Advanced Clinical Practitioner - Frailty

Provide expert management of complex frailty syndromes,

dementia, delirium, polypharmacy, falls risk and end of life needs.

advanced clinical reasoning to assess, diagnose, treat, and manage patients

without direct input from a medical practitioner, recognising own professional

boundaries and seeking senior clinical support when required.

Monitor

medication use and adjust treatment plans working autonomously as required

Escalate

concerns appropriately

Work

closely with GPs, OTs, Physiotherapists, Care Co-ordinators, Social

Support

patients and families in understanding and managing frailty

Promote

lifestyle and self management strategies

Conduct

regular care plan reviews

Identify

patients in need of palliative support and facilitate advanced care planning

discussions

Communicating

with distressed patients and relatives

Caring

for patients and relatives following receipt of bad news

Communicating

and caring for patients who have reduced understanding and insight due to

cognitive impairments

Participate/lead

weekly enhanced care home reviews

Undertake

daily acute care home visits requested through our clinical triage system

identifying clinical emergencies, deteriorating patients or patients at risk of

deterioration

Participate

in regular clinical supervision

Work

using FEAT and champion evidence-based interventions

Conduct

comprehensive geriatric assessments using appropriate tools

Provide expert

management of complex frailty syndromes, dementia, delirium, polypharmacy,

falls risk and end of life needs.

Exercise advanced

clinical reasoning to assess, diagnose, treat, and manage patients without

direct input from a medical practitioner, recognising own professional

boundaries and seeking senior clinical support when required.

Monitor medication

use and adjust treatment plans as required, autonomously working within scope

of practice and in line with prescribing competencies.

Escalate concerns

appropriately and initiate urgent or emergency interventions when required.

Identify when

clinical presentations fall outside of scope of practice and escalate

appropriately to GP or senior clinicians.

Work closely with

GPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribers

and Community Nursing Team

meetings and case reviews

Support patients

and families in understanding and managing frailty

Promote lifestyle

and self management strategies to optimise health and independence

Functions at a high level to carry out

clinical decision making such as diagnosing and managing patients without

input from a medical practitioner remaining within scope of a professional

practice.

Functions at a high level in relation to

communication skills through patient consultation and nursing assessment

of physical, psychological and social needs.

Completing proactive, individualised clinical

management plans for care home residents improving their health experience

and reducing unnecessary and potentially harmful hospital admissions

Conduct regular care plan reviews

Identify patients

in need of palliative support and facilitate advanced care planning discussions

with patients and families

Communicating with distressed/anxious/worried

patients and relatives

Caring for patients and relatives following

receipt of bad news and supporting them in identifying realistic expectations

in relation to clinical conditions

Communicating and caring for patients who have

reduced understanding and insight due to cognitive impairments

weekly enhanced care home reviews

Undertake daily acute care home visits requested through our clinical

triage system identifying clinical emergencies, deteriorating patients or

patients at risk of deterioration ensuring appropriate action

Participate in regular clinical supervision, reflective practice and case-based

discussions to maintain safe, effective and autonomous practice.

Work using FEAT and champion evidence-based interventions

Conduct comprehensive geriatric assessments using appropriate tools

the course of seeking treatment, patients entrust us with, or allow us to

gather, sensitive information in relation to their health and other matters.

They do so in confidence and have the right to expect that staff will respect

their privacy and act appropriately.

the performance of the duties outlined in this Job Description, the post-holder

may have access to confidential information relating to patients and their

carers, Practice staff and other healthcare workers. They may also have access

to information relating to the Practice as a business organisation. All such

information from any source is to be regarded as strictly confidential.

relating to patients, carers, colleagues, other healthcare workers or the

business of the Practice may only be divulged to authorised persons in

accordance with the Practice policies and procedures relating to

confidentiality and the protection of personal and sensitive data

The post-holder will assist in promoting and maintaining their own

and others health, safety and security as defined in the practice Health &

Safety policy, the practice Health & Safety manual, and the practice

Infection Control policy and published procedures. This will include:

Using personal security systems within the workplace

according to practice guidelines

Identifying the risks involved in work activities and

undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and

Using appropriate infection control procedures, maintaining

work areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection

hazards immediately when recognised

Keeping own work areas and general / patient areas generally

clean, assisting in the maintenance of general standards of cleanliness

consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum

annually)

Reporting potential risks identified

The post-holder will support the

equality, diversity and rights of patients, carers and colleagues, to include

acting in a way that recognizes the importance of peoples rights, interpreting

them in a way that is consistent with Practice procedures and policies, and

current legislation. Respecting the privacy, dignity, needs and beliefs of

patients, carers and colleagues. Behaving in a manner which is welcoming to and

of the individual, is non-judgmental and respects their circumstances, feelings

priorities and right.

The postholder will participate in all training programmes

implemented by the Practice, including annual performance reviews and

competency assessments, and will take responsibility for their own ongoing

development, learning and performance.

They will maintain a comprehensive professional portfolio

demonstrating autonomous clinical practice, clinical supervision, CPD and

reflective learning, ensuring that clinical competencies required for safe

autonomous practice in frailty care are continually met.

The postholder will contribute to clinical governance

activities such as audits, incident reviews and quality improvement

initiatives, while engaging in regular clinical supervision and reflective

discussions to support safe, accountable practice. They will also support the

development of colleagues by sharing specialist frailty knowledge, offering

mentorship and demonstrating skills and activities to others undertaking

similar work

The post-holder will strive to

maintain quality within the Practice and will assess own performance and take

accountability for own actions, either directly or under supervision.

Contribute to the effectiveness of the team by reflecting on own and team

activities and making suggestions on ways to improve and enhance the teams

performance. Work effectively with individuals in other agencies to meet

patients needs. Effectively manage own time, workload and resources

The post-holder should recognise the

importance of effective communication within the team and will strive to

communicate effectively with other team members, communicate effectively with

patients and carers and recognise peoples needs for alternative methods of

communication and respond accordingly.

NCPC (North Cumbria Primary Care) was established in August 2019 in response to an increasingly fragile general practice provision within North Cumbria. NCPCs vision is to bring practices together to develop a sustainable, fully integrated primary care- built locally and delivered together.

The Copeland NCPC area consists of 3 major practices, Fellview Health Care, Lowther Medical Centre and Seascale Health Centre as well as a shared PCN (Primary Care Network) which delivers services to patients across all 3 practices.

We are a not-for-profit company with all money we receive in funding and other business activities going towards supporting the organisation, our staff, and our services.

Personal skills, attributes and requirements

Experience

Desirable: - Experience of working in a primary care setting would be beneficial

Qualifications

Essential: - Masters degree in advanced clinical Practice; - Registered Nurse on the NMC register; - Non-medical prescriber