About this role
Job summary
ABOUT THE ROLE
Are you an experienced, motivated and compassionate Registered Nurse looking for an opportunity to lead, innovate and make a lasting difference within community and primary care?
Working for Newark Primary Care Network (PCN) means joining a forward-thinking partnership of seven GP practices serving over 79,000 patients across both urban and rural Nottinghamshire. Our teams are committed to delivering high-quality, integrated care that improves outcomes for local people and reduces health inequalities.
We are seeking an experienced Registered Nurse to join our established and highly regarded care home team. This is an exciting opportunity to work across Newark's GP practices and care homes, supporting some of the most vulnerable people in our communities through the delivery of the Enhanced Health in Care Homes (EHCH) framework.
As an experienced Registered Nurse, you will be working alongside a dedicated multidisciplinary team which is currently comprised of: 2x advanced nurse practitioners, 1x clinical pharmacist, 3x nursing associates and 1x care co-ordinator. You will help drive improvements in quality of care, resident experience and clinical outcomes, while supporting people to live healthier, safer and more independent lives.
This is a rewarding role offering a unique blend of clinical leadership, autonomous practice and partnership working.
Main duties of the job
KEY RESPONSIBILITIES
Supporting end-of-life care planning and advance care discussions for the residents in our care homes and completion of ReSPECT forms to ensure their wishes are met at end of life.To lead in the weekly home rounds and have the ability and knowledge to make decisions regards appropriateness of onward referrals and hold others to account for their delivery of actions.A responsibility for ensuring that the residents and care home managers within Newark PCN locality receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care.
KEY REQUIREMENTS
Significant post-registration experience within community, primary care, care home or older adult services.Experience of multidisciplinary team working.Strong assessment, care planning and clinical decision-making skills
About us
PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.
Benefits of working for PICS
We offer a comprehensive package which includes:
NHS Pension 2015 Scheme (subject to eligibility) Alternative government-based scheme (subject to eligibility) Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development) Working in a multi-disciplinary team with support from a wide variety of professionals A flexible approach to a work-life balance Cycle to work scheme (subject to eligibility) Access to Blue Light Card scheme All staff events and conferences Staff engagement (Wellbeing Group, EDI Network, Staff Focus group) Free parking across many sites Personalised induction into the company and job role
Job description Job responsibilities
KEY RESPONSIBILITIES
To participate in the overall strategy for development and delivery of the Enhanced Health in Care Homes service across Newark PCN.
Will lead in the weekly home rounds and have the ability and knowledge to make decisions regards appropriateness of onward referrals and to hold themselves and others to account for their delivery of actions from the home round.
To take a significant role in the holistic assessment and treatment of patients in care homes with complex illnesses. To confidently consult with patients/families/carers to determine the needs of individuals and develop Respect forms to support care.
To confidently make autonomous decisions following assessments and ensuring that information is collaboratively communicated back to GP colleagues in a timely and professional manner
To make recommendations regarding patient management in accordance with Local and National guidelines
Responsibility for consulting and collaborating with other health care professionals and specialists across both primary, secondary, social care and the voluntary care sectors.
Demonstrate a good understanding of clinical governance and risk management and apply to work effectively alerting any risks and benefits when developing services and practice in new areas.
To facilitate clinical supervision to clinicians who are working within the service and to provide mentorship for clinicians developing advanced skills.
Keep abreast of new developments in treatment and technology.
Communications across the MDT is a critical element for this role. Information will be shared across providers, and the post holder will support the voice of the residents and care homes as equal members of the MDT.
Utilising and interpreting data, to support service improvement for care homes and primary care, as well as understanding the demands on urgent and emergency services to reduce avoidable activity where possible.
As a senior clinician there may be a requirement to support local and system wide meetings as appropriate and have a visible presence across the care homes, GP practices and Integrated Care Board work streams which have relevance for care homes in the absence of the clinical lead for the service.
The post holder is responsible for ensuring that the residents and care home managers within Newark PCN locality receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care.
Other key relationships:
PCN Clinical Directors and Care Home Lead
Care home owners, managers and staff
GPs working in aligned practices
Community Geriatrician
Secondary care consultants and specialist nurses
Community matrons
Community therapy and community nursing services
Locality district and Social Services Departments
Voluntary Sector
CQC
Quality monitoring team
Professional Leadership and Development
To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
To adhere to the individual Professional code of conduct and practice at all times.
