We have a full time, B8a, Advanced Clinical Practitioner vacancy within our multidisciplinary team, which is led by a Consultant Geriatrician.
Our team consists of Frailty GP's, Nurse Consultants, Advanced Clinical Practitioners, Frailty Nurses, a Pharmacy team and support staff.
The Community Frailty Service supports patients to live well alongside their existing long-term conditions. Following a Comprehensive Geriatric Assessment patients spend up to 12 weeks on the service working through their individualised plan of care.
The Community Frailty Service also delivers the Frailty Virtual Ward and provides Advice & Guidance to Primary and Secondary care.
The main duties of the role include:
Receiving patients with undifferentiated and undiagnosed problems.
To a ssess health care needs based on highly developed knowledge and skills and use of advanced clinical assessment.
Screen patients for disease factors and early signs of illness.
Make differential diagnoses using decision-making and problem-solving skills
Develop with the patient an on-going care plan for health and well-being, with an emphasis on health education and preventative measures,
Order necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies
Support patients to remain safely at home through proactive frailty management and virtual ward care
Have a supportive role in helping people to manage and live with illness.
Have the authority to admit or discharge patients from their caseload and refer patients to other health care providers as appropriate.
Work collaboratively with other health care professionals and disciplines.
Provide a leadership and consultancy function as required.
Based at Moor Park Health & Leisure Centre and South Shore Primary Care Centre, on a rotational basis you will undertake a variety of duties including the provision of a daily telephone triage service, home acute visits, comprehensive geriatric assessment clinics and oversight of patients on the caseload including requesting and management of investigations.
Prescribing is undertaken using GP EMIS electronic record.
The service spans the whole Fylde Coast and welcomes referrals from all health and social care professionals.
Duties and Responsibilities include the Assessment and management of patient health/illness status
Analyses and interprets history, presenting symptoms, physical findings, and diagnostic information to develop the appropriate differential diagnoses.
Diagnoses and manages acute and long-term conditions while attending to the patient’s response to the illness experience.
Employs appropriate diagnostic and therapeutic interventions and regimens with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
Formulates an action-plan based on scientific rationale, evidence-based standards of care, and practice guidelines.
Initiates appropriate and timely consultation and/or referral when the problem exceeds their scope of practice and/or expertise.
Assesses and intervenes to assist the patient in complex, urgent or emergency situations.
- Diagnoses unstable and complex health care problems using collaboration and consultation with the multi-professional health care team as indicated by setting, specialty, and individual knowledge and experience.
- Plans and implements diagnostic strategies and therapeutic interventions to help patients with unstable and complex health care problems regain stability and restore health, in collaboration with the patient and multi-professional health care team.
Demonstrates critical thinking and diagnostic reasoning skills in clinical decision-making.
Obtains a comprehensive problem focused health history from the patient or carer.
Performs a comprehensive problem focused age-appropriate physical examination.
Analyses the data collected to determine health status of the patient.
Formulates a problem list and prioritised management plan.
Assesses, diagnoses, monitors, co-ordinates, and manages the health/illness status of patients during acute and enduring episodes.
Demonstrates knowledge of the patho-physiology of conditions commonly seen in practice.
Communicates the patient’s health status using appropriate terminology, format, and technology.
Provides information and advice to patients and carers concerning drug regimens, side- effects and interaction, in an appropriate form.
If legally authorised – prescribes medications based on efficacy, safety, and cost from the formulary.
Integrates appropriate non-drug-based treatment methods into a plan of management.
Orders, may perform, and interprets common screening and diagnostic tests.
Evaluates results of interventions using accepted outcome criteria, revises the plan accordingly and consults/refers when needed.
Works collaboratively with other health professional and agencies as appropriate.
Plans and conducts follow-up visits appropriately to monitor patients and evaluate health/illness care.
