Job summary
An
excellent opportunity has arisen for an enthusiastic and experienced frailty
nurse to join our expanding clinical team at Parkbury House Surgery.
The
team aims to deliver a service to individuals with complex and long-term health
needs, to promote health and well-being, encourage and promote self-care and
independence, while aiming to avoid unnecessary hospital admissions and
attendances. We aim to deliver this service in practice, in the patients own
home or in a care home setting, dependent on the patients needs.
As
well as developing and maintaining clinical skills to a high standard the
successful candidate will be expected to have skills and experience in other areas
essential to the role such as long term conditions, dementia and frailty. Ideally,
they would also be a prescriber with a minor illness qualification.
The
successful candidate should be able to provide evidence based clinical care
with measurable standards and outcomes, aiming to improve care and quality of
life. The candidate should also have an awareness of up-to date local and
national guidelines in subjects relevant to the role.
They
need to be able to work as part of a team, supporting and complimenting the
skills of the GPs, clinical pharmacists and other nurses to deliver a holistic
service to our patients. They also need to support and collaborate with the care
team in the care homes and the wider multidisciplinary team who have an input
into the care of our patients.
Main duties of the job
The post holder is responsible for the delivery of a high-level skill
and experience in other areas essential to the role such as long-term
conditions, dementia and frailty. Ideally, they would also be a prescriber with
minor ailment training and must be able to assess, plan, implement and evaluate
care for patients with a long term or complex frailty needs, recognising
individual physical and psychological needs and observing the principles of
holistic care when planning treatment, which are sensitive to the ethnic,
cultural and spiritual needs of the patient.
About us
Parkbury House surgery is a large and friendly, GP Surgery based in the centre of St Albans, with a branch surgery in Sandridge. We are a teaching / training practice of over 22,500 patients and deliver a high quality of care to our patients.
We are an 8 GP Partner led practice with a multi-disciplinary team consisting of GPs, Frailty Nurses, Practice Nurses, HCAs, Clinical Pharmacists and allied health professionals who are all supported by a large team of hard-working administrative staff.
All staff are very supportive in providing a good service for our patients. We received a GOOD from our last CQC inspection.
Job description
Job responsibilities
Clinical
- To support the delivery of advanced nursing practice and services for older and or vulnerable patients at Parkbury House Surgery
- To be recognised as an expert in their field holding additional qualifications / specialist knowledge and expertise
- Provide Support and Care to patients with long term condition or complex frailty needs.
- Work as part of a practice clinical team (GPs, Clinical Pharmacists and the wider nursing team) to cover all a patients health care needs in a holistic way.
- Provide proactive care to patients within care homes covered by the Practice. This may take the form of a weekly visit to the home and also requests for home visits during the week.
- Providing specialist nursing advice and support to patients, their families and other healthcare professionals regarding frailty and admission avoidance.
- To work with patients, post discharge from hospital, ensuring that follow-up arrangements and admission avoidance plans are put in place.
- Promote health & wellbeing, self-care, and independence.
- Make relevant and appropriate assessments of patients physiological and psychological care and ensure defined needs are met through implementation, evaluation and necessary adjustment of care.
- To ensure continuity of a high standard of evidence based nursing care, assessing health, health related and nursing needs of patients, their families and other carers by identifying and initiating appropriate steps for effective care.
- To co-ordinate the multidisciplinary assessment of patients, providing detailed baseline patient assessment and education and support to patients and their families.
- To undertake regular medication reviews, focussing on polypharmacy and de-prescribing - within your limits and working with the GPs and clinical pharmacists.
- To liaise with community services, social services, paramedics and voluntary organisations in order to develop and make best use of existing services and pathways for patients, carers and health professionals.
- To be a highly visible and proactive frailty nurse, acting as a clinical resource and ensuring the sustained delivery of high standards of nursing care and service delivery.
- To be responsible for exploring current practice, identifying areas for development, and planning the appropriate change using current evidence to evaluate outcomes.
- To have expert knowledge in safeguarding processes
Managerial
Work collaboratively with the Frailty Team to lead on frailty to ensure that standards are delivered, and targets are achieved.
