Advanced Clinical Practitioner - Frailty in Whitehaven

Advanced Clinical Practitioner - Frailty

Weare looking for a motivated and experienced Advanced Clinical Practitioner to workwithin our Frail Elderly Assessment Team (FEAT). This is an excitingopportunity to deliver high quality patient-centered care to frail patients intheir own homes and in our care homes.

The role combines autonomous practice,care coordination, multi-agency collaboration, management of increasingfrailty, dementia and end of life care.

The postholder will work at anadvanced level of clinical practice, exercising a high degree of professionalautonomy and accountability while working within the NMC code and national ACPframeworks.

Main duties of the job

Provide expert management of complex frailty syndromes,dementia, delirium, polypharmacy, falls risk and end of life needs.

Exerciseadvanced clinical reasoning to assess, diagnose, treat, and manage patientswithout direct input from a medical practitioner, recognising own professionalboundaries and seeking senior clinical support when required.

Monitormedication use and adjust treatment plans working autonomously as required

Workclosely with GPs, OTs, Physiotherapists, Care Co-ordinators, SocialPrescribers and Community Nursing Team

Supportpatients and families in understanding and managing frailty

Promotelifestyle and self management strategies

Identifypatients in need of palliative support and facilitate advanced care planningdiscussions

Communicatingwith distressed patients and relatives

Caringfor patients and relatives following receipt of bad news

Communicatingand caring for patients who have reduced understanding and insight due tocognitive impairments

Participate/leadweekly enhanced care home reviews

Undertakedaily acute care home visits requested through our clinical triage systemidentifying clinical emergencies, deteriorating patients or patients at risk ofdeterioration

Participatein regular clinical supervision

Workusing FEAT and champion evidence-based interventions

About us

NCPC (North Cumbria Primary Care) was established in August 2019 in response to an increasingly fragile general practice provision within North Cumbria. NCPCs vision is to bring practices together to develop a sustainable, fully integrated primary care- built locally and delivered together.

The Copeland NCPC area consists of 3 major practices, Fellview Health Care, Lowther Medical Centre and Seascale Health Centre as well as a shared PCN (Primary Care Network) which delivers services to patients across all 3 practices.

We are a not-for-profit company with all money we receive in funding and other business activities going towards supporting the organisation, our staff, and our services.

Job responsibilities

Main Duties and Responsibilities

Provide expertmanagement of complex frailty syndromes, dementia, delirium, polypharmacy,falls risk and end of life needs.

Exercise advancedclinical reasoning to assess, diagnose, treat, and manage patients withoutdirect input from a medical practitioner, recognising own professionalboundaries and seeking senior clinical support when required.

Monitor medicationuse and adjust treatment plans as required, autonomously working within scopeof practice and in line with prescribing competencies.

Escalate concernsappropriately and initiate urgent or emergency interventions when required.

Identify whenclinical presentations fall outside of scope of practice and escalateappropriately to GP or senior clinicians.

Work closely withGPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribersand Community Nursing Team

Attend the MDTmeetings and case reviews

Support patientsand families in understanding and managing frailty

Promote lifestyleand self management strategies to optimise health and independence

Functions at a high level to carry outclinical decision making such as diagnosing and managing patients withoutinput from a medical practitioner remaining within scope of a professionalpractice.

Functions at a high level in relation tocommunication skills through patient consultation and nursing assessmentof physical, psychological and social needs.

Completing proactive, individualised clinicalmanagement plans for care home residents improving their health experienceand reducing unnecessary and potentially harmful hospital admissions

Identify patientsin need of palliative support and facilitate advanced care planning discussionswith patients and families

Communicating with distressed/anxious/worriedpatients and relatives

Caring for patients and relatives followingreceipt of bad news and supporting them in identifying realistic expectationsin relation to clinical conditions

Communicating and caring for patients who havereduced understanding and insight due to cognitive impairments

Participate/leadweekly enhanced care home reviews

Undertake daily acute care home visits requested through our clinicaltriage system identifying clinical emergencies, deteriorating patients orpatients at risk of deterioration ensuring appropriate action

Participate in regular clinical supervision, reflective practice and case-baseddiscussions to maintain safe, effective and autonomous practice.

