Advanced Care Practitioner

4 weeks ago

Carlisle, Cumbria, United Kingdom Eden Medical Group Full time
Job Summary

The post holder will be an Advanced Practitioner, Prescribing Nurse Specialist, or Paramedic Clinician, working clinically to provide and develop the Home Visiting Service, while also providing clinical support to the PCN Frailty Team. The post holder will work closely with the PCN Leadership Team and wider Health and Care Partners.

The Home Visiting Service supports patients registered within Carlisle PCN, covering approximately 38,000 patients registered with three general practices: Eden Medical Group, Carlisle Central Practice, and Warwick Square Group Practice.

The Home Visiting Service provides a combination of acute on-the-day, urgent, and routine visits. Additionally, the post holder is expected to support the Frailty Team in providing a combination of visits covering acute, clinical review, chronic disease management, proactive caseload management, and care planning for the Frailty population. This includes weekly care home ward rounds to PCN-aligned care homes, nursing, and residential facilities.

The PCN Team works with health and care partners, including the NCIC trust, Adult Social Care, and voluntary sector organizations.

The PCN Team consists of ACPs, Nurses, Frailty Care Coordinators, Social Prescribers, Pharmacy Technicians, and Long-term Conditions Coordinators. Senior clinical advice will be provided by the Lead ACP, and all three practices have access to senior clinical support.

Main Duties of the Job

The post holder will provide an innovative, integrated service to patients living within the Carlisle PCN boundary who require further support. The post holder will work closely with the PCN Frailty Team and GP Practices to provide patient-centered care, primarily providing a Home Visiting Service. The role involves triaging and assessing patients with undifferentiated and undiagnosed problems, initiating treatment (including prescribing) and investigations, providing advice and management, and liaising with other health and care professionals as necessary.

The post holder will provide appropriate patient care within their scope of practice and in accordance with practice protocols and policies. The post holder will actively engage patients and carers in the management of their health, promoting health and wellbeing.

The post holder will be responsible for recognizing, negotiating, and implementing change processes to enhance the delivery of care to the Carlisle PCN population. The post holder will contribute to the development and delivery of a high-quality, innovative service to patients within the community through the implementation of evidence-based clinical practice, supported by continual professional development, as part of the wider multi-disciplinary team.

About Us

Carlisle Primary Care Network (PCN) consists of three practices: Eden Medical Group, Warwick Square Group, and Carlisle Central. The Network and Practices are focused on shaping services to best meet patient needs, working collaboratively to improve services and build for the future. We are focused on providing new and innovative solutions to address healthcare requirements of our patients, now and in the future. We are passionate about providing our multi-disciplinary teams with support and positive working environments, striving to ensure we work collaboratively to provide this.

Job Responsibilities

Professional Role
  • Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
  • Maintain professional registration and keep up-to-date with mandatory training.
  • Record accurate consultation data in patient records in accordance with the latest regulatory guidance and other pertinent standards.
  • Proactively promote the role of the ACP, including externally to key stakeholders and agencies.

Clinical Role
  • Undertake visits to patients as requested by the practices.
  • Assess patients within their role and make professionally autonomous decisions.
  • Provide a first point of contact alongside the Frailty team for Nursing and Residential Care Homes.
  • Provide regular ward rounds and telephone calls/visits to Care Homes and anticipatory care visits to Housebound as per the post-holder's caseload.
  • Instigate necessary diagnostic tests or investigations where appropriate and interpret findings/reports and act upon them appropriately. Review patients where needed and make long-term care plans.
  • As an independent prescriber, prescribe safe, effective, and appropriate medication as defined by current legislative framework.
  • Work with the medicines management team to provide and/or ensure polypharmacy medication reviews and de-prescribe where appropriate.
  • Provide safe, evidence-based, cost-effective, individualized patient care.
  • Provide advanced care and respect planning and End of life care where appropriate.
  • Promote health and wellbeing through the use of disease prevention and screening, health promotion, and health education as part of an MDT.
  • Refer patients directly to other services/agencies as appropriate.
  • Work with the MDT to ensure practice and PCN contractual requirements are delivered and met for patients within caseload and in support of our wider population.
  • Work with the MDT to ensure our care is compliant, safe, of high quality, and follows regulatory guidelines at practice and PCN level.
  • Participate in the identification of community health needs around our population health data and the identification of health inequalities and develop patient, family, and/or community-centered strategies to address them as part of our MDT.
  • Help develop and set up new patient services and participate in initiatives to improve existing patient services at PCN and locality level.

Training & Educational
  • Currently enhancing professional development and maintain a personal development plan.
  • Continually keep up-to-date with current evidence-based practice.
  • Involved in lifelong learning.
  • Participate in in-house training provided and completion of all mandatory training at clinical and practice levels.
  • Keep up-to-date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.
  • Training requirements will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the PCN. It is the individual's responsibility to remain up-to-date with recent developments.
  • Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development, ensuring PREP requirements are met.
  • If necessary to expand the role to include additional responsibilities, full training will be given.

Individual Responsibilities

The post holder is expected to:

Adhere to Practice policies and procedures and relevant legislation, including the requirements of any professional bodies.

Attend mandatory training as identified by the PCN.

Confidentiality

The post holder must maintain the confidentiality of information about patients, staff, and Practice business in accordance with the General Data Protection Regulation, Caldicott principles, and Practice Information Governance policies and procedures.

Health & Safety
  • Assist in promoting and maintaining their own and others' health, safety, and security as defined in the organization's Health and Safety Policy and the organization's Infection Control policy and published procedures.
  • Use personal security systems within the workplace according to organization guidelines.
  • Identify the risks involved in work activities and undertake such activities in a way that manages those risks.
  • Make effective use of training to update knowledge and skills.
  • Use appropriate infection control procedures, maintain work areas in a tidy and safe way, and free from hazards.
  • Actively report health and safety hazards and infection hazards immediately when recognized.
  • Keep own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder's role.
  • Undertake periodic infection control training (minimum annually).
  • Report potential risks identified.

Risk Management

Ensure that you implement systems and procedures at local level to fulfill the requirements of the Practice risk management strategy, including local management and resolution of compliance and concerns, management of untoward incidents/near misses, and compliance with the risk profiling programme.

Equal Opportunities

The Practice has adopted an equal opportunities policy, and all employees must be aware of their obligations to abide by the spirit and nature of the policy to avoid direct and indirect discrimination.

Rehabilitation of Offenders Act 1994

Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions that for other purposes are spent under the provisions of the Act, and in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant for a position to which the order applies.

Improving Working Lives

You will be expected to give a commitment to apply the principles of improving working lives and participate in any events and initiatives as and when appropriate.

Corporate Governance Arrangements

You will be expected to familiarize yourself with the Practice governance strategy, which outlines the management and committee structures and procedures for the governance of the Practice activities.

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 ongoing 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 prioritize 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-centered care.

Other Requirements

Essential
  • Current driving license 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.

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