PCN Care Homes Advanced Clinical Practitioner

NHS; Nottingham; On-site; GBP 45,000 - 65,000; Full time

Job summary

A leading healthcare provider in the United Kingdom is seeking an Advanced Clinical Practitioner to work in their care home team. This role involves conducting assessments, managing medications, and providing clinical care and support to older residents. The ideal candidate will have advanced clinical skills, a relevant master's degree, and experience in similar settings. This position offers a Monday to Friday schedule, emphasizing holistic patient care and collaboration with GPs and care home staff.

Benefits

Professional development opportunities

Collaborative working environment

Qualifications

• Hold a digital badge in advanced clinical practice.
• Experience of working as an Advanced Clinical Practitioner.
• Ability to provide holistic clinical consultation for older patients.

Responsibilities

• Conduct weekly ward rounds in care homes.
• Manage medication reviews and planning.
• Develop ReSPECT plans with residents and relatives.

Skills

Advanced clinical skills qualification

Non-Medical Prescriber qualification

Excellent communication skills

Experience with frail older people

Organisational and planning skills

Education

MSc in Advanced Clinical Practice

Tools

SystmOne clinical system

Job description

PCN Care Homes Advanced Clinical Practitioner

We are looking for an experienced Advanced Clinical Practitioner with a digital badge in advanced clinical practice, to work in our care home team, providing clinical care and support to residents living in older people care home.

As an autonomous practitioner, you would be providing ward rounds in care homes, reviewing residents acute and chronic conditions. This involves medication reviews and management, undertaking clinical assessments for acute, sub-acute, long-term conditions and minor illness and injury as part of proactive, planned resident reviews. You will be undertaking new resident assessments, post hospital discharge assessments, developing ReSPECT plans with residents and relatives, ensuring a holistic, patient focussed approach to end of life planning and working with the care home staff to make a difference to the quality of care provided to residents in Rushcliffe PCN care homes.

We are looking for clinicians who wish to extend their scope of practice to support the work of our care home team in working towards the delivery of the National Enhanced Healthcare in Care Homes, Direct Enhanced Service Framework (DES).

Our service operates Monday to Friday, with no late shift, nights, weekend or bank holiday requirement. We are looking to recruit an advanced clinical Practitioner to work in our Care Homes Team within the Rushcliffe Primary Care Network.

Main duties of the job

This is a key role working closely with the Rushcliffe GP practices and the aligned GP for the care home to support the delivery of the NHS England Enhanced Healthcare in Care Homes Framework (EHCH).

Providing ward rounds on behalf of the GP practice includes all aspects of providing clinical care, including acute, and chronic health conditions, long term conditions, non-acute medical needs and undifferentiated acute presentations, and proactive annual reviews through clinical assessment, examination, investigation, diagnosis, care planning, treatment and evaluation of care.

Medications management is a key priority of the service offer, undertaking regular medication reviews, prescribing and deprescribing as clinically appropriate, along with monitoring of conditions.

End of life planning, ensuring residents and relatives are at the centre of decision making and working with care home staff and GP practices to ensure clear, concise and informed communications.

You will support the delivery of COVID and flu programme, by vaccinating care home residents and providing a level of medication oversight as part of the Rushcliffe and National programme

New resident assessments for people being admitted to a care home, plus post hospital discharge assessments, and personalised care and support plans, are also part of the holistic service offer to ensure the EHCH framework is delivered according to the specification.

About us

The post holder will work across organisational boundaries, fostering good relationships between providers and statutory bodies and improve care for people living in long term residential and nursing care.

This job requires the postholder to travel and have face to face consultations with residents in care homes, undertake remote consultations and discussions, liaise with GP practices, and the aligned GPs, as well as with other health and social care providers, residents and relatives.

Partners Health is a growing organisation with a strong commitment to support the professional development of our employees. If you are an enthusiastic professional with a clinical registration and ACP digital badge, we would love to hear from you.

About Partners Health

Partners Health LLP was formed on 2nd October 2015 by the GP Partners of the General Practices in Rushcliffe in recognition and response to the changing NHS landscape. It is constituted as a membership organisation, a partnership of partnerships.

By providing a different and collaborative local response, we will adapt and transform general practice to create a sustainable platform for the future.

Please find the full job advert in supporting information.

Please note you will need to meet the essential criteria as outlined in the person specification to be considered for the role.

For an informal discussion please contact Liz Harris, Care Home Clinical Team Lead on [e-mail]

Job responsibilities

JOB DESCRIPTION

Post

Advanced Clinical Practitioner - Care Homes. Rushcliffe PCN

Salary Grade

Reporting to - Care Home Clinical Lead

Accountable to

PCN Care Home Clinical Lead

GP Clinical Lead for Care Homes

PURPOSE OF THE ROLE

The purpose of this role, as an advanced clinical practitioner, with a digital badge, is to work closely with the GP to provide clinical care, assessment and clinical management plans for older people living in residential care within the Rushcliffe PCN.

