving your personal best
• Operates with integrity and openness
• Commitment to continuous learning and development.
• Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
• Ability to manage work load effectively.

Experience

Essential

• Experience of IT systems to include the ability to use word processing skills, emails and internet

Desirable

• Minimum 1 year experience to have been spent in GP practice/primary care
• Experience of working in a multidisciplinary team
• Experience of working in a health and social care/community development setting or similar
• Experience of using GP clinical systems e.g. EMIS

Qualifications

Essential

• Either a Registered Nurse with a valid NMC pin and a genuine commitment to adhering to the NMC Codes of Conduct and expanding your professional development or a Physician Associate with a valid PAMVR registration or a Paramedic with valid HCPC registration
• Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

Desirable

• To have, or be studying for, physical assessment and prescribing qualifications

Other

Essential

• Meets DBS reference standards and criminal record checks
• Full driving licence or ability to travel independently for work purposes
• Flexible and adaptable to work environment
• Ability to travel across multiple sites

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

North Staffordshire GP Federation

Address

Newcastle North PCN

& All Practices within the PCN

ST7 4AY

Employer's website

https://www.nsgpfed.org.uk/ (Opens in a new tab)