Job summary Note interview date will likely be Friday 9th May 2025 This role requires the successful candidate to have eithergraduated from a Centre for Advancing Practice accredited MSc advancedpractice programme or completed the Centres ePortfolio (supported) Route. RoleSummary This is an excellent opportunityfor an experienced registered practitioner / nurse to help PCN Care HomeResidents while also providing proactive care to patients with complex needs. The successful candidate will be a caring, compassionate, and dedicatedexperienced registered practitioner / nurse who, within their professional bounds,will provide care for the presenting patient from initial history taking toclinical assessment, diagnosis, treatment, and evaluation of care. They will make safe, competentclinical decisions and provide professional treatment, including evaluation anddiagnostic skills. The postholder will commit tousing critical thinking in the safe clinical decision-making process. They will interact andcollaborate with the PCN and general practice teams to address patients' needswhile also supporting policy and procedure implementation. When not visiting patients in their homes or care homes, the poster holder willwork on-site at Abbey Manor Medical Centre in Yeovil. PCN's core business hours areMonday through Friday, 0830 - 1630. Main duties of the job Responsibilities -Participatein regular MDT meetings and Care Home ward rounds to assess, diagnose, plan,implement, and evaluate treatment/interventions and care for patients. -Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly. -Assess,diagnose, plan, implement, and evaluate interventions/treatments for patientswith complex needs. -Proactivelyidentify, diagnose and manage treatment plans for patients at risk ofdeveloping a long-term condition. -Diagnoseand manage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan. -Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds. -Supportpatients and Care Home staff to adopt health promotion strategies that promotehealthy lifestyles and apply principles of self-care. -Assess,identify and refer patients presenting with mental health needs in accordancewith the NSF for Mental Health. -Implementand participate in vaccination and immunisation programmes for both adults and children. Please see attached job description for full details. About us The Yeovil Primary Care Network (PCN) is an exciting and creative placeto work. Yeovil PCN was founded in 2019 and has continued to improve and enhance theservices it provides to its community. We are a cooperation of five GP practices in Yeovil and a central PCN Hub teamsituated at Abbey Manor Medical Centre, and we aspire to provide clinicalexcellence and proactive patient-centered care. Our successful services currently include a thriving Community InvestigationHub, the County's top performing covid and flu vaccination programme, oursupportive and engaging Care Home and Proactive Care team, our highly regardedPhysiotherapy team and the NHS Health Check Service, which we were recentlyawarded. We also have fresh and interesting initiatives in the works, and wethink that our employees are the primary drivers of innovation and delivery,therefore we invest in their training and development. We are committed to strengthening our connections with communityservices and other system partners in order to overcome obstacles and establishan Integrated Neighbourhood Team that will enable us to deliver significantpatient-centered care.Yeovil is a charming rural town situated on the border of Somerset and Dorset. There are lots of family-friendly nearby amenities and excellent transportoptions. Staff also benefit from the NHS Pension Scheme, Blue Light Card andother discount opportunities and competitive annual leave and bank holidayentitlement. Job description Job responsibilities This role requires the successful candidate to have eithergraduated from a Centre for Advancing Practice accredited MSc advancedpractice programme or completed the Centres ePortfolio (supported) Route. Responsibilities -Participatein regular MDT meetings and Care Home ward rounds to assess, diagnose, plan,implement, and evaluate treatment/interventions and care for patients. -Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly. -Assess,diagnose, plan, implement, and evaluate interventions/treatments for patientswith complex needs. -Proactivelyidentify, diagnose and manage treatment plans for patients at risk ofdeveloping a long-term condition. -Diagnoseand manage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan. -Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds. -Supportpatients and Care Home staff to adopt health promotion strategies that promotehealthy lifestyles and apply principles of self-care. -Assess,identify and refer patients presenting with mental health needs in accordancewith the NSF for Mental Health. -Implementand participate in vaccination and immunisation programmes for both adults and children. Communication -Utilise and demonstrate sensitivecommunication styles, to ensure patients are fully informed and consent totreatment -Communicate with and supportpatients and their families who are receiving bad news -Communicate effectively withpatients and carers, recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground and preferred ways of communicating -Anticipate barriers to communicationand take action to improve communication -Maintain effective communicationwithin the PCN environment and with external stakeholders -Act as an advocate for patients andcolleagues -Ensure awareness of sources ofsupport and guidance and provide information in an acceptable format to allpatients, recognising any difficulties and referring