Advanced Clinical Practitioner Frailty (Clinical Lead)

Posted 21 hours 58 minutes ago by NHS

£80,000 - £100,000 Annual
Permanent
Part Time
Other
Merseyside, St. Helens, United Kingdom, WA101
Job Description
Advanced Clinical Practitioner Frailty (Clinical Lead) St Helens Central PCN is seeking anexperienced Band 8a Advanced Clinical Practitioner with a strong interest infrailty care to join our established multidisciplinary team in a part-timerole of up to 22.5 hours per week, supporting the delivery and developmentof our Frailty Service across eight GP practices.

This senior clinical role combines advanced clinicalpractice with clinical leadership responsibilities, working alongside theFrailty Clinical Lead to deliver proactive, coordinated care for patients aged65 and over living with frailty across the PCN.

The successful candidate will have the opportunity to influencethe ongoing development of the PCN Frailty Service and contribute to shapingproactive frailty care across the network.

You will be joining an established and successfulmultidisciplinary team, including GPs, a Mental Health Practitioner, Healthand Wellbeing Coaches and other PCN clinicians, all committed to improvingoutcomes for patients living with frailty.

Additional Information

This role requires travel across the PCN including visits toGP practices, care homes and patients homes.

Applicants interested in full-time work may wish tonote that weare also recruiting to a part-time AdvancedClinical Practitioner role within our Mental Health service.There may be opportunity for suitable candidates to combine both roles into onefull-time position working across Frailty and Mental Health services.

Main duties of the job The Advanced Clinical Practitioner will:

Provide advanced clinical assessment, diagnosis andtreatment planning for patients living with frailty.Undertake comprehensive geriatric assessments and develop personalised careplans with patients and carers.Support proactive management of patients with moderate to severe frailty,including those living in care homes and the community.Support delivery of the Enhanced Health in Care Homes framework,including care home reviews and MDT discussions.Act as a senior clinical resource within the frailty multidisciplinary team.Support complex clinical decision making and admission avoidance.Work alongside the Frailty Clinical Lead to support the ongoing developmentof the PCN Frailty Service.Promote integrated working across primary care, community services and socialcare.

A full clean UK driving licence and access to a car for business use are essential requirements for this role. Applications will not be progressed where this requirement cannot be met.

About us St Helens Central Primary Care Network serves a populationof approximately 40,000 patients across eight GP practices in central StHelens, Merseyside.

We have a well-established and supportive multidisciplinaryteam delivering a range of services across the network including:

Frailty servicesEnhanced AccessFirst Contact PhysiotherapySocial PrescribingMental Health practitioner supportHealth and Wellbeing Coaches

Our Frailty Service works closely with GP practices,community services and care homes to deliver proactive care for patientsliving with moderate to severe frailty through comprehensive geriatricassessment, multidisciplinary working and coordinated care planning.

The role offers the opportunity to contribute to servicedevelopment and influence how proactive frailty services evolve across thenetwork.

Job responsibilities Main Duties of the Role

Clinical Practice

Provide advanced clinical assessment, diagnosis andtreatment planning for patients living with frailty and complex health needs.

Undertake comprehensive geriatric assessments and developpersonalised care plans with patients, carers and the multidisciplinary team.

Support proactive management of patients with moderate tosevere frailty, including care home residents and those living in thecommunity.

Support the delivery of the Enhanced Health in Care Homesframework, including care home reviews and multidisciplinary case discussions.

Support advance care planning, treatment escalation planningand end of life discussions where appropriate.

Prescribe medication within scope of professional practiceand competence.

Coordinate care and facilitate referrals across primarycare, community services, secondary care and social care.

Maintain accurate clinical records in line with professionaland organisational standards.

Clinical Leadership

Provide senior clinical support within the PCN Frailty Teamalongside the Frailty Clinical Lead.

Act as a clinical resource within the multidisciplinaryteam, supporting complex clinical decision making and case discussions.

Support the development and implementation of clinicalpathways and proactive frailty management across member practices.

Contribute to service development initiatives aimed atimproving outcomes for patients living with frailty and reducing avoidablehospital admissions.

Promote integrated working across primary care, communityservices and social care.

Education, Quality Improvement and Governance

Support the development of clinical knowledge and skillsrelating to frailty care across the multidisciplinary team.

Participate in clinical audit, service evaluation andquality improvement initiatives.

Apply current evidence and research to clinical practice.

Contribute to clinical governance processes includingincident review and learning.

Working Relationships

The post holder will work closely with:
  • GPs and practice teams across the PCN
  • Frailty Clinical Lead and PCN Clinical Director
  • PCN multidisciplinary team including pharmacists, paramedics, socialprescribers and care coordinators
  • Community nursing and therapy teams
  • Hospital and discharge teams
  • Local authority and voluntary sector partners
  • Care homes and community providers
Working Conditions

The role involves working across GP practices, care homesand community settings within the PCN. The post holder will undertake communityvisits and may travel between practices and care settings as required.

The role involves managing complex clinical situations andmay include emotionally challenging circumstances such as end of life care andsafeguarding concerns.

Additional Information

Job Description Disclaimer

This job description provides an outline of the duties andresponsibilities of the role and is not intended to be exhaustive. Duties maychange in line with the needs of the service and the post holder may berequired to undertake additional responsibilities appropriate to the role andgrade.

Safeguarding

All staff have a responsibility to safeguard children andvulnerable adults and must work in accordance with PCN safeguarding policies.

Confidentiality and Information Governance

All information relating to patients, staff and theorganisation must be treated confidentially and handled in accordance with theData Protection Act, UK GDPR and organisational policies.

Driving Requirement

This role requires travel across the PCN including visits toGP practices, care homes and patients homes.

Afull clean UK driving licence and access to a car forbusiness use are essential requirements for this role. Applications will not beprogressed where candidates cannot meet this requirement.

Person Specification Experience
  • Substantial post-registration clinical experience including experience at Band 7 level or above.
  • Experience working as an autonomous practitioner.
  • Experience managing patients living with frailty or complex long-term conditions.
  • Experience of multidisciplinary working across health and social care.
  • Experience supporting audit, service development or quality improvement initiatives.
  • Experience supporting education or supervision of colleagues.
  • Experience working within primary care or PCN environments.
  • Experience working with care homes.
  • Experience in palliative or end of life care.
Personal Attributes
  • Self-motivated and able to work independently.
  • Approachable and supportive in working with colleagues.
  • Committed to improving care for older people and vulnerable populations.
  • Able to manage complex or challenging situations professionally.
  • Flexible and responsive to service needs.
Qualifications
  • Masters degree in Advanced Clinical Practice or equivalent.
  • Current professional registration with NMC, HCPC or equivalent professional body.
  • Evidence of ongoing professional development.
  • Independent Non-Medical Prescriber (V300)
  • Teaching or mentorship qualification.
Skills and Knowledge
  • Advanced clinical assessment and diagnostic skills.
  • Ability to work autonomously and make complex clinical decisions.
  • Strong communication and interpersonal skills.
  • Ability to work effectively within multidisciplinary teams.
  • Leadership skills with the ability to support service improvement and development.
  • Ability to manage complex clinical situations.
  • Good organisational and time management skills.
  • Competent IT skills including use of electronic patient record systems.
  • Knowledge of frailty management, comprehensive geriatric assessment and proactive care planning.
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