PCN Ageing Well Nurse Practitioner
| Posting date: | 11 August 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 25 August 2025 |
| Location: | Havant, PO9 1DQ |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A5217-25-0005 |
Summary
Undertake clinical nursing practice using expert knowledge and clinical skills to deliver holistic care to patients living in their own home or care home. Collaborate closely with GPs and work independently to deliver safe, effective care to frail and housebound individuals, including those residing in care homes. Support all members of the Ageing Well team, providing guidance when necessary, conducting supervision and appraisals as required. Initiate and interpret tests and investigations within scope of practice. Administer and provide medications / treatments according to protocol and Patient Group Directions. Prescribe/supply medications (as appropriate) following policy, patient group directives and local pathways. Promote / support health & wellbeing, helping patients to remain independent and well at home. Facilitate patient education, self-management of disease, and behaviour modification to help reduce health inequalities. Conduct thorough person-centred needs assessment to develop care plans for each patient in a timely manner. Maintain and regularly update a comprehensive register of frail patients, utilising clinical frailty scoring tools to assess and monitor levels of frailty. Initiate the process of diagnosis with patients suspected to have a chronic disease e.g., diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate. Proactively manage long term conditions alongside practice teams. Accurately update patient records on EMIS systems. All documentation must be timely, relevant, and clearly reflect the care provided. Directly admit patients to secondary care hospital in acute medical need. Promote clear communication with the health care team and support medication management. Communicate effectively with other healthcare professionals and make appropriate referrals to ensure coordinated, multidisciplinary care. Build and communicate therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships. Organise and chair multidisciplinary team (MDT) meetings, fostering effective working relationships with health, social care, and third-sector partners to ensure a seamless, integrated response for patients with complex needs or long-term conditions. Work flexibly across various healthcare settings, including surgeries, home visits, and community. Actively participate in clinical, PCN and practice meetings. Participate in team meetings, audits, and data collection for improving patient care. Support Social Prescribers / Care Coordinators in delivering high-quality care to frail and housebound patients. Provide expert clinical advice and support to patients, carers, and colleagues, maintaining high standards of professional practice and clinical excellence. Operate in line with clinical protocols and guidelines, ensuring professional, compassionate support for patients, families, and carers - using resources responsibly and efficiently. Contribute to service development through population health management tools by creating and implementing innovative models, methods, and practices to enhance primary care services for the frail population. Ensure compliance with practice CQC requirements and maintain accurate documentation. Work within all relevant PCN practice policies and procedural guidelines e.g., infection control, chaperoning, risk management. Contribute to PCN practice targets both local and national Develop own knowledge and practice to meet objectives/changes in service, through attendance on study days, self-directed learning, and reflection on practice. Participate in our appraisal system, matching organisational aims with individual objectives. Undertake all mandatory training required for the role. Maintain the highest standards of conduct and integrity Duties will vary from time to time under the direction of the post holders manager, the network manager and the network clinical directors, dependent on current and evolving workload and staffing levels.