Advanced Clinical Practitioner (Nurse, Paramedic, Pharmacist)

Job responsibilities

The post will evolve as we develop our services but you will be required to undertake the following duties:

Clinical Practice

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs

Work autonomously as an advanced practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care

Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

Provide advanced levels of clinical practice, knowledge and skills, proactively leading on and managing the needs of palliative care patients

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice. Work within Trust policy for Medicines Management

Work with patients in order to support compliance with and adherence to prescribed treatments

Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care.

Implement and participate in vaccination and immunisation programmes for both adults and children

Manage own caseload and clinical priorities according to agreed protocols and working practices

Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation

Participate in multidisciplinary clinics, participate in ward rounds, patient reviews and multidisciplinary team meetings

Undertake a variety of clinical skills and provide treatment/ advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within in primary, community, care home, or home care settings

Within scope of practice and clinical competence request and / or undertake diagnostic procedures and clinical investigations related to plans of care

Lead in the development and updating of referral guidelines and policies for the service

Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing

Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the doctors / professional structures as required

Work towards safe and timely discharge and/ or transfer of care of patients from or between hospitals and services and healthcare professionals, ensuring barriers to discharge / transfer are identified and acted upon appropriately

Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Trust policies for safeguarding including the assessment of mental Capacity, and consideration of Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness)

Ensure effective and accurate verbal or written handover of patients between healthcare professionals

Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards

Undertake training to develop further advanced clinical practice roles required by the service to provide a high standard of patient care

Practice within the scope of professional registration (i.e. NMC, HCPC).

Work with all GPs and other members of the practice as directed in developing protocols for diagnosing and managing minor illnesses, and for chronic disease management etc.

Work with the nursing, clinical pharmacy, and medical team in providing pro-active management of patients with chronic diseases in accordance with NSF and local requirements.

Proactively identify, diagnose, and manage treatment plans for patients with and at risk of developing a long-term condition (as appropriate).

Enable individuals, families, groups, and communities to address issues that affect their health and social wellbeing.

Represent individuals and families, groups, and communities interests when they are not able to do so themselves.

Have awareness of the Network Contract Directed Enhanced Service (Network DES) and work to achieve IIF targets relevant to the role.

Quality Care

Recognise and work within own competence and professional code of conduct as regulated by the NMC or HCPC.

Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures

Deliver care according to NSF, NICE guidelines, and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation.

Evaluate patients response to health care provision and the effectiveness of care.

Support and participate in shared learning across the practice and wider organisation

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.

Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies.

Ensure quality patient records are maintained and use a database to store details of referrals and care pathways for specific patients.

Obtain, analyse, share, and use current information for decision making.

Assist with the delivery of training to a range of people within or outside the profession in consultation with the GPs, Nursing team and other members of the primary health care team (PHCT).

Partake actively in evidence-based medicine.

Involvement with research projects as applicable.

Responsible for local and national policy implementation and development. Implement programmes of care for specific conditions within agreed evidence-based guidelines. Regular evaluation and update of practice protocols and guidelines.

Make recommendations to raise standards of practice and service delivery.

Instigate, manage, and perform clinical audit as identified by the needs of the practice.

Develop and maintain productive relationships with several key stakeholders to ensure optimal referrals and communications about patients. These will include GPs, consultants, district nurses, social services, Bradford Hospital Trust, voluntary sector etc.

Establish processes to ensure good communication with the primary care team concerning ongoing progress of referred patients.

To be able to work autonomously yet deliver results within a very well-established team of clinical professionals.

Develop one's own knowledge and practice to meet objectives/changes in service/practices.

To undertake training and education as appropriate to continuously advance scope of professional practice.

Contribute to research, audit, teaching and professional development of colleagues.

Contribute to the recruitment and selection of team members when applicable.

Manage the implementation of change in work activity and service.

Undertake research and audit as required.

Access clinical supervision.

Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

To ensure Risk Management requirements are adhered and any assessments completed on time.

To ensure safe working and communicate any update/changes in practice.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events.

Please see the attached document for a full job description.

Experience

Essential

• Contemporary clinical experience of older people with complex needs
• Participating in a multi-professional team
• Clinical expertise in palliative / end of life care care
• Involvement in service improvement
• Implementation of best practice
• Ability to manage a caseload

Aptitude and Personal Qualities

Essential

• Motivated, ambitious, uses initiative
• Dedicated and flexible
• Able to cope with competitive demands in stressful situations
• Self-aware
• High levels of integrity, respect, and loyalty

Qualifications

Essential

• Professional registration with GPC, HCPC, or NMC
• Evidence of post-registration study at undergraduate level (Level 6)
• MSc in Advanced Clinical Practice (or equivalent)
• Independent Prescribing or study of pharmacology & therapeutics at post-graduate level (Level 7)

Skills and Attributes

Essential

• Proficient in Microsoft Office and clinical data systems
• Excellent communication and interpersonal skills
• Autonomous practitioner
• Articulate, confident, decisive

Values, Drivers and Motivators

Essential

• Care and compassion
• Able to work as part of a team and make a positive contribution
• Ability to work under pressure
• Flexibility to work outside of core office hours

Other requirements

Essential

• Disclosure Barring Service (DBS) check
• Ability to drive / travel independently around the district

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).