Job summary
West Kent Primary Care (WKPC) is seeking to employ an Enhanced Nurse on behalf of Weald Primary Care Network (PCN) to work across their member practices. The Enhanced Nurse will be responsible for managing and providing high-quality care for patients including residents within the local care homes.
Main duties of the job
Weald Primary Care Network (PCN) is looking for a caring, compassionate and experienced Enhanced Nurse with significant post-registration expertise in frailty. The Enhanced Nurse will be focusing on delivering high-quality, coordinated care to residents in care homes across the Weald locality. This will include providing care from initial history taking, clinical assessment, diagnosis, treatment, to a treatment plan. The post-holder will lead the development and delivery of enhanced nursing services within care homes, ensuring excellent management of patients with complex long-term conditions such as hypertension, diabetes, and respiratory diseases.
They will work within their professional boundaries and scope of practice within the primary care setting. The post holder will be required to communicate and work collaboratively with all stakeholders to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required. They will focus on the four pillars of advanced practice: Clinical Practice, Leadership, Education, and Research.
About us
About the Weald PCN
The PCN cares for approximately 47,000 patients across eight GP practices in the Weald; we aim to develop, deliver, and measure healthcare services across the population of Weald PCN. We are a high performing and welcoming network of practices, and we aim to inspire each other to be the best we can be, providing a great place to work. We value collaboration, compassion, integrity and sustainability in all the work we do and work closely with our Health & Care Partnership (HCP) to remain patient focused and develop services in line with population needs, embracing multi-disciplinary service models and developing neighbourhood teams.
About West Kent Primary Care
West Kent Primary Care is an innovative GP Federation whose shareholders include all 50 practices in West Kent, covering nearly 500,000 patients. Within this, the practices are divided into 9 Primary Care Networks (PCN). We are made up of a core operations team, a PCN based workforce made up of clinical and non-clinical staff and a Board of Executive Directors consisting of four local GPs and twelve PCN clinical directors. The federation also offers a variety of services including, but not limited to, the Community Diabetes Service, Post Covid Assessment Service, Chronic Fatigue Service and a Frailty Service.
Job description
Job responsibilities
Core responsibilities
Clinical
- Maintain and apply their nursing knowledge to a range of contexts.
- Deliver expert nursing assessments and manage complex care needs of care home residents within Weald PCN
- Oversee chronic disease management including medication reviews and health promotion tailored to care home populations.
- Act as the named nursing lead for care home services across Weald PCN, advocating for patient-centred care.
- Provide support to practices with nursing cover during periods of extended absence.
- Utilise an understanding of the health and care policy, systems and structures, implications of changing population needs and the political, social, economic, legal, technical, and professional context of healthcare and respond to issues that they encounter.
- Apply knowledge and skills to a range of professionally challenging situations, within the team. This includes analysis of complex problems enabling creation of innovative solutions to improve outcomes.
- Act as a resource in area of professional practice.
- Provide direct advice to individuals and the team within their area.
- Support patient and public involvement to enhance patient care and service delivery.
- Work, directly or indirectly, to improve the quality of services and care provided for people and/or populations.
- Contribute to the understanding of the impact of practice on global and/or planetary health by promoting and adopting environmental-friendly and sustainable approaches.
- Be proficient in use of digital technologies applicable in the workplace.
- Systematically apply an advanced awareness of professional and ethical values and NMC Code of Conduct to personal and strategic decisions, actions, responsibilities, outcomes, and dilemmas, whilst working with others to suggest appropriate solutions in unpredictably complex contexts.
- Advocate for people and nursing.
- Role model this level of nursing and nursing professionalism to people across the organisation.
Education
- Provide clinical support and guidance to care home staff to improve patient safety and health outcomes.
- Identify own personal development needs, proactively seek feedback, and take effective action to address them using a mix of strategies.
- Share knowledge, experience and expertise with nurses and others at all levels, through strategies such as formal and informal teaching, facilitated reflective practice, skills supervision, coaching, mentoring and preceptorship.
- Provides constructive feedback and opportunities such as peer review, to guide, support, motivate and develop others in the team.
- Act as a role model for this level of nursing.
