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JOB SUMMARY

Hours: 22.5 hours per week / 3 days
Salary Range: Dependant on experience and qualifications - up to FTE £51,700 pa - (Pro-rata £31,020 pa)
Norfolk Primary Care (NPC) is an established Primary Care provider of clinical services. We are a key provider of Primary Care services in the Norfolk & Waveney system working with the local GP practices.
NPC has been sub-contracted to provide a home visiting service to the Practices in the Norwich PCNs. This comprises of a team of clinicians who are GPs, Advanced Nurse Practitioners, qualified nurses with a prescribing qualification (or working towards), and Advanced Clinical Practitioners working across the Norwich PCNs. The staff provides additional Primary Care support to that currently being provided by individual practices.
Supported by a Service and Clinical Lead, the HVS team are responsible for working with all HVS participating Practices focusing on proactive support to patients residing at home (including care homes).
The aim of the HVS is to reduce the number of avoidable admissions into hospital and to deliver more consistent, enhanced services from Primary Care. It offers proactive health care support to housebound patients, alongside the general population of patients who may require home visiting services.

QUALIFICATIONS

Essential

• Registered first level nurse / BSc (Hons) or MSc Advanced Practice (or equivalent), or HCPC registration, whichever is appropriate.
• Post registration qualification Advanced Nursing Practice, autonomous practice or equivalent.
• Independent Non-Medical Prescriber or working towards.
• Basic Life Support.

Desirable

• Masters level qualification.
• Mentor / Teaching qualification.
• Clinical supervision training and experience.

SKILLS AND ABILITIES

Essential

• Advanced clinical practice skills.
• Management and treatment of patients with acute exacerbation of long-term conditions.
• Management of patients with complex needs.
• Clinical examination skills.
• Clinical leadership skills.
• Communication skills, both written and verbal.
• Negotiation and conflict management skills.
• Change management.
• Highly motivated.
• Flexibility.
• Enthusiasm.
• Team Player.
• Flexible approach to working hours, willingness to work anti-social hours, shifts, cover at other Practices / Care Homes as required.

Desirable

• Teaching and mentorship in a clinical setting.
• Resource Management.

EXPERIENCE

Essential

• Experience of working as senior clinician.
• Experience of having worked in Primary Care.

Desirable

• Experience in leading / managing a clinical team.
• Experience of working in an unscheduled care service.
• Experience of working in a care home setting.
• Accountability of own role and other roles in a Primary Care provided service.
• Experience of leading/managing quality improvement.

ABOUT US

Norfolk Primary Care Ltd is a Community Interest Company. It is established to:

• Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk.
• Help with challenges identified by practices workload, GP recruitment, sharing best practice.
• Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population.
• Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk.
• Work within health systems to provide patient care in innovative and solution-focussed ways.
• We offer successful candidates a supportive working environment, competitive salary, excellent working conditions and the benefits of the NHS pension scheme. Other benefits include access to NHS discounts and discounted First Bus travel.
• If you are interested in working in an organisation committed to a culture of professionalism, growth, integrity, positivity and kindness then we would love to hear from you.

Job Types: Part-time, Permanent
Expected hours: 22.5 per week

Benefits:

• Company pension

Work Location: In perso

MAIN DUTIES OF THE JOB

This exciting role will provide a high quality service to housebound patients on behalf of their registered GP Practice, and the wider PCN.
You will be an experienced clinician who will be acting within their professional boundaries and competencies. You will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, referral (where required), evaluation, and follow up of care.
You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for the patients within Primary Care. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the GP Practices to meet the needs of patients in supporting the delivery of policy and procedures, and providing nurse leadership if / as required.
In order to work at this level, those registered with the NMC / HCPC, requirements for Advanced Practice must be met.

JOB RESPONSIBILITIES

• Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
• Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
• Refer patients for investigation or specialist opinion, where appropriate.
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug based treatment methods into a management plan.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Ensure provision of continuity of care including follow up appropriately.
• Take guidance and instruction from the registered GP, when and if required.
• Where the post holder is an independent prescriber: to prescribe safe, effective and appropriate medication as defined by current legislative framework.
• Provide information and advice on prescribed or over-the-counter medication on medication regimes, side-effects and interactions.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
• Refer patients to other health care professionals as appropriate for clinical needs and in accordance with local framework/guidelines if indicated.
• Meet the needs of patients presenting for opportunistic long term condition management or assessment.
• Be able to undertake medication reviews for individuals on any type of medications within an agreed skill level.
• Verification of expected death (where appropriate training and guidance allows).
• End of life - to support advanced care planning.
• Be able to undertake general telephone triage / first contact assessment.
• To manage own clinical workload within the Home Visiting Service, responding effectively to patient need.
• Work within the latest NMC / HCPC Code of Professional Conduct at all times.

OTHER DUTIES

• Any other duties, as agreed with the Service or Clinical Lead to meet the needs of the organisation, may involve travel to other sites within the organisation.
• You must hold a full drivers licence with access to a vehicle to use for purposes of travel to and from Practices and to carry out home visits. This will involve having the appropriate insurance to use your vehicle for business use.