To reflect on own practice individually and through regular clinical supervision.
To participate in any relevant training/course/conferences to maintain own professional development.
To maintain, develop and disseminate specialist knowledge of evidence-based practice.
To critically evaluate own work through the use of evidence-based projects, audits and outcome measures.
To work autonomously as a Clinical Care Homes Lead within professional and PICS guidelines, policies and procedures.
Communication and Relationship Skills
Demonstrate advanced communication skills in providing advice, empowerment, facilitation, influence, motivation and counselling.
Manage complex communication issues that may arise between differing health and social care professionals.
Demonstrate an understanding of the need to involve patients and carers in decision making, offering them informed choices, respecting their views.
Seek out different styles and methods of communicating to assist longer term needs and aims.
The nature of some communication can be unpredictable and can be of an urgent high priority nature: this can therefore be responsible for impacting into time allocated towards other necessary tasks.
As a senior clinician manage difficult and challenging conversations, providing clarity and information to seek a mutually agreeable position between parties.
Knowledge, Training and Experience
This post demands a range of developed skills from a wide and varied background, experience and a broad yet deep knowledge base underpinned with a proven track record and/or an academically scrutinised knowledge base.
Working with care home staff where English is not the first language to promote education and training.
Analytical judgement underpinned with specialist knowledge and experience is used to develop evidenced based holistic personal care plan with patients, carers, relatives and health care professionals based on a full assessment of medical, nursing, and social care needs.
Provide evidence based written information, ensuring easy access to advice and information for patients and their carers.
Acts a role model demonstrating high standards of care and providing clinical leadership to others.
Provides specialist education and training to other professionals involved in patient care.
Participate in the education, induction programmes and support meetings for other professional staff.
Actively participate in other multi-professional meetings, acting as the patient advocate.
Monitor own performance by reflective practice and identify training and educational needs.
Contributes to the identification of service goals and appreciates how this links in with performance targets and quality indicators.
Engage in local and organisational audit.
Regular self-direction of learning needs.
Maintain up to date mandatory training records.
Clinical Governance
To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements. Ensure all information regarding each patient related contact is recorded within SystmOne records.
Disseminate research and audit findings through presentation to multi-professional groups and publication.
Contribute to the development and implementation of policies, procedures and guidelines relevant to own area of work, which may have an impact across the organisation.
Promote patient and public involvement activities in the specialist area, leading to service improvement.
Actively promote peoples equality, diversity and rights.
Assist in the investigation of complaints and clinical incidents related to the Enhanced Health in Care Homes service and support learning that takes place as a result of complaints and incidents.
Monitor health, safety and security of self and others and promote best practice.
Identify risk issues that impact on the patients health or social are needs.
Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
Demonstrate effective team working inclusive of all relevant professionals.
Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
Professional Development / Personal Performance.
Identify learning needs, plan, implement and evaluate programmes of education to meet identified need.
Establish own support mechanisms to enable structured reflection, including clinical supervision, development of supportive networks mentoring and coaching.
Participate in and undertake clinical supervision of colleagues on an individual or group.
Participate in the divisional appraisal system and demonstrate the achievement of agreed personal objectives.
Non-medical prescribing qualification or willingness to undertake.
Education
Identify the potential benefits of, and participating in, educational programmes for patients and their relatives/carers.
Participate in the education of pre and post registered professionals and curriculum development where appropriate.
Address specific health targets e.g. NHS Plan, National Service Frameworks related to own area of practice through education.
Ensure own compliance and compliance of others with regard to mandatory training and individual health professional requirements.
Person Specification
Knowledge and skills Essential
Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Experience Essential
Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities Essential
Please provide details for why you would be a great fit for this role and why you have decided to apply.
Qualifications Essential
Please provide details of your CPD, using examples where necessary. Please provide your registration number of your NMC professional registration.
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).
Employer details Employer name Primary Integrated Community Services
Address Newark PCN
Nottingham
NG24 4XG
United Kingdom
Employer's website http://picsnhs.org.uk/ (Opens in a new tab)