Home Visiting Clinical Practitioner

The Methodist Church in Britain; Canterbury; Hybrid; GBP 42,000 - 56,000; Full time

Job summary

Canterbury Integrated Healthcare is seeking a clinician to join the PCN visiting team based at Ethelbert Road Surgery to visit housebound patients and care homes, assess and treat within guidelines, and participate in MDT meetings.

The role requires paramedic, ACP, or enhanced nurse qualifications, and a DBS check. Flexible to cover Monday and Tuesday rotas, with potential remote elements as required.

Qualifications

• Experience delivering care at patient homes or care settings.
• Ability to triage and manage urgent cases.
• Commitment to mandatory training.
• Registration with the appropriate professional council.

Responsibilities

• Carry out pre-arranged and same-day visits to housebound patients and care settings across the practices' catchment.
• Assess and triage housebound patients, including same-day triage, then treat definitively or refer within the PCN team.
• Provide direct clinical care for routine and urgent problems using established guidelines.
• Deliver care home rounds under the aligned practice's supervision, including admission assessments and advanced care planning.
• Support Enhanced Health in Care Homes through weekly proactive support and same-day response to in-reach teams.
• Provide effective care planning and comprehensive assessments, and support systems that meet contractual requirements.
• Liaise with other professionals, families and carers, providing clinical information on patient management.

Skills

Home visits

Interpersonal skills

Team collaboration

Risk assessment

Autonomous working

Education

Paramedic

Advanced Clinical Practitioner

Enhanced Nurse

Independent Prescriber

Tools

EMIS Web

Docman

Dart

AccuRx

Job description

This post sits in the PCN visiting team of Canterbury Integrated Healthcare, based at Ethelbert Road Surgery, covering pre-arranged and same-day home visits. The practitioner assesses and treats housebound patients and care home residents within their scope of practice, liaising with each patient's GP practice. Care home rounds run under the aligned practice's supervision, with weekly MDT meetings and Monday and Tuesday working required. Fit depends on a paramedic, advanced clinical practitioner or enhanced nurse qualification and a DBS check.

What the job involves

• Carry out pre-arranged and same-day visits to housebound patients and those in care settings across the practices' catchment
• Assess and triage housebound patients, including same-day triage, then treat definitively (including prescribing under policy, patient group directives, NICE and local guidelines) or refer within the PCN team
• Provide direct clinical care for routine and urgent problems using established guidelines
• Deliver care home rounds under the aligned practice's supervision, including admission assessments, ward rounds and advanced care planning
• Support Enhanced Health in Care Homes through weekly proactive support, evaluating and modifying care plans, and same-day response to in-reach teams
• Provide effective care planning and comprehensive assessments, and support systems that meet contractual requirements
• Carry out specialist health checks and reviews, and lead anticipatory care such as blood pressure and diabetes risk monitoring for older patients
• Liaise with other professionals, families and carers, providing clinical information on patient management
• Advise patients on general healthcare and self-management, signposting to the PCN social prescribing service and community or voluntary services
• Take part in multi-disciplinary team working, including weekly frailty or care home MDT meetings
• Communicate complex and sensitive information about findings and treatment choices to patients, families and carers
• Keep accurate, contemporaneous health records and complete associated documentation

What’s required

Qualifications

• Paramedic, Advanced Clinical Practitioner or Enhanced Nurse qualification
• Commitment to maintain mandatory and role-specific training

Registration & licences

• Registration with the appropriate professional council

Experience

• Experience of working with patients in their own homes or a care setting

Skills & knowledge

• Excellent interpersonal and communication skills, and ability to work collaboratively in a team
• Time management and ability to prioritise workload
• Ability to work autonomously and use own initiative
• Ability to assess and manage risk when working with individuals
• Ability to work under pressure to meet deadlines

Checks & eligibility

• Disclosure and Barring Service (DBS) check

Other

• Flexibility with the evolving nature of the role
• Drive to provide excellent integrated patient care
• Ability to reflect on own performance and consider improvements
• Access to own transport and ability to travel across the locality
• Flexibility to work outside core hours and remotely when required
• Work Monday and Tuesday, with other hours negotiable to form a fixed rota

Nice to have

• Knowledge of EMIS Web clinical system
• Knowledge of partner products including Docman, Dart and AccuRx
• Experience of working in primary care
• Experience of long-term condition management
• Independent prescriber, or working towards an independent prescribing qualification
• Completed the First Contact Practitioner (FCP) pathway outlined by Health Education England