PCN Enhanced Nurse, Nurse Practitioner or Advanced Nurse Practitioner

apartmentNHS Jobs placeBarnstaple calendar_month 

The post holders role will be pivotal in supporting the Co-Clinical Directors, the Clinical Lead of the OPIC team and member practices in coordinating and delivering all key activities for the PCNs care home and housebound patients. The role will include supporting digital initiatives and coordinating the patient journey through primary care with focused work around the delivery of the Directed Enhanced Service (DES) specifications to include Enhanced Health in Care Homes (EHCH) and Long-Term Condition (LTCs) reviews within care homes and housebound patients.

CORE RESPONSIBILITIES OF THE ROLE Key responsibilities for the post holder in delivering the additional PCN health services to patients will include but are not limited to the following:- Management of Patient Health and Illness To work with clinicians, members of the OPIC team, the wider PCN and member practices and the Care Home MDT to identify and clinically manage a caseload of care home patients.
To work with clinicians, members of the OPIC team, the wider PCN and member practices to identify and clinically manage a caseload of housebound patients. Provide a point of contact within the PCN for patients residing at home or within Care Homes who present with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan in the patients home.
To work closely with and in partnership with community providers, care home staff and other partner organisations to help improve patient outcomes ensure better access to healthcare and help manage general practice workload. The role has the potential to significantly improve the quality of care and safety for patients.
To evaluate clinical information from examination and history taking. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports, liaising and sharing information with the Care Home MDT where applicable.
To support the Co-Clinical Directors and member practices in the delivery of the DES specifications. To prioritise health problems and intervene appropriately, including initiation and of effective emergency care, seeking the advice from a senior clinician where necessary.
To provide coordination and navigation with the aid of digital tools for patients and their carers across health and care services. To provide safe, evidence-based, cost effective, individualised patient care. To support the coordination and delivery of MDTs within the PCN.
To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldecott Principles and GDPR Regulations in relation to all data handling. Where the post holder is a non-medical prescriber To prescribe safe, effective and appropriate medication as defined by current legislative framework.
To carry out medication reviews, including Structured Medication Reviews, for care home and housebound patients as part of the patients annual or long-term condition reviews, and when needed. To work with clinicians, members of the OPIC Team and the wider PCN to ensure safe and effective prescribing for patients under the care of the OPIC Team.
Professional Role To promote personal development and clinical excellence. Working with an MDT approach and with others in developing new roles, responding to changing healthcare needs. To facilitate and participate in multi-disciplinary education and clinical supervision To work within the ANP Code of Professional Conduct.
Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice. To maintain own professional development in line with professional Regulations. To promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
Monitor the effectiveness of their clinical practice through the quality assurance strategies as the use of audit and peer review. Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
Keep up to date with relevant health-related policy and work with an MDT approach to consider the impact and strategies for implementation. To play an active role in the development of PCN development plans and new services. Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
Team Role To liaise with all members of the PCN Team and other agencies local authority, social services, secondary care and voluntary sector in order to assure appropriate care is provided for the Care Home and housebound patient population.
To participate as a key member of the MDT team through the development of collaborative and innovative practice. To value all team members. Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary To delegate appropriate tasks to the other team members whilst still maintaining responsibility for this area.
To support the delivery of health and safety guidance as agreed within the PCN. To support the writing, maintenance and delivery of CQC guidance within the PCN. Liaises with Care Home Staff as needed for collective benefit of patients. Organisational Be confident in the use of computer systems, creating searches, completing records, audits, reports and responding to appropriate questions and requests.
To attend meetings as requested. Support effective communication channels between the whole team. To work according to Clinical Governance and support the Clinical Governance Agenda. To understand the role of Risk Management within the PCN contributing to risk assessment and Significant Event Audit and the importance of Infection Control.
The individual will be required to undertake the assessment and management of patients within care home and patients own home. To actively participate in the delivery of QOF targets and others as deemed by the arrangements in general practice finance.
Mission, Values and Strategic Direction Ensure that patient centred care and safety is central to the culture, philosophy and organisation of the PCN. To encourage and support patient with long term conditions to develop their ability to self-manage.
To develop a culture of ongoing review, taking into account new methods of working. Communication/Collaboration The post-holder should recognise the importance of effective communication and collaboration both within and outside the organisation and will strive to: Communicate effectively with other team members Communicate effectively with outside agencies and other stakeholders Recognise peoples needs for alternative methods of communication and respond accordingly Recognise the significance of collaborative working and ensure they communicate in a way, which enables the sharing of information in an appropriate manner.

For the full job description that includes the underpinning policies please open the supporting JD document.

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You will be able to find a full Job description and Person Specification attached within the supporting documents or please click 'Apply Now' to view in Trac.