Warning
Mae'r hysbyseb swydd hon wedi dod i ben ac mae'r ceisiadau wedi cau.
Consultant Lead for CPMG Team
| Dyddiad hysbysebu: | 02 Ebrill 2024 |
|---|---|
| Cyflog: | Heb ei nodi |
| Gwybodaeth ychwanegol am y cyflog: | Negotiable |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 15 Mehefin 2024 |
| Lleoliad: | London, NW10 3HA |
| Cwmni: | NHS Jobs |
| Math o swydd: | Parhaol |
| Cyfeirnod swydd: | B0472-24-0001 |
Crynodeb
Objectives for the Complex Patient Management Group Support GPs in the management of their most complex patients and provide advice, support, and education on how to do this in the community. Advise on mitigation strategies in both medical and social care provision to prevent unplanned hospital admissions and promote wellness. Advise on services to promote health and well-being via the health, social care and voluntary sectors for patients, families, and carers. Complex Patient Management Group Services Multidisciplinary review of patients referred to the service by a team composed of GP, Consultant Geriatrician, Nurse Case Manager and Care Navigator liaising with Social and Mental Health Services with triage for level of service and advice. Provide Nurse Case Assessment and Management of Patient Needs. Provide Advice on the Medical and Social Care management for referred patients. Direct Advice & Support to a GP for specific issue Review of care plans of difficult to manage patients. Virtual Ward Round of patients on case load. Face to Face Review of exceptionally complex patients medical needs (to be performed after virtual MDT review of the patient and decided by the team) Provide Care Navigation for Social Services for patients. CPMG is a Consulting Service for Support of Kilburn GPs not a Care Service For the support and education of Kilburn GPs and Nurses to manage more complex patients with appropriate support from the PHC Team & Secondary care first and members of the CPMG second. A consulting service with limited resources most patients will be assessed, a plan made, and care advice returned to the GP to action with specific support from the team as outlined in the plan. Use of existing medical and social services to be advised not replaced by this service. Face to face review of patients only for complex patients will be decided by the MDT. Expected outcomes of CPMG GPs to be provided with cohesive care plans for them to action concerning medical care with support from the Case Manager and Care Navigator as needed. Clinical Responsibility to be retained by the GP, medical advice, and support to be given to the GP and ongoing review to be provided by the GP with open door for advice if the situation changes. Once stable Case Manager will discharge back to GP with open door to provide advice or re-referral if change occurs. Care navigator to provide and support links to services and discharge from case load once they have been actioned.