Advanced Clinical Practitioner

Derwent Practice

Information:

This job is now closed

Job summary

The post holder as part of a Multidisciplinary (MDT team), will be an experienced Advanced Clinical Practitioner who, acting within their professional boundaries, will be co-ordinating care of the residents within the aligned care and nursing homes, developing systems, undertaking duties to ensure timely and efficient care review, and to minimise the unplanned admission of patients to acute care. The PCN's care homes fall, mostly, under the care of Derwent and Ayton Practices where the time will be split.

The ACP will utilise a range of advanced skills and expert knowledge for patients presenting with undifferentiated and undiagnosed conditions. The post holder will demonstrate critical thinking in the clinical decision-making process. Clinical care will include participation in weekly regular home round ‘check ins’, new patient clerking, initial history taking, face to face assessment, examination, diagnosis, treatment, management, referral, and evaluation of care.

The role will involve working closely with Lead Clinicians, care staff and pharmacists on the development and updating of personalised care and support plans and repeat medication. The ACP will be skilled in recognition and management of emergencies and minor illness that commonly present in care and nursing home residents. The Advanced Clinical Practitioner will be familiar with End-of-Life planning and management.   

Main duties of the job

The post holder will work with the PCN Care Homes Co-ordinator, PCN pharmacists, other PCN staff and PCN member Practices on all key activity. This will include supporting care home and nursing home resident access to services and providing clinical support and advice to care home staff on patient management. The role will cover both the unplanned and planned holistic health care needs of care and nursing home residents. The role will involve working as part of an MDT creating PCP's and ensuring health and social care planning is, dynamic, appropriate, patient centred and proactive.

This role will include supporting the implementation of digital initiatives into primary care and improving resident care by prioritising the implementation of the "Enhanced Health in Care Homes" Framework.

About us

North Riding Community Health Network was founded in 2019 and has four member practices, we are located on the edge of the North York Moors National Park. Our member practices are, Ayton and Snainton Medical Practice, Ampleforth and Hovingham Surgeries, Derwent Practice and Sherburn and Rillington Medical Practice. We provide care to a patient population of 39,000, each member practice has a CQC rating of good in all areas and 3 out of the 4 practices are rural dispensing practices. Our aim is to deliver high quality services for our patients, facilitated by working collaboratively, to better respond to the needs of our local population. We are building a multi-disciplinary clinical team to support practices and offer new services to our patients. If you are interested in joining our team we would love to hear from you. For further information please contact Helen Cheetham: helen.cheetham2@nhs.net or Justine Strickland: justine.strickland@nhs.net

If you would prefer to send a CV with covering letter detailing how you meet the requirements and suitability for the role, then please send it to Helen or Justine (email address's above). 

Date posted

30 June 2022

Pay scheme

Other

Salary

£40,894 to £45,753 a year Dependent on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

A1144-22-2833

Job locations

Norton Road

Norton

Malton

North Yorkshire

YO17 9RF


The Surgery

Pickering Road

West Ayton

Scarborough

North Yorkshire

YO13 9JF


Job description

Job responsibilities

For full job description and personal specification, please see supporting documents. 

· Be a proactive member of the MDT, working with the Care Co-ordinator, Lead Clinicians and wider PCN MDT team to develop, and where appropriate update, personalised care and support plans for patients in care and nursing homes.

· Assess and triage patients presenting with acute illness or for review of chronic disease conditions.

· 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.

· 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 formularies.

· Work with patients and their carers 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.

· Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.

· Implement and participate in vaccination and immunisation programmes including but not limited to the management of the community-based flu season.

Expert Professional Practice:

· Recognise and work within own competence and professional code of conduct as regulated by the NMC/Health and Care Professions Council.

· Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

· Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.

· Exercise a critical understanding of personal scope of practice and work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people to other health professionals within the PCN.

· Identify where there are opportunities for developing the scope and competence of the wider MDT to meet patient care needs.

· Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathway of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources.

· Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services, as needed.

· Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.

· Involve patients in decision making and supporting adherence as per NICE guidance.

· Liaise with the wider MDT and external agencies to deliver the patient’s personalised care and support plan.

Collaborative Working Relationships:

· Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity.

· Manage and co-ordinate the care that individual patients receive, including through liaising with other members of the MDT and with patients' carers.

· Lead primary care activity, with a strong emphasis on prevention and early intervention, including through the delivery of public health advice.

· Contribute to the development of primary care teams, including through contributing to others' learning.

Leadership and Management:

· Demonstrate understanding of the Advanced Care Home Practitioner role in governance and be able to implement this appropriately within the workplace.

· Demonstrate understanding of, and contribute to, the workplace vision.

