Clinical Assessment and Management: Conduct comprehensive clinical assessments of patients in their homes, utilising advanced clinical skills and evidence-based practice to diagnose and manage acute, chronic, and complex conditions. Autonomous Decision-Making: Exercise professional judgement to initiate appropriate investigations, interpret results, and develop individualised care plans, including prescribing medications within scope of practice. Care Coordination: Collaborate with GPs, community nursing teams, mental health professionals, social care, and voluntary sector partners to ensure seamless care and appropriate referrals. Patient Education: Provide education, advice, and support to patients and their families or carers to promote self-management, independence, and wellbeing.
Emergency Response: Identify and respond to deteriorating patients, escalating care as appropriate, including arranging urgent hospital admissions when necessary. Documentation: Maintain accurate, timely, and comprehensive clinical records in line with professional and organisational standards. Quality Improvement: Participate in audit, service evaluation, and quality improvement initiatives to enhance patient outcomes and service delivery. Professional Development: Engage in continuing professional development, supervision, and peer review to maintain and advance clinical competence.
Key Relationships General Practitioners (GPs) within the PCN Community nursing and allied health professional teams Urgent care hospitals Social care and voluntary sector organisations Patients, families, and carers Urgent and emergency care services