Care Home Advanced Practitioner

by the GP Practice, the Care Home Advanced Clinical Practitioner (ACP) will visit our local care homes to provide advanced clinical assessment, diagnosis, treatment and management for our registered care home patients with acute, chronic and complex health needs. The role

involves leading complex case management, supporting admission avoidance,

end-of-life care and personalised care planning, while working collaboratively

with the Practice team, community services and care home providers to improve

resident outcomes. The ACP will also provide clinical leadership, oversee

governance and quality improvement activities, and ensure the delivery of safe,

effective and evidence-based care.

(ACP) will operate as an autonomous, independent and highly skilled clinician

within the Practice team. They will manage the day-to-day care which covers

both reactive care and proactive care for residents living within care home

settings locally.

Using advanced clinical assessment, diagnostic reasoning and

independent prescribing skills, the ACP will assess, diagnose, treat and manage

residents with acute, chronic and complex needs, supporting admission avoidance

and high-quality care closer to home.

The ACP will provide expert clinical decision making for

undifferentiated presentations, lead complex case management, review high

acuity patients with complex needs and support end-of-life care, and work

collaboratively with the Practice team, community teams and care home providers

to improve outcomes for residents, reduce avoidable hospital admissions and

facilitate care closer to home.

Participate in multidisciplinary reviews

of high-risk residents to optimise health outcomes and reduce avoidable

deterioration.

Develop personalised care and support

plans in partnership with residents, families, care home staff and GP Practices.

Facilitate advance care planning and

DNACPR discussions with residents and families.

Support residents with frailty,

dementia, multiple long-term conditions and complex healthcare needs.

Provide clinical leadership for

multidisciplinary discussions relating to high-risk residents.

Support residents to remain within their

preferred place of care wherever appropriate.

Enable residents approaching end of life

to receive care within their care home where this reflects their wishes and

clinical needs.

Lead clinical governance arrangements,

ensuring delivery of safe, effective and evidence-based care.

Work collaboratively with the Practice

Team and Care Home Managers to review quality, outcomes and clinical risks.

Lead investigations into incidents,

complaints, safeguarding concerns and significant events. ensuring relevant

safety systems are used to report and monitor incidents for quality

improvements

Ensure learning from governance activity

is embedded into clinical practice and service delivery.

Monitor standards of prescribing, record

keeping and clinical documentation.

Develop, implement and review care

pathways, protocols and standard operating procedures.

Lead and participate in clinical audit

and quality improvement programmes to improve resident outcomes.

Ensure compliance with professional,

regulatory and organisational standards.

Medical Practice is based in a thriving market town in the beautiful county of

Rutland. Market Overton is a picturesque village in the North of Rutland with a

branch surgery in the village of Somerby just across the border in

Leicestershire. The Practices serve 20,000 patients.

are part of Rutland Health PCN and work collaboratively and effectively with

our local partners in general practice, the community and social care.

are a dynamic, creative and forward-thinking Partner led team. We are

incredibly lucky to have a wonderful and supportive Practice team to work with.

We pride ourselves upon being a learning and teaching Practice.

Experience

Desirable: - Experience of working in a primary care environment; - Experience of telephone triage

Clinical Knowledge and Skills

Skills

Desirable: - Experience with audit and able to lead audit programmes; - Experience with clinical risk management

Qualifications

Desirable: - Mentorship Qualification

Other Requirements