About this role
Job summary
This is a three-day-a-week post. Two days are dedicated to care homes. The third day is split between care home work and wider neighbourhood team work on frailty, high intensity users and end of life care.
Each care home prepares a weekly list of residents who need review: new or changing symptoms, medication queries, long-term conditions and general wellbeing. Before each round youll meet a GP from the residents registered practice to go through the list and agree plans. Youll then carry out the round, working with care home staff to assess, treat, prescribe and plan ahead.
You will also help identify and support people living with frailty in their own homes, people who use urgent and emergency services often, and people approaching the end of life. This will include clinical reviews, advance care planning and taking part in multidisciplinary meetings with community, social care and voluntary sector colleagues.
Youll work autonomously, with GP support always available and regular clinical supervision. You will also work alongside our existing and experienced frailty nurse.
Main duties of the job
- Run planned weekly ward rounds across our allocated care homes and nursing homes.
- Assess residents with acute, chronic and complex needs, examine, make clinical decisions and prescribe within your competence.
- Carry out holistic frailty reviews and structured medication reviews, including deprescribing where appropriate.
- Lead or contribute to advance care planning and end of life care conversations with patients, families and carers.
- Help avoid unnecessary hospital admissions, in the best interests of the patient, and support safe discharge back to the home.
- Review and support high intensity users of urgent and emergency services, working with the wider team to find better ways to meet their needs.
- Attend multidisciplinary meetings across the neighbourhood team and follow through on agreed actions.
- Recognise when a patient needs GP review, specialist input or escalation, and act on it promptly.
- Keep accurate, timely records on the practices clinical systems (EMIS Web).
- Build good working relationships with care home teams, practices and community colleagues, and support care home staff with advice and informal teaching.
About us
Arden PCN is a network of seven GP practices serving around 43,000 patients across Studley, Alcester, Henley-in-Arden, Lapworth, Tanworth-in-Arden and Budbrooke. Were part of the Arden, Stratford and Dene Integrated Neighbourhood Team (DASH INT), which brings practices, community services and other partners together to support people with the most complex needs closer to home.
Were looking for an experienced clinician with a real interest in frailty to lead our care home ward rounds and help develop our proactive work with older and vulnerable patients.
Job description
Job responsibilities
Person Specification
Experience
Desirable
- Experience of advance care planning and end of life care.
- Experience of comprehensive geriatric assessment or a frailty service.
- Experience of multidisciplinary or integrated team working.
- Experience using EMIS Web.
Qualifications
Essential
- Current registration with the NMC, HCPC or GMC.
- Independent prescriber (annotated with your regulator), or a GP on the GMC register and a performers list.
- Substantial post-registration experience in primary care, community, urgent care or a similar setting.
- Experience assessing and managing frail older adults with multiple long-term conditions.
- Sound clinical judgement, including knowing when to seek advice or escalate.
- Good communication skills, including with patients who lack capacity, and with families at difficult times.
- Working knowledge of the Mental Capacity Act and safeguarding adults.
- Able to travel between care homes and practices, requiring full driving licence and access to a car.
Desirable
- MSc or Level 7 qualification in advanced clinical practice (for non-medical applicants).
- Experience of care home ward rounds or the Enhanced Health in Care Homes service.
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
South Warwickshire GP Federation
Address
Gainsborough Hall
Russell Street
Leamington Spa
Warwickshire
CV32 5QB
United Kingdom
Employer's website
https://www.southwarwickshiregps.nhs.uk/ (Opens in a new tab)