NHS
Hours: Part time20-30 hours per week. Salary dependant on experience and pro rata
An exciting opportunity has arisen to join our expanding FrailtyTeam. We are growing our service to enhance the care we provide to our localcommunity, and were looking for a dedicated professional to become part ofthis forward-thinking team.
Our established Frailty Team currently includes a CommunityFrailty Practitioner, a Community Frailty Paramedic, and a Care Coordinator.
ANon-Medical Prescribing qualification is essential for this role, andapplicants must have successfully completed this qualification.
The PCN Frailty Team plays a key role in supporting our practicesby conducting weekly ward rounds, monitoring new care home residents, andproviding high-quality long-term condition management. In addition, the teamdelivers a non-urgent housebound service, offering vital support for patientswho are unable to attend the surgery but require ongoing management of theirlong-term conditions.
This is a fantastic chance to be part of a dynamic, compassionateteam dedicated to improving frailty care across our community.
Main duties of the job Applicants should be experienced clinicalpractitioners who, actingwithin their professional boundaries, will provide care for housebound and carehome patients including initial history taking, clinical assessment, diagnosis,treatment, and evaluation of care.
Leadlong-term condition management focusing on elderly, frail, and houseboundpatients, including those in care homes.
They will demonstrate safe clinical decision-making and expertcare, including assessment and diagnostic skills, for housebound and care home patientswithin the general practice setting.
The post holder will demonstrate critical thinking in the clinicaldecision-making process, with the ability to prioritise and triage the needs ofthe patients, accordingly, instigating appropriate investigations or referralsto colleagues and other care providers.
They will work collaboratively as part of the general practicemultidisciplinary team to meet the needs of patients. The role is both variedand diverse with clinical support and mentorship provided to allow thesuccessful candidate to flourish. The workload will consist of a mixtureof home visits, care home visits and telephone consultations.
About us Severnvale PCN (Primary Care Network) comprises five GP practicesin South Gloucestershire delivering services to a population of circa 33,500patients which includes 10 care homes. We are an enthusiastic, dynamic, andfriendly PCN who constantly strive to improve patient pathways and health careoutcomes.
The PCN team includes a Clinical Director, a PCN Manager, a CommunityFrailty Practitioner, a Community Frailty Practitioner, a Care Co-ordinator, 4Clinical Pharmacists, a Pharmacy Technician, 7 Care Coordinator PrescriptionClerks, 2 dedicated SocialPrescribing Link Workers and First Contact Physiotherapists. The PCN islooking to appoint an Experience Practice Nurse to join our Frailty & CareHome Service.
Job responsibilities Job responsibilities ,
To work as part of a multi-disciplinary team across the PCN tocare for our housebound and care home patients, including proactive assessment,diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds.
To assess, diagnose, investigate, treat, refer or signpostpatients/service users within the community with undifferentiated orundiagnosed condition relating to minor illness, minor injury or urgentproblems.
The post holder will use advanced clinical skills to provideeducation to service users, promoting self-care and empowering them to makeinformed choices about their treatment.
The post holder must have access to a vehicle for home visits withmileage expenses remunerated by submission of a monthly mileage form. (Pleasenote it is the postholders responsibility to ensure that their car insuranceis covered for business use).
Visitingpatients who are frail/have co morbidity in their homes or in a care home. Undertakecare home ward rounds with the support of the PCNs Community FrailtyPractitioner, Community Frailty Paramedic and Care Coordinator
Prescribe/issuemedications as appropriate following policy, patient group directives and localpathways. Independent Prescriber qualifications is
essential.
Maybe required to help with the Avoiding Unplanned Admission reviews
Consultwith patients, take medical histories, perform physical examinations, analyse,diagnose and explain medical problems during consultations and home visits.
Recommendand explain appropriate diagnostic tests and treatment.
Formulatedifferential diagnoses and develop and deliver appropriate treatment andmanagement plans. Request and interpret results of laboratory investigationswhen necessary.
Advancedend of life care planning to include ReSPECT discussions and development ofPersonalised Care and Support Plans.
Advisepatients on general health care and minor ailments, with referral to othermembers of the primary and secondary health care team as necessary.
Undertakeassessment for patients within their place of residence using diagnostic skills, initiation ofinvestigations and feeding back to the patients GP where appropriate.
Tohelp manage/support patients with their long term condition.
Support quality improvement and assurance initiatives within thePCN.
Promote public health and screening programs, includingimmunisations and cervical screening.