where appropriate Deliveringa quality service -Recognise and work within owncompetence and professional code of conduct as regulated by the NMC -Produce accurate, contemporaneousand complete records of patient consultation, consistent with legislation,policies and procedures -Prioritise, organise and manage ownworkload in a manner that maintains and promotes quality -Deliver care according to NSF, NICEguidelines and evidence-based care -Assess effectiveness of caredelivery through self and peer review, benchmarking and formal evaluation -Initiate and participate in themaintenance of quality governance systems and processes across the organisationand its activities -In partnership with other clinicalteams, collaborate on improving the quality of health care responding to localand national policies and initiatives as appropriate -Evaluate patients response tohealth care provision and the effectiveness of care -Support and participate in sharedlearning across the practice and wider organisation -Understand and apply legal issuesthat support the identification of vulnerable and abused children and adults,and be aware of statutory child/vulnerable patients health procedures and localguidance -Working with PCN management toensure the whole team have skills and knowledge regarding domestic violence,vulnerable adults, substance abuse and addictive behaviour. Provide guidanceand support to ensure appropriate referral if required Leadership personal and people development -Take responsibility for own learningand performance including participating in clinical supervision and acting as apositive role model -Support staff development tomaximise potential -Enlist support and influencestakeholders and decision-makers to bring about new developments in theprovision of services -Contribute to the development oflocal guidelines, protocols and standards -Maintain active involvement in theplanning and processes of PCN commissioning or similar initiatives Teamworking -Work as an effective and responsibleteam member, supporting others and exploring the mechanisms to develop new waysof working -Delegate clearly and appropriately,adopting the principles of safe practice and assessment of competence -Create clear referral mechanisms tomeet patient need -Prioritise own workload and ensureeffective time-management strategies are embedded within the culture of theteam -Work effectively with others toclearly define values, direction and policies impacting upon care delivery -Work effectively with Care Hometeams to develop and maintain relationships and create clear lines ofcommunication. -Discuss, highlight and work with theteam to create opportunities to improve patient care -Manage and lead on the delivery ofspecifically identified services or projects as agreed with the PCN managementteam -Agree plans and outcomes by which tomeasure success Clinical Governance -Identify risk issuesthat impact on peoples health or social care needs. -Take appropriate actionto the significance of the risk and consistent with protection procedures,applying protection procedures, following lone worker procedure. -Demonstrate effectiveteam working inclusive of all relevant professionals. -Report all accidents /incidents, and all ill health, failings in equipment and / or environment toline managers. -Contribute towardsaudit and data collection as required. -Once assessed ascompetent will be accountable for their own practice within their area ofresponsibility when identified and agreed with the line manager. -Work with your linemanager to undertake continual personal and professional development, taking anactive part in reviewing and developing the roles and responsibilities. -Adhere toorganisational policies and procedures, including confidentiality,safeguarding, lone working, information governance, and health and safety. -Work with the ClinicalLead to access regular clinical supervision, to enable you to dealeffectively with the difficult issues that people present. Miscellaneous -Work as part of theteam to seek feedback, continually improve the service and contribute tobusiness planning. -Undertake any tasksconsistent with the level of the post and the scope of the role, ensuring thatwork is delivered in a timely and effective manner. -Duties may vary fromtime to time, without changing the general character of the post or the levelof responsibility. Confidentiality: -In the course of seeking treatment, patientsentrust us with, or allow us to gather, sensitive information in relation totheir health and other matters. They doso in confidence and have the right to expect that staff will respect theirprivacy and act appropriately -In the performance of the duties outlined inthis job description, the post-holder may have access to confidentialinformation relating to patients and their carer(s), practice staff and otherhealthcare workers. They may also haveaccess to information relating to the practice as a businessorganisation. All such information from any source is to be regarded asstrictly confidential -Information relating to patients, carers,colleagues, other healthcare workers or the business of the practice may onlybe divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data Health & safety: The post-holder must comply at all times with thePractices Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations IncidentReporting System. Equality and diversity: The post-holder will support the equality, diversity andrights of patients, carers and colleagues, to include: -Acting in a way that recognises the importanceof peoples rights, interpreting them in a way that is consistent with practiceprocedures and policies, and current legislation -Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues -Behaving in a manner that is welcoming to andof the individual, is non-judgemental and respects their circumstances,feelings priorities and rights. Therole will be contracted under Symphony HealthCare services on behalf of YeovilPrimary Care Network Job description Job responsibilities This role requires the successful candidate to have eithergraduated from a Centre for Advancing Practice accredited MSc advancedpractice programme or completed the Centres ePortfolio (supported) Route. Responsibilities -Participatein regular MDT meetings and Care Home ward rounds to assess, diagnose, plan,implement, and evaluate treatment/interventions and care for patients. -Clinicallyexamine and assess patient needs from a physiological and psychologicalperspective, and plan clinical care accordingly. -Assess,diagnose, plan, implement, and evaluate interventions/treatments for patientswith complex needs. -Proactivelyidentify, diagnose and manage treatment plans for patients at risk ofdeveloping a long-term condition. -Diagnoseand manage both acute and chronic conditions, integrating both drug- andnon-drug-based treatment methods into a management plan. -Prescribeand review medication for therapeutic effectiveness, appropriate to patientneeds. -Supportpatients and Care Home staff to adopt health promotion strategies that promotehealthy lifestyles and apply principles of self-care. -Assess,identify and refer patients presenting with mental health needs in accordancewith the NSF for Mental Health. -Implementand participate in vaccination and immunisation programmes for both adults and children. Communication -Utilise and demonstrate sensitivecommunication styles, to ensure patients are fully informed and consent totreatment -Communicate with and supportpatients and their families who are receiving bad news -Communicate effectively withpatients and carers, recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground and preferred ways of communicating -Anticipate barriers to communicationand take action to improve communication -Maintain effective communicationwithin the PCN environment and with external stakeholders -Act as an advocate for patients andcolleagues -Ensure awareness of sources ofsupport and guidance and provide information in an acceptable format to allpatients, recognising any difficulties and referring where appropriate Deliveringa quality service -Recognise and work within owncompetence and professional code of conduct as regulated by the NMC -Produce accurate, contemporaneousand complete records of patient consultation, consistent with legislation,policies and procedures -Prioritise, organise and manage ownworkload in a manner that maintains and promotes quality -Deliver care according to NSF, NICEguidelines and evidence-based care -Assess effectiveness of caredelivery through self and peer review, benchmarking and formal evaluation -Initiate and participate in themaintenance of quality governance systems and processes across the organisationand its activities -In partnership with other clinicalteams, collaborate on improving the quality of health care responding to localand national policies and initiatives as appropriate -Evaluate patients response tohealth care provision and the effectiveness of care -Support and participate in sharedlearning across the practice and wider organisation -Understand and apply legal issuesthat support the identification of vulnerable and abused children and adults,and be aware of statutory child/vulnerable patients health procedures and localguidance -Working with PCN management toensure the whole team have skills and knowledge regarding domestic violence,vulnerable adults, substance abuse and addictive behaviour. Provide guidanceand support to ensure appropriate referral if required Leadership personal and people development -Take responsibility for own learningand performance including participating in clinical supervision and acting as apositive role model -Support staff development tomaximise potential -Enlist support and influencestakeholders and decision-makers to bring about new developments in theprovision of services -Contribute to the development oflocal guidelines, protocols and standards -Maintain active involvement in theplanning and processes of PCN commissioning or similar initiatives Teamworking -Work as an effective and responsibleteam member, supporting others and exploring the mechanisms to develop new waysof working -Delegate clearly and appropriately,adopting the principles of safe practice and assessment of competence -Create clear referral mechanisms tomeet patient need -Prioritise own workload and ensureeffective time-management strategies are embedded within the culture of theteam -Work effectively with others toclearly define values, direction and policies impacting upon care delivery -Work effectively with Care Hometeams to develop and maintain relationships and create clear lines ofcommunication. -Discuss, highlight and work with theteam to create opportunities to improve patient care -Manage and lead on the delivery ofspecifically identified services or projects as agreed with the PCN managementteam -Agree plans and outcomes by which tomeasure success Clinical Governance -Identify risk issuesthat impact on peoples health or social care needs. -Take appropriate actionto the significance of the risk and consistent with protection procedures,applying protection procedures, following lone worker procedure. -Demonstrate effectiveteam working inclusive of all relevant professionals. -Report all accidents /incidents, and all ill health, failings in equipment and / or environment toline managers. -Contribute towardsaudit and data collection as required. -Once assessed ascompetent will