Advanced Nurse Practitioner/ Advanced ECP - Home Visiting Clinician

NHS; Middlesbrough; On-site; GBP 57,000; Full time

Job summary

A leading NHS sector role for an Advanced Nurse Practitioner/Advanced ECP focused on home visits to provide urgent care. This position requires excellent clinical assessment skills, teamwork across multi-disciplinary teams, and the ability to work autonomously when required. The role includes non-medical prescribing responsibilities and maintaining high professional standards while improving patient care in care homes.

Qualifications

• Must have Prescribing Qualification.
• Experience in urgent and emergency care required.
• Ability to use various clinical IT systems.

Responsibilities

• Assess patients with acute/chronic conditions.
• Provide non-medical prescribing as needed.
• Maintain accurate patient documentation.

Skills

Assessment Skills

Clinical Examination

Communication

Organizational Skills

Time Management

Education

NMC Registered Nurse or HPC Registered Paramedic

Non-Medical Prescribing Qualification

University Accredited Advanced Physical Assessment Skills Course Level 6/7

Tools

Clinical IT Systems

Job description

Advanced Nurse Practitioner/ Advanced ECP - Home Visiting Clinician

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

The aim of theservice is to target urgent, emergency, unscheduled and acute episodes of carein patients residing in care homes who would otherwise be at risk of hospitalattendance or admission. The service provides a rapid response which ensuresthe unwell patient receives prompt examination and treatment by an advancedpractitioner You will be expected to assess episodes of acute/chronic illnessand will be competent in the clinical examination, assessment, diagnosis, andtreatment of the patient, including prescribing where appropriate

Main duties of the job

*Must have Prescribing Qualification

To succeed, youwill be a practicing advanced nurse practitioner/advanced paramedic withprevious experience in urgent and emergency care. You will demonstrate a highstandard of clinical skills. You will also have the ability to communicate,liaise and interact effectively with multi professional teams acrossorganisational boundaries, including the ambulance service, primary care,social services and secondary care providers.

Strong organisationand time management skills are essential, as is the ability to prioritise yourworkload. You will also have experience using various clinical IT systems, inaddition to basic IT literacy.

About us

The ELM Alliance is a not-for-profit Federation of allindependent GP practices throughout South Tees which covers over 300,000patients. Members of the Alliance remain independent organisations, whilstcollaborating in the development of local primary care.

The ELM Alliance CHESS service was firstcommissioned in June 2017 and has been successful in securing ongoing fundingfrom June 2018. The service is provided Monday to Sunday 8am - 6pm, excludingBank Holidays.

Job responsibilities

KEY RESPONSIBILITIES

Clinical

To provideassessment at first point of contact by attending to patients in care/nursinghomes presenting with acute/chronic conditions

To prioritisepatients including urgent situations, demonstrating the use of clinicalassessment skills to obtain history, patient examination, diagnosis andtreatment, including non medical prescribing where appropriate

To evaluateclinical information from examination and history taking, and initiateappropriate treatment and/or referral

To undertakeand interpret diagnostics and take appropriate action to manage patient care.

To signpostappropriately to other services in the identified healthcare pathway

To referpatients to appropriate care settings, within locally agreed healthcarepathways

To dischargeor treat, as appropriate and within the scope of practice

To prescribeas an independent non-medical prescriber

To maintainaccurate and systematic documentation of patient interactions and clinicalcare provided, including adverse events

To provideclinical advice to other members of the team where appropriate

Confidentiality:

Under theData Protection Act 1998, the ECP must maintain the confidentiality ofinformation about patients and staff. Sensitive information in relation to apersons health and circumstances is of a confidential nature and informationgained must not be communicated to other persons except in the recognisedcourse of duty. Unauthorised disclosure of confidential information(including information about the organisations business) will result indisciplinary action and may lead to your dismissal. If at any time you are indoubt regarding the use of information in the course of your duties, youshould seek advice from the designated line manager before communicating any suchinformation to any third party.

DataProtection:

The ECP willnot use data held by ELM ALLIANCE or provide data to a third party for anypurpose other than required within the remit of their duties.

Health& Safety:

The ECP willbe aware of the responsibilities placed on them under the Health and Safetyat Work Act (1974) to ensure that the agreed procedures are carried out tomaintain a safe environment for patients, visitors and staff.

The ECP willassist in promoting and maintaining their own and others health, safety andsecurity as defined in the Practice Health & Safety Policy, to include:

Identifyingrisks involved in work activities and undertaking such activities in a waythat manages those risks;

Compliancewith all infection control procedures;

Maintenanceand security of any equipment allocated in the course of any

Ensuring workareas are clean, safe and free from hazards;

Reporting anypotential risks identified.

Equal Opportunitiesand Diversity:

Promotes theconcept of equality of opportunity and managing diversity service wide.

Acts in a waythat recognises the importance of peoples rights, interpreting them in a waythat is consistent with practice procedures and policies, and currentlegislation.

Respects theprivacy, dignity, needs and beliefs of patients, carers and colleagues

To workwithin the organisations framework and local policies for lone workers

Quality:

The ECP willcomply with quality requirements within the organisation, and will: Be awareof any governance, patient safety, quality issues and potential risks;

Co-operatewith complaints, internal investigations and significant event analysis;

Participatein the organisations quality review programme, which includes triage callreview and analysis of triage outcomes, as well as patient satisfactionsurveys;

Assess ownperformance and take accountability for individual actions, either directlyor under supervision;

Workeffectively with other health and social care providers to meet patientsneeds;

Effectivelymanage own time, workload and resources, contributing to the overallefficiency and effectiveness of the organisation.

Communication:

The advancedpractitioner will demonstrate effective communication within the team andwill ensure:

Effectivecommunication with other professional colleagues;

Effectivecommunication with patients and carers;

Utilisealternative methods of communication as appropriate.

Professionalstandards and performance review:

Maintainsconsistent high professional standards and acts in accordance with therelevant code of professional conduct.

The advancedpractitioner will be required to attend all mandatory training expected toparticipate in the performance review process.

FlexibilityStatement

The contentof this Job Description represents an outline of the post only and istherefore not a precise catalogue of duties and responsibilities. The JobDescription is therefore intended to be flexible and is subject to review andamendment in the light of changing circumstances, following consultation withthe post holder.

Safeguarding

ELM ALLIANCEhas a responsibility to safeguarding and promoting the welfare of children,young people and vulnerable adults who use our services. We expect all staffand volunteers to share this responsibility. As part of the selection processfor this post you will be required to undergo a Disclosure and BarringService Check. If you are successful appointed, you will receive confirmationof which checks and/or registration you are required to have.

The Serviceis a non-smoking environment and no-one may smoke in the building or itsenvirons during their working hours

Person Specification

Personal Qualities

• 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

Experience

• Ability to manage and prioritise workload Proven ability to work autonomously and as part of a team Previous experience of non-medical prescribing Current knowledge of government targets, initiatives, 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 urgent and or emergency 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 Record keeping skills Experience of performing a social assessment

Other requirements

• Vaccine and immunity status in accordance with UK Department of Health Guidelines Able to deal with sensitive issues e.g. sudden death/bereavement, child abuse, domestic violence 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: The post requires working within usual practice hours, but there may be the need to provide very occasional sessions in the evening or at weekends Hold a current driving licence Enhanced DBS disclosure.

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 Previous experience in urgent or emergency care
• Attended X-ray/IRMER course Teaching and assessing qualification ALS/APLS provider Completed mentorship programme Verification of Death

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.

£56,550 a year- After successful probationary period.