Job summary
Are you an experienced practitioner looking for a new challenge? If so, look no further.
We are an established Primary Care Visiting Service (PCVS) service offering support to General Practices, providing in excess of 8000 home visits a year to patients registered across Oxfordshire.
Our self-directed autonomous practitioners work in four main areas (North, North East, West and Vale), providing the highest standard of evidence based clinical care to patients within their own homes. Referrals are despatched by our admin team however, you will be responsible for prioritising workload based on the clinical information provided by the GP at the point of referral.
The service operates from Monday to Friday 0930-1730 and we are looking to appoint professionals up to full time hours.
Successful applicants will:
- Have a minimum of three years post registration demonstrable experience of working as an independent practitioner,
- A level 6 degree module in minor illness/injury assessment
- Experience of working in a community setting
Please see blow and also the attached job description for more information
Main duties of the job
The post holder will be required to provide direct patient care whilst also influencing the clinical development and operational delivery and quality of the Primary Care Visiting Service by working within PML Federation Services the post-holder will, in summary:
- Work within the Primary Care Visiting Service to undertake on the day requests from GP Practices for patient home visits to a protocol mutually agreed with Clinical Leads.
- Provide timely, high quality, person centred clinical care to patients addressing their needs within the current urgent care needs and their long term self-management. This is achieved by collaborating with all health and social care agencies and including local community services and within primary care provision.
- Prevent inappropriate hospital admissions by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment.
- Ensure the learning of new specialist skills and knowledge with the appropriate training and qualification and within a competency framework.
About us
PML is a successful not-for-profit, GP-led organisation providing various NHS community and primary care clinical services to patients across Oxfordshire and Northamptonshire. We have evolved as a NHS healthcare provider since 2004 and in the last few years have grown significantly, now employing around 300 staff with a turnover of c. £16m. PML holds GMS contracts, as well as being a GP Federation representing c. 50 GP practices covering approximately 650,000 patients.
Job description
Job responsibilities
PRINCIPAL DUTIES:
CLINICAL RESPONSIBILITIES.
- To act as a self-directed practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols.
- To work independently, without direct supervision and perform comprehensive patient assessments based upon history taking and physical examination in a variety of clinical settings and in the home environment, prioritising workload to meet the regular unpredictable situations that may occur within this role.
- To make clinical decisions within the home autonomously and in liaison with GPs, hospital clinicians and other agencies in preventing some hospital admissions.
- Demonstrate highly developed clinical reasoning and decision-making.
- Acquire a variety of specialist clinical skills and knowledge to include assessments of chronic diseases in the home, such as heart failure and respiratory disease, diabetes and general medical conditions
- Undertake the learning of other professional skills and knowledge to include social assessment and social care planning in accordance with PML Risk Management Policies and Procedures
- Work in close collaboration with the Clinical Lead for the delivery of an effective service by defining and overseeing the development of service standards in-line with Government, NMC/HCPC guidelines and PML Policy.
- Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk
- To ensure that appropriate, consistent and realistic information is provided to patients and families.
- To provide sensitive and complex information to relatives and patients in sometimes hostile, and emotive atmospheres.
- Use expert communication skills to create and sustain new alliances. Using the highest level of interpersonal skills, to break down the barriers and develop inter-professional collaborative working relationships with staff in primary and secondary care.
- Be a clinical resource for the patient/carer especially within their home as well as to colleagues, GPs and other agencies. Recognise levels of competence and always work within them.
Professional
- Represent their profession in accordance with best practice standards and code of conduct with their relevant regulatory body.
- Approach Continuing Professional Development and appraisal in an open and constructive manner
Information governance
PML is committed to consistently high standards of information. All employees have an individual responsibility to ensure that in the course of their duties, any records that they create are of high quality, accurate and up to date and compliant with PMLs Records Management, Freedom of Information and Health Records policies and procedures and that the confidentiality and security of all information is maintained in accordance with the Data Protection Act 1998.
Confidentiality
The post holder must maintain confidentiality of information in accordance with professional and PML policy. The post holder may access information only on a need to know basis in the direct discharge of duties and divulge information only in the proper course of duties.
Equal opportunities
To promote and develop the equality of opportunities in accordance with the PML Equal Opportunities Policy.
Job description
Job responsibilities
PRINCIPAL DUTIES:
CLINICAL RESPONSIBILITIES.
- To act as a self-directed practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within their own home, founded on agreed management care plans and protocols.
- To work independently, without direct supervision and perform comprehensive patient assessments based upon history taking and physical examination in a variety of clinical settings and in the home environment, prioritising workload to meet the regular unpredictable situations that may occur within this role.
- To make clinical decisions within the home autonomously and in liaison with GPs, hospital clinicians and other agencies in preventing some hospital admissions.
- Demonstrate highly developed clinical reasoning and decision-making.
