Enhanced Practice Nurse

Job summary

An excitingopportunity has arisen for an experienced Enhanced Nurse to join Leek andBiddulph PCN Ltd. You will work as part of a multidisciplinary team, led by anenthusiastic group of GP Practices and Management Team.

We are lookingfor a highly skilled and experienced Enhanced Nurse with a passion for workingwith frail older adults. Someone with expertise & a proven track record indriving innovation and enhanced practice to improve outcomes for our serviceusers.

Main duties of the job

The primary focus of the role is to work as an autonomous practitioner providing patient centred clinical care, diagnosis and treatment of our aging patients across our patient population as part of the Facilitation of Admissions Avoidance Scheme and our Care homes.

Provide day-to-day acute care and long-term condition management, participating fully in the delivery of healthcare provision in the primary care setting for our elderly and frail patients.

To support GP Practices with the care of patients within our Care Homes, engaging the wider PCN teams where necessary.

About us

Leek and Biddulph Primary Care Networkcomprises of 5 separate GP Practices working together to provide excellentpatient care to a population of just under 50,000.

Thepost-holder will work closely with the Clinical Director, Business Manager andthe 5 Practice Managers across the network to deliver enhanced clinical care toour aging population both in the community and in Care Homes and supportpractices with the responsibilities under the Facilitation of AdmissionsAvoidance Scheme.

Thepost-holder will use expert knowledge and clinical reasoning skills to providespecialist support and a comprehensive geriatric assessment to aid decisionmaking and plans for ongoing management.

Thisrole is part of our wider PCN team including Clinical Pharmacists, PharmacyTechnicians, Occupational Therapists, First Contact Physiotherapists, SocialPrescribers, Mental Health Practitioners and Care Coordinators.

Job description

Job responsibilities

Key Tasks and Responsibilities:

a)work as part of a MDT within the PCN;

b)work with the 5 GP Practices to identifypatients at risk of admission and support the practices in managing thesepatients both within the community and Care Homes.

c)Actively participate in Care Home ward roundsand MDT meetings providing information and support to Care Home staff and thewider MDT.

d)consult with patients, their family, and themulti-professional team to undertake assessments of patient need and devise andevaluate complex care plans;

e)evaluate and analyses clinical problems usingtheir clinical knowledge, seeking out and applying relevant evidence, enhancedtechniques, interventions, and equipment to make clinical decisions;

f)deliver enhanced clinical care in the context ofcontinual change, challenging environments, different models of care delivery,innovation and rapidly evolving technologies using analysis and theirunderpinning knowledge to manage complex interventions;

g)teach and advise patients and their families onhow to manage their condition or support the multi-disciplinary team to do so;

h)participate in clinical audits and researchprojects and implements changes as required, including the development, andupdating of practice protocols / guidelines and procedures locally;

i)work within national and local protocols wherethese exist;

j)recognise boundaries of their practice and knowwhen and to whom patients should be referred;

k)using the principles of delegation, delegatework to other members of the MDT and take responsibility for the delegatedactivity as appropriate;

l)demonstrate initiative and are creative infinding solutions to problems;

m)work with the wider PCN Management and Board ofDirectors to develop innovative and flexible approaches to care.

n)holds responsibility for team performance andservice delivery; and

o)provide supervision to trainee nurse associate,nurse associates and general practice nurses that may be employed by the PCN.

p)Work within and maintain practice according toNMC code of conduct, Practice and PCN policies.

1. Working in a wider team

Develop positive and professional workingrelationships with colleagues.

2. Code of Conduct

The post holder must comply with the code of conduct as laid downin the Employees Handbook.

3. Equality and Diversity

Thepost-holder will support the equality, diversity and rights of patients, carersand colleagues, including:

Acting in a way that recognizes the importanceof peoples rights, interpreting them in a way that is consistent with PCNprocedures and policies, and current legislation.

Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues.

Behaving in a manner which is welcoming to andof the individual, is non-judgmental and respects their circumstances, feelingspriorities and rights.

4. Confidentiality

Inthe course of seeking treatment, patients entrust us with, or allow us togather, sensitive information in relation to their health and othermatters. They do so in confidence andhave the right to expect that staff will respect their privacy and actappropriately. In the performance of the duties outlined in this JobDescription, the post-holder may have access to confidential informationrelating to patients and their carers, Practice staff and other healthcareworkers. They may also have access toinformation relating to the PCN as a business organisation. All such information from any source is to beregarded as strictly confidential.

Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the PCN may only be divulged to authorised persons in accordancewith the PCN policies and procedures relating to confidentiality and theprotection of personal and sensitive data.

5. Data Protection - GDPR

All employees must adhere to the PCN Policy onthe Protection and use of Personal Information, which provides guidance on theuse and disclosure of information. The PCN also has a range of policies for theuse of computer equipment and computer-generated information. These policiesdetail the employees legal obligations and include references to currentlegislation. Copies of the policy on the protection and use of personalinformation, and other information technology, can be found in the PCN policiesand procedures manual.

6. Risk Management

Thepost-holder will be responsible for adopting the risk management culture andensuring that they identify and assess all risks to the systems, processes andenvironment and report such risks for inclusion within the PCN risk register.

Attendmandatory and statutory training, report all incidents/accidents, includingnear misses, and report unsafe occurrences

7. Personal/Professional Development

The post-holder will participate in anytraining programme implemented by the Network as part of this employment, suchtraining including:

Participation in an annual individualAppraisal and Development Review, including taking responsibility formaintaining a record of own personal and/or professional development.

Participation in Practice Learning sessions asappropriate.

Taking responsibility for own development,learning, and performance and demonstrating skills and activities to others.

The jobholder will be encouraged to developpersonal and professional skills.

8. Quality

Thepost-holder will strive to maintain quality within the PCN, and will:

Alert other PCN Team members to issues ofquality and risk.

Assess own performance and take accountabilityfor own actions, either directly or under supervision.

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance.

Work effectively with individuals in otheragencies to meet patients needs.

Effectively manage own time, workload andresources.

9. Communication:

The post-holder should recognize theimportance of effective communication within the team and will:

Communicate effectively and respectfully withcolleagues, patients and carers.

Recognize peoples needs for alternativemethods of communication and respond accordingly.

External communication will be with patientsNHS bodies, and other GP practices and service providers.

10. Health & Safety

The post-holder will assist in promoting andmaintaining their own and others health, safety and security as defined in thePCNs Health & Safety Policy.

11. Infection Prevention and Control

Infection Prevention and Control(IPC) is everybody's responsibility. All staff, both clinicaland non-clinical, are required to adhere to the Infection Preventionand Control Policies and make every effort to maintain high standards ofinfection prevention at all times in accordance with The Health and Social CareAct 2008: code of practice on the prevention and control of infections andrelated guidance (2015). All staff employed by WhitfieldPCN, and any contracted staffhave the following key responsibilities:

Staffmust wash their hands or use alcohol gel on entry and exit from all clinicalareas, between each service usercontact and after any clinical or cleaning task.

Relevant staff members must attend an annualface to face training sessionor complete the elearning session provided for them by the Trust.

Staff memberswho develop an infection (other than common colds and illness) that may be transmittable to others have a duty tocontact the IPCT and Occupational Health.

12. Other Duties

There may be a requirement to undertake otherduties as may reasonably be required to support the Practices. These may bebased at other the Practice managed locations.

Person Specification

Qualifications

Essential

Registered Health Care Professional (eg HCPC/NMC) Relevant Masters Degree/180 credits at level 7 (Masters) in relevant area

Desirable

Substantial post registration experience in at least one of the following settings: General practice Walk in Centre GP Out of Hours Service

Experience

Essential

Non-Medical Prescriber, or willingness to commit to undertake in line with future service development Evidence of higher level of practice development within specialist area

Knowledge and Expertise

Essential

Substantial specialist experience of frail patients; Experience and understanding of a wide range of approaches to the management of frail elderly patients Demonstration of high level knowledge of multi-agency working ( housing, social services, independent sector, etc) Knowledge and understanding of clinical governance. Quality improvement and change management Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality & Outcomes Framework. Demonstrate the ability to work in a highly demanding environment Ability to work independently and make autonomous clinical decision within own area of competence Evidence of continuing professional development High level communication skills, both written and verbal Ability to reflect on own practice.

Desirable

Development and implementation of protocols and clinical guidelines Working with community development initiatives Awareness of current national and local agenda in health and social care, with a particular interest in Primary Care and Primary Care Networks. Knowledge of audit / research and experience of analysing findings to improve practice.

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