Neighbourhood Health Practitioner

Cardiff and Vale University Health Board; Rayleigh; On-site; GBP 42,000 - 55,000; Full time

Benefits offered by this job

NHS pension

Flexible working hours

38 days annual leave

Parking and travel reimbursement

Training and development support

Peer support

Job summary

Cardiff and Vale University Health Board is seeking a Neighbourhood Health Practitioner (Prescriber) to work autonomously across primary care and community settings, delivering advanced clinical assessment, diagnosis, treatment and prescribing for patients with complex needs.

You will lead the neighbourhood MDT, supervise care coordinators, develop personalised care plans and use population health data to target early interventions, aiming to reduce hospital admissions and health inequalities.

Qualifications

• Currently working at an Enhanced Level of Practice as described within the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Postgraduate qualification at level 7 in a relevant specialist area (minor illness, wound care, diabetes, etc.).
• V300 non-medical prescribing qualification.
• Knowledge of NHS Neighbourhood Health Framework and frailty management.

Responsibilities

• Providing expert clinical assessment, diagnosis, treatment and prescribing.
• Leading clinical discussions within neighbourhood MDT meetings.
• Developing and reviewing personalised care and treatment plans.
• Using population health intelligence to identify patients requiring early intervention.
• Providing clinical oversight of patients with complex long-term conditions.

Skills

Time management

Communication with public

Team player

Clinical governance

Non-medical prescribing

Education

NMC registered nurse

Postgraduate qualification (level 7)

V300 non-medical prescribing

Cervical Cytology Qualification

Tools

SystmOne

Job description

As a Neighbourhood Health Practitioner, you will work autonomously across primary care and community settings, providing advanced clinical assessment, diagnosis, treatment and prescribing for patients with complex health needs. You will have a pivotal leadership role within our Neighbourhood Multidisciplinary Team (MDT), providing clinical oversight for patients identified through population health management, risk stratification, frailty pathways and proactive case management. Working closely with Care Coordinators, GPs, community services, social care, mental health teams and voluntary sector partners, you will help ensure patients receive coordinated, person-centred care that improves outcomes and reduces avoidable hospital admissions. What You'll Be Doing Providing expert clinical assessment, diagnosis, treatment and prescribing. Leading clinical discussions within neighbourhood MDT meetings. Providing clinical oversight of patients with complex and multiple long-term conditions. Supporting proactive management of frailty, multimorbidity and high-intensity service users. Providing clinical support and supervision to Care Coordinators managing complex patient cohorts. Developing and reviewing personalised care and treatment plans. Using population health intelligence to identify patients requiring early intervention. Reducing health inequalities through proactive, community-based care. Leading quality improvement initiatives and service development projects. The Neighbourhood Health Practitioner (Prescriber) is an Enhanced Nurse working autonomously within a multidisciplinary neighbourhood health team to deliver proactive, person-centred, population-focused care for individuals, families and communities. The post holder will support delivery of the NHS Neighbourhood Health model through the provision of enhanced clinical assessment, diagnosis, treatment, prescribing, care coordination, prevention, health promotion and long-term condition management. The role will contribute to reducing health inequalities, improving population health outcomes, supporting independence and delivering care closer to home through integrated working with primary care, community services, social care, mental health services and voluntary sector partners. As an Independent Prescriber, the post holder will provide expert clinical leadership, oversight and management of patients with complex health needs, ensuring coordinated care, effective MDT working and timely intervention to improve outcomes and reduce avoidable hospital admissions. The post holder will provide clinical leadership and oversight of the Neighbourhood MDT, supporting Care Coordinators and other members of the multidisciplinary team to deliver proactive, coordinated care for patients with complex needs.

Health, safety, and security

• Use the personal security systems within the workplace according to practice guidelines.
• Identify the risks involved in work activities and undertake them in a way that manages the risks.
• Alert other team members to issues of quality and risk in the care of patients.
• Ensure own actions are consistent with clinical governance systems.
• Practice in accordance with agreed standards of care.
• Enable patients to access appropriate professionals in the team.
• Know the practice's policies, especially the whistle-blowing policy, available in the practice staff handbook.
• Be able to manage your own time effectively.

Equality and diversity

• Act in ways that recognise the importance of people's rights, interpreting them in a way that is consistent with procedures.
• Respect the privacy, dignity, needs and beliefs of patients and carers.
• Understand basic legal and communication issues regarding child abuse, family violence, vulnerable adults, substance abuse and addictive behaviour.

Information processes

• Record information and activities undertaken with patients and carers in an accurate and timely fashion using manual or computer systems as appropriate.
• Maintain confidentiality or information relating to patients, relatives, staff, and the practice.
• Maintain accurate and contemporaneous electronic patient records on SystmOne.
• Take the necessary precautions when transmitting information., Attend annual updates and mandatory training as required.
• Maintain necessary requirements to support NMC revalidation.
• Highlight any gaps in knowledge/training needs to their line manager to allow them the opportunity to offer support to fulfil the duties of this post.