To be accountable for service delivery - in collaboration with the Clinical Lead and Frailty Team. Review performance information against service key performance indicators and lead on service delivery change where required.
In collaboration with the Clinical Lead and Frailty Team, ensure there are systems in place to learn from patient experience, risk and safety and outcomes information and develop systems of audit to ensure continuous improvement.
To work with the Practices allocated care homes and their staff to improve joint working and communication and quality of care for our care home patients.
To be a visible role model and leader to the wider Nursing and Medical teams.
Maintain own professional registration and practice within the NMCs Code of Professional Conduct and ensure the maintenance of professional standards within the Division.
Provide highly specialised advice on care and training relevant to frailty and the care of older people.
Service Development
To implement policies and procedures - propose changes to practice and operational processes.
To develop protocols relevant to frailty, including other disciplines as necessary.
Communications
Participate in research and audit and disseminate information and findings and lead on developments of advancing best practice.
Attend clinical governance and other multi-disciplinary meetings as required.
Communicate with patients, promoting involvement in the planning, delivery and evaluation of their care.
Liaise and communicate effectively with the multidisciplinary and wider community teams across health and social care.
Provide the highest standard of professional and expert clinical leadership.
Act as a role model and mentor for nursing colleagues and students.
Encourage staff members to utilise resources to attain and maintain high levels of medical and nursing care.
Non-medical Prescribing (if qualified)
Maintain relevant clinical and pharmaceutical knowledge, critically appraise and apply information in practice.
Consult with patients and their relatives / carers; generate treatment options and follow-up plans, where applicable.
Prescribe safely and effectively, acknowledging own limitations and scope of practice.
Work within practice policies that impact on prescribing practice.
To undertake regular audit and review, of prescribing practice and medicines management.
Access continuing professional development opportunities relating to Nurse Prescribing role.
Job description
Job responsibilities
Clinical
- To support the delivery of advanced nursing practice and services for older and or vulnerable patients at Parkbury House Surgery
- To be recognised as an expert in their field holding additional qualifications / specialist knowledge and expertise
- Provide Support and Care to patients with long term condition or complex frailty needs.
- Work as part of a practice clinical team (GPs, Clinical Pharmacists and the wider nursing team) to cover all a patients health care needs in a holistic way.
- Provide proactive care to patients within care homes covered by the Practice. This may take the form of a weekly visit to the home and also requests for home visits during the week.
- Providing specialist nursing advice and support to patients, their families and other healthcare professionals regarding frailty and admission avoidance.
- To work with patients, post discharge from hospital, ensuring that follow-up arrangements and admission avoidance plans are put in place.
- Promote health & wellbeing, self-care, and independence.
- Make relevant and appropriate assessments of patients physiological and psychological care and ensure defined needs are met through implementation, evaluation and necessary adjustment of care.
- To ensure continuity of a high standard of evidence based nursing care, assessing health, health related and nursing needs of patients, their families and other carers by identifying and initiating appropriate steps for effective care.
- To co-ordinate the multidisciplinary assessment of patients, providing detailed baseline patient assessment and education and support to patients and their families.
- To undertake regular medication reviews, focussing on polypharmacy and de-prescribing - within your limits and working with the GPs and clinical pharmacists.
- To liaise with community services, social services, paramedics and voluntary organisations in order to develop and make best use of existing services and pathways for patients, carers and health professionals.
- To be a highly visible and proactive frailty nurse, acting as a clinical resource and ensuring the sustained delivery of high standards of nursing care and service delivery.
- To be responsible for exploring current practice, identifying areas for development, and planning the appropriate change using current evidence to evaluate outcomes.
- To have expert knowledge in safeguarding processes
Managerial
Work collaboratively with the Frailty Team to lead on frailty to ensure that standards are delivered, and targets are achieved.
To be accountable for service delivery - in collaboration with the Clinical Lead and Frailty Team. Review performance information against service key performance indicators and lead on service delivery change where required.
In collaboration with the Clinical Lead and Frailty Team, ensure there are systems in place to learn from patient experience, risk and safety and outcomes information and develop systems of audit to ensure continuous improvement.
To work with the Practices allocated care homes and their staff to improve joint working and communication and quality of care for our care home patients.
