Job summary
Whitby Group Practice
are looking for a highly motivated, experienced Advanced Clinical Practitioner
to join our well-established clinical team for up to 37.5 hours per week.
In this role you will work independently, making professional,
autonomous decisions.
The role will involve initial history taking,
clinical assessment, diagnosis, treatment plan and evaluation of patient care.
Assessment may be face to face by appointment or by telephone as part of a
triage/unscheduled care team and will include patients presenting with an
undifferentiated diagnosis.
You will be responsible for making any necessary
referrals, requests for investigations and do these in in an appropriate manner
and timescale.
The role will involve independent prescribing
within the scope of professional practice.
The advanced clinical practitioner will support the
GP team managing same day appointment requests from patients and home visits.
The clinical practitioner will need to prioritise
and triage the needs of patients accordingly, seeking GP input as appropriate
where the problem lies outside their professional capability. They will
demonstrate safe clinical decision making and a high level of independent care
including assessment, diagnostic and prescribing skills.
Main duties of the job
In this role you will work independently, making professional,
autonomous decisions.
The role will involve initial history taking,
clinical assessment, diagnosis, treatment plan and evaluation of patient care.
Assessment may be face to face by appointment or by telephone as part of a
triage/unscheduled care team and will include patients presenting with an
undifferentiated diagnosis.
You will be responsible for making any necessary
referrals, requests for investigations and do these in in an appropriate manner
and timescale.
The role will involve independent prescribing
within the scope of professional practice.
The advanced clinical practitioner will support the
GP team managing same day appointment requests from patients and home visits.
The clinical practitioner will need to prioritise
and triage the needs of patients accordingly, seeking GP input as appropriate
where the problem lies outside their professional capability. They will
demonstrate safe clinical decision making and a high level of independent care
including assessment, diagnostic and prescribing skills.
About us
Whitby Group Practice is a personal Medical Services Practice,
located in Spring Vale Medical Centre in Whitby, North Yorkshire. It has a
current list size of 13,800 patients.
The Practice provides a service to residents of Whitby and the
surrounding villages. It has a branch surgery at Robin Hood’s Bay,
approximately 5 miles from Whitby along the coast. Both surgeries are purpose
built, have a dispensary and ample parking. They are owned by the Partners.
The Practice is a large team which works together to deliver
high quality, accessible care within a supportive, friendly learning
environment. The GP Partners have personal patient lists, and most work
part-time work in a job-share team with other Partners.
Job description
Job responsibilities
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
- Carry
out face to face, telephone, video appointments and triage patients
appropriately
- Carry
out home visits
- Assess,
diagnosis, plan, implement and evaluate interventions/treatments for
patients with complex needs
- 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
- 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
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
- Support
and manage health needs of women presenting for family planning, cervical
cytology or sexual health consultation
- Assess,
identify and refer patients presenting with mental health needs in accordance
with the NSF for Mental Health
- Promote
and deliver evidence-based care for patients presenting with aural
conditions
Delivering a
quality service
- Recognise
and work within own competence and professional code of conduct as
regulated by the NMC
- Produce
accurate, contemporaneous and complete records of patient consultation,
consistent with legislation, policies and procedures
- Prioritise,
organise and manage own workload in a manner that maintains and promotes
quality
- 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
- 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
- In
partnership with other clinical teams, collaborate on improving the
quality of health care responding to local and national policies and
initiatives as appropriate
- 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 (eg root-cause analysis) to manage, review and
identify learning from patient complaints, clinical incidents and
near-miss events
- Assess
the impact of policy implementation on care delivery
- Contribute
to the appraisal of the performance of the team, providing feedback as
appropriate
- Understand
and apply legal issues that support the identification of vulnerable and
abused children and adults, and be aware of statutory child/vulnerable
patients health procedures and local guidance
- Working
with practice management to ensure the whole team have skills and
knowledge regarding domestic violence, vulnerable adults, substance abuse
and addictive behaviour. Provide guidance and support to ensure
appropriate referral if required
Leadership –
personal and people development
- Take
responsibility for own learning and performance including participating in
clinical supervision and acting as a positive role model
- Support
staff development in order to maximise potential
- Actively
promote the workplace as a learning environment, encouraging everyone to
learn from each other and from external good practice
- Encourage
others to make realistic self-assessment of their application of knowledge
and skills, challenging any complacency or actions that are not in the interest
of the public and/or users of services
- Critically
evaluate and review innovations and developments that are relevant to the
area of work
- Contribute
to the development of local guidelines, protocols and standards
- Promote
the role of the advanced clinical practitioner in general practice
Team working
- Understand
own role and scope and identify how this may develop over time
- Work
as an effective and responsible team member, supporting others and
exploring the mechanisms to develop new ways of working
- Delegate
clearly and appropriately, adopting the principles of safe practice and
assessment of competence
- Create
clear referral mechanisms to meet patient need
- Prioritise
own workload and ensure effective time-management strategies are embedded
within the culture of the team
- Work
effectively with others to clearly define values, direction and policies
impacting upon care delivery
- Discuss,
highlight and work with the team to create opportunities to improve
patient care
- Manage
and lead on the delivery of specifically identified services or projects
as agreed with the practice management team
- Agree plans and outcomes by which to measure
success
Job description
Job responsibilities
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
- Carry
out face to face, telephone, video appointments and triage patients
appropriately
- Carry
out home visits
- Assess,
diagnosis, plan, implement and evaluate interventions/treatments for
patients with complex needs
- 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
- 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
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
- Support
and manage health needs of women presenting for family planning, cervical
cytology or sexual health consultation
- Assess,
identify and refer patients presenting with mental health needs in accordance
with the NSF for Mental Health
- Promote
