Job summary
People living in care homes should expect the same level of support
as those living in their own homes. The national framework for Enhanced
Health in Care Homes (EHCH) provides steps to achieve this, through collaborative working between
health, social care, voluntary, community and care home partners.
The EHCH model moves away from traditional reactive
models of care delivery towards
proactive care, centred on the needs of individual
residents, their families, and supporting care home staff.
The purpose of the Frailty
Specialist Nurse role is to work within an integrated community-based care home team,
and to work with
system partners to deliver the EHCH specification. The postholder will work alongside other Nurse colleagues, Physician Associates and Care Coordinators.
Although the post is advertised as full-time, we will happily accept applications from those individuals who are looking for part-time hours.
If you have any questions please contact Louise Sproat on louise.sproat1@nhs.net, interviews will take place in December.
Main duties of the job
We wish to recruit a nurse with advanced skills to participate in the community-based Enhanced Health in Care Homes team.
The postholder
will work within a multidisciplinary team and will complete comprehensive
holistic assessments and produce proactive, individualised care plans for care
home residents, consulting face to face and via the telephone with residents, care
home staff, relatives and advocates. The desired outcomes are to improve
clinical outcomes for care home residents, to proactively support primary care
service provision, improve interprofessional relationships across community and
secondary care, and to reduce unnecessary hospital admissions.
The postholder
will work alongside Care Co-ordinators to coordinate and communicate individual
care plans with system partners and develop relationships with care homes, community teams, mental
health services, palliative care services, social services, and secondary care frailty
teams, to enable residents to meet their health goals and be cared for in their
preferred place of care.
About us
Southport and Formby Health is a dynamic and expanding GP federation, working with local GP Practices and other system providers to provide high quality, integrated, patient services. We work collaboratively with Southport and Formby Primary Care Network to provide the Enhanced Health in Care Homes Specification across Southport and Formby.
The role will require the successful candidate to hold a full driving license to allow for travel to and from care homes within Southport and our central coordination hub in Southport Business Park.
We are looking for a passionate & motivated team player to join our growing team. On top of joining an amazing team of people all dedicated to helping the wider community, we can offer you an excellent benefits package as well as a commitment to your own development and wellbeing.
'I have a great sense of pride working for the Enhanced Health in Care Homes team, the working environment is supportive and everyone works together as a team. We are looking for another enthusiastic member of staff with an interest in frailty to add to our clinical team' -Trene Schofield , Care Coordinator Team Lead
Job description
Job responsibilities
The duties
and responsibilities of the
Frailty Specialist Nurse are to:
-
Have experience of working with frailty/older
population demographic.
-
Understand
the care home provision in the locality and offer clinical support and direction to care home team
members.
-
Seek
to educate and inform care home team members to assist with excellent care
provision for residents.
-
Complete holistic assessments for care home residents.
-
Make
independent clinical decisions/judgements based on patients clinical needs.
-
Provide individualised, proactive care plans for residents living in care homes, considering the choices and needs of
individual residents, their families,
and care home staff.
-
Consider
anticipatory clinical management planning, when appropriate, to support with
hospital admission avoidance, and
advocate for expressed preferred place of care for individuals.
-
Use digital
technology to support
the recording of assessments and facilitate the medical input.
-
Work
collaboratively with other colleagues in acute and community settings as part
of an integrated system that puts patients and their families/carers at the forefront of management plans.
-
Identify
and/or engage in locally organised shared learning opportunities as appropriate
and as capacity allows.
The postholder will:
-
Embed the core NMC
values and expectations of care, compassions, courage, communication, commitment, and competence into everyday
practice.
-
Utilise excellent
interpersonal and communication skills, provide enhanced
discussions with resident and family regarding end of
life wishes/planning
-
Motivate others
by influencing and inspiring others in new enhanced ways of working
-
Provide strong
leadership and a shared
vision for better
care
- Have highly
developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
-
Communicate with stakeholders and convey complex
messages to different recipient groups.
-
Develop effective and mutually supportive relationships with key partner organisations.
