County Durham & Darlington NHS Foundation Trust
We are looking for enthusiastic and dynamic Advanced Nurse Practitioners to join the new innovative specialist Hospital@Home Frailty Team/ Frailty Assessment Unit. We are in the process of developing a new pathway which involves the identification and management of frailty patients within their own homes and across the acute site. The ANP will use expert knowledge and advanced clinical reasoning skills to provide specialist support and a comprehensive geriatric assessment to aid decision making and plans for ongoing management. The ANP will support admission avoidance and support the Hospital@Home model. The post holder will be part of a larger multi-disciplinary team including Consultant Geriatricians, ANPs and Therapists. This post would suit an experienced nurse who has an understanding of the management of people living with frailty. This is a rotational position across frailty services. Main Duties of the Job
The successful candidate will provide leadership, clinical expertise and organization of the new Frailty H@H Service. They will continuously develop and enhance knowledge and skills that will directly influence consistent standards of clinical practice and ensure the highest possible standards of evidence-based care are achieved in order to promote patient-focused care. They will promote patient-centred high-quality evidence-based care to patients on the ward, ensuring the patient is central to all aspects of treatment and care. Communicate effectively with all the multi-disciplinary teams both internal and external to the organization. Provide clinical leadership to a group of staff within the H@H team and throughout the care group. Job Responsibilities
The Frailty Advanced Nurse Practitioner will be experienced in the management of frail patients supporting admission avoidance and safe, prompt return to the community. You will have expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to the Emergency Department team and other healthcare staff and to manage a caseload of patients within the Frailty Assessment Unit where the length of stay will be less than 72 hours. Assess, diagnose, treat and discharge adult patients ensuring appropriate advice, health education and referral to appropriate community services. Perform autonomous diagnostic and prognostic investigations. Make autonomous decisions regarding admitting or discharging of patients within ED or the Frailty Assessment Unit using advanced clinical knowledge to underpin decisions. Work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant. Manage your own caseload in response to unpredictable patterns of work. Accept referrals from other healthcare professionals and work unsupervised. Clinically assess patients, prioritizing clinical need and highlighting those patients who require immediate medical intervention. Act as a resource for all members of the multi-disciplinary team, providing advice concerning aspects of the management of frailty. Support the ongoing development of the Frailty Team and Unit with an integrated approach to the delivery of acute medicine and unscheduled care involving all relevant stakeholders including health and social care organizations. The post requires a flexible approach to working and requires the post holder to work 8 am - 8 pm covering a 7-day service. Person Specification
Special Requirements
Able to meet the travel requirements of the post Experience working in Frailty Qualifications
Registered Nursing or HCPC qualification Masters level or willing to work towards Substantial experience at band 6 in an acute medical setting Teaching qualification Independent prescribing or willing to undergo Experience of working in an ambulatory emergency care setting Substantial specialist experience of frail patients Experience and understanding of a wide range of approaches to the management of frail elderly patients Statutory Registration
NMC or HCPC Special Skills & Knowledge
Accredited Clinical skills course Caring Can work well under pressure Keen to improve role Experience of working with frail patients Experience
Previous experience in Elderly care Clinical knowledge of acute nursing Literate and articulate Good communication skills Evidence of undertaking and developing audits to inform practice Clinical skills Substantial experience as a band 6 in an acute medical setting Non-Medical Prescribing Frailty Knowledge 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. County Durham & Darlington NHS Foundation Trust £46,148 to £52,809 a year per annum, pro rata
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We are looking for enthusiastic and dynamic Advanced Nurse Practitioners to join the new innovative specialist Hospital@Home Frailty Team/ Frailty Assessment Unit. We are in the process of developing a new pathway which involves the identification and management of frailty patients within their own homes and across the acute site. The ANP will use expert knowledge and advanced clinical reasoning skills to provide specialist support and a comprehensive geriatric assessment to aid decision making and plans for ongoing management. The ANP will support admission avoidance and support the Hospital@Home model. The post holder will be part of a larger multi-disciplinary team including Consultant Geriatricians, ANPs and Therapists. This post would suit an experienced nurse who has an understanding of the management of people living with frailty. This is a rotational position across frailty services. Main Duties of the Job
The successful candidate will provide leadership, clinical expertise and organization of the new Frailty H@H Service. They will continuously develop and enhance knowledge and skills that will directly influence consistent standards of clinical practice and ensure the highest possible standards of evidence-based care are achieved in order to promote patient-focused care. They will promote patient-centred high-quality evidence-based care to patients on the ward, ensuring the patient is central to all aspects of treatment and care. Communicate effectively with all the multi-disciplinary teams both internal and external to the organization. Provide clinical leadership to a group of staff within the H@H team and throughout the care group. Job Responsibilities
The Frailty Advanced Nurse Practitioner will be experienced in the management of frail patients supporting admission avoidance and safe, prompt return to the community. You will have expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to the Emergency Department team and other healthcare staff and to manage a caseload of patients within the Frailty Assessment Unit where the length of stay will be less than 72 hours. Assess, diagnose, treat and discharge adult patients ensuring appropriate advice, health education and referral to appropriate community services. Perform autonomous diagnostic and prognostic investigations. Make autonomous decisions regarding admitting or discharging of patients within ED or the Frailty Assessment Unit using advanced clinical knowledge to underpin decisions. Work independently, with a high degree of autonomy, and take part in clinical supervision from a named consultant. Manage your own caseload in response to unpredictable patterns of work. Accept referrals from other healthcare professionals and work unsupervised. Clinically assess patients, prioritizing clinical need and highlighting those patients who require immediate medical intervention. Act as a resource for all members of the multi-disciplinary team, providing advice concerning aspects of the management of frailty. Support the ongoing development of the Frailty Team and Unit with an integrated approach to the delivery of acute medicine and unscheduled care involving all relevant stakeholders including health and social care organizations. The post requires a flexible approach to working and requires the post holder to work 8 am - 8 pm covering a 7-day service. Person Specification
Special Requirements
Able to meet the travel requirements of the post Experience working in Frailty Qualifications
Registered Nursing or HCPC qualification Masters level or willing to work towards Substantial experience at band 6 in an acute medical setting Teaching qualification Independent prescribing or willing to undergo Experience of working in an ambulatory emergency care setting Substantial specialist experience of frail patients Experience and understanding of a wide range of approaches to the management of frail elderly patients Statutory Registration
NMC or HCPC Special Skills & Knowledge
Accredited Clinical skills course Caring Can work well under pressure Keen to improve role Experience of working with frail patients Experience
Previous experience in Elderly care Clinical knowledge of acute nursing Literate and articulate Good communication skills Evidence of undertaking and developing audits to inform practice Clinical skills Substantial experience as a band 6 in an acute medical setting Non-Medical Prescribing Frailty Knowledge 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. County Durham & Darlington NHS Foundation Trust £46,148 to £52,809 a year per annum, pro rata
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