Job summary
We are seeking to appoint 2 full-time Advanced Clinical Practitioners with experience in the field of frailty. We would also welcome applications from those clinicians who are due to complete their MSc in advanced clinical practice in the next few months
The roles will support the growth of the frailty service and the roll out of the new Frailty Virtual Ward
Current hours of working are 9am till 5pm (Monday to Friday), based at Moor Park Health and Leisure Centre, Blackpool or South Shore Primary Care Centre, Blackpool
We have a multidisciplinary approach to providing care to our frail patients which includes a Medical Consultant, Frailty GP's, Nurse Consultants, ACP's, Trainee ACP's, Community Frailty Nurses, Pharmacists, Pharmacy Technicians, Assistant Practitioners and HCA's in the community. The service is also supported by an experience administration team
We see our frailty provision as spanning the whole pathway to include primary, community and hospital services and our objective is to provide a joined up approach.
Main duties of the job
Your role will be:
-to assess patients with undifferentiated and undiagnosed problems, making an assessment of their health care needs, based on highly-developed nursing knowledge and skills, including skills not usually exercised by nurses, such as physical examination.
-Screen patients for disease factors and early signs of illness.
-Make differential diagnoses using decision-making and problem solving skills.
-Develop with the patient an on-going care plan for health and well-being, with an emphasis on health education and preventative measures,
-Order necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.
-Have a supportive role in helping people to manage and live with illness.
-Have the authority to admit or discharge patients from their caseload, and refer patients to other health care providers as appropriate.
About us
The Community Frailty service prides itself on offering all team members the opportunity to continue to learn and develop within their role, whilst working in a supportive, inclusive MDT team.
Job description
Job responsibilities
As part of the team you will undertake CGA Initial Assessments in the community environment. You will review patients and develop management plans for them which will include the prescribing of medications as necessary utilising your non-medical prescriber skills.
You will also work across the frailty pathway supporting the identification and management of patients both in the hospital and community setting.
You will also need to act as a senior leader supporting other team members using your clinical knowledge and expertise to ensure that we provide high quality person centred care to patients both in the hospital and community setting.
ASSESSMENT AND MANAGEMENT OF PATIENT HEALTH/ILLNESS STATUS
1. Analyses and interprets history, presenting symptoms, physical findings and diagnostic information to develop the appropriate differential diagnoses.
2. Diagnoses and manages acute and long term conditions while attending to the patients response to the illness experience.
3. Employs appropriate diagnostic and therapeutic interventions and regimens withattention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
4. Formulates an action-plan based on scientific rationale, evidence-based standards ofcare, and practice guidelines.
5. Initiates appropriate and timely consultation and/or referral when the problem exceedsthe nurses scope of practice and/or expertise.
6. Assesses and intervenes to assist the patient in complex, urgent or emergencysituations.
7. Diagnoses unstable and complex health care problems using collaboration andconsultation with the multi-professional health care team as indicated by setting,specialty, and individual knowledge and experience.
8. Plans and implements diagnostic strategies and therapeutic interventions to helppatients with unstable and complex health care problems regain stability and restorehealth, in collaboration with the patient and multi-professional health care team.
9. Demonstrates critical thinking and diagnostic reasoning skills in clinical decision-making.
10. Obtains a comprehensive problem focused health history from the patient or carer.
11. Performs a comprehensive problem focused age appropriate physical examination.
12. Analyses the data collected to determine health status of the patient.
13. Formulates a problem list and prioritised management plan.
14. Assesses, diagnoses, monitors, co-ordinates, and manages the health/illness status ofpatients during acute and enduring episodes.
15. Demonstrates knowledge of the patho-physiology of conditions commonly seen inpractice.
16. Communicates the patients health status using appropriate terminology, format, andtechnology.
17. Provides information and advice to patients and carers concerning drug regimens, side effects and interaction, in an appropriate form.
Person Specification
Qualification
Essential
18. Clinical based Post-graduate Degree
19. Five years post registration experience of which 3 years' experience are within speciality at a senior level (at least Band 6 or above
20. MSc in Advanced Clinical Practice
21. Management/Leadership Qualification or attendance at equivalent Leadership Study Days (Masters qualification or equivalent)
22. Non-Medical Prescriber (V300)
23. Evidence of Continuous Professional Development
24. Current registration with the NMC or HCPC
Desirable
25. Post basic qualification in speciality
Experience
Essential
26. Evidence of extensive expert professional/clinical knowledge managing unwell patients in the community, primary or acute setting
27. Specialist clinical training and CPD in relation to patient history taking, clinical examination and developing management plans for patients
28. Knowledge and experience of chronic disease management and long term conditions.
29. Effective communicator able to communicate complex and highly sensitive information
30. Evidence of effective people management and leadership skills
31. Evidence of managing staff and multidisciplinary teams
32. Evidence of relevant involvement in meeting the Trust clinical governance objectives
33. Be able to demonstrate the skill to integrate teams from a variety of backgrounds to integrate the social and health agenda
Desirable
34. Evidence of working at a senior position within an appropriate health care field
35. Can demonstrate assertiveness, tact and diplomacy appropriately
36. Evidence of involvement in policy and practice change
37. Evidence of proactive involvement in the mentorship and development of nurses and nursing practice
38. Computer Literacy
Skills and Abilities
Essential
39. Prioritise against tight deadlines and work under pressure
40. Work on own initiative
41. Work as part of the multi-disciplinary team
42. Prioritise and demonstrate effective time management and organisational skills
43. Influence & motivate others
44. Use own initiative
Personal
Essential
45. Assertiveness
46. Motivational skills
47. Negotiation /Problem solving
48. Decision Making
49. Delegation
50. Conflict and problem solving
51. Enthusiasm
52. Flexible and mature approach to working
53. Ability to persuade and influence at all levels
54. Ensures that own actions support equality, diversity, rights and maintain quality