Housebound Frailty Practitioner

Posting date:	21 May 2025
Salary:	Not specified
Additional salary information:	Negotiable
Hours:	Full time
Closing date:	12 June 2025
Location:	Wallsend, NE28 7PD
Company:	NHS Jobs
Job type:	Permanent
Job reference:	A0007-25-0002

Summary

MANAGEMENT OF PATIENT HEALTH AND ILLNESS To deliver a high standard of patient care using advanced autonomous clinical skills, and a broad and in-depth knowledge base Conduct comprehensive frailty assessments using evidence based tools Develop, implement, and evaluate individualised care plans in collaboration with residents, families, and other professionals Provide expert care, including Care Planning, medication optimisation and symptom control for long-term conditions. Provide on the day assessment of acute presentations of illnesses. Monitor and manage deteriorating conditions, implementing escalation plans where necessary, eg with on call duty GP at relevant practice, admission to hospital or further discussion with appropriate colleagues. Lead on advanced care planning, ensuring patients preferences and best interests are prioritised. Work closely with professionals in practices, wider primary care and community teams in identification of potentially frail patients and work within those MDTs to optimise management. Instigate necessary invasive and non-invasive diagnostic tests or investigations, interpret and manage findings/reports. Where the post holder is an independent prescriber: to prescribe safe, effective, and appropriate medication as defined by current legislative framework. If not an independent prescriber willing to work towards this. To prioritise health problems and intervene appropriately, including initiation of effective emergency care. Promote health and well-being using health promotion, health education, screening, and therapeutic communication skills To clearly communicate the health status of the patient using appropriate terminology, technology, and format. Covid and Flu Vaccinations in Housebound patients. Provide safe, evidence-based, cost-effective, individualised patient care. To work within practice guidelines, policies, and protocols. To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling. PROFESSIONAL ROLE To promote personal development and clinical excellence. Working with the clinical team and others in developing new roles, responding to changing healthcare needs. To facilitate and participate in multi-disciplinary education and clinical supervision. To work within your regulatory body Code of Practice including maintaining professional development. Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice. To promote evidence-based practice using the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their clinical practice through the quality assurance strategies such as the use of audit and peer review. Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation. Pro-actively promote the Ageing well service within the Practices and externally to key stakeholders and agencies To play an active role in the development of practice development plans and new services. TEAM ROLE As a clinician be available to support other healthcare team members and to accept referrals from other team members. To liaise with all members of the Primary Health Care Team and other agencies local authority, social services, secondary care, voluntary sector, and Clinical Commissioning Group in order to assure appropriate care is provided for the practice population. To participate as a key member of the multi-professional team through the development of collaborative and innovative practice. To value all team members. To support practices with their CQC responsibilities eg Long Term Condition Review of Housebound PatientsORGANISATIONAL To complete records, audits, reports and respond to appropriate questions and requests. To attend meetings as requested. Support effective communication channels between the whole team. Develop a sound understanding of the appointments database, event scheduling, session planning and essential practice cover needs. To keep the PCN Management team informed about pressures and difficulties or problem areas which may arise. To contribute to PCN strategy and training when requested. To work according to Clinical Governance and support the Clinical Governance Agenda. Engage and lead on significant event investigations. The individual will be required to undertake the assessment and management of patients within the home environment. MISSION, VALUES AND STRATEGIC DIRECTION Wallsend PCN are a friendly, approachable and collaborative organisation and we pride ourselves on having staff that follow this vision. We are looking for a colleague who will follow this ethos. Ensure that patient centred care and safety is central to the culture, philosophy, and organisation of the PCN. To encourage and support patients with long term conditions to develop their ability to self manage. To develop a culture of ongoing review, considering new methods of working. CODES OF CONDUCT AND ACCOUNTABILITY To always work within the highest levels of standards commensurate with the post. HEALTH AND SAFETY The post holder must comply with the PCN's Health and Safety Policy, by following agreed safe working procedures and report incidents using the organisations Incident Reporting System. Specifically, they must: Comply with any safety instructions. Use in a proper and safe the equipment and facilities provided. Refrain from the wilful misuse or interference with anything provided in the interest of health and safety. Report as soon as practical any hazards and defects. Report as soon as practical, accidents and untoward occurrences and ensure that accident forms are completed. EMPLOYMENT ACTS AND CODES OF PRACTICE Comply with employment legislation and codes of good practice. CLINICAL GOVERNANCE To be familiar with and comply with each Practices Clinical Governance standards, policies and procedures.