Autonomously assess, diagnose, and manage patients with a range of acute and chronic conditions in community settings, including home visits, clinics, and care homes. Provide person-centred care for patients requiring palliative or end-of-life support, ensuring dignity, comfort, and coordinated multidisciplinary planning. Independently prescribe medications and manage treatment plans in accordance with national and local guidelines. Request, interpret, and act upon diagnostic investigations to inform patient care.
Lead care planning and case management for patients with complex needs, including those with frailty, cancer, multimorbidity, and progressive conditions. Provide clinical leadership and expert advice within the multidisciplinary team to promote integrated care. Coordinate and participate in MDT meetings, care reviews, and discharge planning processes. Mentor and supervise nursing and healthcare colleagues, supporting clinical development and reflective practice.
Contribute to service development, quality improvement, and audit initiatives. Promote public health initiatives, disease prevention, and patient self-management strategies. Ensure practice is compliant with safeguarding standards, infection control protocols, and clinical governance frameworks. Collaborate with primary care, secondary care, social care, and voluntary sector partners to enhance patient care and reduce avoidable hospital admissions.
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