This role will utilise your advanced clinical skills as autonomous practitioner. You will lead the delivery of weekly care home rounds in the Rushcliffe Older People residential and nursing homes. Providing medical management of care home residents with chronic health conditions, non-acute medical needs and undifferentiated acute presentations through clinical assessment, examination, investigation, diagnosis, care planning, treatment and evaluation of care.

MAIN DUTIES AND RESPONSIBILITIES

Undertaking weekly ward rounds in allocated care homes, is a key priority of this role. Working closely with the GP and with care home staff to review, assess and treat residents whose health has deteriorated or changed.

You will also undertake medication reviews, new and post hospital discharge reviews, develop ReSPECT plans in conjunction with residents and significant others; complete annual reviews for dementia, mental health, end of life and cancer care; deliver COVID and flu vaccinations as per the National program and support the overall delivery of the Enhanced Healthcare in Care Homes framework.

Medications management and medication reviews are a critical part of being an ACP in the care home team. You will also complete covert medication plans, that are signed off by a pharmacist. As a PCN clinical pharmacists are working within all practices and are available for advice and support when need.

You will deliver a high standard of patient care with in-depth theoretical knowledge and evidence-based practice, working autonomously and with the support and supervision of a Clinical Lead GP, as well as the care home aligned GP.

You will manage a clinical caseload and deal with presenting patient needs within a care home setting.

The use of a geriatric assessment framework will support the assessments for new residents and those being discharged from hospital.

As a senior clinician, you will provide clinical leadership and expert professional advice to patients, relatives, carers, and colleagues to support the delivery of high-quality clinical care, and this will, at times involve teaching, and education of Care Home or other staff.

As a PCN we have worked hard over the years to foster good relationships with health and social care colleagues. You will work across organisational boundaries, developing new ways of working to promote relationships and seamless working between providers and statutory bodies with the ultimate aim to improve care for people living in care homes. As a team of ACPs and other professionals within the team, supporting each other to provide quality care as a team, as well as ensuring patient care is prioritised.

The successful applicant will have an MSc in Advanced Clinical Practice with a digital badge in advanced clinical practice, hold a non-medical prescriber qualification and come from a Nursing, Pharmacy, Physiotherapy or Paramedic background.

You will support the delivery of COVID and flu programme, by vaccinating residents and providing a level of medication oversight as part of the Rushcliffe and National programme

Provide health/disease promotion and prevention advice to care home residents and their carers/family:

To confidently consult with patients/families/carers to determine the needs of individuals and develop and review care plans to support care including end of life planning, and discussions. This will include developing a ReSPECT plan, in conjunction with the resident, relatives and others as appropriate.

Utilise and work within the boundaries of local and national clinical guidelines and promote evidence-based practice.

Deliver integrated patient centred care through appropriate working with the wider primary care network multi-disciplinary team and social care networks

Working autonomously with accountability for their professional actions, make onward referral to medical specialities for further assessment

Work within Professional guidelines and code of conduct

Utilise clinical guidelines and promote evidence-based practice, participate in clinical audits, significant event reviews and other research and analysis tasks.

Utilising the non-medical prescribing qualification, develop their area of expertise in frailty to meet the needs of the care home population and with accountability for their professional actions prescribe and deprescribe medication in line with local and national guidelines

The post holder is responsible for ensuring that the residents and care home managers within Rushcliffe receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care

The post holder is responsible for consulting and collaborating with other healthcare professionals and specialists across both primary, secondary, social care and the voluntary care sectors

As a registered Advanced Clinical Practitioner, you will be supported with a GP clinical lead and Partners Health to continually develop ACP skills, in conjunction with the University and Nottingham Training Alliance (NATH)

ADMINISTRATION

Ensure consultations are documented accurately, clearly, and contemporaneously, in a timely manner.

Work to clinical ledgers to ensure good time management and efficiencies.

Update patient records in accordance with PCN policies and procedures meeting the requirements of professional bodies NMC/HCPCYou will be responsible for management of a clinical ledger, to ensure the metrics required within the Enhanced Healthcare in Care Homes are met.

Ensure continuing education, training and development is undertaken to meet clinical governance guidelines for Continuing Professional Development and a Personal Development Plan.

Actively participate in clinical notes and prescribing audits, along with clinical supervision as part of the ongoing CPD and governance compliance requirements.

Maintain professional registration with the NMC/HCPC as required to maintain the healthcare professional registration.

Provide evidence of a digital badge in Advanced Clinical Practice.

Undertake a fair share of the overall administration associated with clinical practice within primary care, including answering the phone, supporting ledger management etc.

