Job summary
Trinity Health Group PCN is
looking to recruit an additional Advanced Clinical/Nurse Practitioner to join
our existing team. The current team have built excellent working relationships
between themselves and colleagues across the PCN, practices and colleagues from
other PCNs. This is an exciting time to
join Primary Care and shape the future of patient care at the first points of
contact. We welcome applications from ACPs with the following specialisms,
Nursing, Paramedic Science and Clinical Pharmacy. Our goal is to build on our
existing teams to further improve access to our services for our patients.
If we get enough suitable applicants, the closing date for this role may be brought forward.
Main duties of the job
- To work with practice teams providing
patient-focused care responsive to health need.
- To work in partnership with the practices in
developing the role further.
- To provide first point of contact direct access
for patients of all ages with undifferentiated and undiagnosed problems seeking
a primary health care service including on-call, telephone triage, face to face
consultations, and home visits.
- To assess and manage patients with
undifferentiated and undiagnosed health care needs including investigating,
treating, and referring patients as appropriate.
- Prescribe and review appropriate medications in
accordance with local policies and evidence based medical practice and work
collaboratively with the wider team to support patients and to promote
medication adherence.
- To order investigations, follow-up results and
arrange appropriate management including seeking advice where appropriate.
- To work with a multidisciplinary team including
community and voluntary sector to improve patient care.
- Actively take a personalised care approach and population centred
care approach to enable shared decision making with the presenting person.
About us
Trinity Health Group is a PCN made
up of four practices on the west of the district (Trinity Medical Centre,
Maybush Medical Centre, Crofton and Sharlston Medical Practice and Warrengate
Medical Centre). Our vision is that all our patients should have the same
chance at a happy, healthy life. We believe that a sustainable, resilient
Primary Care Service working collaboratively with volunteer and community
services and social enterprise organisations supports this vision. Our Mission
is to add years to the lives of our patients and to add life to those years.
Conexus Healthcare Ltd is a GP
confederation. Conexus supply training to primary care on a local and national
level, hold the contract for GP Care providing clinical services across the
district and host the staffing and finance for a number of PCNs across the
district. Conexus reinvests its profits into Primary Care with the aim of
building resilience and improving population outcomes. Please note this is not
an Agenda for Change Contract, however we are able to offer the NHS Pension
Scheme to the successful candidate(s).
Job description
Job responsibilities
CLINICAL ASSESSMENT:
- To provide a first point of contact for patients with undifferentiated and undiagnosed health needs at the most appropriate time and place.
- Provides and receives highly complex information; develops communication skills/present complex information.
- To provide advanced assessment skills in history taking and clinical examination to formulate a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals, as necessary.
- Instigate and interpret diagnostic investigations as appropriate.
- Provide patient and carer information, health education, and health promotion as appropriate.
- Prescribe appropriate medication and preparations within existing legislative framework in relation to evidence-based practice, NICE guidelines and considering the financial implications of cost-effective prescribing.
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and within scope of practice.
- Work with patients to support with compliance and adherence to prescribed treatments.
- Demonstrate the ability to make professionally autonomous decisions when seeing and assessing patients with undifferentiated and undiagnosed problems, based on knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.
ACUTE & CHRONIC DISEASE MANAGEMENT:
- 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 at risk of developing a long-term condition (as appropriate).
PROMOTE HEALTH:
- 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.
MANAGE AND USE INFORMATION:
- 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.
- 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.
COMMUNICATION:
- 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, Trusts, voluntary sector etc.
- Establish processes to ensure good communication with the primary care team concerning ongoing progress of referred patients.
MANAGEMENT OF SELF/OTHERS:
- 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.
- Support with training and supervision of less qualified staff.
- 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.
RISK MANAGEMENT:
- 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.
QUALITY:
The post-holder will strive to maintain quality within the Practice, and will:
- Alert other team members to issues of quality and risk.
- Assess own performance and take accountability for own actions, either directly or under supervision.
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
- Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies and procedures.
- Work effectively with individuals in other agencies to meet patients needs.
- Effectively manage own time, workload, and resources.
Job description
Job responsibilities
CLINICAL ASSESSMENT:
- To provide a first point of contact for patients with undifferentiated and undiagnosed health needs at the most appropriate time and place.
- Provides and receives highly complex information; develops communication skills/present complex information.
- To provide advanced assessment skills in history taking and clinical examination to formulate a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals, as necessary.
- Instigate and interpret diagnostic investigations as appropriate.
- Provide patient and carer information, health education, and health promotion as appropriate.
- Prescribe appropriate medication and preparations within existing legislative framework in relation to evidence-based practice, NICE guidelines and considering the financial implications of cost-effective prescribing.
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and within scope of practice.
- Work with patients to support with compliance and adherence to prescribed treatments.
- Demonstrate the ability to make professionally autonomous decisions when seeing and assessing patients with undifferentiated and undiagnosed problems, based on knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.
ACUTE & CHRONIC DISEASE MANAGEMENT:
- 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 at risk of developing a long-term condition (as appropriate).
PROMOTE HEALTH:
- 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.
MANAGE AND USE INFORMATION:
- 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.
- 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.
COMMUNICATION:
- 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, Trusts, voluntary sector etc.
- Establish processes to ensure good communication with the primary care team concerning ongoing progress of referred patients.
MANAGEMENT OF SELF/OTHERS:
- 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.
- Support with training and supervision of less qualified staff.
- 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.
RISK MANAGEMENT:
- 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.
QUALITY:
The post-holder will strive to maintain quality within the Practice, and will:
- Alert other team members to issues of quality and risk.
- Assess own performance and take accountability for own actions, either directly or under supervision.
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
- Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies and procedures.
