This is an exciting and unique opportunity to be at the forefront of the delivery of our Ageing Well model of care. Working both independently, and within our multi agency team, the role will operate across the traditional health and social care organisational boundaries, including our GP practice partners, to deliver an holistic approach to acute on day / rapid response services, enhanced care into care homes and enhanced proactive care for older people with frailty. We are looking for an Enhanced Clinical Practitioner with a strong interest in working with frailty and who aspires to provide a continuous improvement approach to delivering responsive, safe, patient-centred and effective care within a neighbourhood team environment.
The service, within which the post holder would work, supports patients with multifaceted health problems living in their own homes as well as in care homes. The service liaises with care home staff, carers, families and colleagues to maintain and maximise individualised patient-centred care (including advanced care planning).
We are looking to recruit up to full time hours (37.5hrs per week).
Main duties of the job
The Enhanced Clinical Practitioner role supports improvement in patients' health by providing direct, accessible and face to face support to our care home residents and housebound population as part of the Ageing Well Team.
Benefits of working with us:
* NHS Pension Scheme, offering flexible retirement choices, an ill health retirement pension, life assurance and an optional lump sum on retirement
* 27 days plus 8 Bank Holiday annual leave entitlement, increases annually with length of service up to 33 days (pro rata for part time staff)
* Up 5 days professional/study leave per year (pro rata)
* Access to Wellbeing Support
* Employee Assistance Programme
* Blue light Card
Job responsibilities
* To work autonomously on a day-to-day basis and to escalat[e] issues above own competency to Line manager / Community GP/ACP/ProfessionalLead ECP (Community)/Practice Educator. To ensure that working to the top of licence and identify when demand is above and beyond service requirement and[e]scal[e].
* To use enhanced skills and expert knowledge to carry out a thorough assessment, including a systematic physical examination, in order to develop a comprehensive care plan.
* To provide expert enhanced clinical assessment and management of patients who are frail and/or with multiple long-term conditions who are at risk of deteriorating health that may result in declining quality of life or avoidable hospital admission, or unnecessary length of hospital stay.
* To initiate therapeutic care in partnership with other members of the MDT.
* To work in partnership with the local navigation hubs and wider MDT to provide a holistic care under the Neighbourhood model of care.
* To use advanced clinical skills and knowledge to comprehensively manage patients with complex health needs, including interpreting test results and analysing them in clinical context.
* To liaise with GP/ACP Lead to assist with the coordination of patient care in a variety of settings. This includes planning, developing, implementing, monitoring, and reviewing specialised programmes of health interventions for case managed patients.
* To appropriately refer patients for a range of physical and functional tests and assessments, in order to inform decision making and care pathway development.
* Supporting and working with carers and wider family members.
* To use expert clinical knowledge to support patients on end-of-life pathways.
Person Specification
Knowledge and Skills
* Evidence of CPD
* Knowledge of practical application of clinical governance
* High level of understanding regarding long term conditions agenda and wider NHS agenda
* Management of risk and health and safety and safeguarding adults and children procedures and ability to implement
* Advanced Clinical decision making and patient examination skills or equivalent
* High level clinical skills relevant to long term conditions and the management of chronic disease management and frailty
* Excellent communication skills, written and verbal
* Knowledge of community systems
* Knowledge of Systemone and Emis
* Knowledge of the Ageing Well Team
Appitude and Personal Qualities
* Ability to work independently and within a team
* Willing to work flexibly within the team to cover annual leave or sickness, and to contribute to the extended hours' service if required
* Ability to visit patients in their own home throughout shifts, carrying appropriate equipment.
* Access to own transport and ability to travel within the requirements of the role (reasonable adjustments will be made)
* Appropriate immunisation record
* DBS Clearance
Experience
* Community Experience
Qualifications
* RGN or HCPC accredited degree
* Evidence of post registration clinical professional development at level 7
* V300 Independent non-medical prescriber (where able to under professional registration)
* Teaching qualification
* MSc level course in advanced practice
* Long Term conditions module at level 6/7
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.
£47,813.28 to £54,770.73 a year depending on experience
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