Nurse Prescriber - Care Home Team

This is a new exciting opportunity for the right individuals to help establish a brand new service and support the provision of the Enhanced Health in Care Home aspect of the National DES PCN Contract. The hope is this service will reach across large proportions of the Care Home Sector within Dudley giving a first class provision of health care to those residents who fall under the scope of this new service.

The vision for this service is that it will be regionally leading and improve the health care offering to the care home population enabling a more proactive health care vision with prevention and admission avoidance at the heart of the delivery model.

The post holder will either have Non-Medical independent or supplementaryprescriber status. The post holders will work in conjunction with the appropriate multidisciplinary teams(MDT) across Dudley.

The aim of the Enhanced Care Home Team will be to support the provision for the \”Enhanced Health in Care Home DES\” working in a small team of MDT health care professionals to provide this provision across approx. 40 care homes within the Dudley Borough.

The right candidate will act autonomously within their professional scope of their clinical remit, providing care for patients/residents through face-to-face assessments, telephone consultations or care home visits via the weekly ward rounds.

Main duties of the job

• Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being.
• Undertake duties associated with the Enhanced Health in Care Home (EHCH) National DES Requirements.
• Manage a patient caseload and build relationships within allocated care homes within the Dudley locality.
• Be confident independently prescribing and reviewing medication, this will be appropriate to patient needs and in accordance with evident practice and national and practice protocols.
• Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term conditions either undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing medicine for medical conditions within their competence.
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing long term conditions as appropriate.
• Work with patients in order to support adherence to prescribed treatments.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations including initiation of effective emergency care.
• Support patients to adopt health promotion strategies that promote patients to live healthy, and apply principles of self-care.
• Triage visits and provide telephone advice as appropriate.

About us

At the Dudley Group our patients and staff are at the heart of all that we do and that is to provide a world class service that aligns with our vision of \”excellent health care, improved health for all\”. We are seeking to recruit staff who share our vision and values of making Dudley Group an incredible workplace.

As part of the NHS People Promise, your wellbeing is our priority, and we are committed to ensuring our employees achieve a healthy work-life balance supported by our flexible working options and by making reasonable adjustments where possible. We believe no-one should have to sacrifice family, friends, or their personal interests for work. We are a modern employer able to attract and retain high quality staff through our commitment to the NHS People Promise.

As an employer, we foster an inclusive environment where everyone feels valued, supported, and empowered to contribute their best. We want to ensure that our workforce is representative of the population we serve. More information – inclusive practice people promise.

Dudley Group offer many opportunities for our staff to develop and grow within their roles through our Learning & OD Team. These include topics such as communication, wellbeing, team development, cultural competency, and values.

Please click below to view our EDI page: Equality, Diversity, and Inclusion – The Dudley Group NHS Foundation Trust (dgft.nhs.uk)

Job responsibilities

• Delivery of care in line with NICE guidelines and evidence-based care.
• Identify patients who are entering the final months of life utilising the Gold Standard Framework (GSF) proactive identification guidance.
• Have an awareness and understanding of EOL stages/care including the need for advanced care planning or ReSPECT documentation implementation.
• Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.
• Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.
• Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.
• Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.
• Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
• Assess, diagnose and treat patients/residents within care homes who require medical attention and/or refer to appropriate agency if/as required.
• Refers patients to practice teams, secondary care organisations and other organisations as necessary.
• Responsible for associated admin aligned to the role such as EMIS updates.

Person Specification

Qualifications

• Active 1st Level Registration with Nursing and Midwifery Council
• Degree level qualification or equivalent demonstrable experience at working at this level
• Non-Medical Prescriber qualification (V150/V300) or working towards. (Completion required by Spring 2023)
• Physical Assessment and Clinical Reasoning (PACR) Qualification
• Research & Education Qualification

Knowledge

• Ability to work within own scope and independently
• Ability to record accurate clinical notes.
• Clinical Examination skills
• Knowledge/Understanding of the Enhanced Health in Care Home Directly Enhanced Service (DES)
• Full Driving Licence
• Competent or working towards completion of competencies identified in the RCGP – Core capabilities framework for Advanced Clinical Practice working in general practice.

Experience

• Working within either GP, Community or Care Home Settings
• Knowledge of DOCMAN
• Knowledge of EMIS Web
• 2 years minimum experience working within healthcare settings
• Experience in Diagnosing and managing minor illness

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.

Brierley Hill Health & Social Care Centre

Brierley Hill Health & Social Care Centre