Job summary
Primary Integrated Community Services Ltd (PICS) have an outstanding opportunity for an advanced nurse or emergency practitioner to work within the established Mid Notts Acute Home Visiting Service. We are looking for enthusiastic, highly motivated Practitioners to support the Acute Home Visiting service across the Mid Notts area.
You will be working collaboratively and closely with GP colleagues, Primary Care teams and community services. The service aims to reduce inappropriate admissions to hospitals and facilitate supported care at the persons own place of residence (including care homes), and to support the workload for GPs.
We are looking for enthusiastic, motivated, reliable, experienced, good humoured and hardworking Practitioners to join our services. You will be confident to work autonomously and take independent decisions at times, with the ability to problem solve and to use your initiative.
Main duties of the job
KEY RESPONSIBILITIES
- To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.
- To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.
- To respond to GP triage for acute home visiting both in the patients home and in care homes.
- Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.
- To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.
- To provide education and training to other staff and students.
- To undertake research and audit as part of the role
KEY REQUIREMENTS
- Registered Professional Qualification minimum 3 years
- Evidence of continued professional development
- Independent Non Medical Prescriber
About us
PICS is the
employer for this role. We collaborate with patients and partners to design and
deliver clinically robust health and social care solution through Community Services,
Out of Hospital Services, GP Practices, and Primary Care Networks. Find out
more about us: http://picsnhs.org.uk/.
Benefits of working for PICS
We offer a comprehensive package which
includes:
Job description
Job responsibilities
JOB PURPOSE
- To work as part of the established team of Advanced Nurse Practitioners to provide an Acute Home Visiting service across the Mid Notts Locality.
- To work alongside the Primary Care Teams to support reducing inappropriate admissions to hospital.
- To facilitate additional support in the patients usual place of residence to maintain appropriate care.
- To confidently make autonomous decisions following assessments.
KEY RESPONSIBILITIES
- To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.
- To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.
- To respond to GP triage for acute home visiting both in the patients home and in care homes.
- Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.
- To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.
- To provide education and training to other staff and students.
- To undertake research and audit as part of the role.
Advanced Clinical Practice
- The Acute Home Visiting Practitioner works autonomously and is accountable for own professional actions.
- Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
- Utilises the four pillars of Advanced practice: clinical practice, leadership, facilitating learning and evidence, research and development.
- Assesses diagnoses and treats patients in own home who require acute medical attention and set up a package of care and/or refer to appropriate agencies if appropriate
- Prescribes appropriate treatment in line with Local/National prescribing guidelines according to assessment.
- Assesses diagnoses and treats patients who require medical care
- Telephone Consultations
- Refers patients to other medical specialities for assessment if deemed appropriate.
- Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for further clinical investigations including but not limited to ECHO, ECG, Bloods, X-ray
- Ability to interpret a range of diagnostic tests and routine clinical procedures.
- Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
- Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
- Advises and supports others where standard protocols do not apply.
- Works within professional guidelines and codes of conduct.
- Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
- Communicates highly sensitive condition related information to patients, relatives and carers.
- Initiates the process of diagnosis with patients suspected to have a chronic disease eg: Diabetes, COPD, Asthma, IHD referring onto other clinical staff as appropriate.
- Audits outcomes of care against standards and initiate changes as necessary.
- Refers to other members of the extended primary health care team as appropriate.
Professional Development
- To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
- To adhere to the individual Professional Code of Conduct and practice at all times.
- To reflect on own practice individually and/or through regular clinical supervision.
- To participate in any relevant training/course/conferences to maintain own professional development
- Participate in the education, induction programmes and support meetings for other professional staff.
- To participate in peer review, attend team meetings and periodically attend Federation meetings.
- Maintain up to date mandatory training records.
- To maintain, develop and disseminate specialist knowledge of evidence based practice.
- To critically evaluate own work through the use of evidence based projects, audits and outcome measures.
- To work autonomously as an Acute Home Visiting Practitioner within professional and PICS guidelines, policies and procedure
Communication and Relationship Skills
- Ensure close liaison with Line Manager and Clinical Lead in communicating with regards to clinical issues. Organise and attend regular MDT / Supervision
- Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.
- Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
- Regularly communicates service related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.
- Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.
- Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
- Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.
Information Resources
- To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements.
- Ensure all information with regard to each patient related contact is recorded within SystmOne records
- The nature of mobile working can sometimes lead to difficulties with IT/Telephone systems. There is a requirement that initiative is used in these circumstance to ensure a quality service is still provided.
