Care Home Advanced Clinical Practitioner

NHS; Weston-super-Mare; Hybrid; GBP 40,000 - 55,000; Full time

Job summary

A leading healthcare organization in Weston-super-Mare is looking for an Advanced Clinical Practitioner to join a progressive team focused on high-quality care for older individuals. The candidate will engage in clinical assessments, produce care plans, and work within a collaborative environment. This role offers both autonomy and team support in a rewarding healthcare setting.

Benefits

Supportive team environment

Continuous professional development

Qualifications

• At least 5 years experience working with older people.
• Substantial complex case experience.
• Ability to work autonomously in advanced practice.

Responsibilities

• Provide clinical assessment of care home residents.
• Undertake holistic assessments and devise solutions.
• Produce personalized care plans and manage patient care.

Skills

Communication skills

Leadership in team

Holistic assessments

IT literacy

Time management

Education

Nursing or AHP related degree

Postgraduate courses related to end of life care

Independent/Non-medical Prescriber V300

Tools

Microsoft Office

EMIS

Power BI

Job description

Care Home Advanced Clinical Practitioner

What matters to me, iswhat matters to us.

Calling all frailty-minded practitioners and generalists

Are you Advanced Clinical Practitioner or a training ACP interestedin older peoples care, frailty or palliative care? Are youfrustrated at not having the time or capability to sort out complex problemsproperly? Do you often get the feeling that you could be doing more to improvequality of care for our most experienced members of society?

If so, come and find your tribe at the One Weston Care HomeHub in North Somerset, based at 168 Medical.

Main duties of the job

An opportunity has arisen for anexperienced, compassionate Advanced Clinical Practitioner (or training ACP) tojoin our award-winning, growing, multi-disciplinary team at the One Weston CareHome Hub. If you are passionate about providing high-quality care for olderpeople and would enjoy practising holistic medicine within a friendly,supportive team then this job would suit you. The right candidate will haveoutstanding communication skills, alongside commitment to lifelong learning andclinical excellence. We seek a reflective, adaptive, collaborative practitionerwith enthusiasm for team working. This unique role would suit a curiousprofessional who thrives when working autonomously but with peer support.Experience of palliative care, multimorbidity, care of older people or thoseliving with dementia or learning difficulties would be valuable. Understandingof the needs of our local Weston community would be advantageous.

About us

Pier Health Group aretransforming the care of older people. We are leading this charge with thedevelopment of a centralised Care Home Hub, servicing the healthcare needs ofour 65 care homes. Yes, thats a lot, isnt it? We are hungry with ambition,and after our first year of success which saw us featured as a nationalexemplar, and our second year as finalists for a prestigious HSJ Award. Join our existing team of dynamic ACPs andclinicians in a multidisciplinary environment. This is no ordinary service; we arebuilding a legacy for our population, and for our primary care workforce.

If you are tired of dealing withproblems on the day and not having time to address the real issues, if youare feeling increasingly lonely working in primary or community care andmissing the sense of team camaraderie, if you find yourself increasingly handsoff rather than hands on, then this is the job for you.

This role may also offer you theopportunity to work with a primary care team at 168 Medical Group in a hybridrole, allowing you diversity in your working week, and the benefits ofretaining generalist skills and undifferentiated cases. Its could be the best of both worlds.

Advanced Nurse Practitioners

Advanced Clinical Practitioners

Enhanced Clinical Practitioners

And those on one of the above training pathway areencouraged to apply

Job responsibilities

Care Home Hub Advanced Clinical Practitioner

Job Description and Person Specification

Job title

Care Home Hub Advanced Clinical Practitioner

Line manager

Care Home Hub Service Lead

Full or part-time hours, or job share, will beconsidered.

Job summary

An opportunity has arisen for anexperienced, compassionate Advanced Clinical Practitioner (or training ACP)to join our award-winning, growing, multi-disciplinary team at the One WestonCare Home Hub. If you are passionate about providing high quality care forolder people* and would enjoy practicing holistic medicine within a friendly,supportive team then this job would suit you. The right candidate will haveoutstanding communication skills, alongside commitment to lifelong learningand clinical excellence. We seek a reflective, adaptive, collaborativepractitioner with enthusiasm for team working. This unique role would suit acurious professional who thrives when working autonomously but with peersupport. Experience of palliative care, multimorbidity, care of older peopleor those living with dementia or learning difficulties would be valuable.Understanding of the needs of our local Weston community would beadvantageous.

*and those living with learningdifficulties

Primary responsibilities

The One Weston Care Home Hub is a true multidisciplinary team,established in 2021, bringing together a range of allied health professionalsand GPs to work towards a common goal of improving care for care homeresidents in Weston Super Mare. Working alongside a friendly, dedicated teamof GPs and allied health professionals (pharmacists, community nurses,advanced nurse practitioners, a paramedic and a mental health nurse) thisinnovative project is transforming community care in some of the most deprivedwards in the country. Excellent admin support enables clinicians to focus onclinical matters.