Integrate population health management approaches to reduce healthinequalities.
Work collaboratively with the wider practice team to enhancepatient care.
Workwith local and national evidenced based policies and procedures.
Tocommunicate at all levels within the team ensuring an effective service isdelivered.
Ensureevidenced-based care is delivered at the highest standards ensuring delivery ofhigh-quality patient care.
Person Specification Experience
Experience of working to protocols or guidelines.
Experience in frailty care, chronic disease management, and care planning in community or primary care settings
CDM Management
Ongoing evidence of CPD
Experience of offering mentorship and supervision to other nursing staff.
Experience of developing and implementing training programs.
Experience of working in care homes
Other
Meets DBS reference standards and criminal record checks
Willingness to work flexible hours when required to meet work demands
Access to own transport and ability to travel across the locality to visit people in their own homes.
Awareness of data protection (GDPR) and confidentiality issues particularly within a healthcare setting.
Qualifications
Batchelor Degree in Life Science/Biomedical/Nursing or Allied Health Science or equivalent
Health & Care Professions Council (HCPC) registration.
Able to operate at an advanced level of clinical practice, using Level 7 capabilities as defined by (NHE/I GP DES, ARRS funding) and HEE guidance.
Undergraduate attainment at minimum of Framework for Higher Education Qualification (FHEQ) Dip.HE. In a relevant subject.
Full UK driving license and access to vehicle (for home visits as required
Minimum 3 years post-registration experience.
Specialist knowledge/skills
IT literate / proficient in the use of the computer
Excellent interpersonal and organisational skills
Good problem solving and decision-making skills
Ability to manage workload effectively
A high standard of clinical skills and experience of using these skills in different situations.
Willingness to always work towards the best interest of the patient.
Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
Ability to write comprehensive, accurate clinical notes, implement and evaluate care plans.
Understand own scope of practice, the context of continual learning and the need to develop constantly to ensure safe, competent and confident practice.
Evidence of success in efficient and effective project and program management
Personal attributes & abilities
Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
High degree of personal credibility, emotional intelligence, patience, and flexibility
Ability to cope with unpredictable situations.
Confident in facilitating and challenging others
Demonstrates a flexible approach to ensure patient care is delivered.
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.
£49,000 to £51,697 a yearPro rata & Dependant on experience
#J-18808-Ljbffr
An exciting opportunity has arisen to join our expanding FrailtyTeam. We are growing our service to enhance the care we provide to our localcommunity, and were looking for a dedicated professional to become part ofthis forward-thinking team.
Our established Frailty Team currently includes a CommunityFrailty Practitioner, a Community Frailty Paramedic, and a Care Coordinator.
ANon-Medical Prescribing qualification is essential for this role, andapplicants must have successfully completed this qualification.
The PCN Frailty Team plays a key role in supporting our practicesby conducting weekly ward rounds, monitoring new care home residents, andproviding high-quality long-term condition management. In addition, the teamdelivers a non-urgent housebound service, offering vital support for patientswho are unable to attend the surgery but require ongoing management of theirlong-term conditions.
This is a fantastic chance to be part of a dynamic, compassionateteam dedicated to improving frailty care across our community.
Main duties of the job Applicants should be experienced clinicalpractitioners who, actingwithin their professional boundaries, will provide care for housebound and carehome patients including initial history taking, clinical assessment, diagnosis,treatment, and evaluation of care.
Leadlong-term condition management focusing on elderly, frail, and houseboundpatients, including those in care homes.
They will demonstrate safe clinical decision-making and expertcare, including assessment and diagnostic skills, for housebound and care home patientswithin the general practice setting.
The post holder will demonstrate critical thinking in the clinicaldecision-making process, with the ability to prioritise and triage the needs ofthe patients, accordingly, instigating appropriate investigations or referralsto colleagues and other care providers.
They will work collaboratively as part of the general practicemultidisciplinary team to meet the needs of patients. The role is both variedand diverse with clinical support and mentorship provided to allow thesuccessful candidate to flourish. The workload will consist of a mixtureof home visits, care home visits and telephone consultations.
About us Severnvale PCN (Primary Care Network) comprises five GP practicesin South Gloucestershire delivering services to a population of circa 33,500patients which includes 10 care homes. We are an enthusiastic, dynamic, andfriendly PCN who constantly strive to improve patient pathways and health careoutcomes.