be accountable for their own practice within their area ofresponsibility when identified and agreed with the line manager. -Work with your linemanager to undertake continual personal and professional development, taking anactive part in reviewing and developing the roles and responsibilities. -Adhere toorganisational policies and procedures, including confidentiality,safeguarding, lone working, information governance, and health and safety. -Work with the ClinicalLead to access regular clinical supervision, to enable you to dealeffectively with the difficult issues that people present. Miscellaneous -Work as part of theteam to seek feedback, continually improve the service and contribute tobusiness planning. -Undertake any tasksconsistent with the level of the post and the scope of the role, ensuring thatwork is delivered in a timely and effective manner. -Duties may vary fromtime to time, without changing the general character of the post or the levelof responsibility. Confidentiality: -In the course of seeking treatment, patientsentrust us with, or allow us to gather, sensitive information in relation totheir health and other matters. They doso in confidence and have the right to expect that staff will respect theirprivacy and act appropriately -In the performance of the duties outlined inthis job description, the post-holder may have access to confidentialinformation relating to patients and their carer(s), practice staff and otherhealthcare workers. They may also haveaccess to information relating to the practice as a businessorganisation. All such information from any source is to be regarded asstrictly confidential -Information relating to patients, carers,colleagues, other healthcare workers or the business of the practice may onlybe divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data Health & safety: The post-holder must comply at all times with thePractices Health and Safety policies, in particular by following agreed safeworking procedures and reporting incidents using the organisations IncidentReporting System. Equality and diversity: The post-holder will support the equality, diversity andrights of patients, carers and colleagues, to include: -Acting in a way that recognises the importanceof peoples rights, interpreting them in a way that is consistent with practiceprocedures and policies, and current legislation -Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues -Behaving in a manner that is welcoming to andof the individual, is non-judgemental and respects their circumstances,feelings priorities and rights. Therole will be contracted under Symphony HealthCare services on behalf of YeovilPrimary Care Network Person Specification Experience Essential Significant post registration experience Compiling protocols and clinical guidelines Clinical Leadership Nurse prescribing Experience of prioritising own workload in a busy working environment Desirable Nurse-led triage and MDT working Working with community development initiatives Health-needs assessment Knowledge & Skills Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills, ideally PACR trained (Patent Assessment and Clinical Reasoning) / PADRAP trained (Psychophysiology and Diagnostic Reasoning for Advancing Practice) Accountability of own role and other roles in a nurse-led service Local and national health policy Clinical governance issues in primary care Clinical leadership skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management Desirable Understanding of Primary Care Networks and network Direct Enhanced Service Knowledge of public health issues Experience of working within Care Homes or with patients with complex needs Personal Qualities and Attributes/ Other Essential Must hold valid driving licence and own means of transport Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries Qualifications Essential Either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route. Desirable Mentor/teaching qualification Person Specification Experience Essential Significant post registration experience Compiling protocols and clinical guidelines Clinical Leadership Nurse prescribing Experience of prioritising own workload in a busy working environment Desirable Nurse-led triage and MDT working Working with community development initiatives Health-needs assessment Knowledge & Skills Essential Advanced clinical practice skills Management of patients with long-term conditions Management of patients with complex needs Clinical examination skills, ideally PACR trained (Patent Assessment and Clinical Reasoning) / PADRAP trained (Psychophysiology and Diagnostic Reasoning for Advancing Practice) Accountability of own role and other roles in a nurse-led service Local and national health policy Clinical governance issues in primary care Clinical leadership skills Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management Desirable Understanding of Primary Care Networks and network Direct Enhanced Service Knowledge of public health issues Experience of working within Care Homes or with patients with complex needs Personal Qualities and Attributes/ Other Essential Must hold valid driving licence and own means of transport Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries Qualifications Essential Either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route. Desirable Mentor/teaching qualification 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. UK Registration Applicants must have current UK professional registration. For further information please see Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see Employer details Employer name Yeovil Primary Care Network Address Abbey Manor Medical Practice The Forum Yeovil Somerset BA21 3TL Employer's website