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Form of work
SalaryClinical Responsibilities Deliver and participate in the clinical care of patients within the PCN Care Homes. Participate in MDT processes, reviewing identified patients, carrying out face to face reviews and participating in MDT meetings as necessary. Work alongside the other members of the Care Home Team to support the overall delivery and achievement of the Network Contract Direct Enhanced Service for Care Homes, acting as an advocate of the PCN, the Care Homes Team and wider PCN clinical team. Prioritise health needs and intervene appropriately. To be professionally and legally accountable for all work undertaken. To practise at an advanced level of professional autonomy and accountability that is within GP practices policies and Professional Codes of Conduct. Provide a level of advanced and comprehensive clinical nursing assessment based on a specialist body of knowledge and Advanced Clinical reasoning skills. To appropriately assess, examine, investigate, diagnose and treat a wide range of complex or urgent Care Home patients, resulting in the safe management and appropriate referral of patients with undifferentiated, undiagnosed and complex presentations. Ensure patients are informed and consent is gained prior to treatment, investigation and management, as appropriate. Take responsibility for the management of patients within own caseload alongside supervision/ development of junior members of the multi-professional team. Is able to identify the need for appropriate diagnostic tests and interpret the results. To identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these appropriately. To share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate. Contribute to the development and improvement of systems and processes that facilitate patients being able to stay in their own homes. To improve the quality of the patient experience by identifying and meeting the individual clinical needs of the patients, including issues pertaining to child protection and vulnerable adults. Prescribe and review medication for therapeutic effectiveness, appropriate to the patient needs and in accordance with evidence- based practice and national and practice protocols, and within scope of the PCN. To maintain up to date patient records in accordance with GP Practices policies including the use of the Electronic Patient Records System. Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care. Responsible for rapidly and continuously evaluating the patients condition and response to therapeutic interventions and treatment modalities, and modifies the plan of care for optimal patient centred outcomes. Contribute to the review and development of clinical pathways to ensure a standardised approach to care. Actively implement effective systems and processes for infection prevention and control management and relevant audit within their clinical area. Educates patients, relatives and staff as necessary ensuring understanding has been interpreted accurately. Ensures patients views are considered in the decision-making process. Participates in meeting and promoting the health education needs of patients and carers. Promotes health through co-ordinated activities and programmes with the patients, colleagues and carers where appropriate. Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients.Managerial Responsibilities Work within the multidisciplinary team, within agreed medical, nursing and AHP protocols and guidelines. Provide team leadership to the PCN Care Home team. Work as an effective and responsible team lead, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties. Lead in the development of evidence-based policies and procedures specifically required by the team. To work collaboratively and strategically with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care. Manage own workload to ensure patients are seen within emergency access timeframe. Promote and adhere to the principles and practice of clinical governance. Demonstrate effective multidisciplinary team working and acknowledge the role of individual team members, ensuring that expertise is seen as a resource within the team. Utilise a developed knowledge of child protection and vulnerable adult safeguarding procedures. Research & Audit Accountable for own professional actions, undertaking all duties in accordance with Codes of Professional Conduct, departmental and PCN policy and protocols. Practice autonomously as an ACP using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients. Contribute and at times lead the development of multidisciplinary research and clinical audit implementing effective and evidence-based practice. Conduct audit to evaluate the Advanced Clinical Practitioner team and any strategies that have been implemented and disseminate results within the PCN, locally and nationally. Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within the department/clinical area. Participate in audit, clinical governance and other clinical meetings where the outcomes and recommendations have the potential to improve the quality of care; give case presentations as required. Lead on specific audit cycles to enhance the quality of clinical nursing and medical practice. Be aware of the results of mandatory audits, amend own practice where necessary and support change in practice of others. Involvement in the development of specific guidelines, protocols and standards, including contributing to multidisciplinary team guidelines. Continue to be proactive in the improvement of the department by enhancing levels of evidence-based practice and the development of guidelines and protocols to ensure high standards of care are consistently maintained.Training & Development The post holder will be supported to fulfil any Health Education England portfolio requirements. Undertake statutory and mandatory training as required by the GP Practices / PCN. Contribute to the development of knowledge and skills to other members of the multi-professional team. Use specialist knowledge to actively participate in the clinical and theoretical education, training and support of nurses, allied health professionals and medical staff. Orientate and support the Wigan Central & Wigan North PCN Care Home Team staff during induction and onboarding. Responsible for accessing own continuing education, having undertaken modules and courses at Masters Level, including advanced health/physical assessment and managing the complex patient. In addition, having undertaken non-medical prescribing course. Participate in competency-based learning programmes to enable developmental and enhancement of clinical skills and role. Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education. Evaluate personal achievement of identified and agreed short- and long-term development objectives from person development plan. Maintain own professional portfolio in-line with the ACP policy document.Risk Management Contribute to clinical risk management and act as a link within the department. Complete documentation and gather evidence relevant to clinical risk management. Anticipate, recognise and prevent situations that maybe detrimental to self and the health and well being of patients or staff. Adhere to and participate in the implementation of recommendations and guidelines related to health & safety at work, Control of Substances Hazardous to Health legislation and control of infection procedures. Implement actions to be taken in event of an emergency. Demonstrate correct moving and handling procedures following protocols and guidelines. Investigate, respond to and formulate action plan for complaints as required by line manager. General Information This job description is not intended to be an exhaustive list of duties, but merely to highlight the current main responsibilities of the post. The PCN reserves the right to change terms from time to time. Along with your main duties, you will also be expected to carry out any other duties reasonably asked of you. It may be reviewed from time to time in agreement with the post holder and line manager. The post holder will be required to comply with all policies and procedures issued by and on behalf on Wigan Borough Federation Healthcare.
