Home Visiting and Care Home Service

We are looking for an Advanced Care Practitioner (Advanced Nurse Practitioner / Paramedic), to join our already established Home Visiting and Care Home team. The practitioner will provide on the day acute visits for housebound patients and care home residents within the PCN, as well as delivering proactive home visits to support the ongoing health needs of our population.

The post holder will be required to provide on the day visits for housebound patients who are acutely unwell and need a clinical assessment, as well as pre-planned proactive care assessments. The practitioner will also need to visit patients living in care homes for both acute and proactive care, this will be in the form of either a ward round or an acute visit.

The clinician will be responsible for prioritising visits according to clinical need and will be required to take a comprehensive history and devise a treatment plan. This could include liaison with the GP, secondary care and community colleagues to support coordination of patient care.

As part of the proactive care service delivery, the post holder will be required to complete comprehensive frailty assessments, advanced care plans, end of life care planning, and medication optimisation while working closely with a wider MDT to identify patients who require input from other services or agencies.

Please take a look at job spec attached

Uses expert knowledge and clinical skills to deliver holistic care to housebound patients and care home residents registered with Southampton West PCN

Provide safe, evidence-based, cost effective, individualised patient care

Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute, and chronic medical conditions

Assesses diagnoses and treats patients who require acute medical attention and refer to appropriate agencies.

Directly admits patients to secondary care hospital in acute medical need

Refers patients, as appropriate, to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations

Interprets a range of diagnostic tests

Works within professional guidelines and codes of conduct

Works within all relevant policies and procedural guidelines e.g. infection control, chaperoning, risk management

Communicates information well and sensitively to patients and carers having due regard to confidentiality

Contributes towards targets under the primary Care Network Enhanced service and the Quality and Outcomes Framework

Undertake annual reviews and care plans for patients including medication reviews (with support of pharmacists where necessary).

Accurately records clinical consultations on practice clinical systems ensuring the correct use of SNOMED codes and clinical templates

Understand and implements safeguarding protocols and understand how and who to refer and escalate to when required

Southampton West Primary Care Network (PCN) consists of the 9 GP surgeries in the west of the City and covers 84,000 patients. Our mission is to work collaboratively to develop high quality services for our patients, so that we can improve health outcomes that enable people to live well, for longer, whilst developing resilient primary care.

The PCN already hosts a strong and supportive multi-disciplinary wellbeing team consisting of mental health practitioners, peer support workers, social prescribers, care coordinators, Health and Wellbeing Coaches, Pharmacists, and First Contact Physiotherapists.

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 to check for any previous criminal convictions.

UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website

General Responsibilities of All Employed Staff:

Confidentiality

In 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.

In 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.

Information 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.

Health & Safety

The post-holder will assist in promoting…