Our Frailty-ACE is an innovative, award-winning approach to supporting frail people with urgent/emergency needs. The co-located Primary Care, and Community ACP is supported by specialist advice from Consultant Geriatricians. It works to support person-centred assessment and care, and to coordinate the services required to support frail patients who would otherwise be admitted or conveyed to remain at home when this aligns with their wishes and/or best interests.
As a Frailty-ACE Clinical Practitioner you will work collaboratively, and flexibly with the wider Frailty-ACE to comprehensively assess frail patients' urgent care needs and coordinate holistic person-centred management plans that are in keeping with the patients' preferences and best interests. You will assess and manage the full breadth of clinical presentations and age groups which present in the urgent primary care setting, including physical and mental health needs. As part of the role you will take telephone referrals from Health care professionals within the BNSSG area for appropriate adult medical admissions whilst being sensitive to the capacity issues of the hosting acute trust.
BrisDoc is an employee-owned social enterprise that has been providing NHS healthcare for over twenty years. Serving more than one million patients across Bristol, North Somerset, and South Gloucestershire, BrisDoc offers a range of primary care services, including:
Severnside Integrated Urgent Care (IUC): A 24/7 NHS urgent care service combining NHS 111 and the GP Out of Hours Service, and more, ensuring patients receive timely medical attention when their GP practice is closed
In-Hours Primary Care: Operating GP practices such as Broadmead Medical Centre and Charlotte Keel Medical Practice, providing comprehensive healthcare services during standard hours
Homeless Health Service: Dedicated to addressing the healthcare needs of homeless individuals, offering support through clinics and outreach teams
As a social enterprise, BrisDoc prioritises the health of its patients, environmental sustainability, and the social and economic well-being of the community. The organisation is committed to reducing health inequalities and improving overall well-being.
At BrisDoc, we are proud to be an employee-owned organisation, meaning every member of our team is a ‘co-owner’ with a real stake in the success of the business. This unique structure empowers our staff to influence decisions, shape the future direction of the organisation, and take pride in the care and services we provide.
Work collaboratively, and flexibly with the wider Frailty-ACE team to comprehensively assess frail patient’s urgent care needs and coordinate holistic person-centred management plans that are in keeping with the patient’s preferences and best interests.
Assess and manage the full breadth of clinical presentations and age groups which present in the urgent primary care setting, including physical and mental health needs.
Take telephone referrals from Health Care professionals within the BNSSG area for appropriate adult medical admissions whilst being sensitive to the capacity issues of the hosting acute trust.
Demonstrate excellent communication skills with referring HCPs, in order to build positive relationships so that alternative management ideas can be discussed without confrontation.
Gain familiarity with the other urgent care services available in the BNSSG system, and how to access these for patients
Undertake clinical work by telephone +/- video, consulting with patients and/ or their representatives and healthcare professionals in the community to appropriately assess the current concerns, establish an appropriate differential diagnosis and management plan.
Seek to support community management wherever possible, but be able to recognise serious illness and emergency situations requiring admission and/ or an ambulance response
Be able to prescribe appropriately for the urgent primary care context, including initiating and changing end of life medications where appropriate.
Document the key findings from their assessment, such that the notes provide appropriate detail to log the assessment at the time, and support other clinicians who may be involved later in the patient’s journey
Seek clinical advice from the senior GP on shift (the Clinical Coordinator) when required to support clinical decision making and access to appropriate services
Buddy with new clinicians working their first shift in the Severnside service, as required, to support them to become familiar with the systems and processes following induction
Be encouraged to contribute to on call clinician rotas at times of peak demand.
Use all IT systems required for safe clinical work in IUC, including the clinical systems (CLEO, PACCS and EMIS), resources available to support clinical decision making (the Clinical Toolkit, BrisDoc weblinks, Remedy)
Be proactive about identifying and reporting concerns and incidents, to support continued learning and improvement in the service provided to patients