- Acquire a variety of specialist clinical skills and knowledge to include assessments of chronic diseases in the home, such as heart failure and respiratory disease, diabetes and general medical conditions
- Undertake the learning of other professional skills and knowledge to include social assessment and social care planning in accordance with PML Risk Management Policies and Procedures
- Work in close collaboration with the Clinical Lead for the delivery of an effective service by defining and overseeing the development of service standards in-line with Government, NMC/HCPC guidelines and PML Policy.
- Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk
- To ensure that appropriate, consistent and realistic information is provided to patients and families.
- To provide sensitive and complex information to relatives and patients in sometimes hostile, and emotive atmospheres.
- Use expert communication skills to create and sustain new alliances. Using the highest level of interpersonal skills, to break down the barriers and develop inter-professional collaborative working relationships with staff in primary and secondary care.
- Be a clinical resource for the patient/carer especially within their home as well as to colleagues, GPs and other agencies. Recognise levels of competence and always work within them.
Professional
- Represent their profession in accordance with best practice standards and code of conduct with their relevant regulatory body.
- Approach Continuing Professional Development and appraisal in an open and constructive manner
Information governance
PML is committed to consistently high standards of information. All employees have an individual responsibility to ensure that in the course of their duties, any records that they create are of high quality, accurate and up to date and compliant with PMLs Records Management, Freedom of Information and Health Records policies and procedures and that the confidentiality and security of all information is maintained in accordance with the Data Protection Act 1998.
Confidentiality
The post holder must maintain confidentiality of information in accordance with professional and PML policy. The post holder may access information only on a need to know basis in the direct discharge of duties and divulge information only in the proper course of duties.
Equal opportunities
To promote and develop the equality of opportunities in accordance with the PML Equal Opportunities Policy.
Person Specification
Qualifications
Essential
- Relevant professional qualification e.g Emergency Care/Nurse Practitioner qualification or equivalent Nurse practitioner degree or Level 6 degree module in minor illness/injury assessment, diagnosis and management. Minimum of three years post registration with demonstrable experience of using diagnostic skills
Desirable
- Non- Medical Prescriber qualification Assessor/Mentorship course
- Assessor/Mentorship course
Experience
Essential
- Evidence of working within acute clinical practice Evidence of working in a community setting Portfolio of evidence showing achievements in practice/speciality Experience of, or a willingness to undertake advanced clinical practice Evidence of excellent clinical record keeping Evidence of clinical leadership development Ability to support patients during acute episodes of illness and to self manage long term conditions where feasible. Good understanding of health policy Evidence of diplomatic and negotiation skills Able to demonstrate imaginative use of resources Excellent communication and leadership skills Able to articulate personal development needs Ability to reflect & appraise own performance Implementation of audit/research recommendations
Desirable
- Evidence of working in a community setting Experience in teaching & supporting junior staff/students
IM&T , Audit and Research
Essential
- Competence in the use of IT packages including clinical databases. Experience of clinical information systems
Desirable
- Competent in databases and spreadsheets Demonstrates ability and knowledge on how to undertake audit and feedback to clinicians
Personal Attributes
Essential
- Adaptable, imaginative, innovative, enthusiastic and a good sense of humour.
- Team Worker Ability to relate to people from differing backgrounds
- Ability to motivate others Demonstrate positive attitude towards patients & staff.
Person Specification
Qualifications
Essential
- Relevant professional qualification e.g Emergency Care/Nurse Practitioner qualification or equivalent Nurse practitioner degree or Level 6 degree module in minor illness/injury assessment, diagnosis and management. Minimum of three years post registration with demonstrable experience of using diagnostic skills
Desirable
- Non- Medical Prescriber qualification Assessor/Mentorship course
- Assessor/Mentorship course
Experience
Essential
- Evidence of working within acute clinical practice Evidence of working in a community setting Portfolio of evidence showing achievements in practice/speciality Experience of, or a willingness to undertake advanced clinical practice Evidence of excellent clinical record keeping Evidence of clinical leadership development Ability to support patients during acute episodes of illness and to self manage long term conditions where feasible. Good understanding of health policy Evidence of diplomatic and negotiation skills Able to demonstrate imaginative use of resources Excellent communication and leadership skills Able to articulate personal development needs Ability to reflect & appraise own performance Implementation of audit/research recommendations
Desirable
- Evidence of working in a community setting Experience in teaching & supporting junior staff/students
IM&T , Audit and Research
Essential
- Competence in the use of IT packages including clinical databases. Experience of clinical information systems
Desirable
- Competent in databases and spreadsheets Demonstrates ability and knowledge on how to undertake audit and feedback to clinicians
Personal Attributes
Essential
- Adaptable, imaginative, innovative, enthusiastic and a good sense of humour.
- Team Worker Ability to relate to people from differing backgrounds
- Ability to motivate others Demonstrate positive attitude towards patients & staff.
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).
