Advanced Medical Practitioner - Care Homes

Principle Duties and Responsibilities

The post-holder will support delivery of the Practice

EHCH service in accordance with

the current NHS England Network Contract DES; the current Enhanced Health in Care Homes framework; the Practices agreed care-home operating model; the Practice's clinical governance arrangements; relevant ICB requirements and local pathways; NICE guidance and other national clinical guidance; relevant safeguarding, Mental Capacity Act and deprivation of liberty requirements; information governance requirements; local medicines-management policies; relevant CQC requirements and care-home policies; and professional standards and regulatory requirements.

The AMP will

Participate in scheduled care-home ward rounds as part of the multidisciplinary team and according to the agreed Practice care-home model. Work collaboratively with care-home staff to identify residents requiring clinical review, prioritising according to clinical urgency, frailty, risk and agreed care-home processes. Contribute to proactive identification of residents at increased risk of deterioration, hospital admission, falls, medication-related harm, malnutrition/dehydration, pressure damage and other significant health risks. Contribute to personalised care and support planning, ensuring that the resident's wishes, preferences, capacity, communication needs, clinical needs and goals are considered. Support timely clinical assessment of new or returning care-home residents and contribute to the Practice's arrangements for comprehensive assessment and personalised care planning following admission/readmission. Review and update care plans where there is a significant change in clinical circumstances. Work with the wider MDT to identify appropriate interventions and services that enable residents to remain safely within the care-home environment wherever appropriate. Participate in MDT discussions and case conferences for residents with complex or changing needs. Support effective communication between the care home, Practice, community services, secondary care, pharmacy, social care and other relevant agencies. Contribute to service evaluation, audit, quality improvement and monitoring of EHCH activity and outcomes. The current national framework emphasises integrated working between primary care, community health, social care and care homes, with personalised care and support at the centre of the model.