Nurse Associate

First Coastal PCN; Alford; On-site; GBP 25,000 - 35,000; Full time

Job summary

A healthcare organization in the UK is seeking an enthusiastic Nurse Associate to join the Primary Care Community team. The role involves supporting multi-disciplinary teams in delivering coordinated care to vulnerable and frail adults. Candidates should be Registered Nurse Associates, committed to personal development, and possess relevant experience in primary/community care. A full UK driving license is required for travel across the PCN area.

Qualifications

• Registered Nurse Associate on the NMC Register.
• Experience of primary/community care and working with complex patients.
• Ability to work independently as well as collaboratively in a team.

Responsibilities

• Support the Enhanced Health in Care Homes multi-disciplinary (MDT) with day-to-day duties.
• Act as a contact to assist with case management of patients at risk of admission.
• Provide co-ordination and navigation across health and care services.

Skills

Knowledge of health promotion strategies

Excellent communication skills

Change-management skills

Negotiation and conflict management skills

Ability to identify determinants on health in the local area

Education

Registered Nurse Associate on the NMC Register

Evidence of working to the Nurse Associate Proficiency standards

Evidence of continuing professional development

Tools

SystmOne clinical system

Job description

An excitingopportunity has become available for an enthusiastic and forward-thinking NurseAssociate to join the First Coastal PCN in a new role that will be developed asit progresses. The successfulcandidate will be joining our Primary Care Community team, working with GPsurgeries, Neighbourhood Team Lead and community staff, Care Co-Ordinators,Clinical Pharmacist, Occupational Therapist, Health & Well Being Coach andSocial Prescribing Link Workers.

Interviews

Interviews will take place on 27th November.

Main duties of the job

The NursingAssociate role is seen as a critical and evolving post to support the EnhancedHealth in Care Homes (EHCH) Multi-Disciplinary Teams across the PCN footprint todeliver effective, co-ordinated care for vulnerable and frail adults,particularly those at high risk of a hospital emergency admission, EDattendances or out of hours care. Therole will also support the vulnerable housebound in their own usual place ofresidence.

This roleinvolves working very closely with the practices and the Multi-DisciplinaryTeam within the PCN. The role is pivotal in ensuring all care home patientsreceive the best possible care and service. The Nursing Associates role will support theGP practice colleagues and the Multi-Disciplinary Team in coordinating andperforming all key activity including access to services, MDT meetings, advice andinformation, and ensuring health and care planning is timely, efficient, andpatient-centred. The role will include supporting digital initiatives andincludes responsibilities for the co-ordination of the patients journeythrough primary care.

The role willalso work closely with Practices, PCN/Neighbourhood & Care Home teams tohelp create and get agreement on a long-term plan for the structure andprocesses to support the Multi-Disciplinary Team (MDT) meetings and the ongoingpatient case management.

Afull UK driving licence is needed to be able to travel to sites within the PCN area.

See attached job description for more details of the role.

About us

First Coastal PCN covers a population of approximately 84,000 patients,this is made up of seven practices, Marsico Medical Practice (Mablethorpe),Hawthorn Medical Practice (Skegness), Beacon Medical Practice (Skegness),Merton Lodge (Alford), Spilsby Surgery, Stickney Surgery and Old Leake MedicalPractice. These practices work together across coastal and rural to delivercare to the local population.

Job responsibilities

Main Duties

Supportthe Enhanced Health in Care Homes (EHCH) multi-disciplinary (MDT) with day today duties

Towork as a key member of the team to help create and get agreement on thestructure and processes to support effective MDT meetings

Toliaise with the registered GP and other practice-based staff in addition to allother providers and services utilising, where appropriate, a multi-disciplinaryapproach.

Supportpeople to improve and maintain their mental, physical, behavioural health andwell-being, promoting health and preventing ill health

Torecognise changes in a patients condition/deterioration which require theintervention of others and know when to refer to the supervising RegisteredNurse and other senior colleagues for reassessment of patient care.

Torecognise and work within the limits of their own competence.

Toensure that high standards of nursing care are given and maintained, acting toraise concerns when standards are not being maintained following local policyand procedures.

Tobe involved with practice initiatives to improve patient safety and care.

Toact as an advocate for the patient and family, including promoting andprotecting their interests, privacy, rights, equality and inclusion.

Toimplement and review individual care plans, self-management plans and to agreetrigger thresholds to contact the multi-disciplinary team.

Provideenhanced support to Nursing and Residential Care homes with a focus onstrengthening relationships and improving access through information sharing,education and advice.

Toensure all residents of Nursing and Residential Care homes have care plans(including dementia where needed) and to provide a holistic review of allpeople in these homes with updates of their care plans.

Communicateany care plans to the GP and any other members of the EHCH multi-disciplinaryteam and stakeholders involved in the persons care and upload to the relevantrecords.

Actas a contact to assist with case management of patients at risk of admission,identifying sources of support in liaison with case managers.

Toprovide support to individuals, their families and carers to take control oftheir health and well-being, live independently and improve their healthoutcomes, as a key member of the PCN multi-disciplinary team.

Toprovide co-ordination and navigation with the aid of digital tools for peopleand their carers across health and care services.

Toattend MDT meetings as appropriate.

Maintainaccurate and up to date records of patient contacts using GP clinical systemsand other IM & T systems relevant to the role

Supportthe Clinical Director and member practices in the delivery of the PCN DESspecifications.

