Job summary
We are looking for an Advanced Care Practitioner (Advanced Nurse Practitioner / Paramedic), to join our already established Home Visiting and Care Home team. The practitioner will provide on the day acute visits for housebound patients and care home residents within the PCN, as well as delivering proactive home visits to support the ongoing health needs of our population.The post holder will be required to provide on the day visits for housebound patients who are acutely unwell and need a clinical assessment, as well as pre-planned proactive care assessments. The practitioner will also need to visit patients living in care homes for both acute and proactive care, this will be in the form of either a ward round or an acute visit. The clinician will be responsible for prioritising visits according to clinical need and will be required to take a comprehensive history and devise a treatment plan. This could include liaison with the GP, secondary care and community colleagues to support coordination of patient care.
As part of the proactive care service delivery, the post holder will be required to complete comprehensive frailty assessments, advanced care plans, end of life care planning, and medication optimisation while working closely with a wider MDT to identify patients who require input from other services or agencies.
Please take a look at job spec attached
Main duties of the job
Uses expert knowledge and clinical skills to deliver holistic care to housebound patients and care home residents registered with Southampton West PCN
Provide safe, evidence-based, cost effective, individualised patient care
Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute, and chronic medical conditions
Assesses diagnoses and treats patients who require acute medical attention and refer to appropriate agencies.
Directly admits patients to secondary care hospital in acute medical need
Refers patients, as appropriate, to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations
Interprets a range of diagnostic tests
Works within professional guidelines and codes of conduct
Works within all relevant policies and procedural guidelines e.g. infection control, chaperoning, risk management
Communicates information well and sensitively to patients and carers having due regard to confidentiality
Contributes towards targets under the primary Care Network Enhanced service and the Quality and Outcomes Framework
Undertake annual reviews and care plans for patients including medication reviews (with support of pharmacists where necessary).
Accurately records clinical consultations on practice clinical systems ensuring the correct use of SNOMED codes and clinical templates
Understand and implements safeguarding protocols and understand how and who to refer and escalate to when required
About us
Southampton West Primary Care Network (PCN) consists of the 9 GP surgeries in the west of the City and covers 84,000 patients. Our mission is to work collaboratively to develop high quality services for our patients, so that we can improve health outcomes that enable people to live well, for longer, whilst developing resilient primary care.
The PCN already hosts a strong and supportive multi-disciplinary wellbeing team consisting of mental health practitioners, peer support workers, social prescribers, care coordinators, Health and Wellbeing Coaches, Pharmacists, and First Contact Physiotherapists.
Job description
Job responsibilities
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 to check for any previous criminal convictions.
UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website
General Responsibilities of All Employed Staff:
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice
policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy to include:
Using personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Equality and diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures, policies and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Quality
The post-holder will strive to maintain quality within the practice and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Communication
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members and with patients and carers
Recognize peoples needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate
Job description
Job responsibilities
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 to check for any previous criminal convictions.
UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website
General Responsibilities of All Employed Staff:
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice
policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy to include:
Using personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Equality and diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures, policies and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Quality
The post-holder will strive to maintain quality within the practice and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Communication
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members and with patients and carers
Recognize peoples needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and guidelines will affect own work
Participate in audit where appropriate
Person Specification
Qualifications
Essential
- Advanced Care Practitioner Requirements
- Advanced Nurse Practitioner MSc
- Current NMC Registration
- Membership of a professional body
- UK Driving license
- Paramedic Requirements
- Educated to degree/diploma level in Paramedicine or equivalent experience
- Registered with the Health and Care Professions Council (HCPC) Completed two-year Consolidation of Learning period as a newly qualified paramedic
- has a further three years experience as a paramedic
- UK Driving license
Desirable
- Independent Non-Medical Prescriber Qualification
Experience
Essential
- Previous primary care experience in Advanced Clinical Practitioner role
- Own transport and driving license, in order to be able to travel regularly between sites around West Southampton
Desirable
- Previous Care Home Primary Care experience
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Background in community nursing
Knowledge and Skills
Essential
- Communication and consultation skills
- Practising holistically
- Data gathering and interpretation
- Making a diagnosis or decision
- Managing medical complexity
- Project management and leadership
- Working in a team
- Continuous professional development Maintaining an ethical approach
- Fitness to practise
- Clinical examination and procedural skills
- Learning and development
- PCN Core values
- Awareness of the legal and ethical issues of the role
- Ability to work effectively in a multidisciplinary team as a key player
- Adult safeguarding level 3
Desirable
- IT experience / computer skills
Person Specification
Qualifications
Essential
- Advanced Care Practitioner Requirements
- Advanced Nurse Practitioner MSc
- Current NMC Registration
- Membership of a professional body
- UK Driving license
- Paramedic Requirements
- Educated to degree/diploma level in Paramedicine or equivalent experience
- Registered with the Health and Care Professions Council (HCPC) Completed two-year Consolidation of Learning period as a newly qualified paramedic
- has a further three years experience as a paramedic
- UK Driving license
Desirable
- Independent Non-Medical Prescriber Qualification
Experience
Essential
- Previous primary care experience in Advanced Clinical Practitioner role
- Own transport and driving license, in order to be able to travel regularly between sites around West Southampton
Desirable
- Previous Care Home Primary Care experience
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Background in community nursing
Knowledge and Skills
Essential
- Communication and consultation skills
- Practising holistically
- Data gathering and interpretation
- Making a diagnosis or decision
- Managing medical complexity
- Project management and leadership
- Working in a team
- Continuous professional development Maintaining an ethical approach
- Fitness to practise
- Clinical examination and procedural skills
- Learning and development
- PCN Core values
- Awareness of the legal and ethical issues of the role
- Ability to work effectively in a multidisciplinary team as a key player
- Adult safeguarding level 3
Desirable
- IT experience / computer skills
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).
