Trainee/Qualified Advanced Clinical Practitioner - Frailty

Trainee/Qualified Advanced Clinical Practitioner in Frailty We are recruiting a fully qualified or trainee advancedclinical practitioner to join our General Practice Older Persons (GPOP) Team, whohas a passion for frailty and older peoples care.

You will have completed an MSc in Advanced Clinical Practiceor if an equivalence be registered through the Advancing Practice Academye-portfolio route. Or you will be on anMSc Advanced Practice course and have completed your clinical assessment andindependent prescribing qualification.Our wider team includes GPs, practice nurses, ACPs in urgent care,paramedic practitioners, nurse practitioners, radiographers and administrativestaff.

As a team we support the care of older people within theWhitstable area, in particular leading the care for all the local care homeresidents, conducting home visits for those with severe frailty and providingurgent home visits for those acutely unwell and at risk of hospital admission. We also provide teaching and support to ourcolleagues regarding older persons care and link in closely with othercommunity services such as the community frailty team and home treatmentservice.

Main duties of the job The candidate must have a special interest in frailty, have considerable post registration experience, be competent in assessing patients, arranging investigations, considering differential diagnoses and implementing management plans. It is essential to have professional registration.

The post holder will work alongside experienced Frailty Practitioners in addition to a number of other Allied Health Professionals. They will have strong organisation skills, be flexible and show empathy and compassion. Excellent communication and interpersonal skills with evidence of leadership qualities are also required.

About us Whitstable Medical Practice is a forward thinking single practice Primary Care Network (PCN) GP Practice based across 3 sites in Whitstable. There are 24 equity GP Partners looking after over 44,500 patients. There is also 22 Allied Health Professionals directly employed - Clinical Pharmacy Team, Frailty Practitioners, Social Prescribers, First Contact Physiotherapists, Podiatrist and Mental Health Practitioners.

We pride ourselves on our innovative approach to Primary Care. We are a training practice and run various in house contracts including Cataract surgery, Ultrasound, Dermatology, Physical Therapies and Audiology together with further community contracts, a Day Surgery Suite and an Urgent Treatment Centre with digital x-ray.

As is typical across the country, we are experiencing an increasing elderly population which is placing additional pressures on the local health economy. There are 10 care and nursing homes in the area all of whom are registered with the practice.

Job responsibilities Primary Duties andResponsibilities

Towork closely with the GPs, primary care and community staff in providing a servicefor patients ensuring the delivery of treatment, care planning and hospitaladmission prevention where appropriate.

Undertakes first line comprehensive clinicalassessment of patients, including those with complex presentations, employingan extended scope of practice beyond own profession including advanced clinicalassessment skills, referral and interpretation of investigations andindependent prescribing.

Toundertake advanced history taking and clinical assessment, clinical decisionmaking and management plans including diagnostics for older people living withfrailty.

Towork closely with the consultant geriatricians, GPs and patients in identifyingand devising effective care for each patient recognising them as anindividual. The plan of care, whichshould be developed in conjunction with the patient, carer/family and relevantothers, should be outcome based and ensure appropriate pathways of care andcommunication via liaison and referral to other agencies as required.

Towork in conjunction with a wide range of clinical colleagues facilitating apatient or client focused, co-ordinated case management approach across primaryand secondary care for people who are most vulnerable to and at high risk ofrepeat admissions to hospital.

Toparticipate in efforts to shape multi-disciplinary pathways designed to supportpatient choice, improve quality of life, promote self-management and assureearly intervention through the proactive provision of care in or as close tothe patients own home as possible.

Requests, reviews and interprets diagnosticinvestigations within the context of other available information utilising asystematic process of clinical reasoning to formulate a differential diagnosis.

Involves patients, families and carers in theidentification of patient-centered concerns and priorities about health andwell-being and negotiates approaches available to prevent deterioration or promotecomfort and well-being.

Demonstrates empathy and compassion whencommunicating sensitive information and advice to patients, carers andrelatives.

Evaluates the effectiveness of therapeuticinterventions and modifies the management plan accordingly.

Adopts an integrated care approach to meeting anindividual patients needs across services through collaboration with careteams who refer patients to the service and those who provide on-going careafter discharge

Assesses capacity, gains valid informed consentand works within a legal framework with patients who lack capacity to consentto treatment.

Provides guidance to the clinical team withregard to therapeutic interventions, advance care planning and best interestdecision-making for patients who lack mental capacity

Recognises deteriorating patients, implementsearly interventions as needed and escalates care where appropriate.

Empowers patients to manage their long-termconditions as independently as possible.

Applies expert knowledge in palliative care tosymptom control, recognition of dying and advance care planning.

Refers to other practitioners and agencies whennecessary.

Communication and Working Relationships:

Ensureclose liaison with GPs, clinicians, consultant geriatrician, and GeneralManager in communicating clinical issues.

Facilitatesthe communication of highly complex information regarding specialist issues ona range of service developments with the Practice and other health and socialcare professionals. This communicationis directed to professional colleagues, across all areas of the health economyand primary care networks in the CCG area.

Advancedcommunication skills are necessary to communicate with patients to gain consentfor treatment within a care pathway. Highlysensitive and confidential information is regularly required to be communicatedto patients after clinical and medical results are collated, formulatingspecific management plans which can be upsetting in nature.

Responsiblefor developing and maintaining effective communication channels with patient,carers and other health and social care professionals.

Promoteempathy, enable sharing of complex multi-professional viewpoints and sensitivehandling of confidential information.

Analytical and Judgement:

TheACP will work across the caseload using their clinical skills to identify theneeds of patients and the correct services to liaise with.

Adviseon the promotion of health and prevention of illness and provide information toindividual and groups to prevent ill-health.

Toprovide specialist assessment of patients, using analytical and judgementskills. To provide appropriate patientcentered treatment using evidence based practice wherever possible.

Analysesand interprets highly complex information gained during clinical examinationand history taking to diagnose an individuals problems or illness and todecide on an appropriate course of action or treatment.

Analysesand interprets results from tests and investigations to inform diagnosis andtreatment.

Ableto access and assimilate previous patient records where available.

Identifiesevidence based interventions to meet an individuals complex health needswithin the context of the overall management plan.

Supports the development of a learningorganisation by identifying, challenging and reporting poor performance andalerting managers to resource issues which may affect patient safety.

Training andDevelopment:

ContinuousProfessional Education:Engage in ongoing professional development through formal courses, workshops,conferences, and e-learning to maintain and enhance clinical expertise infrailty care.

ClinicalSupervision and Mentorship:Provide clinical supervision, mentorship, and guidance to junior healthcareprofessionals, including nurses, trainees, and other allied health staff,fostering a culture of learning within the team.

KnowledgeSharing: Lead andparticipate in training sessions, case discussions, and in-service educationfor the primary care team to raise awareness of frailty, advance care planning,management strategies, and best practice guidelines

RoleDevelopment:Actively contribute to the development and expansion of the ACP role within theolder persons team by identifying new learning needs and areas for serviceimprovement.

Researchand Evidence-Based Practice:Stay up-to-date with the latest research, evidence, and best practices infrailty care, and incorporate these findings into both personal practice andteam training initiatives.

Collaborationwith Academic Institutions . click apply for full job details