PCN Nursing Associate

• Undertake delegated clinical tasks within the Nursing Associate scope of practice and demonstrated

• Support the holistic assessment and ongoing monitoring of patients living with frailty.
• Undertake clinical observations, including blood pressure, pulse, respiratory rate, oxygen saturations

• Recognise and respond appropriately to deterioration in patients physical or mental health, escalating

• Support the management of long-term conditions and contribute to routine health reviews.
• Undertake clinical procedures within competence, including wound care, dressings, ECG recording, urinalysis

• Support medication-related monitoring and adherence, escalating concerns regarding

• Contribute to falls risk assessment and support falls prevention strategies.
• Support nutritional and hydration assessments and identify concerns relating to weight loss, malnutrition or

• Recognise signs of delirium, cognitive impairment, depression and social isolation and escalate concerns

• Support the monitoring and management of patients following hospital discharge.
• Undertake home and care home visits as required, in accordance with lone-working policies and risk

• Support the identification of patients with frailty using appropriate clinical tools and the PCN frailty register.
• Contribute to Comprehensive Geriatric Assessment (CGA) processes under the direction of the Advanced

• Support the development, implementation and review of personalised care and support plans.
• Promote a proactive approach to care, identifying patients who may benefit from additional support or

• Support early identification of changes in patients health, function, mobility or social circumstances.
• Promote independence, self-management and supported decision-making.
• Identify patients at risk of falls, functional decline, avoidable admission or deterioration and escalate concerns.
• Support anticipatory care planning and contribute to discussions around ReSPECT and advance care

• Support end-of-life care through compassionate communication, monitoring and escalation of patient and

• Work collaboratively with the PCN multidisciplinary team to ensure coordinated and joined-up care.
• Attend and contribute to multidisciplinary team (MDT) meetings, frailty meetings and complex patient

• Communicate effectively with patients, relatives, carers and professionals across health and social care

• Support referrals to appropriate services, following agreed pathways and delegated responsibilities.
• Liaise with community nursing, occupational therapy, physiotherapy, social care, mental health and voluntary

• Identify unmet health and social care needs and escalate these to the relevant team members.
• Support timely communication and continuity of care following hospital discharge or changes in care

• Provide compassionate, respectful and individualised care, maintaining dignity and

• Support patients and carers to understand their health conditions and treatment plans.
• Provide health promotion and prevention advice within the scope of the role.
• Encourage physical activity, mobility, appropriate nutrition and hydration, and social engagement.
• Identify carer strain and concerns relating to safeguarding, neglect or abuse, escalating in accordance with

• Demonstrate sensitivity when supporting people with dementia, cognitive impairment, communication

• Promote equality, diversity and inclusion in all aspects of patient care.

• Maintain accurate, contemporaneous and confidential clinical records using the PCNs clinical systems.
• Record clinical observations, interventions, assessments and escalation of concerns.
• Follow relevant clinical policies, procedures and evidence-based guidance.
• Maintain patient confidentiality and comply with GDPR and information governance requirements.
• Participate in clinical audit, service evaluation and quality improvement activities.
• Report incidents, near misses and safeguarding concerns in accordance with local policy.
• Maintain awareness of professional responsibilities and work within the Nursing Associate Code of Conduct

• Maintain registration with the Nursing and Midwifery Council (NMC).
• Participate in regular clinical supervision, appraisal and performance reviews.
• Maintain a personal development portfolio and evidence of continuing professional development.
• Undertake additional training and competency assessments relevant to the frailty role.
• Maintain knowledge of frailty pathways, long-term conditions and best practice in older peoples care.
• Support the development of a positive learning culture within the PCN team.

• The post holder will contribute to the following service outcomes: Improved proactive identification and monitoring of patients living with frailty.
• Improved access to appropriate community-based assessment and intervention.
• Reduced avoidable hospital admissions and unnecessary escalation to emergency services.
• Improved continuity and coordination of care across primary, community and social care.
• Increased completion of appropriate frailty reviews and personalised care plans.
• Improved identification and management of falls risk, nutritional concerns and functional decline.
• Improved patient and carer experience.
• Promotion of independence, dignity and quality of life for older people.

• Adhere to all relevant PCN and employing organisation policies and procedures.
• Maintain confidentiality and uphold professional standards at all times.
• Participate in mandatory training and ongoing professional development.
• Work flexibly across the PCN footprint in response to service requirements.
• Undertake other duties appropriate to the role and level of competence, as agreed with the line manager.

• Wellfield Health Centre
• Castleton Health Centre
• Kirkholt Medical Practice
• The Kingsway Practice
• Dr Hamid's Practice
• Middleton Health Centre
• The Hive Health Centre

• Make a meaningful difference to

• Develop specialist knowledge

• Work alongside a range of

• Contribute to innovative

Essential

• Competent in undertaking clinical observations and recognising deterioration.
• Understanding of the Nursing Associate role, professional accountability and scope of practice.
• Excellent verbal and written communication skills.
• Ability to work effectively within a multidisciplinary team.
• Ability to prioritise workload and manage competing demands
• Compassionate, empathetic, flexible and patient-focused.
• Ability to use electronic clinical record systems
• Full UK driving licence and access to a vehicle

Desirable

• Experience of venepuncture, ECGs, wound care and long-term condition monitoring.
• Understanding of frailty, Comprehensive Geriatric Assessment and proactive care.
• Experience communicating with people living with dementia or cognitive impairment.
• Experience working across health and social care services.
• Experience coordinating care for patients with complex needs.
• Experience supporting service development or quality improvement.
• Experience of EMIS, SystmOne or other primary care clinical systems.