- Assess learning needs and deploy a range of teaching and learning strategies and resources, to support the development of people.
- Evaluate the outcomes of teaching and learning activities and learner experience and adapt approaches accordingly.
- Design and develop projects and/or activities to enhance others learning, work or practice within complex contexts.
- Advocate for learning and development of the workforce, with effective succession planning.
- Participate in the supervision, evaluation and assessment of nurses aspiring to work at an enhanced level.
- Participate in, and lead formal training events promoting best practice in area of expertise.
- Teach and advise patients and their families on how to manage their condition.
- Advise and support on the development and delivery of work streams relating to area of expertise as part of the PCNs strategy, where appropriate.
- Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.
- Contribute to the delivery of local policy, procedures and protocols for the PCN to improve identification, assessment, ongoing support for patients and their family carers.
Research
- Deliver and support others to deliver research-informed practice.
- Undertake activities that monitor and improve the effectiveness, impact, and value of their own and others work.
- Use a wide range of contemporary high-quality data, research, evidence-based professional practice, and valid and reliable tools and techniques, to proactively evaluate and sustainably improve current ways of working.
- Critically appraise the information from a variety of sources such as outcomes of relevant research, quality improvement projects, evaluations, and audits.
- Use a wide range of contemporary high-quality research, evidence-based valid and reliable tools, and techniques, to sustainably improve current ways of working.
- Participate in knowledge mobilisation and dissemination of research findings.
- Source advice on research governance processes to ensure compliance.
- Identify gaps in evidence and inform relevant parties.
- Participate in research when opportunities present themselves
- Engages with quality improvement
Leadership
- Demonstrate individual leadership via self-awareness of the approaches taken to collaborating with others and aligning colleagues in collective work.
- Display self-leadership by managing own workload and competing demands.
- Make challenging decisions, seeking guidance where appropriate, and taking responsibility for outcomes.
- Demonstrate tactical leadership by working with a broad range of people and stakeholders in the direct and immediate work.
- Reflect on and contribute to improving ways of working and supporting a culture of safety.
- Use negotiating and influencing skills to facilitate efficient ways of working and optimise outcomes within their own area.
- Foster collaborative, productive, inclusive relationships with colleagues in the wider team and other key stakeholders to optimise organisational provision and outcomes for the benefit of people and/or populations.
- Demonstrate operational leadership including leading individuals, teams and/or different groups, they may or may not manage.
- Coordinate multidisciplinary care planning involving GPs, clinical pharmacists, social care, and community health services.
- Delegate work to other members of the MDT and take responsibility for the delegated activity as appropriate; demonstrate initiative and creativity in finding solutions to problems
- Systematically synthesise information and ideas and formulate and develop proposals to address issues or utilise opportunities in complex contexts.
- Support innovation and service development utilising evidence-based approaches to optimise effective, sustainable change.
- Participate in local networks and respond to local, regional and national initiatives within their subject area.
- Work within current evidence-based policies, processes, standards, and governance systems, alerting others when revisions are needed to ensure they remain fit for purpose.
- Work across professional and service boundaries.
- Be cognisant of factors that aspects that impact on productivity and cost effectiveness within their area.
- Facilitate development of leadership skills in others within their own area.
Please see full job description and person specification in the side bar of this advert.
Job description
Job responsibilities
Core responsibilities
Clinical
- Maintain and apply their nursing knowledge to a range of contexts.
- Deliver expert nursing assessments and manage complex care needs of care home residents within Weald PCN
- Oversee chronic disease management including medication reviews and health promotion tailored to care home populations.
- Act as the named nursing lead for care home services across Weald PCN, advocating for patient-centred care.
- Provide support to practices with nursing cover during periods of extended absence.
- Utilise an understanding of the health and care policy, systems and structures, implications of changing population needs and the political, social, economic, legal, technical, and professional context of healthcare and respond to issues that they encounter.
- Apply knowledge and skills to a range of professionally challenging situations, within the team. This includes analysis of complex problems enabling creation of innovative solutions to improve outcomes.
- Act as a resource in area of professional practice.
- Provide direct advice to individuals and the team within their area.