· Demonstrate ability to improve quality within limitations of service.

· Review the previous year’s progress and develops clear plans to achieve results within priorities set by others.

· Demonstrate ability to motivate self to achieve goals.

Demonstrate understanding of:

· The implications of national priorities for the team and/or service.

· The process for effective resource utilisation.

· Relevant standards of practice

· Ability to identify and resolve risk management issues according to policy/protocol.

· Follow professional and organisational policies/procedures relating to performance management.

· Represent the care home liaison nurse service on relevant committees and meetings, provide input in relation to specialist issues and clinical matters as required.

Education, Learning and Development:

· Understand and demonstrate the characteristics of a role model to members in the team and/or service.

· Demonstrate understanding of the mentorship process.

· Demonstrate ability to conduct teaching and assessment effectively according to a learning plan with supervision from a more experienced colleague.

· Demonstrate an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

Research and Evaluation: Demonstrates ability to:

· critically evaluate and review literature.

· identify where there is a gap in the evidence base to support practice.

· generate evidence suitable for presentation at local level.

· apply the research evidence base into working practice.

· understand the principles of research governance.

· work as a member of the research/evaluation team, as required.

Confidentiality:

· While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

· In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers,

· Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

· Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health And Safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

· Using personal security systems within the workplace according to Practice guidelines

· Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

· Making effective use of training to update knowledge and skills

· Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

· Reporting potential risks identified

Job description

Job responsibilities

For full job description and personal specification, please see supporting documents. 

· Be a proactive member of the MDT, working with the Care Co-ordinator, Lead Clinicians and wider PCN MDT team to develop, and where appropriate update, personalised care and support plans for patients in care and nursing homes.

· Assess and triage patients presenting with acute illness or for review of chronic disease conditions.

· 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.

· 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 formularies.

· Work with patients and their carers 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.

· Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.

· Implement and participate in vaccination and immunisation programmes including but not limited to the management of the community-based flu season.

Expert Professional Practice:

· Recognise and work within own competence and professional code of conduct as regulated by the NMC/Health and Care Professions Council.

· Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

· Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.

· Exercise a critical understanding of personal scope of practice and work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people to other health professionals within the PCN.

· Identify where there are opportunities for developing the scope and competence of the wider MDT to meet patient care needs.

· Through patient assessment and working in partnership with patients and their carers, make decisions about the best pathway of care, informed by the urgency and severity of patient need, patient acuity and dependency, and the most appropriate deployment of resources.

· Manage risk in unpredictable, uncertain situations to uphold patient safety, including by referring on to other primary care team members and to specialist services, as needed.

· Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.

· Involve patients in decision making and supporting adherence as per NICE guidance.

· Liaise with the wider MDT and external agencies to deliver the patient’s personalised care and support plan.

Collaborative Working Relationships:

· Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity.

· Manage and co-ordinate the care that individual patients receive, including through liaising with other members of the MDT and with patients' carers.

· Lead primary care activity, with a strong emphasis on prevention and early intervention, including through the delivery of public health advice.

· Contribute to the development of primary care teams, including through contributing to others' learning.

Leadership and Management:

· Demonstrate understanding of the Advanced Care Home Practitioner role in governance and be able to implement this appropriately within the workplace.

· Demonstrate understanding of, and contribute to, the workplace vision.

· Demonstrate ability to improve quality within limitations of service.

· Review the previous year’s progress and develops clear plans to achieve results within priorities set by others.

· Demonstrate ability to motivate self to achieve goals.

Demonstrate understanding of:

· The implications of national priorities for the team and/or service.

· The process for effective resource utilisation.

· Relevant standards of practice

· Ability to identify and resolve risk management issues according to policy/protocol.

· Follow professional and organisational policies/procedures relating to performance management.

· Represent the care home liaison nurse service on relevant committees and meetings, provide input in relation to specialist issues and clinical matters as required.

Education, Learning and Development:

· Understand and demonstrate the characteristics of a role model to members in the team and/or service.

· Demonstrate understanding of the mentorship process.

· Demonstrate ability to conduct teaching and assessment effectively according to a learning plan with supervision from a more experienced colleague.

· Demonstrate an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

Research and Evaluation: Demonstrates ability to:

· critically evaluate and review literature.

· identify where there is a gap in the evidence base to support practice.

· generate evidence suitable for presentation at local level.

· apply the research evidence base into working practice.

· understand the principles of research governance.

· work as a member of the research/evaluation team, as required.

Confidentiality:

· While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

· In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers,

· Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential

· Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health And Safety:

The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, to include:

· Using personal security systems within the workplace according to Practice guidelines

· Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

· