We have developed a fully interoperable/integrated PCN Hub - this is a truly transformational project which has been fully supported by NHSE/NHSI and Kent and Medway ICB. We are looking for an experienced registered nurse to be at the forefront of clinical delivery. This post is available due to the current post-holder leaving. You will be joining a supported and motivated team of ANP's, Nurses, Paramedics and Care Co-ordinators who provide clinical triage for PCN e-consult, plus deliver minor illness appointments and provide visiting services to our Care Home Residents. Our Minor Illness clinics are held across several of our member practices.
The PCN have utilised considerable resource and expertise to ensure all digital systems are in place to support clinicians and administrative staff to work seamlessly across our member practices.
We are one of the few PCN's across the country that have our own dedicated offices, where the whole team can work together in a friendly office environment.
We are a PCN known to have an innovative and transformational approach to care for our residents. This is a really exciting time for our PCN - come and work for us and be at the forefront of innovative practice.
Main duties of the job
Our Practitioners provide high level clinical triage within our centralised e-hub, which may result in onward referral or discussion with other services.
The post holder will also be part of our centralised minor illness hub service, which may be via telephone consultation or face to face clinics that are held each day - the venue for the clinics are rotated around our member practices. Supervision and support is provided by our G.P. members, plus carry out care home rounds and urgent response for unwell care home residents (this is on a rota basis).
The PCN Hub is still evolving and developing, and our clinicians are at the forefront of new initiatives and ideas and are currently developing a proposal for centralised women's health services for our patient population.
About us
Our PCN has a patient population of just under 50,000 across 7 practices. The PCN team is now around 40 staff delivering 12 centralised services. We have our own office base providing an excellent working environment for staff, located very close to our Lead Practice. We have a very motivated workforce always striving to provide excellent care for our patient population. All staff are valued and have the opportunity to share ideas for future developments. Our Clinical Director often works from the PCN offices and has an open door policy. We have just incorporated our new Limited Company and will be submitting our CQC application soon.
All staff are encouraged to develop, with study time supported, plus we have a robust PLT programme to support all staff. We are currently developing Clinical Supervision Groups across the whole PCN.
Job responsibilities
The post holder is an experienced Registered Nurse with a level seven or above postgraduate certification or diploma in one or more specialist areas of care and has the independent/supplementary prescribing (V300) qualification. They will be able to evidence the completion of modules or learning at that level. The Practitioner, acting within their professional boundaries, will provide care for the presenting 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. Experience of online consultation and minor illness is essential for this role. They will work collaboratively with the multi-disciplinary team across all member PCN practices, to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level, NMC requirements for advanced practice must be met.
To deliver a high standard of patient care within the PCN Hub, through triage of e-consultation(s), telephone consultations and face-to-face appointments.
Utilisation of advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base.
To deliver a minor illness service for patients registered across any of the 7 member practices. This may be via telephone consultation or face-to-face appointments.
To provide exemplary clinical care and assessment of care home residents.
The following are the core responsibilities of the clinician:
1. Develop, implement and embed health promotion and well-being programmes.
2. Provide a triage service, actively managing or referring patients or treating patients within own scope of practice.
3. Prescribe in a safe and effective manner, in accordance with PGD and extant legislation.
4. Support the clinical team in the development of individual treatment plans for chronic disease patients.
5. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patient's health.
6. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF.
7. Request pathology services as necessary, processing and interpreting results as required.
8. Refer patients directly to other services as appropriate.
9. Maintain accurate clinical records in conjunction with extant legislation.
10. Ensure read codes are used effectively.
11. Chaperone patients where necessary.
12. Prioritise health issues and intervene appropriately.
13. Support the team in dealing with clinical emergencies.
14. Recognise, assess and refer patients presenting with mental health needs.
15. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways.
16. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
17. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
18. Support the clinical team with all safeguarding matters, in accordance with local and national policies.
19. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
20. Deliver opportunistic health promotion where appropriate.
Secondary Responsibilities
In addition to the primary responsibilities, the post holder may be requested to:
1. Act as the audit lead, effectively utilising the audit cycle.
2. Monitor and ensure the safe storage, rotation and disposal of medications.
3. Contribute to the implementation of an effective training programme for staff and students within the practice.
4. Participate in local initiatives to enhance service delivery and patient care.
5. Support and participate in shared learning within the practice.
6. Continually review clinical practices, responding to national policies and initiatives where appropriate.
7. Be aware of and contribute to the planning and implementation of ICB patient pathway initiatives.
8. Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA).
9. Maintain professional registration and adhere to revalidation requirements.
Person Specification
Qualifications
* Registered with appropriate professional body.
* Postgraduate certificate learning at Level 7 or diploma in one or more specialist areas of care.
* Independent/Supplementary Prescribing Qualification (V300).
* Experience of working with Care Home residents.
* Experience of Minor Illness assessment.
Experience
* Experience of minor illness management.
* Experience of online consultation/triage.
* Experience of autonomous working.
* Experience of working as a practice nurse or community nurse.
Skills/Abilities
* Excellent communication skills (written and oral).
* Clear, polite telephone manner.
* Competent in the use of Office and Outlook.
* Effective time management (Planning & Organising).
* Ability to work as a team member and autonomously.
* Good interpersonal skills.
* Problem solving & analytical skills.
* Ability to follow clinical policy and procedure.
* Experience with audit and able to lead audit programmes.
* Experience with clinical risk management.
Clinical Knowledge and Skills
* Venepuncture.
* Chaperone Procedure.
* Requesting pathology tests and processing the results, advising patients accordingly.
* Asthma.
* CHD.
* Immunisations/Vaccinations (i.e. covid and flu).
* Understands the importance of evidence-based practice.
* Broad knowledge of clinical governance.
* Ability to record accurate clinical notes.
* Ability to work within own scope of practice and understanding when to refer to GPs.
* Wound Care / Removal of sutures and staples.
* Knowledge of public health issues in the local area.
* Aware of issues within the wider health arena.
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.
Depending on experience, equivalent to Band 7 A4C, - dependent on qualifications.
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