Job responsibilities
Clinical
To work as part of a multi-disciplinary team in a patient facing
role to assess and work with patients using expert knowledge.
Proactively identify patients
with long term conditions from practice clinical systems.
Maintain own caseload working on a 1:1 and group basis
To take an approach that is non-judgmental, based on strong
communication and negotiation skills, while considering the whole person when
addressing existing issues
Working with others in the PCN
practices to undertake NHS health checks in line with protocols.
To coach, motivate and empower patients through multiple sessions
to identify their needs set goals, and support them to implement their
personalised health and care plan, signposting to additional
services as required.
Support patients through the process and provide interventions, tools
and techniques to enable patients to achieve their personal goals.
Responsibility for providing
support to patients who will benefit from proactive health management and care,
including being the single point of contact for a person to simplify access and
coordination of services.
Provide personalised support to individuals, their families and
carers to ensure that they are active participants in their own healthcare, and
to empower them to take more control in manging their own health and
well-being, to live independently and to improve their health outcomes through:
Providing interventions such as self-management, education and
peer support
Supporting people to establish, attain and build on goals set by the
person and based on what is important to them
Working with the social prescribing services to connect them to
community-based activities which support their health and well-being
To be aware of limitations and, as required, be responsible for
the referral of patients who require the intervention of other healthcare
professionals
To work with patients and to understand their level of knowledge,
skills and confidence when engaging with their health and well-being
To work with and provide support to local community groups and
work with other health, social care and voluntary sector providers to support
patients health and well-being holistically
To identify risk factors and categorise patients into appropriate
risk banding
To develop and facilitate group consultations to assist patients
to work with others to support their own goals
Provide health education advice
to patients and run awareness campaigns for patient groups.
To maintain accurate clinical records of all patient consultations
and related work.
To promote health coaching and social prescribing amongst the PCN
and practices and to support colleagues to improve their skills and
understanding of personalised care.
To liaise with other health and social
care professionals and agencies to ensure holistic care is provided and the
care packages offered are appropriate and consistent with the patients needs
and aspirations.
To work with the
relevant leadership team to develop and evaluate the role and job description
and to undertake other duties that are consistent with the duties and
responsibilities of this post as required
Training & Development
To
demonstrate a commitment to personal and professional development.
To lead by example and provide on the
job training and development for less experienced members of staff.
To be responsible for maintaining own
competence to practice through CPD activity and maintaining a portfolio that
reflects personal development.
Governance
- Produce
complete and accurate records of patient consultation, in line with best
practice, confidentiality, policies and procedures
- Deliver
care according to NHS guidance, NICE guidelines and evidence-based care
- Take
part in the maintenance of quality governance systems and processes across
the PCN and its activities.
- Utilise
the audit cycle as a means of evaluating the quality of the work of self
and the team, implementing improvements where required.
- Work
with other clinical teams on improving the quality of healthcare in
response to local and national policies and initiatives as appropriate
- Evaluate
patients response to health care provision and the effectiveness of care
- Support
and participate in shared learning across the PCN and wider organisation
- Manage,
review and identify learning from patient complaints, clinical incidents
and near-miss events
- Awareness
of statutory safeguarding, notification processes and local guidance for
children/vulnerable patients, applying relevant policies and legislation
to protect them
- Ensure
compliance with policies, procedures and guidelines for self and others,
by taking action or alerting senior management team if the practice
appears to contravene policy, or if there are concerns over any aspect of
patient care.
Health and Safety
- The
post-holder will manage their own and others health & safety and
infection control as defined in the SEL GP Group Health & Safety
Policy, the SEL GP Group Health & Safety Manual, and the SEL GP Group
Infection Control Policy and published procedures.
- Comply
with SEL GP Group health and safety policies by following agreed safe
working procedures
- Awareness
and compliance with national standards of infection control, hygiene,
regulatory / contractual / professional requirements, and good practice
guidelines.
- Correct
personal use of Personal Protective Equipment (PPE) and ensuring correct
use of PPE by others, advising on appropriate circumstances for use by
clinicians, staff and patients.
- Reporting
incidents using the organisations Incident Reporting System
Confidentiality
- Maintain confidentiality of information,
acting within the terms of the Data Protection Act and Caldicott guidance
on patient confidentiality at all times.
- Maintain an awareness of the Freedom of
Information Act.
Equality and Diversity
- The post-holder will support, promote and
maintain the SEL GP Group Equality & Diversity Policy.
- No person whether they are staff, patient
or visitor should receive less favourable treatment because of their
gender, ethnic origin, age, disability, sexual orientation, religion etc.
- The jobholder must comply with all
policies and procedures designed to ensure equality of employment and that
services are delivered in ways that meet the individual needs of patients
and their families.
Other delegated duties
This job description is not intended
to be exhaustive - it may be changed after consultation with the post holder.
The employee shares with the employer the responsibility for review and
modification of duties.