- Support patient and public involvement to enhance patient care and service delivery.
- Work, directly or indirectly, to improve the quality of services and care provided for people and/or populations.
- Contribute to the understanding of the impact of practice on global and/or planetary health by promoting and adopting environmental-friendly and sustainable approaches.
- Be proficient in use of digital technologies applicable in the workplace.
- Systematically apply an advanced awareness of professional and ethical values and NMC Code of Conduct to personal and strategic decisions, actions, responsibilities, outcomes, and dilemmas, whilst working with others to suggest appropriate solutions in unpredictably complex contexts.
- Advocate for people and nursing.
- Role model this level of nursing and nursing professionalism to people across the organisation.
Education
- Provide clinical support and guidance to care home staff to improve patient safety and health outcomes.
- Identify own personal development needs, proactively seek feedback, and take effective action to address them using a mix of strategies.
- Share knowledge, experience and expertise with nurses and others at all levels, through strategies such as formal and informal teaching, facilitated reflective practice, skills supervision, coaching, mentoring and preceptorship.
- Provides constructive feedback and opportunities such as peer review, to guide, support, motivate and develop others in the team.
- Act as a role model for this level of nursing.
- Assess learning needs and deploy a range of teaching and learning strategies and resources, to support the development of people.
- Evaluate the outcomes of teaching and learning activities and learner experience and adapt approaches accordingly.
- Design and develop projects and/or activities to enhance others learning, work or practice within complex contexts.
- Advocate for learning and development of the workforce, with effective succession planning.
- Participate in the supervision, evaluation and assessment of nurses aspiring to work at an enhanced level.
- Participate in, and lead formal training events promoting best practice in area of expertise.
- Teach and advise patients and their families on how to manage their condition.
- Advise and support on the development and delivery of work streams relating to area of expertise as part of the PCNs strategy, where appropriate.
- Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.
- Contribute to the delivery of local policy, procedures and protocols for the PCN to improve identification, assessment, ongoing support for patients and their family carers.
Research
- Deliver and support others to deliver research-informed practice.
- Undertake activities that monitor and improve the effectiveness, impact, and value of their own and others work.
- Use a wide range of contemporary high-quality data, research, evidence-based professional practice, and valid and reliable tools and techniques, to proactively evaluate and sustainably improve current ways of working.
- Critically appraise the information from a variety of sources such as outcomes of relevant research, quality improvement projects, evaluations, and audits.
- Use a wide range of contemporary high-quality research, evidence-based valid and reliable tools, and techniques, to sustainably improve current ways of working.
- Participate in knowledge mobilisation and dissemination of research findings.
- Source advice on research governance processes to ensure compliance.
- Identify gaps in evidence and inform relevant parties.
- Participate in research when opportunities present themselves
- Engages with quality improvement
Leadership
- Demonstrate individual leadership via self-awareness of the approaches taken to collaborating with others and aligning colleagues in collective work.
- Display self-leadership by managing own workload and competing demands.
- Make challenging decisions, seeking guidance where appropriate, and taking responsibility for outcomes.
- Demonstrate tactical leadership by working with a broad range of people and stakeholders in the direct and immediate work.
- Reflect on and contribute to improving ways of working and supporting a culture of safety.
- Use negotiating and influencing skills to facilitate efficient ways of working and optimise outcomes within their own area.
- Foster collaborative, productive, inclusive relationships with colleagues in the wider team and other key stakeholders to optimise organisational provision and outcomes for the benefit of people and/or populations.
- Demonstrate operational leadership including leading individuals, teams and/or different groups, they may or may not manage.
- Coordinate multidisciplinary care planning involving GPs, clinical pharmacists, social care, and community health services.
- Delegate work to other members of the MDT and take responsibility for the delegated activity as appropriate; demonstrate initiative and creativity in finding solutions to problems
- Systematically synthesise information and ideas and formulate and develop proposals to address issues or utilise opportunities in complex contexts.
- Support innovation and service development utilising evidence-based approaches to optimise effective, sustainable change.
- Participate in local networks and respond to local, regional and national initiatives within their subject area.
