Job summary
JobPurpose
This job descriptionis generic and there will be variation to the position dependent upon thelocality where the job is. All of the locality roles include care planning;attending MDT meetings; reviewing of medication; reviewing of patientsfollowing a hospital discharge; assisting with avoiding unplanned admissions;working closely with GPs; recording information on the EMIS clinical system;being a patients first point of care as their named care coordinator. However,there will be variants across the locality which will be made clear prior toappointment.
Care Home Practitionerroles will also be considered as a merged role with the care coordinator rolein various localities based upon the applicants previous experience and skillset. These localities and merged roles will be made clear prior to appointment.
The successful candidate will work under theclinical supervision of the Frailty Team ACPs and GPs, visiting patients in residentialand nursing homes, as well as patients in the community to assess a variety ofhealth conditions.
You will be working within the PCN in a general practice environment based at Maple View Medical Practice. The core hours will be Monday - Friday 0800 - 1600 hours, which aids a good work life balance. On occasion you may be required to work additional hours to suit the needs of the team.
Main duties of the job
Behave consistentlywith the values and beliefs of the organisation and promote these on aday-to-day basis.
Act as a role model tocolleagues, always seeking to maintain the highest standards ofprofessionalism.
Use their initiativeand take responsibility for themselves and the quality of their work and theservice they provide to patients.
Act as a source ofnursing expertise, knowledge and skills in accordance with the NMC scope ofpractice.
Undertake clinicalassessment of patients in their own homes, or registered Care Homes who havecomplex and or chronic disease presentations. This includes screening patientsfor disease risk factors and early signs of illness, making a differential diagnosisand prescribing treatments as an independent non-medical prescriber.
Assess those that arehigh risk of admission into an acute hospital setting with a view to reduceunplanned admissions and A&E attendances.
Be professionallyaccountable for the assessment, planning, implementation and evaluation of carewhich is evidence based.
Maintain records as anautonomous practitioner liaising closely with the frailty team ANPs andpatients medical practitioner.
Work collaborativelyand cooperatively with clinical colleagues to develop integrated care servicesand quality of care delivered.
About us
Kingfisher Primary Care Network (PCN) is a collaborationbetween 5 GP partnerships (across 6 sites) in Redditch Town with a sharedpopulation of 58,955. Kingfisher has anoverarching ambition to innovate general practice and build a sustainable modelfor general practice for the future. KingfisherPCN practices have a mature relationship and a proven track record ofeffectively working together.
One of the successes of Kingfisher PCN has been the introductionof the Frailty Team. Led by Frailty TeamACPs and working alongside GPs for clinical supervision and support. The multi-professionalteam has the ability to effectively manage patients diverse needs within theirplace of residence. The initial focusfor the Frailty Team is to fulfil the requirements of the National PCN EnhancedHealth in Care Homes Service Specification. This has now expanded and ourexciting new development within the team is offering holistic home assessmentsto frail people within their own homes.
Job description
Job responsibilities
Job title Senior Clinical Practitioner
Salary Band 7
Hours Monday Fridayup to 37 hours/week for individual negotiation
Accountability Operationallyaccountable to ACPs and GPs within the Kingfisher PCN Frailty Team
Applicants to contact Frailty LeadHelen Abdullah in the first instance
Kingfisher PCN
Kingfisher Primary Care Network (PCN) is a collaboration between 5GP partnerships (across 6 sites) in Redditch Town with a shared population of58,955. Kingfisher has an overarching ambitionto innovate general practice and build a sustainable model for general practicefor the future. Kingfisher PCN practiceshave a mature relationship and a proven track record of effectively workingtogether.
One of the successes of Kingfisher PCN has been the introductionof the Frailty Team. Led by Frailty TeamACPs and working alongside GPs for clinical supervision and support. The multi-professionalteam has the ability to effectively manage patients diverse needs within theirplace of residence. The initial focusfor the Frailty Team is to fulfil the requirements of the National PCN EnhancedHealth in Care Homes Service Specification. This has now expanded and ourexciting new development within the team is offering holistic home assessmentsto frail people within their own homes.
