Advanced Practitioner

**Phoenix Health Primary Care Network**

**Salary - **Up to £52,500 WTE depending on experience

**Working hours**:37.5 hours per week
- part time considered

33 days leave inclusive of bank holidays

Employee Assistance Programme 24/7 Support

**Job Summary**

Phoenix Health Primary Care Network (PCN) is looking for experienced nurse practitioners 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 three practices that form our PCN; Cross Keys Practice, Haddenham Medical Centre and Unity Health.

Our multi-disciplinary team is currently delivering Enhanced Health in Care Homes - EHCH, PCN DES as well as working to meet the requirements and targets of the ICB’s Care Homes Supplementary Network Service (SNS). Improvement in access to care is a priority for PCN’s 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 with a prescribing qualification 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.

**Primary Duties and Areas of Responsibility**

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 to:

- Manage a clinical caseload dealing with patients needs
- Provide advanced care and case management to patients with multiple complex long term conditions and frailty
- Undertake medical and social care assessment to initiate interventions to improve quality of life in the Nursing, Care Home and housebound setting
- Reduce fragmentation of care.

**CARE HOMES CLINICAL ROLE**:
The post-holder will:

- Provide a first point of contact within the PCN for Care Home contacts, working closely with our care coordinator
- Provide acute and reactive care as part of a multidisciplinary team (MDT) in Care Homes or as a Domiciliary visit. This shall include assessment, diagnosis, planning, implementation and evaluation of treatment from a physiological, psychological and social perspective.
- Work with the PCN team to provide a unified approach across the team to care home, housebound and complex patients.
- Make professionally autonomous decisions for which he/she is accountable.
- 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, Mental Health including dementia care,
- Provide support with vaccination programmes.
- Undertake home visits in accordance with the relevant protocols.
- Support the delivery of anticipatory care and end of life care plans.
- Assessments will be based on the Comprehensive Geriatric Assessment model to identify health and social care needs proactively. When necessary, to make appropriate clinical diagnoses, working within own sphere of clinical competence, seeking advice and assistance from the patient’s GP when appropriate.
- Use advanced communication skills to facilitate future /advance care planning and treatment escalation plans.
- Demonstrate and utilise advanced problem solving and clinical decision-making skills to respond appropriately to acute health needs. This will address the assessment and management of falls risks, acute and long-term condition, multiple pathology and where appropriate, frailty, dementia, immobility, incontinence, anxiety and social isolation.
- Provide ongoing care to be delivered as appropriate, referring, signposting and guiding individuals and families to additional/alternative support services including those both within the PCN and to outside agencies.
- Proactively support individuals thought to be vulnerable or at risk of hospital admission or deterioration in health and well-being, through development of a virtual care and MDT approach that meets the individuals needs through care provision by the right care professional, at the right time, in the right environment.
- To 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 as well as implementing and evaluating aspects of change in a complex and unpredictable environment.
- Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
- To identify and address the educational needs of patients, families and care home staff and participate