Primary Care Frailty Nurse

East of England, East of England

Permanent

£42,855 to £45,047

Social Worker

Primary Care Frailty Nurse

Job summary

The post holder will be primarily responsible for providing care for our Elderly population with Long Term conditions including annual care planning and provision of some acute visits. These patients will be seen within the Practice setting, and in the Patients Home environment including Care Homes.

Main duties of the job

The Nurse will be attending patients who have been referred by a GP or by the Multi-Disciplinary Team (MDT) and will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner and referring back to the patients GP as needed. They will liaise with Service Providers, Carers, Social and Voluntary Services and the GP Out of Hours Service; as well as providing advice and support to Practice based and attached nursing staff; facilitating a seamless service for patients between Primary and Secondary Care.

The post holder must be able to work autonomously, be confident in providing high-quality, evidence-based clinical care and possess excellent interpersonal, organisational, communication and management skills

About us

We are a popular and forward-thinking training practice of over 16,500 patients operating from three sites in the beautiful Cumbrian countryside of the Northern Pennines and Eden Valley, close to the great border city of Carlisle, within easy reach of the Lake District, the Borders and Northumberland.

We are part of Carlisle Rural PCN and have an excellent team of Healthcare Professionals and supportive administration teams. We are also a dispensing practice with dedicated Medicines Management Team and Dispensing Team.

The Practice is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £43.50. Deducted at £14.50 from 1st month salary and over the following 2 months

Enhanced Check: £61.50. Deducted at £20.50 from 1st month salary and over the following 2 months

Job description

Job responsibilities

To provide and maintain a high standard of nursing care for patients as well as providing nursing assistance to GPs, and other members of the ICC and primary care team.
Assess, diagnose and treat specific conditions in accordance with agreed professional protocols and guidelines and manages programmes of care and treatment for patients with Long term Conditions including frailty.
Proactively identify, help in diagnosing and manage treatment plans for patients at risk of developing a long-term condition.
Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols.
Work with patients in order to support adherence to prescribing treatments.
Actively engage patients and carers in management of their health, promoting health and wellbeing and self-care.
Discussion with patients named GP as required to formulate the patients care plan.
Please see full job description attached for further details

Person Specification

Skills, Knowledge and Attributes

Essential

Knowledge of accountability of own role and other roles in a nurse-led service
Knowledge of health promotion strategies
Knowledge of clinical governance issues in primary care
Ability to change care management skills to support patients
Excellent verbal communications skills, able to communicate difficult messages to patients and families
Good written communication skills, clear concise record keeping
Time management, able to organise workload
Knowledge of national policy standards which inform and have implications for Practice , NICE, NSF, QOF

Desirable

EMIS clinical system
Knowledge of local and national health policy
Wider health economy awareness

Qualifications

Essential

Registered (first level) Nurse
Current NMC registration
Evidence of post registration education

Desirable

Educated at diploma, degree level
Independent prescribing qualification

Other

Essential

Must be flexible in working hours / able to work at desired times including evenings and Saturdays
Own transport

Experience

Essential

Minimum 3 years experience
Portfolio evidence of continuous professional development
Ability to work as part of a team as well as an autonomous practitioner
Multi-disciplinary and multi agency working

Desirable

Primary and community care experience
Experience of nurse led management of long term conditions
Experience of developing and implementing protocols and clinical guidelines
Audit Experience

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.