Job Description

Role Summary To work as part of the primary care home visiting team, providing acute assessment, investigations and diagnostics of unplanned acute and subacute urgent and primary care conditions to housebound patients. The post holder will be responsible for providing appropriate urgent primary care level treatment and either discharging or onward referring patients as appropriate within their scope of practice with the support of remote clinical supervision. The post holder will also provide triage and remote supervision support for other members of the primary care home visiting team. To deliver high quality safe, effective patient centred care.



To provide competent, compassionate responsive care. To communicate effectively with patients, carers and colleagues. To integrate pre-existing undergraduate, postgraduate and Independent Prescribing knowledge and skills to the Same Day Care service, providing first contact patient care. Main Duties and Responsibilities Clinical Care Act as an expert practitioner, autonomously undertaking visits to patients home addresses, providing assessment and diagnostics as required of acute and subacute primary and urgent care referrals.



Demonstrating clinical competence and a knowledge base supplementing those associated with conventional undergraduate roles. Undertake an element of triage, streaming patients to the most appropriate home visiting practitioner, or escalating or redirecting patients to alternative services when clinically appropriate. Undertake face-to-face consultations with patients as an autonomous practitioner and using own clinical judgement, diagnose, treat, refer and or discharge patients within competence. Undertake holistic assessment of wider care needs as appropriate.



Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols. Ensure that patients receive high quality clinical care, delivered in a timely manner. Be an independent prescriber and safely supply and administer medicines. Provide clinical advice to Administration staff where required.



Ensure complete and accurate documentation of each and every patient contact. Work as an autonomous practitioner and as part of multi-disciplinary and multiagency teams in order to ensure patients needs are met. Professional Adhere to the HCPC or NMC (as appropriate) Standards of Conduct and Standards of Proficiency. Ensure that professional practice adheres to organisational policies, procedures and guidelines.



Maintain a professional manner. Maintain confidentiality with regard to information pertaining to patients and staff. Ensure that the service interfaces with all other stakeholders in a professional and productive manner, providing an effective service to partner organisations and other service providers. Act as a positive role model.



Develop a professional partnership relationship with the GP surgeries utilising the home visiting service. Communication Communicate effectively with patients and families regarding complex information about their care Provide advice and information to patients, carers and their families where appropriate Communicate effectively and work collaboratively with medical, nursing and allied health professionals to ensure delivery of a co-ordinated service. Ensure accurate documentation record keeping in line with local policies and HCPC/NMC guidelines. Promote and demonstrate effective communication networks within the organisation, with partner organisations and other service providers Clinical Governance Cooperate with all investigations and audits as required.



Adhere to North Hampshire Urgent Cares policies, procedures and guidelines. Service Improvement Contribute to quality improvement within the service through the identification and initiation of changes, which lead to better evidence based practice and improved standards of care Participate in clinical audit identifying areas of best practice and areas for improvement. Contribute to the setting and monitoring of standards of care. Help develop the services available to the urgent care population to reflect identified needs Educational/Personal Development Contribute to the development and maintenance of an excellent learning environment.



Support clinical practice and development of knowledge/skills. Adhere to professional registration requirements to maintain professional development, participate in supervision and revalidation in line with HCPC/NMC guidance. Participate in defining own developmental plan to maintain and develop own clinical skills and ensure own professional development. Undertake and complete all statutory and mandatory training, in line with NHUC requirements in particular for Basic Life Support/Intermediate Life Support, Information Governance, Infection Prevention Control, Safeguarding and conflict resolution.



To access regular peer support and clinical supervision. Contribute to your own personal development and participate in an appraisal and regular performance reviews. To support and coach peers, new colleagues, students and personnel on temporary placements. Other Demonstrate commitment to flexible working patterns, to meet the needs of the service and staff.



Operate NHUC vehicles in a professional manner at all times, being aware the post holder is visibly representing NHUC at all times while in use. Maintain vehicle standards of cleanliness.