LS25/26 PCN Frailty Advanced Nurse Practitioner

LS25/26 PCN Frailty Advanced Nurse Practitioner LS25/26 PCN is a PCN with a patient population of circa 75,000 across 7 practices.

Garforth Medical Centre

Gibson Lane Practice

Kippax Hall Surgery

Lofthouse Surgery

Moorfield House Surgery

Nova Scotia Medical Centre

Oulton Medical Centre

Main duties of the job The postholder will be an autonomous practitioner who will be expected to take an active role in managing acute care pathways by delivery of advanced assessment, by responding through assessment, management and treatment of patients, usually over 65 years of age living with frailty both in the community and in care/nursing homes across the PCN.

The Frailty Advanced Nurse Practitioner (ANP) will have a key role in supporting the work of PCN in transforming the care of frail patients, delivering integrated out of hospital care. They will support practices to meet the requirements of proactive care, enhanced frailty scheme, QOF and the NHS long term plan.

The ANP role within the PCN will provide comprehensive healthcare sensitive to the needs of the population, including advanced clinical assessments, history taking, diagnosis, planning and delivery of treatment. They will also prescribe and evaluate care. The post holder will work as part of a multidisciplinary team and across the primary care, neighbourhood teams and social care in the LS25/26 PCN.

The postholder will be responsible for working within the frailty team to coordinate the delivery of proactive and reactive care needs of living with frailty. This includes direct referrals from GP practices, discharge reviews, social care, Neighbourhood teams, PCN staff, other professionals and from data from the clinical system.

Job responsibilities The postholder will provide highly specialised health assessments and input as an independent and autonomous practitioner developing and leading relationships with members of the multi-professional team allowing for consultation and collaboration.

The focus will be to provide ongoing medical support and prevent unnecessary acute hospital admissions and enable patients to remain safely supported within their own homes/nursing and residential homes. The postholder will aid in developing, delivering, and evaluating high quality patient-centred interventions in conjunction with the associated clinical teams to ensure this is incorporated within both the overarching PCN Frailty team and LS25/26 PCN objectives.

As an advanced practitioner defined first level nurse/allied health professional, the post holder will work within the PCN and be responsible for: working alongside the PCN Operations Leads in developing and leading the PCN frailty team, taking a lead on developments related to frailty. Leading and supervising clinical and non-clinical staff within the frailty team.

Providing highly specialised care within the community and care settings, to those patients with unscheduled care needs using advanced clinical knowledge that is evidence based, assessing, diagnosing, treating patients, and advising people in respect of their health care needs.

Provide expert advice and clinical leadership to ensure the needs of the patient are met by leading, challenging, and changing practice within the community.

Provide community wide team working in the development of the role of the frailty advanced practitioners to proactively support and maintain patients within the community.

To help to develop clinical pathways and protocols, leading on clinical audit and research. To recognise and act as an advocate for patients, carers, services and organisations.

This role will require independent travel between practices and to carry out home visits.

Key Duties and Responsibilities

1. Clinical Practice Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
   
   Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of disease, the disease process, and current evidence and practice standards.
   
   Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
   
   Provide information and advice on prescribed or over-the-counter medication on medication regimes, side-effects and interactions.
   
   Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
   
   Triage telephone call referrals from external clinicians, patients and others into a range of services appropriately as required utilising video consultation resources where appropriate.
2. Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
   
   Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
   
   Anticipate barriers to communication and take action to improve communication.
   
   Maintain effective communication within the organisation and with external stakeholders.
   
   Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
3. Non Medical Prescribing The post holder will be employed in a prescribing capacity. Applicants can only be employed if they are qualified and competent to do so. This applies to those practitioners with V300 qualification, who have active registration with the NMC or the practitioners professional regulatory body.
   
   As a prescriber, you must maintain your knowledge and skills with regard to prescribing and administration of drugs, keeping up to date with any changes, alerts, recalls and other reasonable professional knowledge.
4. Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.
   
   Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
   
   Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
   
   Ensure professional revalidation requirements are met.
   
   Deliver care according to NSF, NICE guidelines and evidence-based care.
   
   Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
   
   Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
   
   In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
   
   Support and participate in shared learning across the organisation and wider organisation.
   
   Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.
5. Leadership and Personal and People Development Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
   
   Provide supervision and mentoring and support staff development in order to maximise potential.
   
   Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
   
   Encourage others to make realistic self assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
   
   Critically evaluate and review innovations and developments that are relevant to the area of work.
   
   Take a lead role in planning and implementing changes within the area of care and responsibility.
   
   Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
   
   Contribute to the development of local guidelines, protocols and standards.
   
   Maintain effective communication with those responsible for the overall commissioning and procurement process.
   
   To attend and be proactively involved in professional meetings at base and corporately.
   
   Take the lead/develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.
6. Corporate Responsibility Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
   
   Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
   
   Prioritise own workload and ensure effective time management.
   
   Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
   
   Discuss, highlight and work with the team to create opportunities to improve patient care.
7. Management of Risk Manage and assess risk within the areas of responsibility . click apply for full job details