Advanced Clinical Practitioner - Frailty

Weare looking for a motivated and experienced Advanced Clinical Practitioner to work within our Frail Elderly Assessment Team (FEAT). This is an exciting opportunity to deliver high quality patient-centered care to frail patients intheir own homes and in our care homes.

The role combines autonomous practice,care coordination, multi-agency collaboration, management of increasing frailty, dementia and end of life care.

The postholder will work at an advanced level of clinical practice, exercising a high degree of professional autonomy and accountability while working within the NMC code and national ACPframeworks.

Provide expert management of complex frailty syndromes,dementia, delirium, polypharmacy, falls risk and end of life needs.

Exercise advanced clinical reasoning to assess, diagnose, treat, and manage patients without direct input from a medical practitioner, recognising own professional boundaries and seeking senior clinical support when required.

Monitor medication use and adjust treatment plans working autonomously as required

Work closely with GPs, OTs, Physiotherapists, Care Co-ordinators, Social Prescribers and Community Nursing Team

Support patients and families in understanding and managing frailty

Promote lifestyle and self management strategies

Identify patients in need of palliative support and facilitate advanced care planning discussions

Communicating with distressed patients and relatives

Caringfor patients and relatives following receipt of bad news

Communicating and caring for patients who have reduced understanding and insight due to cognitive impairments

Participate/lead weekly enhanced care home reviews

Undertake daily acute care home visits requested through our clinical triage system identifying clinical emergencies, deteriorating patients or patients at risk of deterioration

Participate in regular clinical supervision

Workusing FEAT and champion evidence-based interventions

NCPC (North Cumbria Primary Care) was established in August 2019 in response to an increasingly fragile general practice provision within North Cumbria. NCPCs vision is to bring practices together to develop a sustainable, fully integrated primary care- built locally and delivered together.

The Copeland NCPC area consists of 3 major practices, Fellview Health Care, Lowther Medical Centre and Seascale Health Centre as well as a shared PCN (Primary Care Network) which delivers services to patients across all 3 practices.

We are a not-for-profit company with all money we receive in funding and other business activities going towards supporting the organisation, our staff, and our services.

Main Duties and Responsibilities

Provide expert management of complex frailty syndromes, dementia, delirium, polypharmacy,falls risk and end of life needs.

Exercise advanced clinical reasoning to assess, diagnose, treat, and manage patients without direct input from a medical practitioner, recognising own professional boundaries and seeking senior clinical support when required.

Monitor medication use and adjust treatment plans as required, autonomously working within scopeof practice and in line with prescribing competencies.

Escalate concerns appropriately and initiate urgent or emergency interventions when required.

Identify when clinical presentations fall outside of scope of practice and escalate appropriately to GP or senior clinicians.

Work closely withGPs, Occupational Therapists, Physiotherapists, Care Co-ordinators, Social Prescribers and Community Nursing Team

Attend the MDT meetings and case reviews

Support patient sand 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 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.

Completing proactive, individualised clinical management plans for care home residents improving their health experience and reducing unnecessary and potentially harmful hospital admissions

Identify patients in need of palliative support and facilitate advanced care planning discussions with patients and families

Communicating with distressed/anxious/worried patients and relatives

Caring for patients and relatives…