Job summary
Our Integrated Network Teams (INTs) deliver out of hospital care to people in their own homes or community clinics. We provide these services to people who are registered with a GP within Inner City and East Locality of Bristol. The INTs are aligned to Sirona Localities, and these, in turn, are aligned to groups of GP practices, known as Primary Care Networks.
Advanced Clinical Practitioners (ACPs) - Long Term Conditions, are experienced, specialist clinicians with advanced clinical skills, case management techniques and shared decision-making, who support people meeting criteria that denote very high intensity use of health care services. With specialist intensive support, these service users are able to remain safely at home and have more choice about their health care. Case management is key for the support of people with long term conditions. This role requires expert evidence-based practitioner knowledge gained from extensive front line, clinical leadership and decision making and managerial experience.
The Locality teams are made up of:
- Advanced Clinical Practitioners Urgent and Long-term Conditions
- Community Nurses
- Community Therapists
- Paramedics
- Rehabilitations Support Workers and Healthcare Assistants
- Administrators
We are currently recruiting for 2 ACP's (Long Term Conditions). We can offer a variety of hours, full or part-time. Please get in touch if you wish to discuss working patterns. Posts are based at either Fishponds HC or East Tree's HC.
Main duties of the job
The
purpose of this role is to work autonomously as a specialist practitioner to
identify and case manage individuals with highly complex needs who require
intensive community support, within their Primary Care Network (PCN) in
partnership with the Integrated Network Team (INT) and the primary care team to
prevent avoidable admissions and facilitate timely discharges from hospital
into the community setting and, where possible, improving their quality of
life.
As
an advanced practitioner you will provide a service that focuses on achieving
and demonstrating overall improvements in health care for people who are frail
and have several long-term conditions. You will also provide clinical
leadership and direction to the INT and the locality, supporting the Locality
Manager and Assistant Locality Manager to deliver excellent evidence based
clinical outcomes. To provide organisational and service resilience, you may be
expected to cross cover other teams or services, both within the locality and
across Sirona services.
About us
We are Sirona care & health, a Community Interest Company committed to providing local communities with a range of high-quality specialist health care services across Bristol, North Somerset and South Gloucestershire. For us, its about the personal approach; we take pride in what we do and deliver the high standard of care that we would expect for ourselves and our families.
At Sirona, we continue to build an inclusive culture that encourages, supports, and celebrates the diverse voices of colleagues, service users and communities. We therefore welcome applications from all those who feel they have the skills and attributes we are seeking.
Benefits:
We offer NHS Agenda for Change Salary, Terms and Conditions and an NHS pension scheme plus much more! Please see the benefits leaflet attached to this advert for more details.
Additional Information:
Please note that we reserve the right to close this vacancy early if sufficient applications are received prior to the advertised closing date.
Job description
Job responsibilities
As an integral part of the Integrated Network Team you will;
- Provide clinical leadership and development of staff by delivering training and education for the INT in managing individuals with long term conditions in conjunction with their registered GPs, to provide high quality harm free care.
- Be responsible for the co-ordination of regular weekly MDTs in each GP practice within their PCN area, involving Community Nurses, Social Care staff, Therapists, MDT Co-ordinator, referrer to the service and GPs as appropriate, to review those individuals who are of cause for concern or whose condition is deteriorating.
- Use extensive advanced assessment and diagnostic skills and case manage identified service users who require intensive community tracking, aiming to prevent avoidable hospital admissions, promoting self-care and self-empowerment to support service users in the management of their condition and management of the deteriorating person as appropriate.
- Work as an autonomous practitioner, actively using and promoting shared decision making and empowerment, ensuring service users have comprehensive, individualised care plans.
- Provide health education, regular support and reviews as required.
- Support and encourage people to manage their own long term condition as far as they are able and support them to remain safely in their own home.
- Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of chronic disease, the disease process, current evidence and practice standards, managing individuals using advanced assessment, diagnostic and prescribing skills.
- In discussion with the GPs in the Primary Care Network (PCN), be responsible for shared care decision making relating to individual patients who require intensive community support.
- May be required to have managerial responsibility for the Active Ageing Health Visitor.
- Signpost appropriately to team members and other services in the identified healthcare pathway, such as Community Rehabilitation Units.
- Work in partnership with the wider multi-disciplinary team including Primary and Secondary Care; Health and Social care; Voluntary Agencies and others according to service user needs.
- Prescribe, supply and/or administer medication and treatments according to agreed protocols.
- Visit acute hospital and community hospitals as appropriate for the people in your care.
- Develop and maintain strong, communicative working relationships with hospital staff and primary, mental health and social care service providers.
- Work closely with other ACPs, the INTs and the wider multidisciplinary health and social care team to prevent avoidable admissions and facilitate timely discharges from hospital into the community setting and where possible improve service users quality of life.