Involvement in clinical audit as part of new service implementation, quality improvement, patient reviews, QOF and any other audit work undertaken by the PCN Care Home Team and/or PartnersHealth

Show a caring and respectful attitude towards patients, care home staff and colleagues. Have well-developed communication skills to provide treatment plans and work to a professional code of ethics

Keep up to date with relevant medical research, technology, and evidence-based medical practice by attending continuing education courses and professional meetings, reading journals etc.

As an employee of PartnersHealth, working with patients registered with GP practices across the PCN, you will take due diligence and care regarding any information collected, recorded, processed or handled by you during the course of your work and that such information is collected, recorded, processed and handled in compliance with PCN requirements and instructions.

The post holder will be required to travel as part of their duties to other sites in the PCN, and travel expenses will be reimbursed by the employer.

To undertake research and service development where possible to maintain the ACP pillars of practice.

Support the teaching, training and education of PCN and Care Home Staff

To ensure observance and adherence to the Health and Safety at Work Act 1974.

To participate in staff meetings, 1-2-1 meetings and the appraisal scheme and undertake training appropriate to the development of the job role and in line with the PCNs statutory obligations.

To work to the agreed standards, policies and procedures and protocols of the PCN and be fully conversant with emergency procedures.

To reflect on own practice individually and/or through regular clinical supervision.

Work with The GP lead and Care Home Team Lead in developing the strategic and operational management of the Enhanced Health in Care Homes Service

The duties of this post are a guide to the range of responsibilities that may be required. These may change from time to time to meet the needs of the service and/or the development needs of the post holder. This job description will be revised regularly to take account of changes within the organisational structure and the practice business plan.

SAFEGUARDING RESPONSIBILITIES

The organisation takes the issues of Safeguarding Children, Adults and addressing domestic violence very seriously. All employees have a responsibility to support the organisation in our duties by:

Attending mandatory training which includes Safeguarding children and adults.

Ensuring you are familiar with your own and the organisations requirements under relevant legislation.

Adhering to all relevant national and local policies, procedures, practice guidance (e.g. LSCB Child Protection Procedures and Practice Guidance) and professional codes.

Reporting any concerns to the appropriate authority.

Person Specification

Knowledge, Skills & Experience

• Hold an advanced clinical skills qualification, with a digital badge.
• Hold a Non-Medical Prescriber qualification.
• Experience of working as an Advanced Clinical Practitioner within a multi-disciplinary team and across organisational boundaries
• Ability to provide a holistic clinical consultation for a frail, older patient cohort, including assessments, history taking, examination, diagnosis, plan, monitoring and follow up.
• Dealing with acutely unwell patients and distressed relatives / carers, including unwelcoming news, as to future prognosis of patients condition
• Ability to apply clinical judgements involving complex facts or situations, requiring analysis, interpretation, comparison of a range of options.
• Experience managing acute, sub-acute, long term conditions, minor and major health conditions, and consider differential diagnosis.
• Ability to present patient cases to allow comprehensive and thorough debrief of the patient with the GP as required.
• Experience of requesting investigations and interpret their findings in view of other clinical information as per guidelines within the acute setting.
• Demonstrate own professional judgement and in discussion with the medical and nursing team decide when patients require referral to another speciality.
• Ability to work flexibly across different locations as required and multi-task when necessary, including as required out of hours work.
• Able to work independently as well as part of a multi-disciplinary team utilising good interpersonal skills.
• Evidence of excellent organisational and planning skills
• Ability to manage clinical ledgers and prioritise workload.
• Excellent communication skills written and verbal
• Ability to influence and challenge colleagues appropriately.
• Demonstrate working with wider system partners such as social care, acute and community services.
• Adaptable to changing working environment and service needs.
• Planning, organising and prioritising tasks, activities, or programmes some of which may be urgent or ongoing.
• Physically and mental capable of undertaking full duties of post. There may be occasional requirements to exert moderate physical effort to meet the flexible needs of the service.
• Good IT skills in word processing, excel and e-mail.
• Understanding of Confidentiality and the Data Protection Act
• Understanding of clinical governance and its significance and impact upon practice.
• Dealing with situations where family situations or circumstances can be a difficult emotional experience, including the delivery of difficult messages in relation to a deterioration in patients condition
• Awareness of equality and valuing diversity principles
• Experience of clinical supervision
• Evidence of experience / competency in the form of a professional portfolio.
• Able to work on own initiative, but knows limitations of own competencies
• Experience of working with frail older people.
• Experience of working with SystmOne clinical system, and Ardens.
• Experience of working with care home staff, and older people living in residential care homes.

Commitment to PartnersHealth Values & Behaviours

• Must be able to demonstrate behaviours consistent with PartnersHealth values and behavioural standards

Circumstances

• Car owner/driver, with exclusive access to a vehicle
• Ability to work alone in the primary care setting

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.