- Work effectively with individuals in other agencies to meet patients needs.
- Effectively manage own time, workload, and resources.
Person Specification
Skills & Aptitude
Essential
- Clinical leadership skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Ability to work independently, seeking assurance from the wider clinical team if necessary.
- Confident in own professional judgement and excellent decision-making skills.
- Excellent communication skills
- Adaptable and quick to make relationships with new teams
- Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email, and face to face
- High levels of accuracy and attention to detail
- Demonstrate personal accountability and emotional resilience.
- Demonstrate ability to develop and maintain good working relations across multidisciplinary teams.
Desirable
- Change management.
- Resource management
- Management of patients with complex needs
Other
Essential
- Independently mobile and able to travel across the Wakefield District.
- Disclosure Barring Service (DBS) check
Disposition
Essential
- Pragmatic approach to problem solving.
- Ability to follow legal, ethical, professional, and organisational policies/procedures and codes of conduct
- Ability to use own initiative, discretion, and sensitivity
- Able to get along with people from all backgrounds and communities, respecting lifestyles, and diversity
- Flexible and cooperative
- Able to work accurately under pressure
- Hard working, reliable, honest, pleasant, and approachable.
- Ability to identify risk and assess/manage risk when working with individuals
- Sensitive and empathetic in distressing situations
- Problem solving and analytical skills
- Ability to maintain confidentiality
- Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working,
- Information governance, and health and safety
Experience
Essential
- Proven post registration experience within the field
- Competent management of minor ailments
- Compiling protocols and clinical guidelines
- Leadership in quality initiatives such as clinical benchmarking
- Auditing
- Teaching and mentorship in a clinical setting
Desirable
- Experience working in a primary care setting / PCN
- Understanding and knowledge of healthcare provision in GP practices, QOF and enhanced services
- An appreciation of the new NHS landscape including the relationships between individual practices, PCNs and the commissioners
- Project management
- Working with community development initiatives
- Health-needs assessment
- Telephone triage / video consultations
- Use of SystmOne
Qualifications
Essential
- Attained Post Graduate Degree Qualification in Paramedic Science, Clinical Practice, or equivalent qualification, with evidence of academic study
- Registered Healthcare Practitioner
- Independent prescribing qualification
Desirable
- Teaching/mentorship qualification
Knowledge
Essential
- Advanced clinical practice
- Management of patients with complex needs
- Clinical examination
- Accountability of own role and other roles
- Local and national health policy
- Wider health economy
- Clinical governance issues
- Patient group directions and associated policy
- Must have an understanding of the aims of current healthcare policy, including the new GP contract and the NHS Long Term Plan.
Desirable
- Knowledge of public health issues
- Able to identify determinants on health in the area.
- Knowledge of public health issues in the area
- Management of patients with long-term conditions
- Knowledge of the Primary Care Environment
- Good working knowledge of SystmOne/EMIS.
Person Specification
Skills & Aptitude
Essential
- Clinical leadership skills
- Communication skills, both written and verbal
- Communication of difficult messages to patients and families
- Negotiation and conflict management skills
- Ability to work independently, seeking assurance from the wider clinical team if necessary.
- Confident in own professional judgement and excellent decision-making skills.
- Excellent communication skills
- Adaptable and quick to make relationships with new teams
- Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email, and face to face
- High levels of accuracy and attention to detail
- Demonstrate personal accountability and emotional resilience.
- Demonstrate ability to develop and maintain good working relations across multidisciplinary teams.
Desirable
- Change management.
- Resource management
- Management of patients with complex needs
Other
Essential
- Independently mobile and able to travel across the Wakefield District.
- Disclosure Barring Service (DBS) check
Disposition
Essential
- Pragmatic approach to problem solving.
- Ability to follow legal, ethical, professional, and organisational policies/procedures and codes of conduct
- Ability to use own initiative, discretion, and sensitivity
- Able to get along with people from all backgrounds and communities, respecting lifestyles, and diversity
- Flexible and cooperative
- Able to work accurately under pressure
- Hard working, reliable, honest, pleasant, and approachable.
- Ability to identify risk and assess/manage risk when working with individuals
- Sensitive and empathetic in distressing situations
- Problem solving and analytical skills
- Ability to maintain confidentiality
- Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working,
- Information governance, and health and safety
Experience
Essential
- Proven post registration experience within the field
- Competent management of minor ailments
- Compiling protocols and clinical guidelines
- Leadership in quality initiatives such as clinical benchmarking
- Auditing
- Teaching and mentorship in a clinical setting
Desirable
- Experience working in a primary care setting / PCN
- Understanding and knowledge of healthcare provision in GP practices, QOF and enhanced services
- An appreciation of the new NHS landscape including the relationships between individual practices, PCNs and the commissioners
- Project management
- Working with community development initiatives
- Health-needs assessment
- Telephone triage / video consultations
- Use of SystmOne
Qualifications
Essential
- Attained Post Graduate Degree Qualification in Paramedic Science, Clinical Practice, or equivalent qualification, with evidence of academic study
- Registered Healthcare Practitioner
- Independent prescribing qualification
Desirable
- Teaching/mentorship qualification
Knowledge
Essential
- Advanced clinical practice
- Management of patients with complex needs
- Clinical examination
- Accountability of own role and other roles
- Local and national health policy
- Wider health economy
- Clinical governance issues
- Patient group directions and associated policy
- Must have an understanding of the aims of current healthcare policy, including the new GP contract and the NHS Long Term Plan.
Desirable
- Knowledge of public health issues
- Able to identify determinants on health in the area.
- Knowledge of public health issues in the area
- Management of patients with long-term conditions
- Knowledge of the Primary Care Environment
- Good working knowledge of SystmOne/EMIS.
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.