Administrative Duties

Toensure that actions points identified with the MDT are recorded andfollowed, upping risk-profiling strategies and tools to identify at riskpatients, including those patients who have multiple hospital admissions,ED attendances and unplanned out of hours care, and implement an agreedstructured process on how this information will be fed into MDTs.

Towork with the wider MDT to identify appropriate case managers for high riskpatients to ensure that patients are reviewed and anticipatory care plansare developed.

Ensurethat all patients Care Plans, Treatment Escalation Plans, DNARs andassociated reviews and patient-related correspondence are available at theMDT meetings, liaising with all agencies as appropriate, access andauditing IT systems to ensure relevant information is available. The need to work closely with the PCNCare Co-Ordinators is key to this role.

Toliaise with acute hospitals regularly, cross referencing admission datawith the at risk list, and co-ordinating the sharing of key informationbetween the acute hospitals teams, care/nursing homes and the clinical leadof the EHCH team.

Underthe guidance of the supervising Registered Nurse, assist with the dischargeprocess to reduce length of stay in the acute/community hospital setting.

Other responsibilities

Toassist the PCN in setting and realising the PCN vision and values

Toplay a role in the delivery of high-quality primary health care services

Maintaina working relationship with local health and care providers to enableservice delivery of mutual benefit and build a network and knowledge ofreferral routes to and from service providers.

Toestablish and maintain effective liaison with stakeholders includinghealth, voluntary, social and education resources, attending relevantmeetings as necessary.

Referpatients and/or introduce them to appropriate organisations within the PCNfootprint and nationally (where appropriate), eg voluntary, statutory(local authority) and local NHS organisations.

Torepresent the PCN in cross-organisation meetings when agreed, eg locality/CCGmeetings.

Collatefeedback/analysis data on behalf of the PCN to report to the PCN Board andCCG/NHSE as required

Supportthe PCN Manager in providing KPI reports for submission as requested.

Tobe familiar with and follow PCN and practice policies and procedures asappropriate.

Tohave due regard for own personal safety and that of learners, patients andcarers, in particular have regard to moving and handling regulations, restraining policies andensure the safe positioning of self and others.

To decide work priorities for own work area, balancingresponsibilities and changing priorities to meet deadlines, ensuring theseremain in accordance with those of the service as a whole.

Support, supervise and act as a role model to nursingassociate students, health care support workers and those new to careroles, reviewing the quality of care they provide, promoting reflection andproviding constructive feedback.

Support service and practice development to meet the needs ofthe local population.

Be flexible and response to changing requirements

Be able to work using own initiative as well as being part ofa team.

As this is a new and evolving role, this is not an exhaustive list of duties and responsibilities, and the post holdermay be required to undertake other duties that fall within the grade of the job, in discussion with their line manager.

The content of this job description will be reviewed regularly in the light of changing servicerequirements as First Coastal PCN evolves and any such changes will be discussed with the post holder.

CONFIDENTIALITY

In the courseof seeking treatment, patients entrust us with, or allow us to gather sensitive information in relation totheir health and other matters. Theydo so in confidence and have the right to expect that staff will respect theirprivacy and act appropriately.

In the performance of the duties outlined inthis job description, the post-holder may have access to confidentialinformation relating to patients and their carers, practice staff and otherhealthcare workers. They may also haveaccess to information relating to the PCN as a business organisation. Allsuch information from any source is to be regarded as strictly confidential.

Information relating to patients, carers,colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the employing practicepolicies and procedures relating to confidentiality and the protection ofpersonal and sensitive data.

Person Specification

Skills and Knowledge

• Knowledge of health promotion strategies.
• Awareness of clinical governance issues in primary.
• An excellent understanding of data protection confidentiality issues.
• Excellent communication skills and the ability to adjust communication style and content to suit the audience.
• Demonstrable commitment to professional and personal development.
• Change-management skills and ability to support patients to change lifestyle.
• Communication skills, both written and verbal.
• Negotiation and conflict management skills.
• Understanding the determinants of health to include social, economic and environmental factors.
• Understanding of, and commitment to, equality, diversity and inclusion.
• Knowledge of organisational structures and relationships in health and social care, well-being, social prescribing and third sector.
• Full driving license and use of car for work.
• Ability to identify determinants on health in the local area.
• Knowledge of public health issues in the local area.
• Awareness of local and national health policy.
• Awareness of issues within the wider health economy.
• Knowledge and experience of training volunteers.
• Knowledge of community developments.
• Knowledge of the needs of patients with long-term conditions.
• Training in motivational coaching, behavioural change and goal setting

Qualifications

• Registered Nurse Associate on the NMC Register
• Evidence of working to the Nurse Associate Proficiency standards
• Evidence of continuing professional development
• Experience of primary/community care and working with complex patients

Experience

• Experience of primary/community care and working with complex patients.
• Experience using SystmOne clinical system.
• Experience of supporting patients, their families and carers in a related role.
• Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement.
• Experience of supporting people with their mental health. Experience of data collection and using tools to measure the impact of services.
• Experience of partnership/collaborative working and of building relationships across a variety of organisations including the voluntary sector.

Personal Attributes

• Has a planned and organised approach with an ability to prioritise their own workload to meet strict deadlines
• Ability to work independently as well as collaboratively in a team
• Ability to work without direct supervision.
• Committed to personal and team development.
• Committed to person-centred, non-discriminatory practice.
• Aware of requirements of confidentiality.
• Forward thinking.
• Excellent interpersonal skills.
• Able to maintain judgement under pressure.
• Able to maintain motivation, drive and enthusiasm.
• Confident approach.
• Flexible approach to work.
• Ability to travel around the PCN patch to deliver patient care.

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.