Overview
We are currently recruiting for an Enhanced Practitioner to join our growing multi-disciplinary frailty and visiting service. The role will focus on providing assessment and care for some of our more vulnerable patients with more complex health and social needs. Our ideal candidate will have good assessment skills, recognised training in relevant areas of enhanced practice, experience in frailty and/or care for patients with complex needs as part of a multi-disciplinary team. Whilst frailty specific experience would be valuable, a willingness to develop knowledge and skills is essential.
We are looking for someone to work 25.5 hours per week. This role is part of our response to national initiatives to promote the shift of emphasis towards more proactive models of care, to help keep people well and independent, and to avoid unnecessary hospitalisation. The post holder will be able to rely on the support of our aligned services (including strong GP leadership, primary care mental health team and social prescribers), competent admin and reception teams and will have regular contact with our colleagues in local community services teams. Salary for the role will depend on qualifications and experience.
Responsibilities
* Provide holistic care for patients, families and carers living with frailty and/or complex care needs.
* Work within a multi-disciplinary team offering a holistic service that recognises the broader determinants of health and well-being of people living with frailty to maximise their quality of life.
* Improve the experience of health services for patients, families and carers living with frailty and/or complex care needs.
* Manage a clinical caseload of patients presenting with frailty and/or complex care needs that may include undifferentiated health needs, ensuring patient choice and ease of access to services.
* Support patients to remain at home to receive care, preventing non-elective hospital admissions or extended hospital stays.
* Remain clinically competent, registered with appropriate governing body as relevant to profession and ensure continuous professional development opportunities are undertaken to keep up-to-date and maintain competence.
* Function as a key member of the frailty and home visiting team at Sea City Partnership, delivering primary care services to patients.
* Deliver a high standard of patient care as an Enhanced Practitioner in general practice, using autonomous clinical skills and an in-depth theoretical knowledge base.
* Provide ongoing holistic care to patients with frailty and/or complex needs, including liaising with appropriate internal and external teams to create holistic care plans and review them as required.
* Perform clinical assessment and management of patients in their home environments in both acute and proactive care contexts, including diagnosis, management/treatment plans and referrals as appropriate.
* Maintain accurate and contemporaneous records, utilise computer systems where appropriate and consider Caldicott Principles in relation to data handling.
* Prescribe safe, effective, and appropriate medication as defined by current legislative framework and local prescribing standards, if within scope of practice.
* Refer patients directly to other services/agencies as appropriate including primary care network, acute hospital services, community services, mental health services and local social services.
* Work within the practice guidelines, policies, and protocols.
* Contribute to the practice achieving its quality targets to sustain high standards of patient care and service delivery.
* Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research.
* Ensure practice which is of high quality, meets regulatory and contractual requirements and contribute to clinical governance arrangements across Sea City Partnership services.
* Monitor the effectiveness of their own clinical practice through quality assurance strategies such as audits and peer review.
* Maintain professional registration with the relevant governing body for their profession and remain clinically competent in relation to their job-plan.
* Participate in clinical supervision from the Lead GP, frailty and home visiting team and contribute to peer-to-peer and other supervision arrangements within Sea City Partnership.
* Participate in continuing professional development to ensure up-to-date evidence-based knowledge and competence in all aspects of the role.
* Work within the latest Code of Professional Conduct relevant to the profession and stay up to date with pertinent health-related policy and practice implementation.
* Collaborate with colleagues within and external to the practice to deliver patient-centred services.
* Demonstrate positive behaviours aligned with Sea City Partnership values, support other team members, and accept referrals as needed.
* Liaise with all members of the primary health care team and other agencies to ensure timely care and participate as a key member of the multi-professional Sea City team.
* Develop and implement strategies to promote excellent patient care and evidence-based practice within the frailty and home visiting team and wider practice MDT.
* Foster a high-functioning team where responsibilities are shared and autonomy is encouraged, while ensuring a patient-centred approach and effective handling of feedback and complaints.
* Attend meetings as required and manage resources and budgets to support effective service delivery.
* Complete records, audits, reports and respond to questions to support ongoing improvement of clinical services.
* Support and contribute to effective communication and governance frameworks, including investigation of significant events and infection prevention and control.
* Actively participate in delivery of QOF targets and contractual arrangements and provide assurance reports as required.
* Support the placement and supervision of healthcare learners and maintain awareness of national and local policies and best practice relevant to the role.
About Us
Our established and well-led partnerships at St Marys Surgery and Victor Street Surgery have merged to form Southampton Sea City Partnership. We are a progressive organisation serving diverse communities in the South of England. You will have opportunities to develop clinical skills and make a real difference in peoples lives. In 2025 we will form a single partnership, single practice and PCN serving circa 40k patients, with plans for a new clinical model to improve access and care navigation while emphasising continuity of care across four sites: St Marys, Telephone House, Mulberry and Victor Street surgeries.
Details
* Date posted: 21 August 2025
* Pay scheme: Other
* Salary: Depending on experience
* Contract: Permanent
* Working pattern: Part-time
* Reference number: A1132-25-0002
* Job locations: 1 Johnson Street, Southampton, SO14 1LT
Qualifications
Essential
* Registered paramedic or registered nurse
* Evidence of extended learning that may include physical assessment and history taking, clinical decision making
Desirable
* Multi-professional prescribing qualification
Experience
Essential
* Experience of working independently as an Enhanced Practitioner with patients living with frailty and/or complex care needs
* Experience of providing care to patients in their own homes
Desirable
* Experience of working to support patients from more diverse, deprived and/or inner city communities
* Experience of collaboration across Primary Care Network or other local care delivery systems
Knowledge and Skills
Essential
* IT literate
* Communication skills, both written and verbal
Desirable
* Primary Care Clinical system preferably TPP System-one
* Knowledge of communities, geography, partners, stakeholders in Central Southampton
Qualities and Attributes
Essential
* Excellent communicator
* Strong person-centred values
* Able to work autonomously and within an MDT
* Commitment to service improvement
* Attention to detail
* Demonstrable professional behaviours, e.g. flexibility, integrity, good work ethic, ability to use initiative
Disclosures
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
St Marys Surgery, 1 Johnson Street, Southampton, SO14 1LT. Website: https://www.stmaryssurgery.nhs.uk
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