Housebound and Care Home Long-term Condition Nurse
Posted 6 days 10 hours ago by NHS
Wakefield North Primary Care Network (PCN) is seeking to recruit an additional Housebound/Care Home Long Term Condition (LTC)Nurse to join our well-established team. The post holder will be joining an established LTC Nurse and a Nurse Associate who work closely with our Care Co-ordinators, Clinical Pharmacists and Pharmacy Technicians to ensure our house bound and care home residents with long-term conditions receive the same care to those who are able to visit their GP practice.
Our team have built excellent working relationships between themselves, with colleagues across the PCNs GP practices and neighbouring PCNs, fostering strong professional relationships and a supportive working environment. We provide clear leadership with regular contact and support from practice nurses and GPs.
Please note interviews will be held on the 21st of April
Main duties of the jobThe post holder understands the needs of a more diverse community/patient group(s) and prioritises patient needs within the scope of the role. The post holder is able to show a level of experience and ability to support patients, adapting communication, style and approach to meet the needs of a diversity of patient requirements and care needs with a track record of positive patient outcomes. Accesses advice and guidance from peers and supervisor on how to support patient requirement and care needs when faced with situations outside their scope of knowledge or practice.
The post holder will be a positive role model to others on how to adapt care, practices and communication styles to meet the needs of a different patient requirements and care needs within the scope of the role, to support other support roles and the wider multi-disciplinary team.
The postholder will understand the impact of potential decisions and evaluates risk of possible outcomes prior to taking actions, anticipating challenges which may need to be mitigated before they arise. They will be required to manage patient/service user expectations, balancing different requirements to seek the optimum solution and ensure that relevant resources are in place to meet service user/patient/carer needs and work with others to achieve the outcomes required.
About usConexus Healthcare is a community interest company and is the federation for general practice in Wakefield.
Our PCN consists of six GP practices across the Eastern side of the Wakefield District: Henry Moore Clinic, Riverside Medical Centre, Tieve Tara Medical Centre, Station Lane Medical Centre, St Thomas Road Surgery and Newland Surgery, where we all believe our patients should have the same opportunities of a happy and healthy life. We are committed to improving patient care, reducing health inequalities and raising standards across primary care.
Job responsibilitiesThe post holder will be required to
Work as part of the Practices multi-disciplinary team, effectively delivering nursing services to the entitled patient population.
Provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF.
Prescribe medication for patients in accordance with PGDs and own scope of practice.
Review patient medications to enhance compliance.
Request pathology services, as necessary.
Process pathology results, as required.
Where required, Oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required.
Maintain accurate clinical records in conjunction with extant legislation.
Ensure effective use of read codes.
Prioritise health issues and intervene appropriately.
Support the Team in dealing with clinical emergencies.
Recognise, assess and refer patients presenting with mental health needs.
Implement vaccination programmes for adults
Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice), liaising with the Community or PCN Pharmacy Teams for guidance/support when required.
Liase with external services/agencies to ensure the patient is supported appropriately.
Provide safe, evidence-based, cost-effective and individualised patient care across all patient groups within the PCN or GP Practice location.
Support the delivery of preventative health programmes in line with NHS guidance
Support and/or undertake screening programmes in line with NHS guidance and protocols including vaccination programmes.
Manage the care of patients with chronic illnesses, for example Asthma, Diabetes, Coronary heart disease and hypertension ensuring continued maintenance of the relevant documentation/register
Undertake nursing treatment and procedures within your scope of practice for patients healthcare including wound care, ECG, cytology, weight management, lifestyle and health promotion, phlebotomy and routine immunisations and vaccinations.
Be able to assess critically and re-evaluate the clinical situation as the patients condition or needs changes, ensuring clear communication with the patient and their carer/family.
Have direct responsibility for patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations
Utilise evidence-based practice and clinical audit to ensure appropriate assessment and management of patients within the primary care setting
Identify service improvement activity in liaison with the Multi-Disciplinary Team and develop/support in the review of policies and protocols.
Highlight areas for training, audit and improvement.
Complete clinical administration in support of core department and business activities including infection prevention and control.
Work with the multi-disciplinary primary healthcare team to support key outputs
The post holder will have a base at Fryston Road Surgery (Castleford) but will be required to work flexibly, visiting patients homes, care homes, GP practices within the PCN as well as other venues for meetings and training purposes.
As the role requires the post holder to commute across the Wakefield District applicants should hold a full driving licence, which is valid in the UK, and hold the relevant car insurance to cover travel for business purposes along with access to a car.
Person Specification Other- Holds a full driving licence with access to a vehicle to enable travel across the PCN area and Wakefield District
- Registered General Nurse with the NMC, maintaining revalidation in line with NMC requirements.
- Diplomas or Postgraduate certification in chronic disease management, for example Heart Failure, COPD, Diabetes, etc
- Qualification in Non-Medical Prescribing
- Experience of working in a primary care setting with experience of
- Independent working in the following areas
- Management of Chronic Disease
- Anticipatory planning and End of Life management
- Recognises when the limits of own competence are exceeded and is able to identify how and from whom to seek support.
- Listens proactively and collaborates with colleagues and wider teams and is able to share learning from their experiences
- Acts with integrity and professionalism at all times and is conscientious and committed to provide a high quality service.
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.
PCN Business Manager Wakefield North PCN