To be a visible role model and leader to the wider Nursing and Medical teams.
Maintain own professional registration and practice within the NMCs Code of Professional Conduct and ensure the maintenance of professional standards within the Division.
Provide highly specialised advice on care and training relevant to frailty and the care of older people.
Service Development
To implement policies and procedures - propose changes to practice and operational processes.
To develop protocols relevant to frailty, including other disciplines as necessary.
Communications
Participate in research and audit and disseminate information and findings and lead on developments of advancing best practice.
Attend clinical governance and other multi-disciplinary meetings as required.
Communicate with patients, promoting involvement in the planning, delivery and evaluation of their care.
Liaise and communicate effectively with the multidisciplinary and wider community teams across health and social care.
Provide the highest standard of professional and expert clinical leadership.
Act as a role model and mentor for nursing colleagues and students.
Encourage staff members to utilise resources to attain and maintain high levels of medical and nursing care.
Non-medical Prescribing (if qualified)
Maintain relevant clinical and pharmaceutical knowledge, critically appraise and apply information in practice.
Consult with patients and their relatives / carers; generate treatment options and follow-up plans, where applicable.
Prescribe safely and effectively, acknowledging own limitations and scope of practice.
Work within practice policies that impact on prescribing practice.
To undertake regular audit and review, of prescribing practice and medicines management.
Access continuing professional development opportunities relating to Nurse Prescribing role.
Person Specification
Other requirements
Essential
- Self-directed practitioner, able to work autonomously.
- Highly motivated
- Flexibility
- Enthusiasm
- Team player
- Ability to work across boundaries.
- Driver with car
Qualifications
Essential
Desirable
- Post qualification certificates relating to appropriate aspects of this role
- Non-Medical Prescriber
Skills & Knowledge
Essential
- Change management skills and ability to support patients changing their lifestyle
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- IT skills
- Knowledge of needs of patients with long term conditions
- Aware of accountability of own role and other roles in nurse-led services
- Knowledge of health promotion strategies
- Awareness of clinical governance issues in primary care
- Knowledge of patient group directions and associated policy
Desirable
- Phlebotomy
- Chronic disease management- asthma, COPD and diabetes
- Ability to identify determinants of health in the practice population
- Knowledge of the public health agenda focusing on general practice
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
Other requirements
Essential
- Self-directed practitioner, able to work autonomously.
- Highly motivated
- Flexibility
- Enthusiasm
- Team player
- Ability to work across boundaries.
- Driver with car
Experience
Essential
- Management of long-term conditions
- Involvement in implementing and using protocols and clinical guidelines
- Experience of audit
- Minor illness
- Management of long-term conditions
Desirable
- Experience working in a primary care setting
- Experience working with Older People
- Participation in quality initiatives, such as clinical benchmarking
Person Specification
Other requirements
Essential
- Self-directed practitioner, able to work autonomously.
- Highly motivated
- Flexibility
- Enthusiasm
- Team player
- Ability to work across boundaries.
- Driver with car
Qualifications
Essential
Desirable
- Post qualification certificates relating to appropriate aspects of this role
- Non-Medical Prescriber
Skills & Knowledge
Essential
- Change management skills and ability to support patients changing their lifestyle
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- IT skills
- Knowledge of needs of patients with long term conditions
- Aware of accountability of own role and other roles in nurse-led services
- Knowledge of health promotion strategies
- Awareness of clinical governance issues in primary care
- Knowledge of patient group directions and associated policy
Desirable
- Phlebotomy
- Chronic disease management- asthma, COPD and diabetes
- Ability to identify determinants of health in the practice population
- Knowledge of the public health agenda focusing on general practice
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
Other requirements
Essential
- Self-directed practitioner, able to work autonomously.
- Highly motivated
- Flexibility
- Enthusiasm
- Team player
- Ability to work across boundaries.
- Driver with car
Experience
Essential
- Management of long-term conditions
- Involvement in implementing and using protocols and clinical guidelines
- Experience of audit
- Minor illness
- Management of long-term conditions
Desirable
- Experience working in a primary care setting
- Experience working with Older People
- Participation in quality initiatives, such as clinical benchmarking
Disclosure 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).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).