Work autonomously as a Community Frailty Specialist, across traditional boundaries, within the Frailty Team and with Primary Care Networks providing a high level of expertise to ensure patient-centred clinical care. They will act as a highly specialised role model for advanced practice, working closely with the multidisciplinary team and other key stakeholders.
Exercise clinical expertise, levels of judgement, discretion and decision making whilst undertaking the skills of assessment and examination to provide a diagnosis, formulate management plans both reactive and proactive within an agreed scope of practice.
Evaluate investigations and revise treatment plans according to patient need and assess impact and outcome.
Undertake advanced clinical assessment and examination, including but not limited to:
* Clinical data interpretation, investigation and treatment.
* Ability to develop advanced comprehensive care planning and reviewing and assessment of interventions.
* Diagnosis and disease management and delivery of expert clinical interventions and treatments.
* Non-medical prescribing.
* Assess and treat varied clinical cases, having advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis.
* Work collaboratively within the multi-professional team and support the education and development of both nursing, medical and allied-health professionals.
* Lead MDT focusing on ageing well and frailty.
* Clinical skills.
Main duties of the job
The Community Frailty Specialist will work collaboratively with their respective Primary Care Network in Sunderland and the wider Neighbourhood Team to meet the needs of patients.
Advanced communication, problem-solving and decision-making skills will be used to initially assess and provide ongoing patient care. Working within local and nationally agreed protocols and guidelines, the Specialist exercises independent judgement to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of community patients.
The post holder will be part of a team that leads non-medical models of care across primary and community-based settings, including care homes and within community teams, in collaboration with multi-professional and multi-organisational colleagues. They will also play a crucial role in stepping up, stepping down and proactive care through timely assessment, referral, responsive intervention and care planning.
There will be dedicated time for continuous professional development.
About us
Sunderland GP Alliance has been recognised in the annual Sunday Times Best Places to Work 2024.
33 days annual leave
Peer support and team network
Candidates must also hold a driving licence and have access to a car, insured for business use.
Successful candidates will be employed by Sunderland GP Alliance, on behalf of the PCNs. SGPA is a not-for-profit organisation owned by the city's GPs, representing over 250,000 patients across Sunderland.
Job responsibilities
For full job description, please see attached Job Description and Person Specification.
MAIN DUTIES AND RESPONSIBILITIES:
Communications and Relationships
Key Relationships
Analytical and Judgemental
Planning and Organisation
Physical Skills
Policy and Service Development
Financial and Physical Resources
Human Resources
Information Resources
Research and Development
Freedom to Act
Effort and Environment
* Physical
* Mental
* Emotional
Confidentiality
Health & Safety
Equality and Diversity
Quality
Communication
The employer is Sunderland GP Alliance and the post-holder is expected to comply with the Alliance's employment policies and procedures.
Person Specification
Experience
* Previous knowledge and experience of working within specialty.
* Ability to manage own patient caseload.
* Established teaching skills.
* Knowledge of quality improvement and research methodology.
* Extensive experience in caring for patients across a wide variety of clinical settings.
* Experience of innovation and change management.
* Understanding of health promotion and counselling.
* Experience in applying research findings to practice.
* Experience of providing clinical supervision in practice.
Other
* Committed to further personal and professional development.
* Able to understand the requirement to manage resources effectively.
* Ability to travel and move frequently between sites and across Sunderland as required.
* The post holder must demonstrate a positive commitment to uphold diversity and equality policies.
* Ability to work in shared space with often noisy and frequent interruptions.
Qualifications
* Professionally Registered Nurse/Paramedic.
* Current registration with NMC/HCPC.
* Clinical skills.
* MSc in appropriate clinical field (or working towards it) or relevant modules that meet the 4 pillars of advanced practice.
* Advanced Clinical Practice qualification (or working towards it).
* Independent/Supplementary Prescribing (V300).
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.
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