About this role
Job summary
As part of our focus on frailty and a move towards proactive care, Synergy Health PCN are looking for a community frailty clinician. The main focus will be on frail patients who currently live in their own homes, with proactive reviews trying to identify patients at high risk and reducing their chances of admission to hospital. There will also be work done around those patients who have had recent admissions to reduce the risks of readmission.
Working as part of the wider MDT alongside the frailty lead GP, Community Consultant Geriatrician, PCN care coordinators and other community teams, this is an excellent opportunity for a clinician with an interest in frailty.
Whilst this role has previously been carried out by an advanced nurse practitioner, the key criteria is an interest in frailty and improving proactive approaches to healthcare. As such, applications would also be considered from GPs with an interest in frailty and practice nurses who wish to upskill into this area, with training support available for the right candidate. This is an exciting opportunity to deliver care to frail patients in their own homes and across our 3 practices
Main duties of the job
Core Duties
Conduct comprehensive geriatric assessments using appropriate tools
Monitor medication use and adjust treatment plans as required
Work closely with GPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribers and Community Nursing Team
Attend and lead the MDT meetings and case reviews
Support patients and families in understanding and managing frailty
Promote lifestyle and self management strategies to optimise health and independence.
Functions at a high level to carry out clinical decision making such as diagnosing and managing patients without direct input from a medical practitioner remaining within scope of a professional practice.
Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.
Identify patients in need of palliative support and facilitate advanced care planning discussions with patients and families
Communicating and caring for patients who have reduced understanding and insight due to cognitive impairments
Undertake acute home visits requested through our clinical triage system identifying clinical emergencies, deteriorating patients or patients at risk of deterioration ensuring appropriate action
About us
About Synergy Health PCN
Primary Care Networks (PCN) are local neighbourhoods where all health and social care services work together to deliver a better experience for their citizens.
Synergy Health PCN covers three practices in Gedling Borough, Jubilee Park Medical Partnership in Carlton with a branch site in Lowdham, West Oak on Westdale Lane, Mapperley and Trentside Medical Group in Netherfield and Carlton.
We are a standalone PCN with a lead practice and have a population of 36,000 patients.
The PCN has care co-ordinators, social prescribing link workers, advanced nurse practitioner care homes, first contact physios and clinical pharmacists. These roles will work closely together to develop and grow the PCN and improve patient care across our patient list.
Our vision is to build and develop collaborative working across member practices and stakeholders, to support and strengthen the delivery of Primary Care services and improve health outcomes for the local population we serve.
Job description Job responsibilities
Please see the attached job description and person specification for a more detailed description for the main responsibilities of the role.
Person Specification
Qualifications Essential
Please refer to the attached Job Description for relevant qualifications and experience that are required for this role and show this in the application form.
Desirable
Please refer to the attached Job Description for relevant qualifications and experience that are required for this role and show this in the application form.
Experience Essential
Please refer to the attached Job Description for relevant qualifications and experience that are required for this role and show this in the application form.
Desirable
Please refer to the attached Job Description for relevant qualifications and experience that are required for this role and show this in the application form.
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 Synergy Health PCN
Address Trentside Medical Group
Knight Street
Netherfield
Nottingham
NG4 2FN
Employer's website https://healthandcarenotts.co.uk/care-in-my-area/south-nottinghamshire-pbp/south-nottinghamshire-pcns/synergy-health/ (Opens in a new tab)