Enhanced Practitioner End of Life / Palliative Care

CORNWALL PARTNERSHIP NHS FOUNDATION TRUST; Bywell; On-site; GBP 60,000 - 75,000; Full time

Job summary

Cornwall Partnership NHS Foundation Trust is seeking an experienced clinician to undertake enhanced comprehensive assessment, manage frailty and complex chronic conditions, and contribute to palliative and end-of-life care. The role involves night shifts, out-of-hours duties, and travel across the North & East Cornwall locality to provide integrated community care.

Responsibilities include advanced clinical decision-making, medicines optimisation, and participation in CPD and service improvement

Qualifications

• Enhanced level comprehensive assessment including history taking and physical examination.
• Ability to assess and manage frailty and complex chronic disease.
• Support advance care planning and end-of-life care as appropriate.
• Level 3 medication review and potential non-medical prescribing.

Responsibilities

• Deliver advanced clinical assessment, diagnosis and management for adults with complex, frailty, long-term condition, palliative and end-of-life care needs.
• Develop and evaluate person-centred care plans to help patients stay at home.
• Work with multidisciplinary teams to prevent avoidable hospital admissions.
• Provide clinical leadership and contribute to service development and quality improvement.

Skills

Advanced clinical assessment

History taking

Physical examination

Frailty

End-of-life care

Medicines optimisation

Level 3 medication reviews

Non-medical prescribing

Job description

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. 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. You should be competent to recognise that a person is deteriorating and advanced care planning might be appropriate. You will be expected to recognise that the person is coming into the last days of life and that dying phased care is appropriate. You should be competent to undertake a level 3 medication review and the non medical prescribing qualification would be beneficial or alternatively a commitment to develop your skills by undertaking the module in due course.

Responsibilities

• Please note that this role will be based in the North & East of the county in Cornwall and will involve travel across the locality, it will also involve working nightshifts to cover the service out of hours
• Deliver advanced clinical assessment, diagnosis and management for adults with complex, frailty, long-term condition, palliative and end-of-life care needs.
• Develop, implement and evaluate person-centred care plans to support patients to remain safely within their own homes and communities.
• Work collaboratively within a multidisciplinary team and with partner organisations to provide integrated care and prevent avoidable hospital admissions.
• Provide expert clinical decision-making, identifying and responding appropriately to changes in patient condition and escalating concerns when required.
• Undertake Level 3 medication reviews and contribute to medicines optimisation within scope of practice.
• Support advance care planning and the delivery of high-quality palliative and end-of-life care.
• Maintain accurate clinical records and ensure safe, effective and evidence-based care.
• Provide clinical leadership, advice and support to colleagues, contributing to service development, quality improvement and best practice initiatives.
• Participate in training, supervision and continuing professional development activities.
• Contribute to the delivery of the service across North and East Cornwall, including participation in the out-of-hours rota and night shift working.

About the Trust

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.