PCN Nurse Practitioner or Advanced Nurse Practitioner

Job summary

The Barnstaple Alliance Primary Care Network (PCN) are looking for an experienced Enhanced Nurse/Nurse Specialist, Nurse Practitioner or ANP to join thePCN Older Person's Integrated Care (OPIC) Team.

Non-medical prescriber qualification preferrable but notessential. We would welcome applicants who may be interested in a developmentalrole including a desire to gain their non-medical prescriber qualification andother training relevant to the post.

This role will work closely with the Clinical GP Lead, ANP and NursePractitioner and Care Coordinators (Administrative and Coordination Support)within the OPIC team and the wider PCN to deliver the best possible care to thePCN's Care Home and Housebound patients.

Hours: There are between 25hrs - available, full-timehours are preferrable but we are open to applicants who wish to do less hours.For applicants who would prefer to work part time hours, please specify thenumber of hours per week you would work within your application.

Interviews: Interviews are planned for Wednesday 10th July 2024.

Main duties of the job

To work closely with the member GP practices and the OPIC team,which includes the Care Home Multidisciplinary Team (MDT) to ensure care home andhousebound patients receive the best possible care. This involves coordinating and delivering all key activities includingaccess to services, advice and information, ensuring a patient-centred approachwith timely and effective care planning and delivering effective clinical care. Ultimately providing a safe, evidence-based, costeffective, individualised patient care programme.

This role, along with the wider OPIC team are predominantlybased at Queens House and the member practices but will be delivering care inCare Homes and in patient's own homes within the PCN's catchment area.

About us

The Barnstaple Alliance Primary Care Network (PCN) is a proactive andsupportive network of four General Practitioner surgeries: Brannam, Fremington,Litchdon and Queens Medical Centres. Between us we provide care to over 53,000patients in the Barnstaple area. Whilstretaining our independent surgeries, we are working together on collaborativeprojects to improve and develop the healthcare services we offer to patients.

Job description

Job responsibilities

The post holders role will be pivotal in supporting the Co-Clinical Directors, the Clinical Lead of the OPIC team and member practices in coordinating and delivering all key activities for the PCNs care home and housebound patients. The role will include supporting digital initiatives and coordinating the patient journey through primary care with focused work around the delivery of the Directed Enhanced Service (DES) specifications to include Enhanced Health in Care Homes (EHCH) and Long-Term Condition (LTCs) reviews within care homes and housebound patients.

CORE RESPONSIBILITIES OF THE ROLE

Key responsibilities for the post holder in delivering the additional PCN health services to patients will include but are not limited to the following:-

Management of Patient Health and Illness

To work with clinicians, members of the OPIC team, the wider PCN and member practices and the Care Home MDT to identify and clinically manage a caseload of care home patients. To work with clinicians, members of the OPIC team, the wider PCN and member practices to identify and clinically manage a caseload of housebound patients. Provide a point of contact within the PCN for patients residing at home or within Care Homes who present with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan in the patients home. To work closely with and in partnership with community providers, care home staff and other partner organisations to help improve patient outcomes ensure better access to healthcare and help manage general practice workload. The role has the potential to significantly improve the quality of care and safety for patients. To evaluate clinical information from examination and history taking. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports, liaising and sharing information with the Care Home MDT where applicable. To support the Co-Clinical Directors and member practices in the delivery of the DES specifications. To prioritise health problems and intervene appropriately, including initiation and of effective emergency care, seeking the advice from a senior clinician where necessary. To provide coordination and navigation with the aid of digital tools for patients and their carers across health and care services. To provide safe, evidence-based, cost effective, individualised patient care. To support the coordination and delivery of MDTs within the PCN. To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldecott Principles and GDPR Regulations in relation to all data handling.

Professional Role

To promote personal development and clinical excellence. Working with an MDT approach and with others in developing new roles, responding to changing healthcare needs. To facilitate and participate in multi-disciplinary education and clinical supervision To work within the ANP Code of Professional Conduct. Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice. To maintain own professional development in line with professional Regulations. To promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their clinical practice through the quality assurance strategies as the use of audit and peer review. Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained. Keep up to date with relevant health-related policy and work with an MDT approach to consider the impact and strategies for implementation. To play an active role in the development of PCN development plans and new services. Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.

Team Role

To liaise with all members of the PCN Team and other agencies local authority, social services, secondary care and voluntary sector in order to assure appropriate care is provided for the Care Home and housebound patient population. To participate as a key member of the MDT team through the development of collaborative and innovative practice. To value all team members. Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary To delegate appropriate tasks to the other team members whilst still maintaining responsibility for this area. To support the delivery of health and safety guidance as agreed within the PCN. To support the writing, maintenance and delivery of CQC guidance within the PCN. Liaises with Care Home Staff as needed for collective benefit of patients.

Organisational

Be confident in the use of computer systems, creating searches, completing records, audits, reports and responding to appropriate questions and requests. To attend meetings as requested. Support effective communication channels between the whole team. To work according to Clinical Governance and support the Clinical Governance Agenda. To understand the role of Risk Management within the PCN contributing to risk assessment and Significant Event Audit and the importance of Infection Control. The individual will be required to undertake the assessment and management of patients within care home and patients own home. To actively participate in the delivery of QOF targets and others as deemed by the arrangements in general practice finance.

Mission, Values and Strategic Direction

Ensure that patient centred care and safety is central to the culture, philosophy and organisation of the PCN. To encourage and support patient with long term conditions to develop their ability to self-manage. To develop a culture of ongoing review, taking into account new methods of working. Communication/Collaboration

The post-holder should recognise the importance of effective communication and collaboration both within and outside the organisation and will strive to:

Communicate effectively with other team members Communicate effectively with outside agencies and other stakeholders Recognise peoples needs for alternative methods of communication and respond accordingly Recognise the significance of collaborative working and ensure they communicate in a way, which enables the sharing of information in an appropriate manner. For the full job description that includes the underpinning policies please open the supporting JD document. Person Specification

Qualifications

Essential

Registered Advanced Nurse Practitioner or Nurse Practitioner Post registration qualification to evidence autonomous clinical practice relevant to Urgent Care

Desirable

Further professional qualifications ENP/nursing degree Prescribing qualification or desire to achieve a prescribing qualification Masters Level Aware covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)

Experience

Essential

Post registration experience to evidence autonomous clinical practice relevant to General Practice Experience of working within a multi-disciplinary team in an acute or Primary Care Setting Highly developed specialist knowledge underpinned by theory and experience Experience of working under pressure and managing varying workloads and changing demands Sound knowledge of local primary care services including key players Demonstrate experience of CPD and desire to actively engage in ongoing learning of self and others Demonstrable experience of advanced clinical knowledge in all age groups Either an Independent Prescriber or willing to train as one

Personal Qualities

Essential

Committed and Enthusiastic to service and personal development Team Player Flexibility of working hours Willing to embrace change that will enhance the quality of the service and contribute to developing patient quality audits and pathways

Skills & Abilities

Essential

Ability to support and manage a case-load of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills Working autonomously and within professional boundaries when ordering tests, requesting investigations and developing interventions. Minimal supervision and support required Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required Ability to work on own initiative and prioritise own work and work within a team

Desirable

To use advanced health assessment, examination, diagnosis and treatment within an agreed scope of practice Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service Able to participate with clinical audit

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