Advanced Nurse Practitioner ARC Primary Care Network
Salary: Up to £52,500 WTE depending on experience
Working hours: 37.5 hours per week
Base: Marlow Community Hospital
33 days leave inclusive of bank holidays
Employee Assistance Programme 24/7 Support
Job Summary
An exciting opportunity has arisen for an Advanced Nurse Practitioner to join our developing multidisciplinary team at Arc Bucks Primary Care Network (PCN). Arc Bucks PCN is looking for an experienced practitioner to help deliver and develop services to patients in our care homes and provide care for minor illness, acute reactive care and proactive care to support the Arc Bucks PCN practices that form our PCN:
1. Marlow Medical Group
2. Highfield Surgery
3. Cherrymead Surgery
4. Millbarn Medical Centre
5. The Simpson Centre & Penn Surgery
6. The Bourne End & Wooburn Green Medical Centre
Main Duties of the Job
Our multi-disciplinary team is currently delivering Enhanced Health in Care Homes, key aspects of the PCN DES as well as working to meet the requirements and targets of the ICBs Care Homes Supplementary Network Service (SNS). Improvement in access to care is a priority for PCNs and this post will play a key role in increasing capacity providing care for minor illness, acute reactive care and proactive care in practice settings.
The post holder will be an experienced nurse practitioner who, acting within their professional boundaries, will provide care for the patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within general practice, in care homes and for the frail elderly living in the community.
About Us
FedBucks is a not-for-profit GP federation of 47 GP practices covering a population of over 500,000 patients across Buckinghamshire. We began in 2016 and now employ around 300 members of staff at our head office site, and across our planned and unplanned care services. As a GP Federation and Social Enterprise, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners in the provision of community-based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of planned and unplanned healthcare services in Buckinghamshire and believe in continuous commitment to quality service delivery and positive patient outcomes.
Patients are at the heart of everything we do, and we pride ourselves in our purpose when enabling excellent patient care and supporting general practice.
Job Responsibilities
Primary Duties and Areas of Responsibility:
1. Deliver a high standard of patient care in Care Homes, General Practice and the community, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.
2. Manage a clinical caseload dealing with patients' needs.
3. Provide advanced care and case management to patients with multiple complex long-term conditions and frailty.
4. Undertake medical and social care assessment to initiate interventions to improve quality of life in the Nursing, Care Home and housebound setting.
5. Reduce fragmentation of care.
6. Provide a first point of contact within the PCN for Care Home contacts, working closely with our care coordinators.
7. Provide acute and reactive care as part of a multidisciplinary team in Care Homes or as a Domiciliary visit.
8. Work with the PCN team to provide a unified approach across the team to care home, housebound and complex patients.
9. Make professionally autonomous decisions for which he/she is accountable.
10. Consider aspects of care including hydration and nutrition support, oral health, mobility, strength and balance, falls prevention, relationship with other services including OOH and secondary care, continence, skin care and mental health including dementia care.
11. Provide clinical support with PCN wide vaccination programmes.
12. Undertake home visits in accordance with the relevant protocols.
13. Support the delivery of anticipatory care and end of life care plans.
14. Assessments will be based on the Comprehensive Geriatric Assessment model to identify health and social care needs proactively.
15. Use advanced communication skills to facilitate future/advance care planning and treatment escalation plans.
16. Demonstrate and utilise advanced problem solving and clinical decision-making skills to respond appropriately to acute health needs.
17. Provide ongoing care to be delivered as appropriate, referring, signposting and guiding individuals and families to additional/alternative support services.
18. Proactively support individuals thought to be vulnerable or at risk of hospital admission or deterioration in health and well-being.
19. Be an independent advanced practitioner with a critical awareness of knowledge issues in the field and be actively involved with initiation of service policies, protocols and guidelines.
20. Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
21. Identify and address the educational needs of patients, families and care home staff.
22. Take an active part in achievement of contractual markers including input into COPD, Asthma, Diabetic and Dementia annual reviews.
23. Perform investigatory procedures as needed by patients and those requested by GPs and the wider PCN.
24. Undertake clinical audits.
25. Help develop and set up new patient services and participate in initiatives.
26. Contribute to the development of appropriate record keeping and ensure contemporaneous and comprehensive clinical documentation.
27. Recognise and develop opportunities to expand the service and scope of practice related to changes within the healthcare environment.
28. Collaborate with acute care trusts to support the development of appropriate transfer of relevant patient care information at admission and discharge.
29. Demonstrate practice is shaped by professional accountability and responsibility and adheres to all regulations and guidelines within the NMC.
Person Specification
Experience
* Experience of working within a multi-disciplinary team.
* Experience of working in primary and community care.
Qualifications
* Full registration with NMC.
* Masters degree level in the relevant area of expertise.
* Masters degree in Advanced Clinical Practice or equivalent experience.
* Completed Centre for Advancing Practice accredited advanced practice programme or the Centre's ePortfolio.
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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