Frailty Clinician

South Warwickshire GP Federation; Royal Leamington Spa; Vor Ort; GBP 65.000 - 90.000; Teilzeit

Zusammenfassung

South Warwickshire GP Federation is seeking an experienced clinician to lead weekly ward rounds in care homes and provide holistic frailty care. The role includes assessing residents with acute and chronic needs, conducting structured medication reviews, and contributing to advance care planning and end-of-life care conversations.

You will work autonomously with GP support and supervision, collaborating with care homes, practices, and community colleagues across the Arden PCN network.

Qualifikationen

• Experience of advance care planning and end of life care.
• Experience of comprehensive geriatric assessment or a frailty service.
• Experience of multidisciplinary or integrated team working.
• Experience using EMIS Web.

Aufgaben

• Run planned weekly ward rounds across our allocated care homes and nursing homes.
• Assess residents with acute, chronic and complex needs, examine, make clinical decisions and prescribe within your competence.
• Carry out holistic frailty reviews and structured medication reviews, including deprescribing where appropriate.
• Lead or contribute to advance care planning and end of life care conversations with patients, families and carers.
• Help avoid unnecessary hospital admissions, in the best interests of the patient, and support safe discharge back to the home.
• Review and support high intensity users of urgent and emergency services, working with the wider team to find better ways to meet their needs.
• Attend multidisciplinary meetings across the neighbourhood team and follow through on agreed actions.
• Recognise when a patient needs GP review, specialist input or escalation, and act on it promptly.
• Keep accurate, timely records on the practices clinical systems (EMIS Web).
• Build good working relationships with care home teams, practices and community colleagues, and support care home staff with advice and informal teaching.

Jobbeschreibung

This is a three-day-a-week post. Two days are dedicated tocare homes. The third day is split between care home work and widerneighbourhood team work on frailty, high intensity users and end of life care.

Each care home prepares a weekly list of residents who needreview: new or changing symptoms, medication queries, long-term conditions andgeneral wellbeing. Before each round youll meet a GP from the residentsregistered practice to go through the list and agree plans. Youll then carryout the round, working with care home staff to assess, treat, prescribe andplan ahead.

You will also help identify and support people living withfrailty in their own homes, people who use urgent and emergency services often,and people approaching the end of life. This will include clinical reviews,advance care planning and taking part in multidisciplinary meetings withcommunity, social care and voluntary sector colleagues.

Youll work autonomously, with GP support alwaysavailable and regular clinical supervision. You will also work alongside ourexisting and experienced frailty nurse.

Main duties of the job

• Run planned weekly ward rounds across our allocated care homes and nursing homes.
• Assess residents with acute, chronic and complex needs, examine, make clinical decisions and prescribe within your competence.
• Carry out holistic frailty reviews and structured medication reviews, including deprescribing where appropriate.
• Lead or contribute to advance care planning and end of life care conversations with patients, families and carers.
• Help avoid unnecessary hospital admissions, in the best interests of the patient, and support safe discharge back to the home.
• Review and support high intensity users of urgent and emergency services, working with the wider team to find better ways to meet their needs.
• Attend multidisciplinary meetings across the neighbourhood team and follow through on agreed actions.
• Recognise when a patient needs GP review, specialist input or escalation, and act on it promptly.
• Keep accurate, timely records on the practices clinical systems (EMIS Web).
• Build good working relationships with care home teams, practices and community colleagues, and support care home staff with advice and informal teaching.

About us

About us

Arden PCN is a network of seven GP practices serving around 43,000 patients across Studley, Alcester, Henley-in-Arden, Lapworth, Tanworth-in-Arden and Budbrooke. Were part of the Arden, Stratford and Dene Integrated Neighbourhood Team (DASH INT), which brings practices, community services and other partners together to support people with the most complex needs closer to home.

Were looking for an experienced clinician with a real interest in frailty to lead our care home ward rounds and help develop our proactive work with older and vulnerable patients.

Job responsibilities

Runplanned weekly ward rounds across our allocated care homes and nursing homes.

Assessresidents with acute, chronic and complex needs, examine, make clinicaldecisions and prescribe within your competence.

Carryout holistic frailty reviews and structured medication reviews, includingdeprescribing where appropriate.

Leador contribute to advance care planning and end of life care conversations withpatients, families and carers.

Helpavoid unnecessary hospital admissions, in the best interests of the patient, andsupport safe discharge back to the home.

Reviewand support high intensity users of urgent and emergency services, working withthe wider team to find better ways to meet their needs.

Attendmultidisciplinary meetings across the neighbourhood team and follow through onagreed actions.

Recognisewhen a patient needs GP review, specialist input or escalation, and act on itpromptly.

Keepaccurate, timely records on the practices clinical systems (EMIS Web).

Buildgood working relationships with care home teams, practices and communitycolleagues, and support care home staff with advice and informal teaching.

Person Specification

Experience

• Experience of advance care planning and end of life care.
• Experience of comprehensive geriatric assessment or a frailty service.
• Experience of multidisciplinary or integrated team working.
• Experience using EMIS Web.

Qualifications

• Current registration with the NMC, HCPC or GMC.
• Independent prescriber (annotated with your regulator), or a GP on the GMC register and a performers list.
• Substantial post-registration experience in primary care, community, urgent care or a similar setting.
• Experience assessing and managing frail older adults with multiple long-term conditions.
• Sound clinical judgement, including knowing when to seek advice or escalate.
• Good communication skills, including with patients who lack capacity, and with families at difficult times.
• Working knowledge of the Mental Capacity Act and safeguarding adults.
• Able to travel between care homes and practices, requiring full driving licence and access to a car.
• MSc or Level 7 qualification in advanced clinical practice (for non-medical applicants).
• Experience of care home ward rounds or the Enhanced Health in Care Homes service.

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.