Advanced Nurse Practitioner - Home Visiting Clinician - CHERRS

Working as part of the Care Home Enhance Rapid Response service (CHERRS)

The aim of the service is to target urgent, emergency,unscheduled and acute episodes of care in patients residing in care homes whowould otherwise be at risk of hospital attendance or admission. The serviceprovides a rapid response which ensures the unwell patient receives promptexamination and treatment by an advanced practitioner You will be expected toassess episodes of acute/chronic illness and will be competent in the clinicalexamination, assessment, diagnosis, and treatment of the patient, includingprescribing where appropriate.

Main duties of the job

• Must have Prescribing Qualification

To succeed, you will be a practicing advanced nursepractitioner/advanced paramedic with previous experience in Primary or Community Care. You will demonstrate a high standard of clinical skills. Youwill also have the ability to communicate, liaise and interact effectively withmulti professional teams across organisational boundaries, including theambulance service, primary and community care, social services and secondary care providers.

Strong organisation and time management skills areessential, as is the ability to prioritise your workload. You will also haveexperience using various clinical IT systems, in addition to basic IT literacy.

About us

The ELM Alliance is a GP Federation of all independent GPpractices throughout South Tees which covers over 300,000 patients. Members ofthe Alliance remain independent organisations, whilst collaborating in thedevelopment of local primary care.

The ELM Alliance CHERRS service was first commissioned inJune 2017. The service is provided Monday to Sunday 8am – 6pm, including BankHolidays.

Job responsibilities

KEY RESPONSIBILITIES

Clinical

To provide assessment at first point of contact by attendingto patients in care/nursing homes presenting with acute/chronic conditions

To prioritise patients including urgent situations,demonstrating the use of clinical assessment skills to obtain history, patientexamination, diagnosis and treatment, including non medical prescribing whereappropriate

To evaluate clinical information from examination andhistory taking, and initiate appropriate treatment and/or referral

To undertake and interpret diagnostics and take appropriateaction to manage patient care.

To signpost appropriately to other services in theidentified healthcare pathway

To refer patients to appropriate care settings, withinlocally agreed healthcare pathways

To discharge or treat, as appropriate and within the scopeof practice

To prescribe as an independent non-medical prescriber

To maintain accurate and systematic documentation of patientinteractions and clinical care provided, including adverse events

To provide clinical advice to other members of the teamwhere appropriate

Confidentiality:

Under the Data Protection Act 2018, the clinician must maintainthe confidentiality of information about patients and staff. Sensitiveinformation in relation to a persons health and circumstances is of aconfidential nature and information gained must not be communicated to otherpersons except in the recognised course of duty. Unauthorised disclosure ofconfidential information (including information about the organisationsbusiness) will result in disciplinary action and may lead to your dismissal. Ifat any time you are in doubt regarding the use of information in the course ofyour duties, you should seek advice from the designated line manager beforecommunicating any such information to any third party.

Data Protection:

The clinician will not use data held by ELM ALLIANCE or providedata to a third party for any purpose other than required within the remit oftheir duties.

Health & Safety:

The clinician will be aware of the responsibilities placed on themunder the Health and Safety at Work Act (1974) to ensure that the agreedprocedures are carried out to maintain a safe environment for patients,visitors and staff.

The clinician will assist in promoting and maintaining their ownand others health, safety and security as defined in the Practice Health &Safety Policy, to include:

Identifying risks involved in work activities andundertaking such activities in a way that manages those risks;

Compliance with all infection control procedures;

Maintenance and security of any equipment allocated in thecourse of any

work activities:

Ensuring work areas are clean, safe and free from hazards.

Reporting any potential risks identified.

Equal Opportunities and Diversity.

Promotes the concept of equality of opportunity and managingdiversity service wide.

Acts in a way that recognises the importance of peoplesrights, interpreting them in a way that is consistent with practice proceduresand policies, and current legislation.

Respects the privacy, dignity, needs and beliefs ofpatients, carers and colleagues

To work within the organisations framework and localpolicies for lone workers

Quality:

The clinician will comply with quality requirements within theorganisation, and will: Be aware of any governance, patient safety, qualityissues and potential risks;

Co-operate with complaints, internal investigations andsignificant event analysis;

Participate in the organisations quality review programme,which includes triage call review and analysis of triage outcomes, as well aspatient satisfaction surveys;

Assess own performance and take accountability forindividual actions, either directly or under supervision;

Work effectively with other health and social care providersto meet patients needs;

Effectively manage own time, workload and resources,contributing to the overall efficiency and effectiveness of the organisation.

Communication:

The advanced practitioner will demonstrate effectivecommunication within the team and will ensure:

Effective communication with other professional colleagues;

Effective communication with patients and carers;

Utilise alternative methods of communication as appropriate.

Professional standards and performance review:

Maintains consistent high professional standards and acts inaccordance with the relevant code of professional conduct.

The advanced practitioner will be required to attend allmandatory training expected to participate in the performance review process.

Flexibility Statement

The content of this Job Description represents an outline ofthe post only and is therefore not a precise catalogue of duties andresponsibilities. The Job Description is therefore intended to be flexible andis subject to review and amendment in the light of changing circumstances,following consultation with the post holder.

Safeguarding

ELM ALLIANCE has a responsibility to safeguarding andpromoting the welfare of children, young people and vulnerable adults who useour services. We expect all staff and volunteers to share this responsibility.As part of the selection process for this post you will be required to undergoa Disclosure and Barring Service Check. If you are successful appointed, youwill receive confirmation of which checks and/or registration you are requiredto have.

The Service is a non-smoking environment and no-one maysmoke in the building or its environs during their working hours.

Person Specification

Qualifications

• Current registered Nurse (NMC) or registered Paramedic (HPC)
• Evidence of continued professional development
• University accredited advanced physical assessment skills course level 6/7 / ECP qualification Non-Medical Prescribing qualification
• Attended X-ray/IRMER course Teaching and assessing qualification

Other Requirements

• Vaccine and immunity status in accordance with UK Department of Health Guidelines
• Able to deal with sensitive issues e.g. Adult Safeguarding.
• Able to adjust and respond in rapidly changing environments
• Able to work in a calm and organized manner in situations of extreme workload
• Able to undertake home visits
• Able to work flexibly
• Hold a current driving licence Enhanced DBS disclosure.

Experience

• Ability to manage and prioritise workload
• Proven ability to work autonomously and as part of a team
• Current understanding of the 10 year plan
• Previous experience of non-medical prescribing N.I.C.E. guidelines and their impact on clinical practice
• Knowledge of adult protection issues
• Understanding of clinical governance and its significance and impact upon practice
• Good communication skills Basic IT skills in word processing and e-mail Experience of triage/initial assessment
• Able to work autonomously, using own clinical judgment to form a diagnosis
• Knowledge of medical model of documentation
• Able to give appropriate telephone advice
• Understanding of health education/promotion
• Able to give relevant discharge advice
• Experience of following referral pathways Evidence of experience / competency in the form of a professional portfolio
• Experience of clinical audit Experience of research projects Leadership skills
• Experience as an autonomous practitioner within Primary Care or Community Care
• Experience of the working with care homes
• Experience in using I.T based patient documentation system (TPP System 1)
• Sound organisational skills
• Able to professionally and appropriately challenge differing opinions as a patient advocate
• Experience of performing a social assessment

Qualifications

• Able to work cooperatively with the multi-disciplinary team
• Able and willing to develop professionally
• Able to use own initiative
• Able to act as a role model.
• Able to motivate other team members
• Able to promote a learning environment.

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.

£62,670 a yearFTE post probation. Includes enhancements for weekends