and deliver evidence-based care for patients presenting with aural
conditions
Delivering a
quality service
- Recognise
and work within own competence and professional code of conduct as
regulated by the NMC
- Produce
accurate, contemporaneous and complete records of patient consultation,
consistent with legislation, policies and procedures
- Prioritise,
organise and manage own workload in a manner that maintains and promotes
quality
- 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
- 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
- In
partnership with other clinical teams, collaborate on improving the
quality of health care responding to local and national policies and
initiatives as appropriate
- 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 (eg root-cause analysis) to manage, review and
identify learning from patient complaints, clinical incidents and
near-miss events
- Assess
the impact of policy implementation on care delivery
- Contribute
to the appraisal of the performance of the team, providing feedback as
appropriate
- Understand
and apply legal issues that support the identification of vulnerable and
abused children and adults, and be aware of statutory child/vulnerable
patients health procedures and local guidance
- Working
with practice management to ensure the whole team have skills and
knowledge regarding domestic violence, vulnerable adults, substance abuse
and addictive behaviour. Provide guidance and support to ensure
appropriate referral if required
Leadership –
personal and people development
- Take
responsibility for own learning and performance including participating in
clinical supervision and acting as a positive role model
- Support
staff development in order to maximise potential
- Actively
promote the workplace as a learning environment, encouraging everyone to
learn from each other and from external good practice
- Encourage
others to make realistic self-assessment of their application of knowledge
and skills, challenging any complacency or actions that are not in the interest
of the public and/or users of services
- Critically
evaluate and review innovations and developments that are relevant to the
area of work
- Contribute
to the development of local guidelines, protocols and standards
- Promote
the role of the advanced clinical practitioner in general practice
Team working
- Understand
own role and scope and identify how this may develop over time
- Work
as an effective and responsible team member, supporting others and
exploring the mechanisms to develop new ways of working
- Delegate
clearly and appropriately, adopting the principles of safe practice and
assessment of competence
- Create
clear referral mechanisms to meet patient need
- Prioritise
own workload and ensure effective time-management strategies are embedded
within the culture of the team
- Work
effectively with others to clearly define values, direction and policies
impacting upon care delivery
- Discuss,
highlight and work with the team to create opportunities to improve
patient care
- Manage
and lead on the delivery of specifically identified services or projects
as agreed with the practice management team
- Agree plans and outcomes by which to measure
success
Person Specification
Skills
Essential
- Excellent communication skills (written and oral)
- Strong IT skills
- Clear, polite telephone manner
- Competent in the use of Office and Outlook
- Effective time management (Planning & Organising)
- Ability to work as a team member and autonomously
- Good interpersonal skills
- Problem solving & analytical skills
- Ability to follow clinical policy and procedure
Desirable
- EMIS
- Experience with audit and able to lead audit programmes
- Experience with clinical risk management
Personal Qualities
Essential
- Polite and confident
- Flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Ability to work under pressure / in stressful situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Effectively utilises resources
- Punctual and committed to supporting the team effort
Other requirements
Essential
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Occupational Health Clearance
Qualifications
Essential
- Registered Nurse
- Post graduate diploma or degree (Advanced Practice Qualification)
- Qualified Nurse Prescriber
- Advanced Clinical Skills Qualification
Desirable
- Qualified Triage Nurse
- Minor Illness Qualification
- Teaching Qualification
- ALS, PALS
Experience
Essential
- Experience of working in a primary care environment
- Experience of working as an advanced clinical practitioner
- Experience of chronic disease management
- Experience of prescribing and undertaking medication reviews
Clinical Knowledge
Essential
- 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
- Carry out face to face, telephone, video appointments and triage patients appropriately
- Carry out home visits
- Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
- 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
- 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 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
- Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
- Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
- Promote and deliver evidence-based care for patients presenting with aural conditions
- IT Skills
Desirable
- Wound Care / Removal of sutures & staples
- ECGs
- Venepuncture
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Person Specification
Skills
Essential
- Excellent communication skills (written and oral)
- Strong IT skills
- Clear, polite telephone manner
- Competent in the use of Office and Outlook
- Effective time management (Planning & Organising)
- Ability to work as a team member and autonomously
- Good interpersonal skills
- Problem solving & analytical skills
- Ability to follow clinical policy and procedure
Desirable
- EMIS
- Experience with audit and able to lead audit programmes
- Experience with clinical risk management
Personal Qualities
Essential
- Polite and confident
- Flexible and cooperative
- Motivated, forward thinker
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Ability to work under pressure / in stressful situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Effectively utilises resources
- Punctual and committed to supporting the team effort
Other requirements
Essential
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Occupational Health Clearance
Qualifications
Essential
- Registered Nurse
- Post graduate diploma or degree (Advanced Practice Qualification)
- Qualified Nurse Prescriber
- Advanced Clinical Skills Qualification
Desirable
- Qualified Triage Nurse
- Minor Illness Qualification
- Teaching Qualification
- ALS, PALS
Experience
Essential
- Experience of working in a primary care environment
- Experience of working as an advanced clinical practitioner
- Experience of chronic disease management
- Experience of prescribing and undertaking medication reviews
Clinical Knowledge
Essential
- 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
- Carry out face to face, telephone, video appointments and triage patients appropriately
- Carry out home visits
- Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs
- 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
- 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 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
- Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation
- Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
- Promote and deliver evidence-based care for patients presenting with aural conditions
- IT Skills
Desirable
- Wound Care / Removal of sutures & staples
- ECGs
- Venepuncture
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
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).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
