Care Home Advanced Clinical Practitioner (Acp)
Lytham St Anne’S Primary Care Network
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Job summary
The Care Home Advanced Clinical Practitioner (ACP) will operate as an autonomous, independent and highly skilled clinician within the Primary Care Network. The post holder will lead the Care Home Team in both reactive and proactive care for residents living in care home settings, providing rapid assessment and treatment of unwell residents and supporting GP practices and community teams.
They will drive clinical leadership, governance and education across the service, oversee complex case
Qualifications
- Registered healthcare professional with current registration.
- Awarded MSc in Advanced Clinical Practice or ACP equivalent.
- Independent Prescriber qualification highly desirable.
- Demonstrated advanced clinical assessment and decision-making.
Responsibilities
- Lead and oversee the Care Home Team daily operations.
- Provide clinical leadership for the Care Home Service.
- Drive quality improvement, audits and governance.
- Investigate incidents and safeguarding concerns; implement learning.
- Deliver education and supervision of staff and trainees.
- Collaborate with GP practices and community teams to improve outcomes.
Skills
Education
Tools
Job description
The Care Home Advanced Clinical Practitioner (ACP) will operate as an autonomous, independent and highly skilled clinician within the Primary Care Network. Who will manage the day-to-day operations of the Care Home team which covers both reactive care and proactive care for residents living within care home settings. The post holder will predominantly provide rapid assessment and treatment of unwell residents and provide clinical and management support as required to the proactive side of the team.
The ACP will assess, diagnose, treat and manage residents with acute, chronic and complex needs, supporting admission avoidance and high-quality care closer to home. The ACP will provide strategic clinical leadership across the care home service and contribute to service transformation. The ACP will provide expert clinical decision making for undifferentiated presentations, lead complex case management, review high acuity patients with complex needs and support end-of-life care, and work collaboratively with GP practices, community teams and care home providers to improve outcomes for residents, reduce avoidable hospital admissions and facilitate care closer to home. The postholder will be required to support, supervise and coach staff within the Care Home Team to develop skills, competency and identify training needs across the team etc. Review pathways of Care and streamline processes within the PCN Care home.
The Lytham St Annes Primary Care Network covers 5 GP Practices, Holland House, Fernbank, Parcliffe, Poplar, and Ansdell, serving a population of approximately 53,000 registered patients. The PCN serves a diverse population with relatively low deprivation with a complexity from an above average elderly population and above average residents in care homes. The PCN has a large population that reside in Care/ Nursing Homes with approximately 36 care homes across the footprint and 900+ residents.
- Provide day to day oversight of the PCN Care Home Team, managing demand on a daily basis and assigning visits etc to the most appropriate Clinician within the team
- Clinical leadership for the Care Home Service across the PCN, acting as an expert resource, role model and supporting care for complex patient care.
- Quality Improvement (QI): Identify, design, and implement clinical audits and QI projects to enhance the quality, safety, and efficiency of care home services across the PCN.
- Risk Management -support any investigation that may occur such as, clinical incidents, near-misses, and safeguarding concerns within care homes, ensuring lessons are learned and embedded into local practice
- Communicate sensitive/contentious and occasionally highly complex medicine related information and advice to patients, carers, GPs and other members of the health care team.
- Communicate on a variety of different levels depending on whether you are dealing with health professionals or patients. Information may be complex and require translation into a more patient friendly format.
- Participate in multidisciplinary reviews of high-risk residents to optimise health outcomes and reduce avoidable deterioration.
- Develop personalised care and support plans in partnership with residents, families, care home staff and GP practices.
- Facilitate advance care planning and DNACPR discussions with residents and families.
- Support residents with frailty, dementia, multiple long-term conditions and complex healthcare needs.
- Provide clinical leadership for multidisciplinary discussions relating to high-risk residents.
- Support residents to remain within their preferred place of care wherever appropriate.
