Job Description
Job summary The post holder will be an Advanced Practitioner, or a PrescribingNurse or Paramedic, who will work clinically providing and developing the HomeVisiting Service, whilst also providing clinical support to the PCN FrailtyTeam. The post holder will work closelywith the PCN Leadership Team and wider Health and Care Partners.The Home Visiting Service supports patients registered withinCarlisle PCN which covers approx. 38,000 patients registered with three generalpractices as below:1. Eden MedicalGroup2. CarlisleCentral Practice3. Warwick SquareGroup Practice The Home Visiting Service provides a combination of acute on theday, urgent and routine visits. Inaddition, it is expected that the post holder will support our Frailty Team whoprovide a combination of visits covering acute, clinical review, chronicdisease management, proactive caseload management and care planning, to ourFrailty population. This includes weeklycare home ward rounds to our PCN aligned care homes; nursing and residential.The PCN Team also works with our health and care partnersincluding the NCIC trust, Adult Social Care and voluntary sector organisations. The PCN team consists of ACPs, Nurses, Frailty CareCo-ordinators, Social Prescribers, Pharmacy Technicians and Long-termConditions Co-ordinators. Seniorclinical advice will be provided by the Lead ACP and all 3 practices have Main duties of the job The post holder will provide an innovative, integratedservice to patients living within the Carlisle PCN boundary, who have beenidentified as requiring further support. The post holder will work closely with thePCN Frailty Team and GP Practices to provide patient centred care, primarilyproviding a Home Visiting Service. Therole will involve triaging and assessing patients withundifferentiated and undiagnosed problems, initiating treatment(including prescribing) and investigations, providing advice and management,and liaising where appropriate with other health and care professionals. The post holder will provide appropriatepatient care within their scope of practice and in accordance with practice protocolsand policies. The post holder will actively engage patientsand carers in the management of their health, promoting health and wellbeing.The post holder will be responsible forrecognising, negotiating and implementing change processes to enhance thedelivery of care to the Carlisle PCN population.The post holder will contribute todevelopment and delivery of a high quality innovative service to patientswithin the community through the implementation of evidence based clinicalpractice, supported by continual professional development, as part of the widermulti-disciplinary team. About us Carlisle Primary Care Network (PCN) consists of 3 Practice; EdenMedical Group, Warwick Square Group and Carlisle Central. The Network and Practices are focussed onshaping our services to best meet our patients needs, and work collaborativelyto ensure we improve services and build for the future.We are focussed on providing new and innovative solutions toaddressing the healthcare requirements of our patients, now and in the future. We are passionate in providing our multi-disciplinary teams withsupport and positive working environments, and strive to ensure we workcollaboratively to provide this. Job description Job responsibilities Professional Role To promote evidence-based practice through the use of the latestresearch-based guidelines and the development of practice-based research. To maintain their professional registration and keep up to datewith mandatory training. To record accurate consultation data in patients records inaccordance with the latest regulatory guidance an other pertinent standards. Pro-actively promote the role of the ACP, including externally tokey stakeholders and agencies.Clinical Role To undertake visits to patients as requested by the practices. To assess patients within their role and make professionallyautonomous decisions. Provide a first point of contact alongside the Frailty team forNursing and Residential Care Homes. Provide regular ward rounds and telephone calls/visits to CareHomes and anticipatory care visits to Housebound as per the post-holders caseload. Instigate necessary diagnostic tests or investigations whereappropriate and interpret findings/reports and act upon them appropriately. Reviewing patients where needed and makinglong term care plans. As an independent prescriber: to prescribe safe, effective and appropriatemedication as defined by current legislative framework. To work with the medicines management team to provide and/orensure polypharmacy medication reviews and de-prescribe where appropriate. To provide safe, evidence-based, cost-effective, individualisedpatient care. To provide advanced care and respect planning and End of life carewhere appropriate. To promote health and well-being through the use of diseaseprevention and screening, health promotion and health education as part of anMDT. To refer patients directly to other services/agencies asappropriate. To work with the MDT to ensure practice and PCN contractualrequirements are delivered and met for patients within caseload and in supportof our wider population. To work with the MDT to ensure our care is compliant, safe, ofhigh quality and follows regulatory guidelines at practice and PCN level. To participate in identification of community health needs aroundour population health data and the identification if health inequalities anddevelop patient, family and/or community centred strategies to address them aspart of our MDT. To help develop and set up new patient services and participate ininitiatives to improve existing patient services at PCN and locality level.Training & Educational Currently enhancing professional development and to maintain apersonal development plan. Continually keeps up to date with current evidence based practice Is involved in lifelong learning Participates in in-house training provided and completion of allmandatory training at clinical and practice