PCN Care Homes Advanced Clinical Practitioner

PCN Care Homes Advanced Clinical Practitioner

BASE – Keyworth Primary Care Centre, Bunny Lane,Keyworth, NG12 5JU

CONTRACT – Permanent

ABOUT THE ROLE

We are looking for anexperienced Advanced Clinical Practitioner, independent prescriber, with adigital badge in advanced clinical practice to in our care home team to provideregular ward rounds in care homes. Providing clinical management of care homeresidents presenting with acute and non-acute medical needs, undifferentiated andlong-term condition presentations. You will be developing a management plan followingrobust clinical consultations including assessment, examination, investigation,diagnosis, care planning, treatment and evaluation of care.

Main duties of the job

This will also includeundertaking medication reviews, new resident assessments, post hospitaldischarge reviews, and ReSPECT planning with residents and relatives, to ensurea patient focussed approach to end-of-life care.

You will build good workingrelations with the care home staff make a difference to the quality of healthcareprovided to residents in Rushcliffe PCN care homes.

We are looking for an ACP whowishes to extend their expertise in frailty management and be part of a dynamicteam to support the delivery of the National Enhanced Healthcare in Care Homes,Direct Enhanced Service Framework (DES).

You will support the delivery ofCOVID and flu programme, by clinically screening and vaccinating care home residentsas part of the Rushcliffe and National vaccination programme

The post holder will work acrossorganisational boundaries, fostering good relationships between providers andstatutory bodies and improve care for people living in long term residentialand nursing care.

This job requires the postholderto travel and have face to face consultations with residents in care homes,undertake remote consultations and discussions, liaise with GP practices, andthe aligned GPs, as well as with other health and social care providers,residents and relatives.

About us

About us

About Partners Health

PartnersHealth is a growing organisation with a strong commitment to supporting the professional development of our employees. If you are an enthusiastic ACP who has a passion for frailty healthcare, we would love to hear from you.

Partners Health LLP was formedon 2nd October 2015 by the GP Partners of the General Practices in Rushcliffein recognition and response to the changing NHS landscape. It is constituted asa membership organisation, a partnership of partnerships.

By providing a different andcollaborative local response, we will adapt and transform general practice tocreate a sustainable platform for the future.

Job responsibilities

Job Description

Advanced Clinical Practitioner

Rushcliffe PCN Care Home Team

HOURS – 22.5 hours per week

BASE – Keyworth Primary Care Centre, Bunny Lane,Keyworth, NG12 5JU

Reporting to – Care Home Manager

Accountable to – Care Home Clinical Lead

PURPOSE OF THE ROLE

The purpose of this role is towork closely with the GP to provide clinical consultations, assessment and developclinical management plans for older people living in residential care withinthe Rushcliffe PCN.

This role will utilise youradvanced clinical skills as autonomous practitioner. You will lead the deliveryof regular care home rounds in the Rushcliffe Older People residential andnursing homes. Providing clinical management of care homeresidents presenting with acute and non-acute medical needs, undifferentiatedand long-term condition presentations. You will be developing a management planfollowing robust clinical consultations including assessment, examination,investigation, diagnosis, care planning, treatment and evaluation of care.

You will foster good workingrelations with the care home staff make a difference to the quality of healthcareprovided to residents in Rushcliffe PCN care homes.

Support the delivery of theNational Enhanced Healthcare in Care Homes, Direct Enhanced Service Framework(DES).

Main duties of the Role

Our service operates Monday toFriday, with no late shift, nights, weekend or bank holiday requirement.

You will be undertaking wardrounds in the care homes, reviewing residents with complex, non-complex,acute, and chronic conditions, and providing a proactive care approach. Thiswill require clinical consultations, examination, investigation, diagnosis,care planning, treatment and evaluation of care.

Medications management is a keypriority of the service offer. An an independent prescriber you will beundertaking regular medication reviews, interim prescriptions requests, developingcovert medication plans, prescribing, including covert medication panning and deprescribingas clinically appropriate. Liaising with the clinical pharmacists based in GPpractices as required.

Complete ReSPECT documentation,in conjunction with residents and relatives to support end of life planning. Residentsand relatives will be at the centre of decision making to ensure clear, conciseand informed wishes are documented and communicated.

