PCN Home Visiting Prescribing Nurse Practitioner

West Leeds Primary Care Network; Pudsey; On-site; GBP 50,000 - 54,000; Full time

Job summary

West Leeds Primary Care Network is seeking a Frailty Specialist to join our multidisciplinary team. You will conduct annual frailty reviews in patients' homes and support acute home visiting duties to relieve GP workload.

The role involves MDT collaboration with a consultant geriatrician, and delivering patient-centred care plans to maintain independence and improve health outcomes.

Qualifications

• GCSE English and Maths at grade A–C.
• Nursing degree with independent prescriber qualification.
• Advanced Practitioner credential or equivalent.

Responsibilities

• Perform in-home frailty assessments for patients 65+ with two or more frailty indicators.
• Conduct acute home visits to support GP practices and reduce workload.
• Attend weekly MDT meetings with a consultant geriatrician to discuss complex cases.
• Coordinate with the wider PCN team to deliver holistic care and manage medications as needed.

Skills

SystmOne clinical system

Home visit experience

Education

GCSE English & Maths

Nursing degree

Independent Prescriber

Advanced Practitioner

Job description

Main duties of the job

There are two elements to this role:

Annual frailty reviews - these are templated and in depth. We focus mainly on those that are severely frail but we also get the opportunity to work with the moderately frail, changing their health outcome in good time to avoid them from tipping into the severely frail Rockwood score (which you will find immensely satisfying). These are mainly done in the patient's home unless they are able to get into surgery

Acute home visits - you will spend a part of your working week doing these as this services relieves a great deal of pressure on our member practices (particularly the GPs)

About us

West Leeds PCN is a mature and visionary PCN, boasting a well developed workforce across multiple clinical disciplines. We are fortunate to have our own premises for remote work ("PCN HQ") which means we can work daily in a true MDT style across all of the various clinical teams

Please note: West Leeds PCN is not an agenda for change organisation and we deliver our organisations T&Cs and not the T&Cs of NHS Trusts.

Job responsibilities

Our Frailty Service is a multidisciplinary one for those over 65 years of age who demonstrate two or more of the five frailty indicators (including falls, immobility, incontinence, delirium, medication side effects susceptibility). These patients are comprehensively assessed in their own home (or care home) following which a bespoke patient centred care plan will be created. The intention is to either improve or maintain their level of health and wellbeing and also to enable them to remain as independent as possible in their own residence. The Frailty Team does not carry a caseload; each referral is classed as an intervention. Following review from the Frailty Team the patient care is handed back to their GP practice.

Each patient is assessed for falls prevalence and has their medications reviewed. An independent prescriber would be an advantage for this role but it is not essential as other members of the team can issue medication

You will attend weekly MDT meetings with a consultant geriatrician hosted by our frailty team to discuss the most complex patients who have regular home visits. You will also closely liaise with the wider PCN team as needed in order to deliver a truly holistic healthcare service. The successful candidate will need to be passionate about improving patient health outcomes.

The daily Acute Home Visiting list offers a change of pace and you will encounter such problems as swellings (legs, feet etc), UTIs, chest infections, oedema, infected wounds, skin complaints such as rashes and migraines etc. The provision of this service is vital to our member practices and frees up practice GP time while we fulfil these visits for them

Person Specification

Qualifications

• GCSE grade A to C in English and Maths Nursing degree Independent Prescriber
• Advanced Practitioner

Skills

• Experience in SystmOne clinical system

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.

Depending on experience£50,000-£54,000 a year depending on experience