Pcn Care Homes Advanced Clinical Practitioner

JOB DESCRIPTION Post Primary Care Network Advanced Clinical Practitioner - Care Homes Salary Grade £27.75 - £30,50 / hour £54,261 - £59,638 / annum pro rota Reporting to: Care Home Clinical Lead Accountable to PCN Care Home Clinical Lead GP Clinical Lead for Care Homes PURPOSE OF THE ROLE The post holder, as a qualified Advanced Clinical Practitioner with a digital badge, will support the development and provision of the Enhanced Health in Care Homes service across the Rushcliffe Primary Care Network (PCN) by working closely within a Multi-Disciplinary team and working as an autonomous practitioner: This role will utilise your advanced clinical skills as autonomous practitioners. You will lead the delivery of weekly care home rounds in Rushcliffe. Providing medical management of care home residents with chronic health conditions, non-acute medical needs and undifferentiated acute presentations through clinical assessment, examination, investigation, diagnosis, care planning, treatment and evaluation of care. You will also provide structured medication reviews, develop ReSPECT plans in conjunction with residents and significant others and support the overall delivery of the Enhanced Healthcare in Care Homes framework.
Medications management and structured medication reviews are a critical part of being an ACP in the care home team. Deliver a high standard of patient care with in-depth theoretical knowledge and evidence-based practice, working autonomously and with the support and supervision of a GP Manage a clinical caseload and deal with presenting patient needs within a care home setting You will work within their clinical competencies as agreed with the PCN GP Lead for Care Homes Use the Comprehensive Geriatric Assessment framework to complete new resident assessments when they are admitted to a new care home. Provide clinical leadership and expert professional advice to patients, relatives, carers, and colleagues to support the delivery of high-quality clinical care Support the teaching, training, and education of PCN and Care Home Staff Work across organisational boundaries, developing new ways of working to promote relationships between providers and statutory bodies and improve care for people living in long term residential care. The successful applicant will have an MSc in Advanced Clinical Practice, be a non-medical prescriber and come from a Nursing, Pharmacy, Physiotherapy or Paramedic Background with a digital badge in advanced clinical practice.
MAIN DUTIES AND RESPONSIBILITIES Working autonomously with accountability for their professional actions, the post holder is responsible for undertaking care home ward rounds to proactively manage the health needs of care home residents within Rushcliffe to make decisions regarding the appropriateness of onward referrals and hold others to account for their delivery of actions. The post holder will undertake clinical assessments for care home residents presenting with undifferentiated, long term conditions and undiagnosed problems utilising history taking, physical examinations, problem solving and clinical decision making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). The management plan will take into account medications management, prescribing, monitoring and structured medication reviews. Request invasive and non-invasive diagnostic tests or investigations and interpret findings/reports within your scope of competence.
Discuss the result and implications of laboratory investigations with patients, GP and where necessary the community geriatrician. Utilise available diagnostics, plus interpretation, to support diagnosis, treatment, and develop management plans. Where required and within skill competence and relevant training, offer specialised support in areas including, but not limited to COPD, asthma, diabetes heart failure and anti-coagulation. Additional training will be provided as part of ongoing CPD, and to upskill where needed.
Undertake a Comprehensive Geriatric Assessment on residents new to a care home and following hospital discharge including the prescribing of treatment for patients in care homes with complex illnesses: consulting the wider medical team of GPs and Geriatricians as required. You will support the delivery of COVID and flu programme, by vaccinating residents and providing a level of medication oversight as part of the Rushcliffe and National programme Provide health/disease promotion and prevention advice to care home residents and their carers/family: To confidently consult with patients/families/carers to determine the needs of individuals and develop and review care plans to support care including end of life planning, and discussions. This will include developing a ReSPECT plan, in conjunction with the resident, relatives and others as appropriate. Utilise and work within the boundaries of local and national clinical guidelines and promo