NHS
PCN Nurse: Care Home & Frailty Service (CH&FS)
This job is now closed
Job Description
- Req#: A5388-24-0003?language=en&page=1076&sort=publicationDateDesc
- Ability to maintain effective working relationships and to promote collaborative practice with internal and external colleagues
- Clean driving licence and access to a car with appropriate business insurance
- Current registration with Nursing and Midwifery Council and up to date with mandatory training and revalidation
- Experience of working with long term conditions
- Good level of communication skills both verbal and written which can be tailored to a wide range of stakeholders
- Good level of ICT knowledge and skills
- Good organisational skills and time management
- Professional, calm and efficient manner
- Self-motivated, can work well independently and within a team
- Works safely and effectively when working autonomously and in conjunction with other health care professionals
- No afraid to ask for help when needed, recognising ones own sphere of competence and safety
- Evidence of post qualifying and continuing professional development
- Experience of working with complex patients e.g. patients in a residential home setting and patients with learning disabilities
- Experience of working within General Practice
- Advanced Physical Assessment (Or willing to work towards)
- Ability to maintain effective working relationships and to promote collaborative practice with internal and external colleagues
- Clean driving licence and access to a car with appropriate business insurance
- Current registration with Nursing and Midwifery Council and up to date with mandatory training and revalidation
- Experience of working with long term conditions
- Good level of communication skills both verbal and written which can be tailored to a wide range of stakeholders
- Good level of ICT knowledge and skills
- Good organisational skills and time management
- Professional, calm and efficient manner
- Self-motivated, can work well independently and within a team
- Works safely and effectively when working autonomously and in conjunction with other health care professionals
- No afraid to ask for help when needed, recognising ones own sphere of competence and safety
- Evidence of post qualifying and continuing professional development
- Experience of working with complex patients e.g. patients in a residential home setting and patients with learning disabilities
- Experience of working within General Practice
- Advanced Physical Assessment (Or willing to work towards)
Job summary
The post holder is registered with the NMC and will be able to provide support for acute, chronic and proactive care across varying settings to our frail patients, whilst working within their professional boundaries.
Our service is supported by and consists of a diverse multi-professional workforce which includes pharmacists, care coordinators, social prescribing link workers, nurses, paramedics, ACPs, a digital transformational lead and an occupational therapist. The role will be supported by direct clinical supervision to support comprehensive assessment, care planning and intervention delivery for older adults with frailty.
The post holder will use systems to accurately record patient care/contacts using relevant clinical and other reporting templates to ensure outcomes are coded correctly in the clinical systems and other tools as required in line with local and national targets.
There will be some lone working with patients and the role will be based across a number of settings.
Main duties of the job
To provide nursing activities which include the following responsibilities;
Assist in the management of care treatment plans for patients at risk of developing a long-term condition and patients with acute and chronic conditions.
Demonstrate a high level of interpersonal, communication and IT skills to communicate effectively with patients and internal and external colleagues.
Within your scope of practice independently undertake and develop care plans and treatments, care coordination, onwards referral to appropriate community and specialist services, as appropriate, ensuring a seamless care approach.
Work within a wider multi-disciplinary team to ensure effective care plans and treatments are in place for complex patient palliative care and long term conditions. This will include participating in PCN Multi-Disciplinary Team meetings, as required.
Help prepare patients and their carers/families for changes in condition which can include support for choice about end of life care.
Liaise with appropriate clinical service staff and managers to undertake any required clinical audits and interpretation of findings as required.
Participate in management and review of patient complaints and significant events and identify learning from these.
Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
About us
Our Primary Care Network
Preston Park PCN is a group of five surgeries - Beaconsfield Medical Practice, The Haven Practice, Preston Park Surgery, Stanford Medical Centre and Warmdene Surgery. We serve approximately 57,000 patients and aim to support and connect with our local community.
Primary Care Networks (PCNs) bringGP practices together with other local services such as community, mental health, social care and the voluntary sector to look after local populations. PCNs will help to joinupservices at a local level, focusing on the specific needs of these local populations, with patients still accessing routine GP appointments as they do now.
Date posted
24 May 2024
Pay scheme
Other
Salary
£16 to £22 an hour
Contract
Permanent
Working pattern
Full-time, Flexible working, Compressed hours
Reference number
A5388-24-0003
Job locations
Deneway Surgery
Ground Floor Lions Dene, 11 The Deneway
Brighton
East Sussex
BN1 5AZ
Job descriptionJob description
Job responsibilities
Job Summary
The post holder is registered with the NMC and will be able to provide support for acute, chronic and proactive care across varying settings to our frail patients, whilst working within their professional boundaries.
Our service is supported by and consists of a diverse multi-professional workforce which includes pharmacists, care coordinators, social prescribing link workers, nurses, paramedics, ACPs, a digital transformational lead and an occupational therapist. The role will be supported by direct clinical supervision to support comprehensive assessment, care planning and intervention delivery for older adults with frailty.