Work using FEAT and champion evidence-based interventions

Confidentiality:

Inthe course of seeking treatment, patients entrust us with, or allow us togather, sensitive information in relation to their health and other matters.They do so in confidence and have the right to expect that staff will respecttheir privacy and act appropriately.

Inthe performance of the duties outlined in this Job Description, the post-holdermay have access to confidential information relating to patients and theircarers, Practice staff and other healthcare workers. They may also have accessto information relating to the Practice as a business organisation. All suchinformation from any source is to be regarded as strictly confidential.

Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the Practice may only be divulged to authorised persons inaccordance with the Practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data

Health & Safety:

The post-holder will assist in promoting and maintaining their ownand others health, safety and security as defined in the practice Health &Safety policy, the practice Health & Safety manual, and the practiceInfection Control policy and published procedures. This will include:

Using personal security systems within the workplaceaccording to practice guidelines

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

Making effective use of training to update knowledge andskills

Using appropriate infection control procedures, maintainingwork areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infectionhazards immediately when recognised

Keeping own work areas and general / patient areas generallyclean, assisting in the maintenance of general standards of cleanlinessconsistent with the scope of the job holders role

Undertaking periodic infection control training (minimumannually)

Equality and Diversity:

The post-holder will support theequality, diversity and rights of patients, carers and colleagues, to includeacting in a way that recognizes the importance of peoples rights, interpretingthem in a way that is consistent with Practice procedures and policies, andcurrent legislation. Respecting the privacy, dignity, needs and beliefs ofpatients, carers and colleagues. Behaving in a manner which is welcoming to andof the individual, is non-judgmental and respects their circumstances, feelingspriorities and right.

Personal/Professional Development:

The postholder will participate in all training programmesimplemented by the Practice, including annual performance reviews andcompetency assessments, and will take responsibility for their own ongoingdevelopment, learning and performance.

They will maintain a comprehensive professional portfoliodemonstrating autonomous clinical practice, clinical supervision, CPD andreflective learning, ensuring that clinical competencies required for safeautonomous practice in frailty care are continually met.

The postholder will contribute to clinical governanceactivities such as audits, incident reviews and quality improvementinitiatives, while engaging in regular clinical supervision and reflectivediscussions to support safe, accountable practice. They will also support thedevelopment of colleagues by sharing specialist frailty knowledge, offeringmentorship and demonstrating skills and activities to others undertakingsimilar work

Quality:

The post-holder will strive tomaintain quality within the Practice and will assess own performance and takeaccountability for own actions, either directly or under supervision.Contribute to the effectiveness of the team by reflecting on own and teamactivities and making suggestions on ways to improve and enhance the teamsperformance. Work effectively with individuals in other agencies to meetpatients needs. Effectively manage own time, workload and resources

Communication:

The post-holder should recognise theimportance of effective communication within the team and will strive tocommunicate effectively with other team members, communicate effectively withpatients and carers and recognise peoples needs for alternative methods ofcommunication and respond accordingly.

Person Specification

Personal skills, attributes and requirements

• Advanced communication skills
• Ability to work as an autonomous Practitioner
• Able to work on own initiative
• Must be personable, polite and approachable
• Must be a team player
• Must be adaptable to change
• Commitment to ongoing training and education to develop clinical skills
• Have the ability to prioritise workload
• Able to work under pressure and remain calm
• Full clean driving licence

Experience

• Demonstrate high level of competence/advanced skills in clinical examination and diagnosis
• Interpret pathology/radiology results/reports and action where appropriate
• Excellent interpersonal and communication skills, providing enhanced discussions with patients and families regarding end of life wishes/planning
• Familiar with the complex geriatric assessment, 4AT, GPCOG
• Knowledge in EMIS clinical system
• Knowledge of the Accurx system
• Experience of working in a primary care setting would be beneficial

Qualifications

• Masters degree in advanced clinical Practice
• Registered Nurse on the NMC register
• Non-medical prescriber

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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