Job summaryThe INT Advanced Nurse Practitioner / Paramedic will form an integral part of the Care Home / INT Team, providing insight and ideas on how the PCN can provide a robust support to Care Homes and patients in their own homes, working closely with staff within the PCN and its member practices as well as other agencies. To provide a high quality, person-centred approach to care delivery which always considers peoples safety, privacy and dignity. Providing support to Care Home staff, and residents, carers to support the reduction in reliance on secondary care services. Improve communication processes between Primary Care, Carers and Care Home staff, providing on-going support to prevent inappropriate GP contacts and/or hospital admissions.
Main duties of the jobThe Advanced Nurse Practitioner / Paramedic will work within their scope of clinical practice and undertake the following core responsibilities:
- Clinical Care & Assessment
- Clinical Coordination & Operational Oversight
- Leadership, Supervision & Staff Support
- Governance, Compliance & Quality Assurance
- Communication & MDT Collaboration
- Safeguarding & Risk Management
About usFolkestone, Hythe and Rural Primary Care Network is an innovative, friendly and forward thinking group. General Practice is changing at pace and we see this as a positive and opportunistic challenge. Our PCN includes 7 practices with a combined list size of approx 52,000 patients. We are proud and enthusiastic to be an inventive front runner in the development of Integrated Neighbourhood Team working.
Job responsibilitiesThe Care Home Nurse / Paramedic will work within their scope of clinical practice and undertake the following core responsibilities:
- Undertake initial assessments, and reviews, on residents in a care home /individuals home setting, ensuring that relevant care plans / assessment are in place
- Identify, residents requiring updated care plans / assessment and support the development of these
- Ensure all long term residents and those in short term beds have an up to ReSPECT form in place
- Represent the Care Home / INT Team at the PCN MDT as required
- Signpost or refer patients at risk of developing long-term conditions, preventing adverse effects on the patients health
- Triage patients and provide the necessary treatment on the telephone and during care home/home visits
- Examine, assess and diagnose patients and provide clinical care/management as required
- Maintain accurate clinical records, in line with legislation
- Ensure continuity of care, arranging follow-up consultations or reviews as necessary
- To contribute to the co-ordination of timely and effective multi-agency services to meet individual patient needs in the care homes (both nursing, residential and individuals home).
- Devise programs of care (Personalised Care and Support Plans) for care home staff to deliver, monitor and review to ensure they are delivered appropriately
- Prioritise health issues and intervene appropriately
- Support the planning, implementation and review of health improvement programmes within the care home environment
- Recognise, assess and refer patients presenting with mental health needs
- Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
- Liaise with external services/agencies to ensure that the patient/care home/carer is supported appropriately (vulnerable patients, etc.)
- Adhere to the relevant patient group directives and local clinical pathways at all times
- Support the care home team with all safeguarding matters, in accordance with local and national policies
- Support in any audits where requested
- Support members of the team, providing guidance when necessary and where within scope
- Continually review clinical practice, responding to national policies and initiatives where appropriate
- Participate in the review of significant and near-miss events, applying a structured approach, i.e. root cause analysis (RCA)
- Take personal responsibility for own learning and development, including the requirement to maintain currency, achieving all targets set in own Personal Development Plan (PDP)
Person SpecificationExperienceEssential- Minimum of 2 years post graduate experience
- Experience of working within care homes / community
Desirable- Experience of working within a GP practice
Knowledge and SkillsEssential- Advanced consultation and diagnostic skills
- Sound clinical judgement and decision-making ability
- Strong organisational and leadership capability
- Competence using clinical systems and maintaining accurate records
- Ability to manage complexity and uncertainty
- Flexible and adaptable approach
- Commitment to continuous improvement and professional development
- Experience of working within a multi-disciplinary team
- Experience of working under pressure and managing varying workloads and changing demands
- Administration of medications within Patient Group Directions (PGDs)
- Sound knowledge of local primary care services
- Excellent communication skills with the ability to communicate orally and in written form in a confident, articulate manner
- Ability to build relationships with others to enable and support collaborative working
Desirable- Understanding of patient management in Primary Care setting
- Relevant experience of General Practice IT systems
- Understanding of population health and preventative care
- Experience supervising staff and students
QualificationsEssential- Registered General Nurses with NMC registration/MSc Level advanced clinical practice education
- Master's level qualification in Advance Clinical Practice/Advanced Nurse Practitioner.
- Independent Prescriber qualification.
- Evidence of ongoing CPD and professional development.
- Full driving licence and use of car
Desirable- Qualifications in chronic disease management
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 (formerly known as CRB) to check for any previous criminal convictions.Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). 
