Community Frailty Practitioner

5 months ago

Bristol, United Kingdom Severnvale PCN Full time

The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment. The post holder must have access to a vehicle for home visits with mileage expenses remunerated by submission of a monthly mileage form. (Please note it is the postholders responsibility to ensure that their car insurance is covered for business use and the car is maintained to a safe standard). The community frailty practitioner can expect to - Visiting patients who are frail/have co-morbidities in their homes with the support of the PCNs Care Coordinator May be required to help with the Avoiding Unplanned Admission reviews Interview patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during consultations and home visits.

Recommend and explain appropriate diagnostic tests and treatment. Formulate differential diagnoses and develop and deliver appropriate treatment and management plans. Request and interpret results of laboratory investigations when necessary. Advanced end of life care planning to include ReSPECT discussions and development of Personalised Care and Support Plans.

To help manage and support patients with their CDM To impart knowledge and skills to colleagues, both formally and informally by promoting peer review and best practice within the work environment. To communicate at all levels within the team ensuring an affective service is delivered. Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high-quality patient care. Work with local and a national evidenced based policies and procedures.

Administration and professional responsibilities Works as a autonomous practitioner, in accordance with regulatory requirements as defined by the Health & Care Professions Council standards. Ensure that personal and professional clinical standards are maintained. Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations. Enhance own performace through continuous professional development, imparting own knowledge and behaviours to meet the needs of the service.

To participate in the audit process, QOF (Quality and Outcomes Framework) evaluation and implementing plans and practice or PCN change to meet patient need including participating in the administrative and professional responsibilities of the practice team. Ensure the patients records within the practice clinical computer system is kept up to date, with accurate, contemporaneous details recorded (EMIS). Ensure appropriate items of service claims are made accurately, reporting any problems to the PCN Manager. Communicate when necessary with colleagues in the PCN in order to discuss or refer specific patients, plan and co-ordinate activities or exchange information in order to improve the quality of patient care.

Send and receive written information on behalf of the practices within the PCN regarding matters relating to the physical and social welfare of patients. Attend regular multi-disciplinary meetings organised by the practices within the PCN to discuss the health and social needs of particular patients. Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN Use technology and appropriate software as an aid to management in planning, implementation, and monitoring of care, presenting and communicating information. Review and process data using accurate SNOMED codes to ensure easy and accurate information retrieval for monitoring and audit processes.

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