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Job Description
- Req#: A4325-25-0007?language=en&page=1033&sort=publicationDateDesc
- Previous primary care experience
- Experience with dealing with the needs of our Complex population
- Experience of performing Holistic assessments
- Experience of working with General Practice
- Team working and lone working
- Meeting deadlines
- Prioritising workload
- Previous primary care experience.
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Experience with home visits
- Advanced Clinical Assessment skills
- -Registered General Nurse
- Prescribing Qualification
- A sound understanding of the national and local health agenda
- Willingness to undertake training at a higher level if necessary
- Willingness to participate in clinical supervision and performance review
- Awareness of the legal and ethical issues of the role
- Excellent interpersonal and communication skills
- Ability to work effectively in a multidisciplinary team as a key player
- Information technology skills
- Previous primary care experience
- Experience with dealing with the needs of our Complex population
- Experience of performing Holistic assessments
- Experience of working with General Practice
- Team working and lone working
- Meeting deadlines
- Prioritising workload
- Previous primary care experience.
- Experience of clinical audit, evaluation research and implementation of evidence-based practice
- Experience with home visits
- Advanced Clinical Assessment skills
- -Registered General Nurse
- Prescribing Qualification
- A sound understanding of the national and local health agenda
- Willingness to undertake training at a higher level if necessary
- Willingness to participate in clinical supervision and performance review
- Awareness of the legal and ethical issues of the role
- Excellent interpersonal and communication skills
- Ability to work effectively in a multidisciplinary team as a key player
- Information technology skills
Job summary
APEX PCN is currently taking part in the NHSE national pilot to consider a proactive approach to meeting our patient needs. As part of this programme we are recruiting a fixed term Complex Care support team for our PCN population. This team will be assigned as a micro team to serve individual patient needs and take a consistent and personalised approach to patient care.
We are searching for a caring and motivated Nurse with excellent clinical, organisational and communication skills to be part of the pilot team.
This is a hugely exciting opportunity for us to work closely with our identified patients through a proactive MDT approach.
Main duties of the job
This is a new role for the PCN, our ambition is to deliver a proactive, diverse and forward thinking service for the Complex Care patients within our PCN Community. The scope of the role will evolve and adapt according to the needs of the PCN and its patients as well as the skills and experience of the successful candidate.
The main purpose will be to join and provide the Complex Care Service working across our PCN population. This includes undertaking holistic assessments, health promotion, proactive work and reacting to acute visits.
You will perform an initial assessment with the identified patient cohort and continue to work with each patient based on their needs.
You will be expected to be an active member of the relevant MDT's, and work in collaboration with the wider Complex Care Team.
About us
Apex Primary Care Network (PCN) is an innovative, enthusiastic and forward looking collaboration of GP practices looking after the health and wellbeing of our patients. Apex PCN consists of 4 practices which include The Woodland Medical Practice, Birchwood Medical Practice, Boultham Park Medical Practice and Richmond Medical Centre. Our PCN is committed to developing a skilled workforce that can maximise the delivery of safe, high quality and value for money healthcare services for the benefit of our local population.
Date posted
28 March 2025
Pay scheme
Other
Salary
Depending on experience
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Part-time
Reference number
A4325-25-0007
Job locations
Birchwood Medical Practice
Jasmin Road
Lincoln
Lincolnshire
LN6 0QQ
The Woodland Medical Practice
Jasmin Road
Lincoln
LN6 0QQ
Boultham Park Medical Practice
Boultham Park Road
Lincoln
LN6 7SS
Job descriptionJob description
Job responsibilities
Be the first point of contact to identified patients, performing an initial evaluation ie Comprehensive Assessments and personalised care plans.
Co-ordinate with the full Complex Care MDT to best action findings from the initial assessment.
Offer a holistic service to our Complex Care patients, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.
Collaborative working with the practices to deliver ongoing priorities to our patients ie Comprehensive Assessments and personalised care plans.
Help reduce the patient footprint into General Practice.
Help reduce avoidable unplanned hospital admissions by improving services for vulnerable patients and those with complex physical or mental health needs, who are at high risk of hospital admissions or re-admissions.
Working with hospitals to ensure that practices receive timely information on when patients are admitted to hospital and when they are likely to be discharged from hospital and to plan better handover arrangements.
Conduct Acute visits to manage on the day demand and support the Practices, within scope of practice and competencies.
Ensure proactive care management- carrying out reviews of all unplanned GP appointments/OOH contacts, A&E admissions, re-admissions and A&E attendances for patients.
Ensuring follow up and coordination of patient care after discharge from hospital.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others in the team and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Job responsibilities
Be the first point of contact to identified patients, performing an initial evaluation ie Comprehensive Assessments and personalised care plans.
Co-ordinate with the full Complex Care MDT to best action findings from the initial assessment.
Offer a holistic service to our Complex Care patients, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.
Collaborative working with the practices to deliver ongoing priorities to our patients ie Comprehensive Assessments and personalised care plans.
Help reduce the patient footprint into General Practice.
Help reduce avoidable unplanned hospital admissions by improving services for vulnerable patients and those with complex physical or mental health needs, who are at high risk of hospital admissions or re-admissions.
Working with hospitals to ensure that practices receive timely information on when patients are admitted to hospital and when they are likely to be discharged from hospital and to plan better handover arrangements.
Conduct Acute visits to manage on the day demand and support the Practices, within scope of practice and competencies.
Ensure proactive care management- carrying out reviews of all unplanned GP appointments/OOH contacts, A&E admissions, re-admissions and A&E attendances for patients.
Ensuring follow up and coordination of patient care after discharge from hospital.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others in the team and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Person SpecificationPerson Specification
Experience
Essential
Desirable
Qualifications
Essential
Desirable
Additional
Essential
Experience
Essential
Desirable
Qualifications
Essential
Desirable
Additional
Essential
Additional informationDisclosure 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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
APEX Primary Care Network
Address
Birchwood Medical Practice
Jasmin Road
Lincoln
Lincolnshire
LN6 0QQ
Employer's website
https://www.birchwoodmedicalpractice.com/ (Opens in a new tab)
Employer details
Employer name
APEX Primary Care Network
Address
Birchwood Medical Practice
Jasmin Road
Lincoln
Lincolnshire
LN6 0QQ
Employer's website
https://www.birchwoodmedicalpractice.com/ (Opens in a new tab)
About the company
National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.