Clinical Governance
- Identify risk issues that impact on the patients health or social are needs
- Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure
- Demonstrate effective team working inclusive of all relevant professionals
- Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
- Contribute towards audit and data collection as required.
For more information, please see the supporting documents.
Job description
Job responsibilities
JOB PURPOSE
- To work as part of the established team of Advanced Nurse Practitioners to provide an Acute Home Visiting service across the Mid Notts Locality.
- To work alongside the Primary Care Teams to support reducing inappropriate admissions to hospital.
- To facilitate additional support in the patients usual place of residence to maintain appropriate care.
- To confidently make autonomous decisions following assessments.
KEY RESPONSIBILITIES
- To act as an autonomous advanced practitioner working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients.
- To avoid inappropriate admissions and maintain patients in their home environments with a safe package of care and referral to other agencies as necessary, including directly admitting patients to hospital when necessary.
- To respond to GP triage for acute home visiting both in the patients home and in care homes.
- Provide evidence based professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence and a proactive approach to care.
- To develop and lead new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice population.
- To provide education and training to other staff and students.
- To undertake research and audit as part of the role.
Advanced Clinical Practice
- The Acute Home Visiting Practitioner works autonomously and is accountable for own professional actions.
- Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services.
- Utilises the four pillars of Advanced practice: clinical practice, leadership, facilitating learning and evidence, research and development.
- Assesses diagnoses and treats patients in own home who require acute medical attention and set up a package of care and/or refer to appropriate agencies if appropriate
- Prescribes appropriate treatment in line with Local/National prescribing guidelines according to assessment.
- Assesses diagnoses and treats patients who require medical care
- Telephone Consultations
- Refers patients to other medical specialities for assessment if deemed appropriate.
- Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for further clinical investigations including but not limited to ECHO, ECG, Bloods, X-ray
- Ability to interpret a range of diagnostic tests and routine clinical procedures.
- Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols.
- Makes decisions where precedents do not exist, where appropriate without recourse to others e.g. direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.
- Advises and supports others where standard protocols do not apply.
- Works within professional guidelines and codes of conduct.
- Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning, risk management.
- Communicates highly sensitive condition related information to patients, relatives and carers.
- Initiates the process of diagnosis with patients suspected to have a chronic disease eg: Diabetes, COPD, Asthma, IHD referring onto other clinical staff as appropriate.
- Audits outcomes of care against standards and initiate changes as necessary.
- Refers to other members of the extended primary health care team as appropriate.
Professional Development
- To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
- To adhere to the individual Professional Code of Conduct and practice at all times.
- To reflect on own practice individually and/or through regular clinical supervision.
- To participate in any relevant training/course/conferences to maintain own professional development
- Participate in the education, induction programmes and support meetings for other professional staff.
- To participate in peer review, attend team meetings and periodically attend Federation meetings.
- Maintain up to date mandatory training records.
- To maintain, develop and disseminate specialist knowledge of evidence based practice.
- To critically evaluate own work through the use of evidence based projects, audits and outcome measures.
- To work autonomously as an Acute Home Visiting Practitioner within professional and PICS guidelines, policies and procedure
Communication and Relationship Skills
- Ensure close liaison with Line Manager and Clinical Lead in communicating with regards to clinical issues. Organise and attend regular MDT / Supervision
- Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive.
- Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome.
- Regularly communicates service related information to GPs, Practice Manager, Nursing and Administrative staff, patients, relatives and carers.
- Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion.
- Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships.
- Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.
Information Resources
- To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements.
- Ensure all information with regard to each patient related contact is recorded within SystmOne records
- The nature of mobile working can sometimes lead to difficulties with IT/Telephone systems. There is a requirement that initiative is used in these circumstance to ensure a quality service is still provided.
Clinical Governance
- Identify risk issues that impact on the patients health or social are needs
- Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure
- Demonstrate effective team working inclusive of all relevant professionals
- Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
- Contribute towards audit and data collection as required.
For more information, please see the supporting documents.
Person Specification
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your NMC professional registration.
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Person Specification
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your NMC professional registration.
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
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).
Employer details
Employer name
Primary Integrated Community Services
Address
Unit H4 Ash Tree Court
Nottingham Business Park
Nottingham
Nottinghamshire
NG8 6PY
Employer's website
http://picsnhs.org.uk/ (Opens in a new tab)