The role of the ACP within the team is asfollows:

To provide clinical assessment of care homeresidents, via a mix of preventative (proactive) and acute (reactive)medicine.

To undertake holistic assessment ofresidents needs and devise creative solutions, utilising the skills of theMDT to best effect.

To produce a dynamic personalised care planfor healthcare professionals and care staff to follow, which includestreatment escalation planning and a detailed, realistic ReSPECT form inkeeping with the wishes of patients and their families where appropriate.

To provide continuity of care to resident,family and care home staff.

To provide support for complex decisionmaking when clinical lead of the day.

To take clinical responsibility fordecisions and ongoing management of your patients, drawing on the skills ofthe MDT as needed.

To contribute to peer learning andeducation, via significant event analysis, case based discussions and otherformats.

To provide support, clinical advice,supervision and feedback to students and other members of the MDT.

To be actively involved in promoting adultsafeguarding.

To advocate for high quality, appropriate,patient-centred care for older or vulnerable adults.

Record data and assessments in patientrecords systems promptly and accurately and to agreed standards ensuringappropriate use of read codes and templates, with awareness of QOF targetsand local DES specifications.

To compile and issue computer-generatedacute and repeat prescriptions, prescribing in accordance with BNSSGprescribing formulary whenever this is clinically appropriate, working withour pharmacy hub.

To instigate necessary invasive andnon-invasive diagnostic tests or investigations and interpretfindings/reports at a level that is appropriate for the patients degree offrailty and their treatment escalation.

To contribute and bring ideas for continuousimprovement including developing / improving care pathways for older peopleand contributing to QIP and audit.

To review medication using a StructuredMedication Review, alongside team pharmacists.

Lead and/or participate in specialist MDTmeetings dementia/mental health, palliative care or complex care with supportof the team and our community mental health and geriatrician colleagues.

To provide outreach input to cases in any ofour care homes across the PCN identified as in need, to support teams workingacross Pier Health. This may in cases of a home recognised to be indifficulty or to support our local safeguarding processes, or due to practiceneed for enhanced support.

How?

Each day starts with a whole team check-ineither in person or via Microsoft Teams to check on wellbeing, discussproblems and ideas, share updates and to distribute workload.

Clinical lead of the day is assigned duringthis meeting.

The practitioner may then have a ward roundin a care home, be completing comprehensive geriatric assessments, producingcare plans and ReSPECT forms, liaising with families and other partners suchas hospitals or district nurses, or dealing with requests for acutely unwellcare home residents. There is protected time for learning activities,teaching, supervision, quality improvement work and meetings. This work takesplace via a variety of formats telephone, video, email and face to face.Career and personal development is promoted through regular 1:1 meetings withthe team leads.

We also have regular complex MDT input froma geriatrician and from our mental health colleagues at AWP.

Where?

This work mainly takes place from our townCentre Care Home Hub in a newly built surgery and in the surrounding carehomes. There is scope to work remotely at times.

Person Specification

Experience

• At least 5 years experience of working with older people in a community or emergency healthcare setting at Band 6 AfC equivalence or above.
• Substantial experience with complexity
• Autonomous working (within scope of 4 pillars of advanced practice)
• Primary Care, Community nursing and therapies, or emergency care practitioner background
• Additional experience in:
• Palliative Care
• Mental Health
• Learning Disability
• Dementia

Qualifications

• Registration with health Governing Body (eg NMC, HCPC)
• Nursing or AHP related degree
• Postgraduate courses related to end of life care or recognising unwell patients
• Independent/ Non-medical Prescriber V300 (or willingness to work towards this)
• Advanced Practice MSc
• Diploma of Geriatric Medicine

Skills

• Experience working with Frailty
• (includes holistic assessments of patients, history taking, problem listing and management plan formation)
• IT literate (MS Teams, EMIS,MS office)
• Good interpersonal skills
• Effective time management
• (Planning and organising, prioritisation and handover)
• Excellent communication and interpersonal skills (including emotional intelligence to deal effectively with sensitive patient information, distressed or aggressive patients or those with impaired understanding)
• Resilience
• Understands Mental Capacity Act and process for best interests decision- making and other ethical and legal frameworks
• Enhanced use of Microsoft Office suite, EMIS data searches,
• Power BI
• Evidenced team leadership
• Forward thinking and planning
• Influencing beyond your role; working with care home staff, owners, and managers

Other requirements

• Willingness to travel and work across community locations and in care homes
• Flexibility around working days and annual leave dates to ensure safe levels of clinical cover are maintained

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.