-
Provide strong intellectual, strategic, and systematic thinking
skills, and will think creatively and laterally to achieve outcomes.
Job description
Job responsibilities
The duties
and responsibilities of the
Frailty Specialist Nurse are to:
-
Have experience of working with frailty/older
population demographic.
-
Understand
the care home provision in the locality and offer clinical support and direction to care home team
members.
-
Seek
to educate and inform care home team members to assist with excellent care
provision for residents.
-
Complete holistic assessments for care home residents.
-
Make
independent clinical decisions/judgements based on patients clinical needs.
-
Provide individualised, proactive care plans for residents living in care homes, considering the choices and needs of
individual residents, their families,
and care home staff.
-
Consider
anticipatory clinical management planning, when appropriate, to support with
hospital admission avoidance, and
advocate for expressed preferred place of care for individuals.
-
Use digital
technology to support
the recording of assessments and facilitate the medical input.
-
Work
collaboratively with other colleagues in acute and community settings as part
of an integrated system that puts patients and their families/carers at the forefront of management plans.
-
Identify
and/or engage in locally organised shared learning opportunities as appropriate
and as capacity allows.
The postholder will:
-
Embed the core NMC
values and expectations of care, compassions, courage, communication, commitment, and competence into everyday
practice.
-
Utilise excellent
interpersonal and communication skills, provide enhanced
discussions with resident and family regarding end of
life wishes/planning
-
Motivate others
by influencing and inspiring others in new enhanced ways of working
-
Provide strong
leadership and a shared
vision for better
care
- Have highly
developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
-
Communicate with stakeholders and convey complex
messages to different recipient groups.
-
Develop effective and mutually supportive relationships with key partner organisations.
-
Provide strong intellectual, strategic, and systematic thinking
skills, and will think creatively and laterally to achieve outcomes.
Person Specification
Experience
Essential
- Demonstrates high level of competence/advanced skills in clinical examination and diagnosis
- Interpret pathology/radiology results/reports and action where appropriate
- Excellent interpersonal and communication skills, provide enhanced discussions with resident and family regarding end of life wishes/planning Embed the core NMC values and expectations of care, compassions, courage, communication, commitment, and competence into everyday practice.
Personal Qualities
Essential
- Disclosure Barring Service (DBS) check as defined Car driver
Skills and Knowledge
Essential
- Ability to motivate others by influencing and inspire others in new enhanced ways of working
- Strong leadership and a shared vision for better care
- Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
- Ability to communicate with stakeholders and convey complex messages to different recipient groups
- Able to develop effective and mutually supportive relationships with key partners within and without organisations
- Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes
- Ability to recover and recuperate quickly from difficult or challenging situations
- Strong IT skills
- Experience of recording care plans electronically
Desirable
- Knowledge of EMIS clinical software
Qualifications
Essential
- Current qualification/nurse registration with NMC
- Demonstration of CPD and revalidation (if appropriate)
Desirable
- Knowledge of EMIS clinical software
Person Specification
Experience
Essential
- Demonstrates high level of competence/advanced skills in clinical examination and diagnosis
- Interpret pathology/radiology results/reports and action where appropriate
- Excellent interpersonal and communication skills, provide enhanced discussions with resident and family regarding end of life wishes/planning Embed the core NMC values and expectations of care, compassions, courage, communication, commitment, and competence into everyday practice.
Personal Qualities
Essential
- Disclosure Barring Service (DBS) check as defined Car driver
Skills and Knowledge
Essential
- Ability to motivate others by influencing and inspire others in new enhanced ways of working
- Strong leadership and a shared vision for better care
- Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
- Ability to communicate with stakeholders and convey complex messages to different recipient groups
- Able to develop effective and mutually supportive relationships with key partners within and without organisations
- Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes
- Ability to recover and recuperate quickly from difficult or challenging situations
- Strong IT skills
- Experience of recording care plans electronically
Desirable
- Knowledge of EMIS clinical software
Qualifications
Essential
- Current qualification/nurse registration with NMC
- Demonstration of CPD and revalidation (if appropriate)
Desirable
- Knowledge of EMIS clinical software
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
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).
