Community Frailty Practitioner

Hours:
Part time
20-30 hours per week. Salary dependant on experience and pro rata

An exciting opportunity has arisen to join our expanding Frailty Team.We are growing our service to enhance the care we provide to our local community, and were looking for a dedicated professional to become part ofthis forward-thinking team.

Our established Frailty Team currently includes a Community Frailty Practitioner, a Community Frailty Paramedic, and a Care Coordinator.
ANon-Medical Prescribing qualification is essential for this role, and applicants must have successfully completed this qualification.

The PCN Frailty Team plays a key role in supporting our practices by conducting weekly ward rounds, monitoring new care home residents, and providing high-quality long-term condition management. In addition, the team delivers a non-urgent housebound service, offering vital support for patients who are unable to attend the surgery but require ongoing management of theirlong-term conditions.

This is a fantastic chance to be part of a dynamic, compassionate team dedicated to improving frailty care across our community.

Applicants should be experienced clinical practitioners who, acting within their professional boundaries, will provide care for housebound and carehome patients including initial history taking, clinical assessment, diagnosis,treatment, and evaluation of care.

Leadlong-term condition management focusing on elderly, frail, and housebound patients, including those in care homes.

They will demonstrate safe clinical decision-making and expertcare, including assessment and diagnostic skills, for housebound and care home patients within the general practice setting.

The post holder will demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs ofthe patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers.

They will work collaboratively as part of the general practice multidisciplinary team to meet the needs of patients. The role is both variedand diverse with clinical support and mentorship provided to allow the successful candidate to flourish. The workload will consist of a mixtureof home visits, care home visits and telephone consultations.

Severn vale PCN (Primary Care Network) comprises five GP practices in South Gloucestershire delivering services to a population of circa 33,500patients which includes 10 care homes. We are an enthusiastic, dynamic, and friendly PCN who constantly strive to improve patient pathways and health care outcomes.

The PCN team includes a Clinical Director, a PCN Manager, a Community Frailty Practitioner, a Community Frailty Practitioner, a Care Co-ordinator, 4

Clinical Pharmacists, a Pharmacy Technician, 7 Care Coordinator Prescription Clerks, 2 dedicated Social Prescribing Link Workers and First Contact Physiotherapists. The PCN islooking to appoint an Experience Practice Nurse to join our Frailty & Care Home Service.

Job responsibilities
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To work as part of a multi-disciplinary team across the PCN tocare for our housebound and care home patients, including proactive assessment,diagnosis and treatment of individuals using a holistic approach.

To undertake care home weekly ward rounds.

To assess, diagnose, investigate, treat, refer or signpost patients/service users within the community with undifferentiated orundiagnosed condition relating to minor illness, minor injury or urgent problems.

The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.

The post holder must have access to a vehicle for home visits with mileage expenses remunerated by submission of a monthly mileage form. (Please note it is the postholders responsibility to ensure that their car insurance is covered for business use).

• Visiting patients who are frail/have co morbidity in their homes or in a care home. Undertake care home ward rounds with the support of the PCNs Community Frailty Practitioner, Community Frailty Paramedic and Care Coordinator
• Prescribe/issue medications as appropriate following policy, patient group directives and local pathways. Independent Prescriber qualifications is essential.
• Maybe required to help with the Avoiding Unplanned Admission reviews
• Consult with patients, take medical histories, perform physical examinations, analyse,diagnose and explain medical problems during consultations and home visits.
• Recommend and explain appropriate diagnostic tests and treatment.
• Formulate differential diagnoses and develop and deliver appropriate treatment and management plans. Request and interpret results of laboratory investigations when necessary.
• Advanced end of life care planning to include ReSPECT discussions and development of Personalised Care and Support Plans.
• Advise patients on general health care and minor ailments, with referral to other members of the primary…