PCN Advanced Practitioner

NHS Jobs; Cramlington; Sur place; GBP 40 000 - 48 000; Plein temps

Résumé du poste

The Newcastle upon Tyne Hospitals NHS Foundation Trust seeks a clinician to deliver home visiting and clinical assessment in the community, providing high-quality care to patients in their homes.

The role involves independent assessment of acute and complex cases, formulation of management plans, and timely escalation to GPs or hospital services as required, with robust documentation and patient safety focus.

Responsabilités

• Undertake planned and urgent home visits and assess patients within scope of competence.
• Identify and manage undifferentiated and acute presentations with appropriate management plans.
• Initiate treatment within prescribing qualifications and arrange follow-up or escalation.
• Collaborate with urgent care teams and community services to avoid hospital admission.
• Maintain accurate documentation and coding in SNOMED CT and ensure data governance.

Description du poste

Home Visiting and Clinical Assessment Undertake planned and urgent home visits to patients who have been clinically assessed as requiring care at home. Independently assess patients presenting with undifferentiated and potentially complex clinical conditions, within the postholder's agreed scope of competence. Obtain comprehensive clinical histories and undertake appropriate physical examinations. Use advanced clinical reasoning and diagnostic skills to identify potential diagnoses and formulate appropriate management plans. Recognise and respond promptly to signs of serious illness, acute deterioration and medical emergencies. Assess and manage a range of acute presentations, including respiratory infections, urinary tract infections, exacerbations of chronic conditions, dehydration and other common presentations encountered in primary care. Assess frail and elderly patients with multiple comorbidities and complex health or social care needs. Assess patients following falls, considering injuries, underlying causes, mobility, medication and environmental risks. Request and interpret appropriate diagnostic investigations where authorised and clinically indicated. Initiate appropriate treatment, including medicines, within prescribing qualifications and professional competence. Arrange timely follow-up, onward referral or escalation to a GP, community service or secondary care provider when required. Provide clear clinical safety-netting advice to patients, relatives and carers.Urgent Care and Admission Avoidance Urgent Care and Admission Avoidance Assess patients with acute illness or deterioration to determine the appropriate level and setting of care. Identify opportunities to provide safe treatment and monitoring at home rather than arranging hospital admission. Liaise with urgent community response teams, hospital services, community nursing teams and other healthcare providers. Recognise situations requiring urgent hospital assessment or emergency ambulance attendance and arrange escalation without delay. Support appropriate discharge planning and follow-up for patients recently discharged from hospital. Ensure admission avoidance decisions are based on individual clinical need, patient safety and informed decision-making. Frailty, Long-Term Conditions and Palliative Care Undertake holistic assessments of patients with frailty, multiple long-term conditions or declining functional ability. Identify changes in physical, cognitive or functional health that may require further intervention. Review clinical needs and contribute to personalised care plans. Support the identification and management of patients requiring enhanced community support. Contribute to anticipatory care planning and appropriate discussions regarding future care preferences. Support patients receiving palliative or end-of-life care, including symptom assessment, treatment review and liaison with specialist services. Work collaboratively with community nursing, social care, palliative care and other relevant professionals. Recognise and respond appropriately to concerns relating to mental capacity, consent, safeguarding and carer wellbeing. Care Coordination and Multidisciplinary Working Maintain effective communication with the duty GP and wider clinical team regarding home visiting outcomes and identified risks. Participate in relevant multidisciplinary team discussions and clinical meetings. Liaise with care home staff, district nurses, social workers, pharmacists and other healthcare professionals to coordinate patient care. Facilitate appropriate referrals and ensure responsibility for follow-up is clearly documented. Promote continuity of care, particularly for patients with complex or recurring healthcare needs. Support collaborative working across the wider Primary Care Network where required. Clinical Documentation and Information Governance Maintain comprehensive, contemporaneous and accurate patient records using SystmOne. Record clinical assessment findings, differential diagnoses, clinical reasoning, management plans and safety-netting advice. Ensure appropriate SNOMED CT coding and accurate recording of relevant clinical information. Communicate significant clinical findings or concerns promptly to the responsible GP or appropriate healthcare professional. Maintain patient confidentiality and comply with UK GDPR, the Data Protection Act 2018 and practice information governance policies. Ensure clinical documentation supports continuity of care and appropriate clinical accountability.

£39,959 - £48,117 10 % RRP in addition to basic salary

The Newcastle upon Tyne Hospitals NHS Foundation Trust