PCN Advanced Care Nurse Practitioner - Care of Older, Frail Adults
We are looking for an advanced care nurse practitioner to work autonomously in practice and in the community, developing and leading the Primary Care Network's frailty team.
You will deliver an advanced level of practice within this specialist field, acting as a role model within the PCN to enhance the quality of patient care for older adults across the frailty pathway.
We already have an excellent occupational therapist in the PCN working within our care homes and reviewing older, frail patients in the community and wish to expand the clinical team. We also have a very strong social prescribing team who support complex patients with their non-health needs, and we are developing our care coordinators to support both the frailty and social prescribing teams.
You will be an integral part of both our PCN and the wider multidisciplinary teams operating across primary care. You will be working between Axminster Medical Practice and Seaton and Colyton Medical Practice, including the branch surgery in Colyton.
Candidates who are qualified as advanced care practitioners but are not yet qualified as an independent prescriber must be prepared to work towards a non-medical prescribing qualification.
Main Duties of the Job
Our PCN Advanced Care Nurse Practitioner has the following key responsibilities in delivering health services to our older frail adults:
1. Practice both independently within scope of practice and in partnership with the multidisciplinary team (MDT) under the clinical supervision of a General Practitioner or a community consultant where applicable, ensuring interventions and treatments are undertaken in line with best practice.
2. Work as part of the practice and wider multidisciplinary teams to support the delivery of a frailty service, reviewing complex patients and sharing expertise to improve patient care.
3. Be an independent prescriber, using prescribing and deprescribing skills to optimise the use of medicines to improve patient outcomes.
4. Undertake home visits for the practice or PCN.
5. Perform at an advanced level under the core capabilities across the four pillars of Advanced Practice (Health Education England Multi-Professional Framework 2017):
1. Clinical Practice
2. Leadership and Management
3. Education
4. Research
About Us
TASC PCN formed in June 2019 with three like-minded practices wanting to provide joined up services for our local community. We have a diverse range of clinicians working with us to support us in our patients' care.
The PCN provides services to 28,000 patients across the Seaton and Axminster area in East Devon including the following practices: Townsend House Medical Practice, Seaton and Colyton Medical Practice, Axminster Medical Practice.
We use SystmOne clinical system and consult with our patients using a range of methods from face to face, video, telephone and electronic consultations.
We are an approved learning organisation, actively participate in research projects and we are currently in the final phase of incorporating to enable us to develop further as an organisation.
Person Specification
Experience
* Experience of practice within the four pillars with portfolio/evidence or role that demonstrates ability to work as an advanced clinical practitioner.
* Clinical experience and knowledge that is relevant to the care of older, frail adults.
* Ability to effectively assess, plan, treat and refer patients appropriately and evaluate patient care confidently.
* In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare.
* An appreciation of the nature of general practice.
* An appreciation of the NHS landscape including the relationships between individual practices, PCNs and the commissioners.
* Experience of prescribing, medication reviews and optimising treatments.
Qualifications
* Holds a MSc advanced practice programme qualification accredited by the Centre for Advancing Practice or has completed the Centre's ePortfolio (supported) Route.
* Holds an Advanced digital badge.
* Is registered with the Nursing and Midwifery Council.
* Is able to practice as an advanced practitioner in the speciality of elderly care and frailty.
* If not a qualified non-medical prescriber, must be prepared to obtain the non-medical prescribing qualification.
* Is an independent non-medical prescriber.
* Teaching qualification.
* Is an ALS/APLS provider.
Wider Responsibilities
* Evidence of working autonomously or as part of a team.
* Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced services.
* Knowledge of national standards that inform general practice (e.g. NICE guidelines).
* Enhanced Disclosure Barring Service (DBS) check.
* Occupational Health Clearance.
* Evidence of continuing professional development commensurate with the role of an Advanced Care Practitioner.
* Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home.
* Ability to use own initiative, discretion and sensitivity.
* High level of integrity and loyalty.
* Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
* Ability to identify risk and assess/manage risk when working with individuals.
* Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
* Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored and equipment is kept in good working order.
Skills
* Ability to follow clinical, legal, ethical, professional and organisational policies/procedures and codes of conduct.
* Able to work within the parameters within skills and knowledge, to recognise the limitations of practice and to work within the boundaries of training and capability to make clear decisions with confidence.
* Advanced communication skills to impart complex, highly sensitive, and potentially distressing information effectively with people at all levels by telephone, email and face to face.
* Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of patients, managers and clinicians.
* Problem solver with the ability to process information accurately and effectively, interpreting data as required.
* Ability to record accurate clinical notes.
* Knowledge of IT systems including the ability to use word processing skills, emails and the internet to create simple plans and reports.
* Effective time management (planning and organising).
* Demonstrate personal accountability, emotional resilience and work well under pressure.
* Clear, polite telephone manner.
* Good clinical system IT knowledge of EMIS/SystmOne/Vision.
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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