Enhanced Practitioner

Cornwall Partnership NHS Foundation Trust; Bodmin; On-site; GBP 45,000 - 62,000; Full time

Benefits offered by this job

Salary sacrifice car scheme

Cycle to work scheme

Free DBS checks

Job summary

Cornwall Partnership NHS Foundation Trust is recruiting a senior clinician to lead the Hospital at Home service within Cornwall’s urgent care framework. This autonomous role involves consulting, assessing and treating patients with complex needs while developing new care models in the community.

You’ll work across Cornwall & Isles of Scilly with travel within the North & East locality, between 0800-2000, embracing flexible working patterns, including job share or part-time arrangements where

Qualifications

• Substantial senior-level experience with older people, frailty and long-term conditions.
• Degree level LTCD module or RCN NP diploma or equivalent.
• Current registration as RN or HCPC.
• Non-medical Prescriber or willingness to undertake the module.
• Experience leading change or projects.

Responsibilities

• Consult, assess and treat patients with undifferentiated, complex needs to prevent unnecessary hospital admission.
• Undertake enhanced level assessments including history, exam and systems review.
• Support frailty management, deteriorations and palliative/end-of-life care as required.
• Promote integration of community services and test new models of care.

Skills

Autonomy

Prioritisation

Education

RN or HCPC registration

Non-medical Prescriber

Degree level LTCD module/NP diploma

Leadership & change experience

Job description

Thank you for your interest in joining us at Cornwall Partnership NHS Foundation Trust.

We pride ourselves in striving to be an employer of choice.

Strategic Themes

Great Care

• Care based on what matters to people.
• Care provided at home or close to home.
• Improvement through learning, research and innovation.
• Prevention and alternatives to hospital.

Great Organisation

• Buildings that support health and wellbeing.
• Technology enabled care.
• Care teams are supported by responsive corporate services.
• Safe, efficient, effective and productive.

Great People

• A place people love to work and feel valued.
• Living our values with staff (all voices count).
• Attract, grow and develop talent.
• Leaders with compassion, who continuously learn and listen.

Great Partner

• Encourage and enable effective partnerships.
• Joined-up community services.
• Work with others to maximise workforce opportunities.
• Reduce our impact on the environment.

At the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that’s job share, part time or another flexible pattern. In addition, although the role advertised may have a ‘home’ office base indicated, we remain committed to supporting flexibility around workplace locations. If it works for the service, we will do our best to make it work for you.

Job overview

*Please note that this role will be based in the North & East of Cornwall and will involve travel to all areas within this locality between the hours of 0800-2000*

This is an exciting and autonomous role supporting the urgent care response plan in Cornwall working within the Hospital at Home Service. This is a role requiring an innovative and experienced clinician, with a proven track record or recognised potential for embracing and leading change. This role will require vision and enthusiasm to help codesign and transform our evolving community services within Cornwall as we look forward to embracing Integrated Neighbourhood Teams. There is a need to test new models of care delivery and enhanced practice roles, this will necessate a flexible and responsive individual who is confident to adapt and work with autonomy and ambiguity.

Main duties of the job

You will be required to consult, assess, and treat patients who are referred with undifferentiated, unpredictable, varied and complex needs , ensuring holistic assessment, prompt treatment and crisis care planning is undertaken to directly prevent unnecessary acute hospital admission.

The enhanced clinical level of this role will require you to be able to undertake enhanced level comprehensive assessment including history taking, physical examination of the patient and a robust systems review. You should be able to assess and manage frailty and complex chronic disease, identify deterioration and implement immediate strategies to reduce the risk of acute admission. There is also a requirement to support patients who are palliative or coming to the end of their life. Furthermore you will need to be able to recognise the early symptoms of disease exacerbation, acute illness and injuries, based on an understanding of chronic diseases, the disease process, current evidence and practice standards.

Working for our organisation

We’re an NHS community and mental health provider Trust based in Cornwall and the Isles of Scilly. We deliver community and hospital-based care to improve people’s physical and mental health. We also provide specialist support to people with dementia or a learning disability.

We are a people organisation and people matter to us. As part of the team, you’ll help support the health and wellbeing of the people who live and visit this beautiful part of the UK.

Over 5,000 people make up the Trust. This includes doctors, nurses, therapists, plus admin and support staff.

We work in people’s homes, in community clinics and bases. Some staff work from one of our 10 community hospitals. Our aspiration is to have great people, provide great care, be a great place to work and a great partner.

Approximately 568,000 people live here. A third of people who live in Cornwall are supported by acute hospital services in Devon. As a result, we also work closely with our partners in Devon. In the summer, and during other holidays lots of people choose to visit the area. This increase the numbers of people who use out services.

Detailed job description and main responsibilities

To view a detailed job description and person specification including the main responsibilities of this role please see ‘supporting documents’.

Person specification

Education / Qualifications and Relevant Experience

• Substantial experience at a senior level working with older people, assessing and managing individuals with long term conditions and frailty and people in the last year of life.
• Completion of/or currently undertaking the Degree level long term conditions module, or RCN accredited Nurse Practitioner diploma or the equivalent. Or evidence of undertaking advanced clinical examinations and making independent clinical decisions for complex and unpredictable presentations.
• Current professional registration as an RN or AHP with NMC or HCPC
• Current Non-medical Prescriber or currently /willing to undertake the module
• Experience of leadership and leading change or project implementation

Skills and Aptitude

• Ability to work autonomously and flexibly, managing competing priorities

Knowledge and Abilities

• Knowledge and understanding of issues relating to frailty and long term conditions
• Understanding of Palliative care and deterioration clinical support required for patients in the last year of life.
• Ability to implement research into practice

At Cornwall Partnership NHS Foundation Trust we are proud to prioritise the development of our people. To support this, the following opportunities are available:

• Career conversations and individual development plans for succession planning and talent management
• Protected CPD time for registered staff
• Access to a dedicated central development fund supporting CPD for all staff
• Leadership and Management development programmes
• Coaching and mentoring opportunities
• A full clinical induction programme for operational skills
• Access to a care certificate programme for our band 1-4 clinical staff
• A bespoke and robust preceptorship programme to support newly qualified staff

Being part of a successful NHS Foundation Trust brings a portfolio of rewards and benefits for our staff. These include:

• Suite of health and wellbeing initiatives to support our colleagues physical and mental health
• Free access to individual HARP portfolios to support revalidation for nursing staff
• Free DBS checks where required
• Discounts available from retailers, UK hotels and main attractions
• Salary sacrifice car scheme
• Cycle to work scheme
• The Trust reimburses all application costs for staff eligible to apply for EU settlement status.

The Trust reserves the right to close this advert once a sufficient number of applications have been submitted. It is encouraged that you complete the application at your earliest convenience to avoid disappointment.

Cornwall Partnership NHS Foundation Trust welcomes and values individuals with lived experience of mental or physical ill health joining our workforce. We aspire to have a culture that develops, promotes and supports lived experience roles - throughout the organisation.

If you are successful, you agree to Occupational Health accessing your health records from your current or previous employer to check the status of your inoculations and screening tests. Appointments are subject to full three year satisfactory references therefore please ensure you include correct contact details for your nominated referees including email addresses.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.