The post holder will use systems to accurately record patient care/contacts using relevant clinical and other reporting templates to ensure outcomes are coded correctly in the clinical systems and other tools as required in line with local and national targets.
There will be some lone working with patients and the role will be based across a number of settings.
Key Responsibilities
To provide nursing activities which include the following responsibilities;
1. Assist in the management of care treatment plans for patients at risk of developing a long-term condition and patients with acute and chronic conditions.
2. Assist with the management of patients with active and long term conditions.
3. Demonstrate a high level of interpersonal, communication and IT skills to communicate effectively with patients and internal and external colleagues.
4. Within your scope of practice independently undertake and develop care plans and treatments, care coordination, onwards referral to appropriate community and specialist services, as appropriate, ensuring a seamless care approach.
5. Work with patients, carers and families as needed, in order to support compliance with and adherence of prescribed treatments.
6. Work within a wider multi-disciplinary team to ensure effective care plans and treatments are in place for complex patient palliative care and long term conditions. This will include participating in PCN Multi-Disciplinary Team meetings, as required.
7. Demonstrate a thorough understanding of and commitment to equality of opportunity for patients and colleagues and awareness and commitment to diversity.
8. Help prepare patients and their carers/families for changes in condition which can include support for choice about end of life care.
9. Liaise with appropriate clinical service staff and managers to undertake any required clinical audits and interpretation of findings as required.
10. Maintain good working relationships internally and externally.
11. Participate in management and review of patient complaints and significant events and identify learning from these.
12. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
Care Home and Frailty Team:
- Offering support for Residential and housebound patients as needed:
13. Provide acute and at times same day care to residential home residents, in keeping within competence, assisting in a weekly care home ward round and review of patients ongoing acute/chronic needs, treatment and evaluation of care.
14. Support the management and review of chronic conditions, including contributing to PCN and practice targets required in line with local and national targets.
15. To assess the physical and psycho-social needs of housebound and residential, utilising the appropriate tools to complete care plans and ReSPECT forms.
16. Appropriately handover any acute clinical conditions that present during the patient review to the relevant clinical lead and make any relevant onward referrals.
17. Support care home staff with education and health promotion to help develop their knowledge and skills required to deliver excellent and safe care to patients.
18. Support the management and maintenance of the patient list.
19. Support the coordination of any project plans, resources, and communications.
20. Provide vaccinations (consent and administration) to patients and sometimes internal and external staff appropriately and ensure accurate record keeping.
21. Store and transport vaccines appropriately ensuring cold chain maintained.
22. Support the management and maintenance of the patient list.
23. Support the coordination of any project plans, resources, and communications.
24. Provide Annual Health Reviews and vaccinations (consent and administration) to patients appropriately and ensure accurate record keeping.
25. Store and transport any vaccines appropriately ensuring cold chain maintained.
26. Support the management and maintenance of the patient list.
27. Support the coordination of any project plans, resources, and communications.
Leadership Role:
28. Assist in the leading on the coordination of project plans, resources, communications, and patient lists for PCN services and ad hoc projects if required.
29. Assist in in the leading on the production and implementation of clinical and non-clinical guidelines and protocols if required.
30. Work within the parameters of agreed budgets and scope of service and/or project delivery.
31. Support service review and development including producing service performance reports and option papers for service developing and improvement.
32. Undertake mentorship and clinical supervision, if appropriate, for more junior staff, assessing competence against set standards of care.
Other:
33. Demonstrates a passion for improving the quality of care for patients.
34. Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
35. Demonstrates respectful and professional communication and other behaviours to internal and external colleagues.
36. Values the contributions of other PCN staff and practice staff.
37. Maintaining professional relationships
The above is not an exhaustive list of duties and you will be expected to undertake such tasks that may reasonably be expected within the scope, level of skill and knowledge for this band.
Communication
38. Act as an advocate for patients and colleagues.
39. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. To ensure patients are fully informed and consent to treatment and the sharing of information with other care providers. This is to be documented and recorded in the electronic patient record.
40. Communicate with and support patients who are receiving difficult news.
41. Maintain effective communication across PCN Teams, practice staff and with external stakeholders.
Job responsibilities
Job Summary
The post holder is registered with the NMC and will be able to provide support for acute, chronic and proactive care across varying settings to our frail patients, whilst working within their professional boundaries.
Our service is supported by and consists of a diverse multi-professional workforce which includes pharmacists, care coordinators, social prescribing link workers, nurses, paramedics, ACPs, a digital transformational lead and an occupational therapist. The role will be supported by direct clinical supervision to support comprehensive assessment, care planning and intervention delivery for older adults with frailty.
