Enhanced PCN nurse will support MDT working, e-triage, developing new pathways for Apollo WN PCN.
We are looking for an Adult trained nurse who is looking to develop new skills and is looking for a new challenge working alongside our clinical team to support our online consultations and our new neighbourhood team.
Main duties of the job
* Facilitate and support the development and delivery of innovative training and education to staff.
* Provide professional and clinical leadership support, development and delivery of work streams relating to area of expertise as part of the PCNs strategy.
* Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care; consult with patients, their family, and the multi‑professional team to undertake assessments of patient need and devise and evaluate complex care plans.
* Deliver enhanced clinical care in the context of continual change, challenging environments, different models of care delivery, innovation and rapidly evolving technologies.
* Advise patients and their families on how to manage their condition.
* Participate in clinical audits and research projects and implement changes as required.
* Work within national and local protocols where these exist, recognise boundaries of practice and know when and to whom patients should be referred; delegate work to other members of the MDT and take responsibility for the delegated activity as appropriate; demonstrate initiative and are creative in finding solutions to problems.
* Hold responsibility for team performance and service delivery; provide supervision to trainee nurse associate, nurse associates and general practice nurses.
About us
Apollo Warwickshire North Primary Care Network (PCN) is adynamic and forward-thinking collaboration of five trusted local GPpractices:Hazelwood Group Practice, Hartshill HealthCentre, Rugby Road Surgery, Woodlands Surgery, and Stockingford Medical Centre. Together, we work seamlessly toprovide high-quality, proactive healthcare to our diverse patient population.
Our ambitious team of clinicians is committed to delivering exceptional, patient-centered care, always striving to meet the needs of our patients and improve their health outcomes. We take pride in our innovative approach to healthcare, and our Frailty Hub Model is at the heart of this. This unique service involves a multidisciplinary team of clinicians who work together to provide tailored, preventative care for patients, focusing on reducing hospital admissions and improving overall quality of life for those with frailty and complex health needs.
At Apollo, we foster a strong work ethic and a healthy, supportive atmosphere within our teams. We believe in a collaborative environment where everyone's contributions are valued, and all staff are encouraged to develop and grow in their roles.
Job responsibilities
The Enhanced PCN Nurse will work autonomously and as a vital member of a multidisciplinary team, delivering high-quality, proactive care for patients within the Primary Care Network. This includes managing patients remotely via our e-Hub and conducting face-to-face clinical assessments in practices, care homes, and patients homes. The postholder will provide expert nursing care across a broad range of acute and chronic conditions, support vulnerable groups, and reduce avoidable hospital admissions by delivering integrated, personalised care.
* Clinical Care and Management
o Independently assess and manage patients with acute and long‑term conditions, including skin conditions, respiratory issues, contraceptive and HRT support, urinary tract infections, pain management and minor ailments.
o Provide telephone, video, and in‑person consultations via the PCNs digital e‑Hub model.
o Triage and prioritise care needs safely and effectively.
* Mental Health and Holistic Support
o Identify and support patients with mental health concerns, signpost or refer as appropriate.
o Contribute to the holistic management of patients with autism, learning disabilities and serious mental illness.
o Engage in personalised care planning and health promotion.
* Long‑Term Condition Management
o Implement and monitor individual care plans for patients with chronic diseases such as diabetes, hypertension, COPD and asthma, heart failure.
o Provide subject‑matter expertise, coaching and support to empower patients in managing their health.
* Community & Home Visiting
o Conduct proactive visits to patients who are housebound, in care homes or at risk of unplanned hospital admissions.
o Carry out holistic assessments, identify unmet needs and coordinate care across multiple services.
o Collaborate with Care Coordinators, GPs, Community Nurses and the wider MDT.
* Diagnostics and Clinical Procedures
o Perform clinical procedures and basic investigations including ECGs, blood pressure monitoring, sepsis screening and observations, phlebotomy and specimen collection.
o Request and interpret results to inform treatment planning and escalation if required.
* Professional Responsibilities
o Maintain up‑to‑date clinical records in accordance with legal and professional standards.
o Use appropriate coding and templates (e.g., SNOMED, Read Codes).
o Ensure safe prescribing and medication reviews within scope of practice (if NMP‑qualified).
o Participate in audits, quality improvement projects, and population health management.
* Education, Mentorship, & Development
o Complete a robust induction and benefit from GP and senior nurse mentorship.
o Take part in CPD and PCN‑wide clinical training initiatives.
o Mentor junior staff and support the development of new roles within the nursing workforce.
* Collaborative and Integrated Working
o Act as a link between general practice, community teams, secondary care and voluntary sector organisations.
o Support the PCNs care home and frailty strategy, attending MDTs and liaising with care home staff.
o Promote self‑care and independence for patients with complex needs.
Person Specification
Qualifications
* NMC Registered Nurse (Level 1 Adult)
* Experience in Primary/Community Care
* Proficient with EMIS or similar clinical systems
* Excellent assessment and decision‑making skills
* Ability to work autonomously and within an MDT
* Commitment to person‑centred, proactive care
* Previous PCN or integrated care experience
* Knowledge of Quality Improvement methodology
* Experience working with vulnerable patient populations
* Experience in personalised care and care planning
* Additional Information
* Travel required across the PCN footprint full UK driving licence and vehicle essential.
* IT equipment will be provided.
* This role aligns with NHS Long Term Plan and Fuller Stocktake recommendations for integrated neighbourhood working.
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.
#J-18808-Ljbffr