Advanced Care Practitioner

6 months ago


Manchester, United Kingdom Miles Platting, Newton Heath and Moston PCN Full time

Weekly visit to each of the 7 care homes within the PCN as part of weekly care home round to deliver proactive care reviewing routine (non urgent) follow ups and identify themes of Emergency Attendance Review patients who have recently been discharged from hospital Create and review personalised care and support plans for each resident Identification of residents of concern for preventative/proactive admission avoidance Work alongside the MDT to conduct proactive care planning including DNACPRs, Advance Care Plans, RESPECT, Emergency Care Planning to improve care and reduce avoidable admissions Manage a caseload of complex clients using advanced problem-solving skills and advanced clinical reasoning skills To maintain accurate documentation and patient records Liaising with Lead GP of Care Home /Reactive Care home team/Community Services/Secondary Care /families/NOK where required Holistic assessments supported by Community Primary Care Team to assess, plan and deliver specific interventions for patients in care home and supportive living settings Complete on ward referrals as required To work alongside and support the MDT Attend and engage in educational sessions



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