As part of the EnhancedHealthcare in Care Homes enhanced service, this role will also support thedelivery of the specification. Using the CGA approach to new residentassessments, post resident reviews, and working with the care home and GPpractice to provide enhanced healthcare within a care home environment.

You will deliver a high standardof patient care with in-depth theoretical knowledge and evidence-basedpractice, working autonomously and with the support and supervision of aClinical Lead GP, as well as the care home aligned GP.

You will support the delivery ofCOVID and flu programme, by clinically screening and vaccinating care home residentsas part of the Rushcliffe and National vaccination programme.

As a senior clinician, you willprovide clinical leadership and expert professional advice to patients,relatives, carers, and colleagues to support the delivery of high-qualityclinical care, and this will, at times involve teaching, and education of CareHome or other staff.

The post holder will work acrossorganisational boundaries, fostering good relationships between providers andstatutory bodies and improve care for people living in long term residentialand nursing care.

As a registered AdvancedClinical Practitioner, you will be supported with a GP clinical lead andPartnersHealth to continually develop ACP knowledge and skills, in conjunctionwith the University and Nottingham Training Alliance (NATH) and othereducational organisations.

This job requires the postholderto travel and have face to face consultations with residents in care homes,undertake remote consultations and discussions, liaise with GP practices, andthe aligned GPs, as well as with other health and social care providers,residents and relatives.

ADMINISTRATION

Ensure consultations aredocumented accurately, clearly, and contemporaneously, in a timely manner.

Work with clinical ledgers toensure good time management and efficiencies.

Update patient records inaccordance with PCN policies and procedures meeting the requirements ofprofessional bodies NMC/HCPC. You will support delivery of the metrics requiredwithin the Enhanced Healthcare in Care Homes are met.

Ensure continuing education,training and development is undertaken to meet clinical governance guidelinesfor Continuing Professional Development and a Personal Development Plan.

Actively participate in clinicalnotes and prescribing audits, along with clinical supervision as part of theongoing CPD and governance compliance requirements.

Maintain professionalregistration with the NMC/HCPC as required to maintain the healthcareprofessional registration.

Provide evidence of a digitalbadge in Advanced Clinical Practice.

Undertake a fair share of theoverall administration associated with clinical practice within primary care,including answering the phone, supporting ledger management etc.

Be involved with clinical auditas part of new service implementation, quality improvement, patient reviews,QOF and any other audit work undertaken by the PCN Care Home Team and/orPartnersHealth

Show a caring and respectfulattitude towards patients, care home staff and colleagues. Have well-developedcommunication skills to provide treatment plans and work to a professional codeof ethics

Undertake and keep up to datewith relevant medical research, technology, and evidence-based medical practiceby attending continuing education courses and professional meetings, readingjournals etc.

As an employee ofPartnersHealth, working with patients registered with GP practices across thePCN, you will take due diligence and care regarding any information collected,recorded, processed or handled by you during the course of your work and that suchinformation is collected, recorded, processed and handled in compliance withPCN requirements and instructions.

The post holder will be requiredto travel as part of their duties to other sites in the PCN, and travelexpenses will be reimbursed by the employer.

Support the teaching, trainingand education of PCN and Care Home Staff

To ensure observance andadherence to the Health and Safety at Work Act 1974.

To participate in staffmeetings, 1-2-1 meetings and the appraisal scheme and undertake trainingappropriate to the development of the job role and in line with the PCNsstatutory obligations.

To work to the agreed standards,policies and procedures and protocols of the PCN and be fully conversant withemergency procedures.

To reflect on own practiceindividually and/or through regular clinical supervision.

Work with The GP lead and CareHome Team Lead in developing the strategic and operational management of theEnhanced Health in Care Homes Service

The duties of this post are aguide to the range of responsibilities that may be required. These may changefrom time to time to meet the needs of the service and/or the development needsof the post holder. This job description will be revised regularly to takeaccount of changes within the organisational structure and the practicebusiness plan.

SAFEGUARDING RESPONSIBILITIES

The organisation takes theissues of Safeguarding Children, Adults and addressing domestic violence veryseriously. All employees have a responsibility to support the organisation inour duties by:

Attending mandatory training which includes Safeguardingchildren and adults.

