Advanced Nurse Practitioner For Care Homes and Frailty

NHS; Metropolitan Borough of Solihull; On-site; GBP 35,000 - 55,000

Job description

Advanced Nurse Practitioner For Care Homes and Frailty

The post-holders will be highly motivated Advanced Nurse Practitioners (ANP) or Nurse Practitioners (NP) with independent prescribing skills, joining and enhancing our current team of ANPs at Solihull Healthcare Partnership (SHP). As an experienced nurse in looking after patients with frailty and or in care homes, you will act within your professional boundaries caring for patients within their care facility, own home, at the surgery, virtually and on the telephone. You will provide a first line assessment of care of patients within your caseload, backed by a supportive team of non-clinicians and clinicians including GPs and other AHPs. You will demonstrate safe, clinical decision-making and expert care for patients within our practice.

Main duties of the job

You will work collaboratively within the multidisciplinary SHP Care at Home team to meet the needs of our frail patients, whether they are acute or proactive care needs. This includes working with our wider multi-agency team such as with the Solihull Urgent Community Response (UCR) team, Care home staff, Palliative care nursing staff and Community nursing and therapies.

You will provide regular, planned and unplanned care reviews for our patients within care homes or those who are housebound or with frailty and multimorbidity. The role will also crossover with the portfolio of the other ANPs within our team, to address patients with urgent care needs.

The post holder will support the SHP leadership team to develop our services for frail patients (planned and unplanned care), as a key member of our Care at Home MDT, that may evolve according to business need.

About us

SHP is a Solihull based partnership looking after over 56,000 patients and operating out of 7 sites. This role provides an opportunity to join a large forward-thinking organisation whose vision is to be the most respected Primary Care provider in the West Midlands.

Through our centralised back-office functions, our systems are organised so we can concentrate on healthcare and not administration. Our practices place great value on teaching, training and mentorship within the team.

SHP Vision Statement: To provide person-centred care at the heart of the community.

Mission Statement: Solihull Healthcare Partnership aims to be the provider of choice in delivering holistic care to our neighbourhood.

Core Values:

1. Honest: We practice and encourage open and honest communication, acting with integrity in all that we do.
2. Excellence: We strive to achieve the highest standards in the care we deliver and enable our team to create an environment that encourages excellence.
3. Accountable: We take personal and collective responsibility for our actions and the way we deliver care.
4. Respectful: We engage with our team, our patients and our community with respect, providing kind and compassionate person-centred care.
5. Transformational: We are committed to continually improving our standards, working with the community, being responsive and adapting to the changing needs of the neighbourhood.

Job Responsibilities

Clinical practice

To deliver a high standard of patient care as an Advanced Nurse Practitioner (ANP) or Nurse Practitioner in any care facility (Nursing, Residential and Learning Disability Care Homes), their own homes and for patients of the Practice and PCN with Frailty using advanced autonomous clinical skills and a broad, in-depth knowledge base and experience.

To manage a clinical caseload, dealing with patients' needs in a Nursing, Residential and Learning Disability Care Home setting, step down (Intermediate Care Beds) and to include frail and vulnerable patients within the Practice. To deliver a high standard of care using autonomous clinical skills and a broad.

To work efficiently, pro-actively and autonomously to provide consistent and appropriate care to frail patients often with complex needs. This could be looking after their long-term care needs or where they have an acute concern.

Instigate and be involved in pro-active and appropriate advanced care planning discussions with all patients and their families and develop personalized care plans according to the patients' needs.

Prescribing for end-of-life care, completing/amending Respect forms, Respect discussions with patients, families and care home staff and providing excellent end-of-life care to patients as appropriate.

To have an awareness of all services and support available for frail and vulnerable patients and knowing when to refer on to other services as appropriate.

The development and use of referral pathways for ANPs to the local acute NHS Trust services and to Diagnostic and Treatment Centres (where appropriate).

To support the SHP leadership team to develop our services for frail patients (planned and unplanned care) as a key member of our Frailty and Care homes MDT.

To mentor and support other Health Care Professionals within the Practice and members of the Care Homes MDT in developing and maintaining clinical skills and knowledge.

To build strong connections with the Urgent Community Response (UCR) team, Care home staff, Palliative care nursing staff and Community nursing and therapies.

To actively contribute to achieving our contractual requirements.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

Assess, treat and educate patients as required, making use of prescribing experience to prescribe safe, effective and appropriate medication as defined by current legislative framework.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.

Make professionally autonomous decisions for which you are accountable.

Book diagnostic investigations as indicated.

Refer patients directly to other services/agencies as appropriate.

Follow up patients as required by clinical need and guidelines within scope of practice.

Undertake the assessment of pathology reports and direct for further action as warranted.

Complete medical reports for various agencies, including DWP and insurance companies (where it does not specifically require completion by a GP).

Provide Holistic Care as part of an MDT within SHP and with INTs (Integrated Neighbourhood Teams).

Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Deliver care according to NICE guidelines and evidence-based care.

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.

Support and participate in shared learning across the practice and wider organisation. Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance.

Act as nurse advisor to other members of the Primary Healthcare team.

Encourage and develop teamwork within the practice.

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required. Participate in audits and inspections as appropriate.

Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Ensure that all Practice Policies are fully implemented.

Other Responsibilities

Health and Safety

To comply with the Health and Safety at Work etc. Act 1974.

To take responsibility for their own health and safety and that of other persons who may be affected by their own acts or omissions.

Equality and Diversity

To carry out at all times their responsibilities in line with Equal Opportunities Policy and Procedure.

Risk Management and Clinical Governance

To work within the Clinical Governance Framework of the practice, incorporating Risk Management and all other quality initiatives and all aspects of CQC implementation.

Confidentiality

To maintain confidentiality of information relating to patients, clients, staff and other users of the services in accordance with the General Data Protection Regulations 2018 including outside of the work environment. Any breach of confidentiality may render an individual liable for dismissal and/or prosecution.

Safeguarding

Whilst in post, staff are expected to acquire and update their knowledge on safeguarding as per the intercollegiate document requirements and SHP policies.

The post holder will participate in any training programme implemented by the practice as part of this employment.

To participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.

General

To undertake any other duties commensurate with the role, within the bounds of their own competence as guided by the attached management framework.

To work across the various SHP sites as required.

In light of national policy and due to the needs of the business it may be necessary for the Partnership to alter the opening hours of the surgeries. This could incorporate different opening hours and weekend working which may affect when you are required to work. The post holder is expected to be flexible and accommodating, following consultation, in terms of any changes to operating times in the future.

Person Specification

Knowledge and Skills

• Clinical examination skills
• Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome difficult levels of understanding, cultural background and preferred ways of communicating, whilst ensuring the patient is fully informed.
• Management of patients with long-term conditions
• Knowledge of health promotion strategies
• Knowledge of clinical governance in primary care
• Effective decision making and negotiation skills
• Ability to problem solve whilst working under pressure
• Excellent organisational skills
• Accountability of own role and other roles in a nurse-led service
• IT skills (MS Office and EMISweb)

Experience

• Has worked autonomously in an advanced nursing role
• Has experience of working with patients with Frailty and/or in a Care Home
• Has worked within or closely with primary care or general practice
• Experience of case management
• Experience of advanced care planning discussions with patients and their families
• Experience of conducting audits
• Experience in handling and updating QOF data
• Demonstrable experience of triaging patients' needs

Other

• Flexibility to meet the needs of the business
• Able to travel to all SHP sites
• DBS required

Qualifications

• RGN Qualification
• Accredited training in frailty or chronic disease management

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.