The PCN team includes a Clinical Director, a PCN Manager, a CommunityFrailty Practitioner, a Community Frailty Practitioner, a Care Co-ordinator, 4Clinical Pharmacists, a Pharmacy Technician, 7 Care Coordinator PrescriptionClerks, 2 dedicated SocialPrescribing Link Workers and First Contact Physiotherapists. The PCN islooking to appoint an Experience Practice Nurse to join our Frailty & CareHome Service.
Job responsibilities Job responsibilities ,
To work as part of a multi-disciplinary team across the PCN tocare for our housebound and care home patients, including proactive assessment,diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds.
To assess, diagnose, investigate, treat, refer or signpostpatients/service users within the community with undifferentiated orundiagnosed condition relating to minor illness, minor injury or urgentproblems.
The post holder will use advanced clinical skills to provideeducation to service users, promoting self-care and empowering them to makeinformed choices about their treatment.
The post holder must have access to a vehicle for home visits withmileage expenses remunerated by submission of a monthly mileage form. (Pleasenote it is the postholders responsibility to ensure that their car insuranceis covered for business use).
Visitingpatients who are frail/have co morbidity in their homes or in a care home. Undertakecare home ward rounds with the support of the PCNs Community FrailtyPractitioner, Community Frailty Paramedic and Care Coordinator
Prescribe/issuemedications as appropriate following policy, patient group directives and localpathways. Independent Prescriber qualifications is
essential.
Maybe required to help with the Avoiding Unplanned Admission reviews
Consultwith patients, take medical histories, perform physical examinations, analyse,diagnose and explain medical problems during consultations and home visits.
Recommendand explain appropriate diagnostic tests and treatment.
Formulatedifferential diagnoses and develop and deliver appropriate treatment andmanagement plans. Request and interpret results of laboratory investigationswhen necessary.
Advancedend of life care planning to include ReSPECT discussions and development ofPersonalised Care and Support Plans.
Advisepatients on general health care and minor ailments, with referral to othermembers of the primary and secondary health care team as necessary.
Undertakeassessment for patients within their place of residence using diagnostic skills, initiation ofinvestigations and feeding back to the patients GP where appropriate.
Tohelp manage/support patients with their long term condition.
Support quality improvement and assurance initiatives within thePCN.
Promote public health and screening programs, includingimmunisations and cervical screening.
Integrate population health management approaches to reduce healthinequalities.
Work collaboratively with the wider practice team to enhancepatient care.
Workwith local and national evidenced based policies and procedures.
Tocommunicate at all levels within the team ensuring an effective service isdelivered.
Ensureevidenced-based care is delivered at the highest standards ensuring delivery ofhigh-quality patient care.
Person Specification Experience
Experience of working to protocols or guidelines.
Experience in frailty care, chronic disease management, and care planning in community or primary care settings
CDM Management
Ongoing evidence of CPD
Experience of offering mentorship and supervision to other nursing staff.
Experience of developing and implementing training programs.
Experience of working in care homes
Other
Meets DBS reference standards and criminal record checks
Willingness to work flexible hours when required to meet work demands
Access to own transport and ability to travel across the locality to visit people in their own homes.
Awareness of data protection (GDPR) and confidentiality issues particularly within a healthcare setting.
Qualifications
Batchelor Degree in Life Science/Biomedical/Nursing or Allied Health Science or equivalent
Health & Care Professions Council (HCPC) registration.
Able to operate at an advanced level of clinical practice, using Level 7 capabilities as defined by (NHE/I GP DES, ARRS funding) and HEE guidance.
Undergraduate attainment at minimum of Framework for Higher Education Qualification (FHEQ) Dip.HE. In a relevant subject.
Full UK driving license and access to vehicle (for home visits as required
Minimum 3 years post-registration experience.
Specialist knowledge/skills
IT literate / proficient in the use of the computer
Excellent interpersonal and organisational skills
Good problem solving and decision-making skills
Ability to manage workload effectively
A high standard of clinical skills and experience of using these skills in different situations.
Willingness to always work towards the best interest of the patient.
Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
Ability to write comprehensive, accurate clinical notes, implement and evaluate care plans.
Understand own scope of practice, the context of continual learning and the need to develop constantly to ensure safe, competent and confident practice.
Evidence of success in efficient and effective project and program management
Personal attributes & abilities
Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
High degree of personal credibility, emotional intelligence, patience, and flexibility
Ability to cope with unpredictable situations.
Confident in facilitating and challenging others
Demonstrates a flexible approach to ensure patient care is delivered.
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.
£49,000 to £51,697 a yearPro rata & Dependant on experience
#J-18808-Ljbffr