Advanced Nurse Practitioner (Primary Care)NHS

Job summary

This is an exciting opportunity for an experienced Advanced Nurse Practitioner with a special interest in frailty/older peoples health to develop their clinical practice in a leadership role.

Benefits include a competitive salary, 25 days annual leave per year plus bank holidays, flexible working (within Standard Network Hours) and regular supervision and protected time for CPD.

Applications will be considered from experienced candidates who are working towards a prescribing qualification provided completion is due within the next twelve months.

You will work directly with a small team to provide support to patients who are care home residents along with frail older people in their own homes. You will ensure that the PCN and member Practices meet their requirements to provide enhanced health in care homes as well as working with care homes to develop and promote good practice to maximise the health and quality of life of their residents.

You will need to be registered as a Nurse with the Nursing and Midwifery Council, and hold an appropriate Advanced Practice qualification (post-grad diploma or degree, or Masters if qualified after 2020). You should also hold or be working towards a prescribing qualification.

For more information about this role please contact our Operations Manger [email protected], or Clinical Director; [email protected]

Main duties of the job

The purpose of this role is to support PCN staff and member Practices to deliver high quality care to frail elderly people and residents in nursing and care homes. As an Advanced Practitioner the postholder job plan will include research, education and leadership roles as well as direct patient care.

Job description

Main responsibilities

Clinical

Leads and manages the Enhanced Health in Care Homes programme which includes:

o Undertaking weekly ward rounds

o Supporting person centred holistic assessments of all patients admitted / readmitted to a care home within 7 days.

o Ensuring that all residents have a personalised support care plan within 7 days of re/admission.

Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal advance clinical practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. Makes fast track referrals.

Works autonomously and be accountable for his/ her professional actions.

Undertakes clinical nursing practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to registered patients.

Assesses patients with a range of acute, non-acute, and chronic medical conditions. To take history, conduct appropriate physical examinations, formulate differential diagnoses and carry through management treatment plans ensuring relevant follow-up.

Manages undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

Uses complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person.

Where appropriate makes referrals to other healthcare professionals in primary and secondary care.

Prescribes medications as appropriate.

Maintains accurate record keeping in Emis Web.

Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g., first contact with patients presenting acutely and manages care in the presence and absence of protocols.

Makes decisions where precedents do not exist, where appropriate without recourse to others e.g., direct referral of patients to Hospital Consultants without prior reference to other medical colleagues.

Advises and supports others where standard protocols do not apply.

Works within professional guidelines and codes of conduct

Visits patients at home and within care homes as part of the wider clinical team.

Communicate complex and sensitive information concerning a patients medical condition effectively to patients/carers, recognising that sometimes there are barriers to understanding.

Fosters good public relations by ensuring courtesy and discretion when dealing with patients and their relatives.

Supports and advises patients on the promotion of health, prevention of ill-health and the self-management of their health within their limitations.

Recognises situations that may be detrimental to the health and well-being of the individual and act on the findings.

Ensures that care given is supported by the best available evidence and local policies and procedures.

Maintains professional competency whilst remaining current and in date for NMC revalidation.

Education

Complete the relevant training to provide multi-professional clinical practice and CPD for other roles within Primary Care for example Community Paramedic, nurses, HCAs and Care Co-ordinators

The postholder will link with the Training Hub and other colleagues across BNSSG to ensure that Care Home staff are aware of local training opportunities.

The postholder will organise at least one training session per year for PCN and Practice staff to update on issues relating to the care of frail elderly people.

Research

Connexus PCN has an active research programme, and the postholder will have Continuous involvement in research/evaluation and/or development work which may be as part of one or more formal research programmes or activities. In addition, they will:

Actively contribute to PCN/Service/Team audit/Research activity as required.

Instigate audit activity as required for new and existing services.

Identify, apply and disseminate research findings relating to clinical practice.

Leadership

The postholder will establish strong working relationships with nursing and management staff in care homes to encourage good clinical practice.

The postholder will work with the GP lead for care homes in each of the five Practices to identify and follow up opportunities for the improvement of care for frail elderly and care home residents.

The postholder will provide clinical support and advice to colleagues including Care Co-ordinators and Community Paramedic.

This list of responsibilities is not exhaustive and is subject to changed based on clinical and organisational needs and contractual requirements.

About us

You will be working with a group of five GP Practices, each of which offers high quality patient care delivered by a supportive team, and as part of a wider PCN team with Pharmacists, Physios and Social Prescribers.

Working Hours: Up to full time 37.5 hours (minimum 22.5 hours).

Working pattern: Flexible within Network Standard Hours (Monday Friday 8.00 20.00 and occasional Saturday working)