Job summary
This is a new exciting opportunity for the right individual to help establish a brand-new service and lead on the provision of the Enhanced Health in Care Home aspect of the National DES PCN Contract for DGFT. The hope is this service will reach across large proportions of the Care Home Sector within Dudley giving a first-class provision of health to those residents who fall under the scope of this new service.
The vision for this service is that it will be regionally leading and improve the health care offering to the care home population enabling a more proactive health care vision with prevention and admission avoidance at the heart of the delivery model.
The Advanced Nurse/Paramedics Practitioner (ANP) will lead on the provision for the "Enhanced Health in Care Home DES" leading a small team of health care professionals to provide this provision across approx. 40 care homes within the Dudley Borough. The right candidate will be expected to be familiar with Section of the DES found on pages 45-47 of the 2019/20 Directly Enhanced Service document which is focused on the Enhanced Health in Care Homes provision.
The right candidate will act autonomously within their professional scope of their clinical remit, providing care for patients either by face- to-face assessment, telephone consultation or care home visits via the expectation of weekly ward rounds.
Main duties of the job
Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being.
Undertake duties associated with the Enhanced Health in Care Home (EHCH) National DES Requirements.
Be confident independently prescribing and reviewing medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evident practice, national and practice protocols.
Assess, plan, implement and evaluate individual treatment plans for patients with known long-term conditions.
Proactively Manage End Of Life (EOL) Care Planning working alongside other agencies, Hospices and organisations to identify and implement the correct documentation such as Respect especially for those residents who are approaching the last 12 months of life expectancy.
Proactively identify, diagnose and manage treatment plans for patents at risk of developing long term conditions as appropriate.
Work with patients in order to support adherence to prescribed treatments.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations including initiation of effective emergency care.
Support patients to adopt health promotion strategies that promote patients to live healthy, and apply principles of self-care.
About us
Here at the Dudley Group our patients and staff are at the heart of all that we do to offer a high-quality patient experience in a caring and supportive environment that aligns with our vision of providing excellent health care, improved health for all.
Job description
Job responsibilities
The post holder will operate within their own sphere of competence and agreed acceptance limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The Advanced Practitioner will need to prioritise and triage the needs of the patients, accordingly, making any necessary referrals for investigations in the appropriate manner.
The post holder will use skills, knowledge and competencies as a qualified Advanced Practitioner in order to be responsible and accountable for managing patient case loads for treatments, referral admission and discharging patients as appropriate.
The post holder will lead the EHCH Team providing ward rounds, treatments, and assessments within care and residential homes with the overall aim of reducing unnecessary Hospital admissions and conveyances. This will include proactive LTC management through meetings the needs of residents via excellent service delivery, building strong community relationships and partnership working.
The right candidate will have an understanding of Palliative and end of life care and how it affects us all, at all ages.
With a growing local older population, more people are expected to enter care and die at an older age and the expectancy as part of the EHCH DES services that we are able to plan and consider peoples wishes and preferences for their end-of-life care and treatment.
This will be an essential part of the services delivery for those patients deemed to be entering the final 12 months of life expectancy and this focus will compliment the 6 NHSE ambitions to improve EOL palliative Care Treatments across the health care sector meeting the challenges that lie ahead.
Person Specification
Qualifications & Education
Essential
1. Registered General Nurse NMC or Registered Paramedic HCPC
2. Advanced Clinical Practitioner Qualification
3. Prescribing Qualification
4. Health Assessment Qualification
Desirable
5. Management & Leadership Qualification
6. Research & Education Qualification
7. MSC In Advanced Clinical Practice, working towards or RCN credential
Knowledge and Training
Essential
8. Ability to work within own scope and independently
9. Ability to record accurate clinical notes
10. Clinical Governance Quality and Outcomes Framework Knowledge
11. Clinical Examination skills
Desirable
12. Management of Long-Term Conditions/Complex needs
13. Nurse Leadership skills to manage nursing team
14. Competent, or working towards completion, of competencies identified in the RCGP - Core capabilities framework for Advanced Clinical Practice working in general practice.
Personal Qualities
Essential
15. Confident & Motivated
16. Ability to work under pressure
17. Driving License