Ensuring you are familiar with your own and theorganisations requirements under relevant legislation.

Adhering to all relevant national and local policies,procedures, practice guidance (e.g. LSCB Child Protection Procedures andPractice Guidance) and professional codes.

Reporting any concerns to the appropriate authority.

PartnersHealth is a growingorganisation with a strong commitment to supporting the professionaldevelopment of our employees. If you are an enthusiastic ACP who has a passionfor frailty healthcare, we would love to hear from you.

About us

About Partners Health

Partners Health LLP was formedon 2nd October 2015 by the GP Partners of the General Practices in Rushcliffein recognition and response to the changing NHS landscape. It is constituted asa membership organisation, a partnership of partnerships.

By providing a different andcollaborative local response, we will adapt and transform general practice tocreate a sustainable platform for the future.

Our Vision & Values

Our vision is to continue tocare for our patients and our community by creating a sustainable provider ofmodern general practice. We are committed to Living Life Better for and onbehalf of our patients, our colleagues and the communities we serve.

Three values are at the core ofwho we are and how we act: courage, creativity and commitment.

A more exhaustive list of jobresponsibilities and the necessary skills, experience and qualifications can befound in our Job Description and Person Specification.

Please note you will need tomeet the essential criteria as outlined in the person specification to beconsidered for the role.

For an informal discussionplease contact Liz Harris, Care Home Clinical Team Lead on

Person Specification

Circumstances

• Car owner/driver, with exclusive access to a vehicle
• Ability to work alone in the primary care setting

Knowledge, Skills and Experience

• Hold an advanced clinical skills qualification, with a digital badge.
• Hold a Non-Medical Prescriber qualification.
• Experience of working as an Advanced Clinical Practitioner within a multi-disciplinary team and across organisational boundaries
• Ability to provide a holistic clinical consultation for a frail, older patient cohort, including assessments, history taking, examination, diagnosis, plan, monitoring and follow up.
• Dealing with acutely unwell patients and distressed relatives / carers, including unwelcoming news, as to future prognosis of patients condition
• Ability to apply clinical judgements involving complex facts or situations, requiring analysis, interpretation, comparison of a range of options.
• Experience managing acute, sub-acute, long term conditions, minor and major health conditions, and consider differential diagnosis.
• Ability to present patient cases to allow comprehensive and thorough debrief of the patient with the GP as required.
• Experience of requesting investigations and interpret their findings in view of other clinical information as per guidelines within the acute setting.
• Demonstrate own professional judgement and in discussion with the medical and nursing team decide when patients require referral to another speciality.
• Ability to work flexibly across different locations as required and multi-task when necessary, including as required out of hours work.
• Able to work independently as well as part of a multi-disciplinary team utilising good interpersonal skills.
• Evidence of excellent organisational and planning skills
• Ability to manage clinical ledgers and prioritise workload.
• Ability to use and navigate TPP SystmOne clinical system, plus good IT skills in word processing, excel and e-mail.
• Excellent communication skills written and verbal
• Ability to influence and challenge colleagues appropriately.
• Demonstrate working with wider system partners such as social care, acute and community services.
• Adaptable to changing working environment and service needs.
• Planning, organising and prioritising tasks, activities, or programmes some of which may be urgent or ongoing.
• Physically and mental capable of undertaking full duties of post. There may be occasional requirements to exert moderate physical effort to meet the flexible needs of the service.
• Understanding of Confidentiality and the Data Protection Act
• Understanding of clinical governance and its significance and impact upon practice.
• Dealing with situations where family situations or circumstances can be a difficult emotional experience, including the delivery of difficult messages in relation to a deterioration in patients condition
• Awareness of equality and valuing diversity principles
• Experience of clinical supervision
• Evidence of experience / competency in the form of a professional portfolio.
• Able to work on own initiative, but knows limitations of own competencies
• Experience of working with frail older people.
• Experience of working with SystmOne clinical system, and Ardens.
• Experience of working with care home staff, and older people living in residential care homes.

Commitment to PartnersHealth Values and Behaviours

• Must be able to demonstrate behaviours consistent with PartnersHealth values and behavioural standards

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.

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