- Enable residents approaching end of life to receive care within their care home where this reflects their wishes and clinical needs.
- Lead clinical governance arrangements for the Care Home Service, ensuring delivery of safe, effective and evidence-based care.
- Work collaboratively with GP Clinical Leads and Care Home Managers to review quality, outcomes and clinical risks.
- Lead investigations into incidents, complaints, safeguarding concerns and significant events. ensuring relevant safety systems are used to report and monitor incidents for quality improvements
- Ensure learning from governance activity is embedded into clinical practice and service delivery.
- Monitor standards of prescribing, record keeping and clinical documentation.
- Develop, implement and review care pathways, protocols and standard operating procedures.
- Lead and participate in clinical audit and quality improvement programmes to improve resident outcomes.
- Ensure compliance with professional, regulatory and organisational standards.
- Report incidents on Ulysees and support any investigations that may occur such as clinical incidents, near misses and safeguarding concerns within care homes or the PCN service, ensuring lessons are learned and embedded into practice both locally and within the wider NHS if required.
- Act as a clinical supervisor, mentor and educator for trainee ACPs, nurses, paramedics, physician associates and other healthcare professionals.
- Deliver education, training and competency development programmes for care home staff and multidisciplinary colleagues.
- Support the development of advanced clinical skills within the workforce through coaching, supervision and reflective practice.
- Contribute to induction programmes and ongoing professional development initiatives across the PCN.
- Promote a culture of lifelong learning and evidence-based practice within care homes and primary care services.
- Participate in appraisal, competency assessment and professional development activities for staff where appropriate.
- Critically evaluate and apply emerging evidence, national guidance and best practice to improve patient care and clinical outcomes.
- Lead and participate in clinical audit, quality improvement programmes and service evaluations across the Care Home Service.
- Analyse service data and patient outcomes to identify opportunities for service improvement and innovation.
- Support implementation and evaluation of new models of care for frail and elderly populations.
- Disseminate findings from audits, quality improvement projects and research activities to clinical teams and stakeholders
- Contribute to local, regional and national ACP, frailty and care home networks, sharing learning and best practice.
- Participate in and support research activity where appropriate to advance care for older adults and care home residents.
- Registered healthcare professional (NMC, HCPC or GPhC) with current professional registration.
- MSc Advanced Clinical Practice (or accredited ACP programme meeting HEE/NHS England standards).
- Independent Prescriber qualification.
- Advanced clinical assessment, diagnostics and clinical decision-making qualification.
- Evidence of practice across the four pillars of Advanced Clinical Practice.
- Fellowship or portfolio credentialing aligned to ACP framework.
- Frailty, Urgent Care, Primary Care or Older Adult Care qualification.
- Significant post-registration experience including primary care, urgent care, community or acute settings.
- Experience autonomously managing undifferentiated and complex patients.
- Experience leading MDT working, admission avoidance and proactive care.
- Experience in service development, audit and quality improvement.
- Experience supporting education and supervision of staff.
- Experience working in care homes.
- Experience working within a Primary Care Network or General Practice setting.
- Advanced clinical assessment and diagnostic reasoning skills.
- EMIS Web proficiency.
- Ability to formulate and manage complex treatment plans.
- Expert understanding of frailty, long-term conditions and older people's healthcare needs.
- Ability to undertake holistic assessments incorporating physical, psychological and social factors.
- Sound knowledge of Safeguarding regulations and processes, the Mental Capacity Act, Advanced Care planning and decision making along with best interest frameworks.
- Excellent communication skills with patients, families, care home staff and multidisciplinary teams.
- Strong organisational and prioritisation skills.
- Ability to adapt workload in response to fluctuating service demands.
- Competence in digital clinical systems and electronic record keeping.
- Full UK Driving Licence and access to transport.
- Knowledge of PCN Care Home requirements and Network Contract DES.
- Understanding of population health management approaches and integrated care systems.
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. Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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