Enhanced Practice Nurse - Frailty

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 identify patients at risk of admission and support the practices in managing these patients both within the community and Care Homes.

c) Actively participate in Care Home ward rounds and MDT meetings providing information and support to Care Home staff and the wider MDT.

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

e) evaluate and analyses clinical problems using their clinical knowledge, seeking out and applying relevant evidence, enhanced techniques, interventions, and equipment to make clinical decisions;

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

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

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

i) work within national and local protocols where these exist;

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

k) using the principles of delegation, delegate work to other members of the MDT and take responsibility for the delegated activity as appropriate;

l) demonstrate initiative and are creative in finding solutions to problems;

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

n) holds responsibility for team performance and service 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 to NMC code of conduct, Practice and PCN policies.

1. Working in a wider team

Develop positive and professional working relationships with colleagues.

2. Code of Conduct

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

3. Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, including:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with PCN procedures and policies, and current legislation.

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

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

4. Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the PCN as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the PCN policies and procedures relating to confidentiality and the protection of personal and sensitive data.

5. Data Protection - GDPR

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

6. Risk Management

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

Attend mandatory and statutory training, report all incidents/accidents, including near misses, and report unsafe occurrences

7. Personal/Professional Development

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

Participation in an annual individual Appraisal and Development Review, including taking responsibility for maintaining a record of own personal and/or professional development.

Participation in Practice Learning sessions as appropriate.

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

The jobholder will be encouraged to develop personal and professional skills.

8. Quality

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

Alert other PCN Team members to issues of quality and risk.

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

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.

Work effectively with individuals in other agencies to meet patients needs.

Effectively manage own time, workload and resources.

9. Communication:

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

Communicate effectively and respectfully with colleagues, patients and carers.

Recognize peoples needs for alternative methods of communication and respond accordingly.

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

10. Health & Safety

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

11. Infection Prevention and Control

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

Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas, between each service user contact and after any clinical or cleaning task.

Relevant staff members must attend an annual face to face training session or complete the e learning session provided for them by the Trust.

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

12. Other Duties

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

Person Specification

Qualifications

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

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

Experience

• 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

• 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 (i.e. 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.

• 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.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name

Leek and Biddulph PCN

Address

Biddulph Primary Care Centre

Wharf Road

Biddulph

Stoke-on-trent

ST86AG