levels. Keep up to date with pertinent health- related policy and workwith the practice team to consider the impact and strategies forimplementation. Training requirements will be monitored by yearly appraisal andwill be in accordance with practice requirements. Personal development will beencouraged and supported by the PCN. It is individuals responsibility toremain up to date with recent developments. Maintain continued education by attendance at courses and studydays as deemed useful or necessary for professional development ensuring PREPrequirements are met. If it is necessary to expand the role to include additionalresponsibilities, full training will be given.INDIVIDUAL RESPONSIBILITIESThe post holder is expected to:Adhere to Practice policies and procedures and relevantlegislation including the requirements of any professional bodiesAttend mandatory training as identified by the PCNCONFIDENTIALITYThe post holder must maintain the confidentiality of informationabout patients, staff and Practice business in accordance with the GeneralData Protection Regulation, Caldicott principles and Practice InformationGovernance policies and procedures.HEALTH & SAFETY The post-holder will assist in promoting and maintaining their ownand others health, safety and security as defined in the organisations Health& Safety Policy and the organisations Infection Control policy and publishedprocedures. This will include: Using personal security systems within the workplace according toorganisations guidelines Identifying the risks involved in work activities and undertakingsuch activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining workareas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infectionhazards immediately when recognised Keeping own work areas and general / patient areas generallyclean, assisting in the maintenance of general standards of cleanlinessconsistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potentialrisks identifiedRISK MANAGEMENTEnsure that you implement systems and procedures at local level tofulfil the requirements of the Practice risk management strategy includinglocal management and resolution of compliance and concerns, management ofuntoward incidents/near misses, and compliance with the risk profilingprogramme.EQUAL OPPORTUNITIES The Practice has adopted an equal opportunities policy and allemployees must be aware of their obligations to abide by the spirit and natureof the policy to avoid direct and indirect discrimination.REHABILITATION OF OFFENDERS ACT 1994 Because of the natureof the work, this post is exempt from the provisions of Section 4(2) of theRehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled towithhold information about convictions which for other purposes are spentunder the provisions of the Act and in the event of employment any failure todisclose such convictions could result in disciplinary action or dismissal bythe Practice. Any information given willbe completely confidential and will be considered only in relation to anapplicant of a position to which the order appliesIMPROVING WORKING LIVESYou will be expected to give a commitment to apply the principles ofimproving working lives, and participate in any events and initiatives as andwhen appropriate.CORPORATE GOVERNANCE ARRANGEMENTSYou will be expected to familiarise yourself with the Practicegovernance strategy which outlines the management and committee structures andprocedures for the governance of the Practice activities. Person Specification Qualifications Essential Current professional registration. Independent Non-Medical Prescriber V300. Evidence of recent Continual Professional Development Desirable Education or courses relating to older people, frailty and chronic disease management. Experience Essential Previous experience working at clinical practitioner level. Evidence of good practice. Leadership skills. Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ACP role. Evidence of working autonomously and as part of a team. Proven ability to evaluate the safety and effectiveness of their own clinical practice. Desirable Previous experience of developing and delivering a new service. Experience in training different professionals within the MDT. Experience in Primary and Secondary Care. Experience in management of long term conditions older people, frailty, asthma, COPD, diabetes, CHD or mental health including dementia. Skills, Knowledge and Aptitudes Essential Excellent interpersonal, verbal and written communication skills. Reflective practitioner. Ability to assess and manage patient risk effectively and safely. Time Management and ability to prioritise workload. Able to establish effective communication pathways with internal and external stakeholders. Demonstrate clinical Knowledge in acute and chronic disease management. Demonstrate clinical competence in minor illness management. Able to demonstrate excellent communication and consultation skills. Able to work independently and effectively within a team. Flexible and motivated. Excellent computer skills. Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, Quality & Outcomes Framework. Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care. Understanding of evidence based practice. Knowledge of national standards that inform practice ( National Service Frameworks, NICE guidelines etc.) Understanding of their accountability arising from their Code of Professional Conduct and medico-legal aspects of the Advanced Clinical Practitioner role. Understanding of equal opportunity and diversity issues. Desirable Ability to adapt to change within working situations. Innovative practice to deliver patient centred care. Other requirements Essential Current driving licence and access to own vehicle. Highly motivated and proactive. Flexibility of working hours/ability to work at desired times which may include working late on an evening dependent upon operational need. Professional Interests Essential Awareness of current professional nursing issues. Evidence of continued professional development.