Home Visiting and Care Home Service in Southampton

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.

• 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.

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website.

• 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.
• 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.
• Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues.
• Quality: The post-holder will strive to maintain quality within the practice.
• Communication: The post-holder should recognize the importance of effective communication within the team.

Qualifications:

• 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, Independent Non-Medical Prescriber Qualification.

Experience:

• 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.
• 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:

• 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.

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.

£58,000 to £61,000 a year. This will depend on Individuals Experience.