Senior Nurse Practitioner/Senior Advanced Practitioner (Frailty)

Senior Nurse Practitioner / Senior Advanced Practitioner (L2, Frailty)
Based: Mereside Medical Practices (Cathedral Medical Centre, Haddenham Surgery and Staploe Medical Centre)
Salary: £49,485 – £55,880 FTE
Basis: Permanent; part-time / full-time
Eligibility: You must be eligible to work in the UK

About Us
Mereside Medical is a flourishing group of three East Cambridgeshire practices in Ely, Haddenham and Soham. We believe in clinical excellence, and that general practice is the cornerstone of well-being in our community.
Our goal is to deliver on the ambitions laid out in the GP forward view in a way that is locally relevant, valued by patients, and satisfying for our staff.

As a group, we’ve grown rapidly and now employ more than 140 people across the three practices. Our Advanced Practitioner Team works with the Duty Doctor to provide care for patients presenting with ‘on the day’ urgent care needs, which are managed through AskMyGP. Alongside this, we are embedded in the local community, constantly working to bridge the gap between primary and secondary care creating a seamless service for patients with long-term chronic conditions, including those living in care homes.

We are currently in the process of building a multidisciplinary team which is focused on enhancing the care of the frail elderly within our patient population, taking longitudinal responsibility for their care, proactively identifying those at highest risk, and taking action to mitigate these risks. The ambition is to build on and extend our existing good practice at both practice and PCN levels, to improve the service provided to the frailest people under our care including those in living in care homes and their own homes. We believe this is essential to support people to live with dignity despite complex and enduring health and care needs, to enhance the quality of their care, and promote continuity. The core team leading the service is currently envisaged to consist of two GPs, and a second senior ANP, drawing further on our wider ANP / AP team to visit care homes and undertake home visits as needed. You would also be part of the ANP/AP team, supporting the Duty Team to provide appropriate acute care to the same patient cohort as required.

Working within your professional boundaries there is endless opportunity to have a positive influence on patient outcome, safety, and satisfaction in this role. We are people-centred in our approach to work and believe that every contact that a patient has with our staff is as valuable as the next in the patient journey. Our approach is innovative and forward-looking, and we embrace technology to help us work together more efficiently and collaboratively.

Who we’re looking for
We are currently looking for an experienced nurse or other health care practitioner, with demonstrable expertise and experience in the care of the frail elderly to act as a senior clinical professional within the team.

You may be a qualified Paramedic or Nurse (including District Nurse) with current registration of relevant professional body, with a minimum of two years post-registration experience. In addition, you will have completed at least the Advanced Clinical Assessment and Non-Medical Prescribing modules at Masters Level, or equivalent qualifications. Experience in the delivery of holistic care in the community would also be highly desirable.

You will work closely within the core MDT to provide routine reviews of frail elderly patients. You will enjoy working collaboratively with, and learning from, diverse colleagues from across the organisation to ensure quality of service for patients and efficient ways of working within and among teams.

By its nature this is a varied role, whose priorities of the day can vary tremendously. You should be enthusiastic, adaptable, and solutions-minded, with a strong natural aptitude for technology. You will be passionate about ensuring patients feel heard and cared for, achieving great health outcomes for them, whilst also being adept at triaging and managing patient expectations in order to ensure that we provide consistent quality of care for all.

Primary healthcare is broad, complex, and ever-changing, so there are endless opportunities to learn. This is a great role for you if you love learning new things, both clinically and in terms of tools and technologies with which to deliver care more effectively.

Your Responsibilities

Clinical Practice and Quality

• Practice in compliance with your respective code of professional conduct and scope of practice, being responsible and accountable for your decisions, actions, and omissions at this level of practice
• Demonstrate a critical understanding of your level of responsibility and autonomy, and the limits of your own competence and scope of practice, including when working with complexity, risk, uncertainty, and incomplete information
• Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
• Actively contribute to implementing the quality governance systems and processes across the organisation, demonstrating receptiveness to challenge and learn, and preparedness to constructively challenge others, in doing so. This includes but is not limited to healthcare records, learning points, and significant events
• Adopt a solutions and improvement mindset to proactively assess the effectiveness of your care delivery through self and peer review, benchmarking and formal evaluation
• Act as a clinical role model for developing care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks.