- Work within current evidence-based policies, processes, standards, and governance systems, alerting others when revisions are needed to ensure they remain fit for purpose.
- Work across professional and service boundaries.
- Be cognisant of factors that aspects that impact on productivity and cost effectiveness within their area.
- Facilitate development of leadership skills in others within their own area.
Please see full job description and person specification in the side bar of this advert.
Person Specification
Qualifications
Essential
- Degree in Nursing or Registered Nurse Degree Apprenticeship
- Registered with Nursing and Midwifery Council
- Post-registration qualifications and CPD, for example certificates, diplomas or professional development courses at level 7 (e.g. diabetes, dementia or other area of enhanced practice)
Desirable
- Mentor/teaching qualification
- Clinical supervision training and experience
- Training or qualifications related to chronic disease management, safeguarding, and/or nurse prescribing preferred.
Experience
Essential
- Working at an enhanced level of practice
- Working within frailty or management of patients with long-term conditions
- Primary Care or Community nursing experience
- Nurse-led management of minor illness, minor ailments and injuries
- Audit
- Research
- Clinical Leadership
Desirable
- Nursing in care home settings
- Nurse prescribing
- Experience in clinical leadership
Other
Essential
- Self-directed practitioner
- Highly motivated
- Committed to continuous professional development
- Flexible
- Enthusiastic
- Partner collaboratively with multidisciplinary teams, individuals, families and carers to make clinical decisions.
- Ability to work across boundaries
- Conscious of the need to act sustainably.
- Able and willing to travel to various care homes within the Weald locality.
- Must have a clean driving license and access to a vehicle.
Knowledge
Essential
- Accountability of own role and other roles in a nurse-led service
- Management of patients with long-term conditions
- Management of patients with complex needs
- Local plan and national health policy
- Understanding of a range of assessment methods.
- Wider health economy
- Clinical governance issues in primary care
- Patient group directions and associated policy
Desirable
- Knowledge of public health issues in the area
- Project management
Skills
Essential
- Clinical examination skills
- Ability to use clinical systems
- Ability to use Microsoft 365 products (Outlook, Word, Excel).
- Ability to communicate and compassion and integrity.
- Conflict management skills
- Able to combine theory and practical skills to develop nursing practice and judgment.
Person Specification
Qualifications
Essential
- Degree in Nursing or Registered Nurse Degree Apprenticeship
- Registered with Nursing and Midwifery Council
- Post-registration qualifications and CPD, for example certificates, diplomas or professional development courses at level 7 (e.g. diabetes, dementia or other area of enhanced practice)
Desirable
- Mentor/teaching qualification
- Clinical supervision training and experience
- Training or qualifications related to chronic disease management, safeguarding, and/or nurse prescribing preferred.
Experience
Essential
- Working at an enhanced level of practice
- Working within frailty or management of patients with long-term conditions
- Primary Care or Community nursing experience
- Nurse-led management of minor illness, minor ailments and injuries
- Audit
- Research
- Clinical Leadership
Desirable
- Nursing in care home settings
- Nurse prescribing
- Experience in clinical leadership
Other
Essential
- Self-directed practitioner
- Highly motivated
- Committed to continuous professional development
- Flexible
- Enthusiastic
- Partner collaboratively with multidisciplinary teams, individuals, families and carers to make clinical decisions.
- Ability to work across boundaries
- Conscious of the need to act sustainably.
- Able and willing to travel to various care homes within the Weald locality.
- Must have a clean driving license and access to a vehicle.
Knowledge
Essential
- Accountability of own role and other roles in a nurse-led service
- Management of patients with long-term conditions
- Management of patients with complex needs
- Local plan and national health policy
- Understanding of a range of assessment methods.
- Wider health economy
- Clinical governance issues in primary care
- Patient group directions and associated policy
Desirable
- Knowledge of public health issues in the area
- Project management
Skills
Essential
- Clinical examination skills
- Ability to use clinical systems
- Ability to use Microsoft 365 products (Outlook, Word, Excel).
- Ability to communicate and compassion and integrity.
- Conflict management skills
- Able to combine theory and practical skills to develop nursing practice and judgment.
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).
