Community Frailty Practitioner

Severnvale PCN; West of England; Vor Ort; GBP 48.000 - 50.000; Vollzeit

Zusammenfassung

Severnvale PCN is seeking an experienced Nurse Practitioner with Non-Medical Prescribing to join our expanding Frailty Team in the community. You will provide autonomous clinical assessment, diagnosis, and management for housebound patients and residents in care homes, supporting long-term condition management and high-quality, person-centred care.

The role requires extensive experience in frailty care and the ability to lead weekly ward rounds, with a commitment to compassionate care.

Qualifikationen

• Nurse practitioner with Non-Medical Prescribing qualification and HCPC registration.
• Experience in frailty care and community-based long-term condition management.
• Ability to work autonomously within clinical boundaries and lead care home ward rounds.

Aufgaben

• Work as part of the Frailty Team delivering high-quality care to housebound patients and residents in care homes.
• Lead long-term condition management for elderly, frail, and housebound patients.
• Conduct history taking, clinical assessment, diagnoses, treatment and care evaluations.
• Prioritise and triage patient needs; arrange investigations, referrals and onward care as required.
• Provide education to service users to promote self-care and informed treatment choices.
• Support carers and care home staff; participate in weekly ward rounds.

Kenntnisse

Non-Medical Prescribing

Frailty care

Autonomous practice

Ausbildung

Nursing degree / HCPC registration

Jobbeschreibung

We are looking for an experienced Nurse Practitioner with a Non-Medical Prescribing qualification.

Salary dependant on experience

An exciting opportunity has arisen to join our expanding FrailtyTeam.We are growing our service to enhance the care we provide to our localcommunity, and were looking for a dedicated professional to become part ofthis forward-thinking team.

Our established Frailty Team currently includes a two CommunityFrailty Practitione and a Care Coordinator. ANon-Medical Prescribing qualification is essential for this role, andapplicants must have successfully completed this qualification.

The PCN Frailty Team plays a key role in supporting our practicesby conducting weekly ward rounds, monitoring new care home residents, andproviding high-quality long-term condition management.

In addition, the teamdelivers a non-urgent housebound service, offering vital support for patientswho are unable to attend the surgery but require ongoing management of theirlong-term conditions.

This is a fantastic chance to be part of a dynamic, compassionateteam dedicated to improving frailty care across our community.

Main duties of the job

We are looking for an experienced & motivated clinical practitioner to join our supportive & forward-thinking team, delivering high-quality care to housebound patients & residents within care homes.

This is a rewarding & varied role where you will work autonomously within your professional boundaries, undertaking history taking, clinical assessment, diagnosis, treatment, & evaluation of care for vulnerable patients.

You will play a key role in leading long-term condition management for elderly, frail, & housebound patients, helping to improve outcomes & quality of life within the community. A key part of the role will involve leading & participating in regular care home ward rounds, working proactively with care home staff & the wider multidisciplinary team to provide coordinated, person-centred care.

The successful candidate will demonstrate safe clinical decision-making, using advanced assessment & diagnostic skills within general practice. You will prioritise & triage patient needs effectively, arranging investigations, referrals, & onward care when required.

Working closely within a supportive multidisciplinary team, you will collaborate with GPs, nurses, care homes, & wider healthcare professionals to deliver holistic care.

This is an exciting opportunity to develop within a dynamic role, with strong clinical support, mentorship, & opportunities for professional growth. The workload will include home visits, care home visits, ward rounds, & telephone consultations.

About us

Severnvale PCN (Primary Care Network) comprises four GP practicesin South Gloucestershire delivering services to a population of circa 34,000 patients which includes 10 care homes. We are an enthusiastic, dynamic, andfriendly PCN who constantly strive to improve patient pathways and health careoutcomes.

The PCN team includes a Clinical Director, a PCN Manager, 2 CommunityFrailty Practitioner, a Care Co-ordinator, 4Clinical Pharmacists, 7 Care Coordinator PrescriptionClerks, dedicated SocialPrescribing Link Workers and First Contact Physiotherapists.

Job responsibilities

Job responsibilities,

To work as part of a multi-disciplinary team across the PCN tocare for our housebound and care home patients, including proactive assessment,diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds.