- Be responsible for the provision of relevant clinical training within the team which may include;
- Supporting team performance in key identified areas including frailty and the assessment and management of long term conditions.- Support the development of advanced clinical practice within the INTs through the provision of education and clinical supervision.- Facilitate local and organisational audits, clinical investigations and RCAs relevant to clinical practice.
Job description
Job responsibilities
As an integral part of the Integrated Network Team you will;
- Provide clinical leadership and development of staff by delivering training and education for the INT in managing individuals with long term conditions in conjunction with their registered GPs, to provide high quality harm free care.
- Be responsible for the co-ordination of regular weekly MDTs in each GP practice within their PCN area, involving Community Nurses, Social Care staff, Therapists, MDT Co-ordinator, referrer to the service and GPs as appropriate, to review those individuals who are of cause for concern or whose condition is deteriorating.
- Use extensive advanced assessment and diagnostic skills and case manage identified service users who require intensive community tracking, aiming to prevent avoidable hospital admissions, promoting self-care and self-empowerment to support service users in the management of their condition and management of the deteriorating person as appropriate.
- Work as an autonomous practitioner, actively using and promoting shared decision making and empowerment, ensuring service users have comprehensive, individualised care plans.
- Provide health education, regular support and reviews as required.
- Support and encourage people to manage their own long term condition as far as they are able and support them to remain safely in their own home.
- Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of chronic disease, the disease process, current evidence and practice standards, managing individuals using advanced assessment, diagnostic and prescribing skills.
- In discussion with the GPs in the Primary Care Network (PCN), be responsible for shared care decision making relating to individual patients who require intensive community support.
- May be required to have managerial responsibility for the Active Ageing Health Visitor.
- Signpost appropriately to team members and other services in the identified healthcare pathway, such as Community Rehabilitation Units.
- Work in partnership with the wider multi-disciplinary team including Primary and Secondary Care; Health and Social care; Voluntary Agencies and others according to service user needs.
- Prescribe, supply and/or administer medication and treatments according to agreed protocols.
- Visit acute hospital and community hospitals as appropriate for the people in your care.
- Develop and maintain strong, communicative working relationships with hospital staff and primary, mental health and social care service providers.
- Work closely with other ACPs, the INTs and the wider multidisciplinary health and social care team to prevent avoidable admissions and facilitate timely discharges from hospital into the community setting and where possible improve service users quality of life.
- Be responsible for the provision of relevant clinical training within the team which may include;
- Supporting team performance in key identified areas including frailty and the assessment and management of long term conditions.- Support the development of advanced clinical practice within the INTs through the provision of education and clinical supervision.- Facilitate local and organisational audits, clinical investigations and RCAs relevant to clinical practice.
Person Specification
Qualifications
Essential
- Current registration with NMC / HCPC or other relevant professional body of registration
- Successful completion of a relevant post-graduate L3 (or higher) course or appropriate equivalent modules, such as disease specific qualifications, physical assessment and clinical reasoning.
- Evidence of continuous personal and professional development and ability to study at Masters level.
- Willingness to undertake training required for the role e.g. non-Medical Prescribing and PADRAP
Desirable
- Masters level clinical qualification or working towards achieving this.
- Non-Medical Independent & Supplementary Prescriber or willingness to undertake Prescribing Module at Masters Level.
Experience
Essential
- Knowledge of local, national, strategic and operational policy developments and an awareness of their implications.
- Understanding of the primary care, secondary care and provider interface.
- Knowledge of legal issues relating to the care of people such as Data Protection Act, Adult Protection procedures and the Mental Capacity Act.
Additional Criteria
Essential
- Flexible to meet service needs which can be unpredictable.
- Ability to travel efficiently to other work bases eg by car or other appropriate means, as reasonably requested.
- Willingness to work unsociable hours where required.
- Hold a UK Driving Licence and have access to a vehicle during working hours.
Person Specification
Qualifications
Essential
- Current registration with NMC / HCPC or other relevant professional body of registration
- Successful completion of a relevant post-graduate L3 (or higher) course or appropriate equivalent modules, such as disease specific qualifications, physical assessment and clinical reasoning.
- Evidence of continuous personal and professional development and ability to study at Masters level.
- Willingness to undertake training required for the role e.g. non-Medical Prescribing and PADRAP
Desirable
- Masters level clinical qualification or working towards achieving this.
- Non-Medical Independent & Supplementary Prescriber or willingness to undertake Prescribing Module at Masters Level.
Experience
Essential
- Knowledge of local, national, strategic and operational policy developments and an awareness of their implications.
- Understanding of the primary care, secondary care and provider interface.
- Knowledge of legal issues relating to the care of people such as Data Protection Act, Adult Protection procedures and the Mental Capacity Act.
Additional Criteria
Essential
- Flexible to meet service needs which can be unpredictable.
- Ability to travel efficiently to other work bases eg by car or other appropriate means, as reasonably requested.
- Willingness to work unsociable hours where required.
- Hold a UK Driving Licence and have access to a vehicle during working hours.
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.
