Job responsibilities, To work as part of a multi-disciplinary team across the PCN to care for our housebound and care home patients, including proactive assessment, diagnosis and treatment of individuals using a holistic approach.To undertake care home weekly ward rounds. To assess, diagnose, investigate, treat, refer or signpost patients/service users within the community with undifferentiated or undiagnosed condition relating to minor illness, minor injury or urgent problems. The post holder will use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment. The post holder must have access to a vehicle for home visits with mileage expenses remunerated by submission of a monthly mileage form.

(Please note it is the postholders responsibility to ensure that their car insurance is covered for business use). Visiting patients who are frail/have co morbidity in their homes or in a care home. Undertake care home ward rounds with the support of the PCNs Community Frailty Practitioner, Community Frailty Paramedic and Care Coordinator Prescribe/issue medications as appropriate following policy, patient group directives and local pathways. Independent Prescriber qualifications is essential.

May be required to help with the Avoiding Unplanned Admission reviews Consult with patients, take medical histories, perform physical examinations, analyse, diagnose and explain medical problems during consultations and home visits. Recommend and explain appropriate diagnostic tests and treatment. Formulate differential diagnoses and develop and deliver appropriate treatment and management plans. Request and interpret results of laboratory investigations when necessary.

Advanced end of life care planning to include ReSPECT discussions and development of Personalised Care and Support Plans. Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary. Undertake assessment for patients within their place of residence using diagnostic skills, initiation of investigations and feeding back to the patients GP where appropriate. To help manage/support patients with their long term condition.

Support quality improvement and assurance initiatives within the PCN. Promote public health and screening programs, including immunisations and cervical screening. Integrate population health management approaches to reduce health inequalities. Work collaboratively with the wider practice team to enhance patient care.

Work with local and national evidenced based policies and procedures. To communicate at all levels within the team ensuring an effective service is delivered. Ensure evidenced-based care is delivered at the highest standards ensuring delivery of high-quality patient care.