To assess, diagnose, investigate, treat, refer or signpostpatients/service users within the community with undifferentiated orundiagnosed condition relating to minor illness, minor injury or urgentproblems.

The post holder will use advanced clinical skills to provideeducation to service users, promoting self-care and empowering them to makeinformed choices about their treatment.

The post holder must have access to a vehicle for home visits withmileage expenses remunerated by submission of a monthly mileage form. (Pleasenote it is the postholders responsibility to ensure that their car insuranceis covered for business use).

• Visitingpatients who are frail/have co morbidity in their homes or in a care home. Undertakecare home ward rounds with the support of the PCNs Community FrailtyPractitioner, Community Frailty Paramedic and Care Coordinator
• Prescribe/issuemedications as appropriate following policy, patient group directives and localpathways. Independent Prescriber qualifications is essential.
• Maybe required to help with the Avoiding Unplanned Admission reviews
• Consultwith patients, take medical histories, perform physical examinations, analyse,diagnose and explain medical problems during consultations and home visits.
• Recommendand explain appropriate diagnostic tests and treatment.
• Formulatedifferential diagnoses and develop and deliver appropriate treatment andmanagement plans. Request and interpret results of laboratory investigationswhen necessary.
• Advancedend of life care planning to include ReSPECT discussions and development ofPersonalised Care and Support Plans.
• Advisepatients on general health care and minor ailments, with referral to othermembers of the primary and secondary health care team as necessary.
• Undertakeassessment for patients within their place of residence using diagnostic skills, initiation ofinvestigations and feeding back to the patients GP where appropriate.
• Tohelp manage/support patients with their long term condition.
• Support quality improvement and assurance initiatives within thePCN.
• Promote public health and screening programs, includingimmunisations and cervical screening.
• Integrate population health management approaches to reduce healthinequalities.
• Work collaboratively with the wider practice team to enhancepatient care.
• Workwith local and national evidenced based policies and procedures.
• Tocommunicate at all levels within the team ensuring an effective service isdelivered.
• Ensureevidenced-based care is delivered at the highest standards ensuring delivery ofhigh-quality patient care.

Person Specification

Experience

• Experience of working to protocols or guidelines.
• Experience in frailty care, chronic disease management, and care planning in community or primary care settings
• CDM Management
• Ongoing evidence of CPD
• Experience of offering mentorship and supervision to other nursing staff.
• Experience of developing and implementing training programs.
• Experience of working in care homes

Other

• Meets DBS reference standards and criminal record checks
• Willingness to work flexible hours when required to meet work demands
• Access to own transport and ability to travel across the locality to visit people in their own homes.
• Awareness of data protection (GDPR) and confidentiality issues particularly within a healthcare setting.

Qualifications

• Batchelor Degree in Life Science/Biomedical/Nursing or Allied Health Science or equivalent
• Health & Care Professions Council (HCPC) registration.
• Able to operate at an advanced level of clinical practice, using Level 7 capabilities as defined by (NHE/I GP DES, ARRS funding) and HEE guidance.
• Undergraduate attainment at minimum of Framework for Higher Education Qualification (FHEQ) Dip.HE. In a relevant subject.
• Full UK driving license and access to vehicle (for home visits as required
• Minimum 3 years post-registration experience.

Specialist knowledge/skills

• IT literate / proficient in the use of the computer
• Excellent interpersonal and organisational skills
• Good problem solving and decision-making skills
• Ability to manage workload effectively
• A high standard of clinical skills and experience of using these skills in different situations.
• Willingness to always work towards the best interest of the patient.
• Team player / ability to liaise effectively with colleagues and other members of the multi-disciplinary team.
• Ability to write comprehensive, accurate clinical notes, implement and evaluate care plans.
• Understand own scope of practice, the context of continual learning and the need to develop constantly to ensure safe, competent and confident practice.
• Evidence of success in efficient and effective project and program management

Personal attributes & abilities

• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
• High degree of personal credibility, emotional intelligence, patience, and flexibility
• Ability to cope with unpredictable situations.
• Confident in facilitating and challenging others
• Demonstrates a flexible approach to ensure patient care is delivered.

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.

£48,000 to £50,000 a yearDependant on experience & Pro Rata