Act in a manner that safeguards children and/or vulnerable adults as applicable to the role.

• Work in line with organisational policies and procedural guidelines.

Clinical governance

Maintain accurate, contemporaneous and legally compliant clinical records. Ensure all care is delivered in accordance with NMC standards, organisational policies and clinical governance requirements. Participate in incident reporting, risk management and learning from events. Maintain patient confidentiality and comply with information governance requirements. Ensure safe management and transportation of patient-identifiable information and smartcards. Complete all mandatory training and maintain professional competencies. Maintain compliance with NMC revalidation requirements. Work in accordance with safeguarding policies and procedures for children and adults. Promote equality, diversity and inclusion in all aspects of practice.

We are seeking a highly motivated Neighbourhood Health Practitioner (Prescriber) to join our developing Neighbourhood Health Team and play a key role in delivering the NHS vision of providing more proactive, personalised care closer to home through integrated neighbourhood services. This role supports the NHS neighbourhood health model, which aims to improve outcomes through multidisciplinary working, prevention, population health management and reducing health inequalities.

Qualifications & Experience

• Currently working at an Enhanced Level of Practice as described within the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Experience in management of long-term conditions e.g., asthma, COPD, Diabetes, hypertension, asthma, CHD in primary or community care.
• Significant post-registration experience in primary care, community services, elderly care, frailty, or long-term condition management.
• Previous experience of leading and developing a nursing team.
• Understanding and knowledge of policy developments related to the delivery of primary care services, clinical governance and Quality and Outcomes Framework.
• Knowledge of national standards that inform practice (e.g., National Service Frameworks, NICE guidelines etc).
• Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medico-legal aspects of the Nurse Practitioner role.
• Ability to work effectively as a team player under appropriate supervision, and as part of a multi-disciplinary team.
• Understand requirements for NMC professional Revalidation and understanding of the importance of following procedures and treatment plans.
• Insight into how to evaluate own strengths and development needs, seeking advice where appropriate.
• Evidence of time management skills and ability to prioritise.
• Ability to communicate with members of the public and health and care providers.
• Courteous, respectful, and helpful always.
• Ability to deal with non-routine and unpredictable nature of the workload and individual patient contact.
• Ability to move between sites working across health and social care as required by the needs of the development programme.
• Ability to take part in reflective practice and clinical supervision activities.
• Understanding of the importance of the promotion of health and wellbeing (Making Every Contact Count).
• Ability to assess and manage patient risk effectively and safely.
• Time management and ability to prioritise workload., Good working knowledge of the GP Clinical System (SystmOne).
• QualificationsRegistered Nurse Degree and with an active NMC license to practice.
• Postgraduate qualification at level 7 in a relevant specialist area (minor illness, wound care, diabetes, respiratory, cardiovascular disease, dementia, womens health, public health, population health management).
• V300 non-medical prescribing qualification.
• Accredited training in Chronic Disease Management
• Currently working at an Enhanced Level of Practice as described within the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Post graduate diploma or degree (Primary Care)
• Cervical Cytology Qualification
• Management/Clinical Leadership qualification or equivalent experience.
• NMCs Academic Assessors, Practice Supervisors and Practice Assessors accreditations.
• Immunisations (flu, routine, childhood, B12, travel)
• Wound Care / Treatment of small injuries / Removal of sutures & staples
• Womens health (Cervical cytology, contraception, etc.)
• Understanding of frailty, dementia, end-of-life care, safeguarding, and capacity assessments.
• Knowledge and understanding of the NHS Neighbourhood Health Framework Principles.
• Knowledge and understanding of health inequalities and inclusion health principles.

Rayleigh and District Primary Care Network (PCN) is made up of 6 surgeries who have 56,437 registered patients. Our vision is to work in partnership with our colleagues and patients to provide the best primary care services in the community.

Why join us?

Join a dynamic and supportive network of local GP practices committed to providing high-quality, patient-centred care.

• Be part of a forward-thinking team that embraces new ideas and technologies to improve patient care.
• Work in a collaborative and nurturing environment where your professional growth is encouraged.
• Make a real difference in the lives of our patients and the wider community.
• Work as part of a wider multidisciplinary clinical team made up of clinical pharmacists, paramedics, nurse associates, pharmacy technicians and many more!

Benefits

All of our PCN staff are employed by GP Healthcare Alliance (GPHA). GPHA values staff and can offer:

• NHS pension;
• A supportive and friendly working environment;
• Flexible working hours;
• Peer support;
• Support with training and development;
• 38 days annual leave per year, including bank holidays (pro rota);
• Reimbursement for parking and travel expenses for attending meetings/off site sessions.