Clinical Assessment and Patient Care

• Work in partnership with patients, families and carers (including care homes), using a range of assessment methods, your expertise, and your clinical reasoning to adopt an evidence-based approach compliant with NICE guidelines to: o Support Lead GP/s and partner/s for frailty and care homes to provide routine reviews of frail elderly patients who are living at home or in care homes, demonstrating understanding in the management of chronic long-term conditions, polypharmacy and increasing frailty in older people. o Carry out holistic needs assessments for patients approaching the end of their life, focusing on

‘what matters most’ to the individual and those important to them; offering symptom control advice in keeping with local, regional and national guidance; and providing social and psychospiritual support to the patient and those important to them. o Assess, examine, diagnose, plan, implement and evaluate holistic treatment/interventions and care for frail elderly patients o Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of emergency care o Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

o Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug- based treatment methods into a management plan o Prescribe and deprescribe medications as appropriate and within local and national guidance; acting on feedback from prescribing audits within Mereside to improve prescribing practice.

• Demonstrate effective communication skills to optimise patient satisfaction while managing their expectations and supporting them to make decisions, plan care, or make positive change, including: o To work with patients to ensure that individual medication regimes meet their needs and are aligned with relevant guidelines and regulations for prescribed treatments. o Engage patients in advance care planning conversations in a compassionate and sensitive way, supporting them to make decisions around their preferences for their clinical care in a future emergency in which they are unable to make or express choice. Document these appropriately in the patient record and ReSPECT form. o To ensure appropriate use of prescribed and over-the-counter medication, and understanding of medication regimens, side-effects and interactions o When dealing with sensitive matters that may also have legal or ethical considerations, for example, safeguarding, substance abuse, sexual orientation and gender identity, racial and ethnic diversity, mental illness, disabilities, etc. o To support patients to adopt health promotion strategies, and apply principles of self-care, including referring or sign-posting to other services that may support their wider well-being, e.g. Social Prescribers, Health & Well-being coaches, etc.
• Work collaboratively with your colleagues within Mereside practices and across the local health economy to manage risks and issues, and integrate effectively with health and social care providers, ensuring consistency of care across settings and practices.

Learning, Development, and Education

• Critically assess, and take responsibility for, your own learning and professional development plan that reflects the breadth of the needs of advanced clinical practice in primary care
• Proactively share learning, information, and good practice insights across the practice and wider organisation to facilitate individual and team learning
• Advocate for, and positively contribute to, a cohesive culture of organisational learning and collaboration both within and between teams, to ensure the best patient experience throughout their entire journey
• Support the AP Team Manager to identify further developmental needs for the AP team as a whole, and play an active role in supporting the AP Team Manager to address these, as appropriate to your own skillset and expertise
• Work with the AP Team Manager to support the wider team to build capacity, confidence and professional competence in order to deliver better patient outcomes, through work-based and inter- professional learning, mentoring and role modelling.

Leadership and teamwork

• Contribute positively to a sense of cohesion, and foster a culture of wider collaboration, across the organisation, engaging effectively with collaboration tools such as MS Teams to improve communication and information sharing across sites and teams, including remote workers
• Work as an effective, responsible, and supportive member of the Duty Team, collaborating well with diverse colleagues and constantly seeking to improve ways of working both within the team and throughout the patient journey to ensure efficient and effective delivery of care
• Prioritise own workload and ensure effective time management strategies are embedded within the culture of the team to ensure that cases are appropriately triaged, handled by the most clinically appropriate member of the team, and completed in a timely manner
• Work closely with the Advanced Practitioner Team Manager, and/or the wider clinical team (including

Nurse Manager, Lead GPs, Clinical Manager, and Partners) to develop new practice and service redesign solutions in response to feedback, evaluation, and need

• Demonstrate team leadership, resilience, and determination to manage situations that are unfamiliar, complex or unpredictable in a way that is solutions-focused and builds confidence in your colleagues.

This is not meant to be an exhaustive list of duties. The need for flexibility is required and the post holder is expected to carry out any other related duties that are within the employee’s skills and abilities whenever reasonably instructed.

If you are interested in this role please send a CV and covering letter to: cpicb.mereside-recruitment@nhs.net
Closing date: 30 September 2023. However, we reserve the right to close this vacancy early.

Job Types: Full-time, Part-time, Permanent
Part-time hours: 37 per week

Salary: £49,485.00-£55,880.00 per year

Benefits:

• Company events
• Company pension
• Employee discount
• Free flu jabs
• Free parking
• Gym membership
• On-site parking
• Sick pay

Schedule:

• Monday to Friday

Ability to commute/relocate:

• East Cambridgeshire, Cambridgeshire: reliably commute or plan to relocate before starting work (required)

Education:

• Master’s (preferred)

Experience:

• Post Registration: 2 years (preferred)

Licence/Certification:

• NMC (preferred)

Work Location: In person

Application deadline: 30/09/2023
Reference ID: 2307-SAP