The post holder will use systems to accurately record patient care/contacts using relevant clinical and other reporting templates to ensure outcomes are coded correctly in the clinical systems and other tools as required in line with local and national targets.
There will be some lone working with patients and the role will be based across a number of settings.
Key Responsibilities
To provide nursing activities which include the following responsibilities;
1. Assist in the management of care treatment plans for patients at risk of developing a long-term condition and patients with acute and chronic conditions.
2. Assist with the management of patients with active and long term conditions.
3. Demonstrate a high level of interpersonal, communication and IT skills to communicate effectively with patients and internal and external colleagues.
4. Within your scope of practice independently undertake and develop care plans and treatments, care coordination, onwards referral to appropriate community and specialist services, as appropriate, ensuring a seamless care approach.
5. Work with patients, carers and families as needed, in order to support compliance with and adherence of prescribed treatments.
6. Work within a wider multi-disciplinary team to ensure effective care plans and treatments are in place for complex patient palliative care and long term conditions. This will include participating in PCN Multi-Disciplinary Team meetings, as required.
7. Demonstrate a thorough understanding of and commitment to equality of opportunity for patients and colleagues and awareness and commitment to diversity.
8. Help prepare patients and their carers/families for changes in condition which can include support for choice about end of life care.
9. Liaise with appropriate clinical service staff and managers to undertake any required clinical audits and interpretation of findings as required.
10. Maintain good working relationships internally and externally.
11. Participate in management and review of patient complaints and significant events and identify learning from these.
12. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
Care Home and Frailty Team:
- Offering support for Residential and housebound patients as needed:
13. Provide acute and at times same day care to residential home residents, in keeping within competence, assisting in a weekly care home ward round and review of patients ongoing acute/chronic needs, treatment and evaluation of care.
14. Support the management and review of chronic conditions, including contributing to PCN and practice targets required in line with local and national targets.
15. To assess the physical and psycho-social needs of housebound and residential, utilising the appropriate tools to complete care plans and ReSPECT forms.
16. Appropriately handover any acute clinical conditions that present during the patient review to the relevant clinical lead and make any relevant onward referrals.
17. Support care home staff with education and health promotion to help develop their knowledge and skills required to deliver excellent and safe care to patients.
18. Support the management and maintenance of the patient list.
19. Support the coordination of any project plans, resources, and communications.
20. Provide vaccinations (consent and administration) to patients and sometimes internal and external staff appropriately and ensure accurate record keeping.
21. Store and transport vaccines appropriately ensuring cold chain maintained.
22. Support the management and maintenance of the patient list.
23. Support the coordination of any project plans, resources, and communications.
24. Provide Annual Health Reviews and vaccinations (consent and administration) to patients appropriately and ensure accurate record keeping.
25. Store and transport any vaccines appropriately ensuring cold chain maintained.
26. Support the management and maintenance of the patient list.
27. Support the coordination of any project plans, resources, and communications.
Leadership Role:
28. Assist in the leading on the coordination of project plans, resources, communications, and patient lists for PCN services and ad hoc projects if required.
29. Assist in in the leading on the production and implementation of clinical and non-clinical guidelines and protocols if required.
30. Work within the parameters of agreed budgets and scope of service and/or project delivery.
31. Support service review and development including producing service performance reports and option papers for service developing and improvement.
32. Undertake mentorship and clinical supervision, if appropriate, for more junior staff, assessing competence against set standards of care.
Other:
33. Demonstrates a passion for improving the quality of care for patients.
34. Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
35. Demonstrates respectful and professional communication and other behaviours to internal and external colleagues.
36. Values the contributions of other PCN staff and practice staff.
37. Maintaining professional relationships
The above is not an exhaustive list of duties and you will be expected to undertake such tasks that may reasonably be expected within the scope, level of skill and knowledge for this band.
Communication
38. Act as an advocate for patients and colleagues.
39. Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. To ensure patients are fully informed and consent to treatment and the sharing of information with other care providers. This is to be documented and recorded in the electronic patient record.
40. Communicate with and support patients who are receiving difficult news.
41. Maintain effective communication across PCN Teams, practice staff and with external stakeholders.
Person SpecificationPerson Specification
Experience
Essential
Desirable
Experience
Essential
Desirable
Additional informationDisclosure 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 (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Preston Park Community PCN Limited Company
Address
Deneway Surgery
Ground Floor Lions Dene, 11 The Deneway
Brighton
East Sussex
BN1 5AZ
Employer's website
https://prestonparkcommunitypcn.gpweb.org.uk/ (Opens in a new tab)
Employer details
Employer name
Preston Park Community PCN Limited Company
Address
Deneway Surgery
Ground Floor Lions Dene, 11 The Deneway
Brighton
East Sussex
BN1 5AZ
Employer's website
https://prestonparkcommunitypcn.gpweb.org.uk/ (Opens in a new tab)
About the company
National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.
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