Care Home Advanced Clinical Practitioner

We seek a reflective, adaptive, collaborative practitioner with enthusiasm for team working. This unique role would suit a curious professional who thrives when working autonomously but with peer support. Experience of palliative care, multimorbidity, care of older people or those living with dementia or learning difficulties would be valuable. Understanding of the needs of our local Weston community would be advantageous.
- and those living with learning difficulties Primary responsibilities The One Weston Care Home Hub is a true multidisciplinary team, established in 2021, bringing together a range of allied health professionals and GPs to work towards a common goal of improving care for care home residents in Weston Super Mare. Working alongside a friendly, dedicated team of GPs and allied health professionals (pharmacists, community nurses, advanced nurse practitioners, a paramedic and a mental health nurse) this innovative project is transforming community care in some of the most deprived wards in the country. Excellent admin support enables clinicians to focus on clinical matters. The role of the ACP within the team is as follows: To provide clinical assessment of care home residents, via a mix of preventative (proactive) and acute (reactive) medicine.

To undertake holistic assessment of residents needs and devise creative solutions, utilising the skills of the MDT to best effect. To produce a dynamic personalised care plan for healthcare professionals and care staff to follow, which includes treatment escalation planning and a detailed, realistic ReSPECT form in keeping with the wishes of patients and their families where appropriate. To provide continuity of care to resident, family and care home staff. To provide support for complex decision making when clinical lead of the day.
To take clinical responsibility for decisions and ongoing management of your patients, drawing on the skills of the MDT as needed. To contribute to peer learning and education, via significant event analysis, case based discussions and other formats. To provide support, clinical advice, supervision and feedback to students and other members of the MDT. To be actively involved in promoting adult safeguarding.
To advocate for high quality, appropriate, patient-centred care for older or vulnerable adults. Record data and assessments in patient records systems promptly and accurately and to agreed standards ensuring appropriate use of read codes and templates, with awareness of QOF targets and local DES specifications. To compile and issue computer-generated acute and repeat prescriptions, prescribing in accordance with BNSSG prescribing formulary whenever this is clinically appropriate, working with our pharmacy hub. To instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports at a level that is appropriate for the patients degree of frailty and their treatment escalation.
To contribute and bring ideas for continuous improvement including developing / improving care pathways for older people and contributing to QIP and audit. To review medication using a Structured Medication Review, alongside team pharmacists. Lead and/or participate in specialist MDT meetings dementia/mental health, palliative care or complex care with support of the team and our community mental health and geriatrician colleagues. To provide outreach input to cases in any of our care homes across the PCN identified as in need, to support teams working across Pier Health.
This may in cases of a home recognised to be in difficulty or to support our local safeguarding processes, or due to practice need for enhanced support. How? Each day starts with a whole team check-in either in person or via Microsoft Teams to check on wellbeing, discuss problems and ideas, share updates and to distribute workload. Clinical lead of the day is assigned during this meeting.
We also have regular complex MDT input from a geriatrician and from our mental health colleagues at AWP. Where? This work mainly takes place from our town Centre Care Home Hub in a newly built surgery and in the surrounding care homes. There is scope to work remotely at times.