JobPurpose
This job descriptionis generic and there will be variation to the position dependent upon thelocality where the job is. All of the locality roles include care planning;attending MDT meetings; reviewing of medication; reviewing of patientsfollowing a hospital discharge; assisting with avoiding unplanned admissions;working closely with GPs; recording information on the EMIS clinical system;being a patients first point of care as their named care coordinator. However,there will be variants across the locality which will be made clear prior toappointment.
Care Home Practitionerroles will also be considered as a merged role with the care coordinator rolein various localities based upon the applicants previous experience and skillset. These localities and merged roles will be made clear prior to appointment.
The successful candidate will work underthe clinical supervision of the Frailty Team ACPs and GPs, visiting patients inresidential and nursing homes, as well as patients in the community to assess avariety of health conditions.
You will be working within the PCN ina general practice environment based at Maple View Medical Practice. The corehours will be Monday Friday 0800 1600 hours, which aids a good work lifebalance. On occasion you may be required to work additional hours to suit theneeds of the team.
Main duties of the job
Behave consistentlywith the values and beliefs of the organisation and promote these on aday-to-day basis.
Act as a role model tocolleagues, always seeking to maintain the highest standards ofprofessionalism.
Use their initiativeand take responsibility for themselves and the quality of their work and theservice they provide to patients.
Act as a source ofnursing expertise, knowledge and skills in accordance with the NMC scope ofpractice.
Undertake clinicalassessment of patients in their own homes, or registered Care Homes who havecomplex and or chronic disease presentations. This includes screening patientsfor disease risk factors and early signs of illness, making a differential diagnosisand prescribing treatments as an independent non-medical prescriber.
Assess those that arehigh risk of admission into an acute hospital setting with a view to reduceunplanned admissions and A&E attendances.
Be professionallyaccountable for the assessment, planning, implementation and evaluation of carewhich is evidence based.
Maintain records as anautonomous practitioner liaising closely with the frailty team ANPs andpatients medical practitioner.
Work collaborativelyand cooperatively with clinical colleagues to develop integrated care servicesand quality of care delivered.
Job responsibilities
Clinical
Participate in the clinical assessment ofpatients referred with complex, urgent or chronic health care needs. Thisinvolves using critical judgement and health assessment skills in providing themost appropriate care pathway.
Following clinical assessment and diagnosis, supportcare management plans with pharmacological and non-pharmacological treatmentmethods.
In collaboration with the frailty ANPsprioritise health care needsand refer for diagnostic investigations.
Develop, implement and evaluate individualplans of care with patients and their carers/relatives according to theircurrent and changing health care needs.
Participate in MDT discussion to facilitatehigh quality, safe, effective care.
Independently prescribe and review medicationsfor therapeutic effectiveness, appropriate to patient need and in accordancewith evidence-based practice and national and local policy and protocols.
Work within appropriate legislation, policies and best practiceevidence relevant to clinical area.
Initiate and reviewReSPECT documents as required with patients and whereappropriate their carers/relatives.
Demonstratecritical thinking and analytical skillsincorporating critical reflection.
Administrative
Collect, collate,evaluate and report patient information, maintaining accurate andcontemporaneous records.
Input data daily onEMIS patient administration systems.
Managerial
Monitor health, safetyand security of self and others in the community.
Participate in rootcause analysis for clinical/quality issues.
Participate inidentifying innovation that culminates in service improvement.
Demonstrate the use ofnegotiation and influencing skills.
Demonstrate theability to use skills aligned to digital advances in healthcare delivery
Person Specification
Other Essential
Essential
1. Other Essential
2. Able to meet the travel requirements of the role
3. Ability to influence and negotiate
4. Ability to work flexibly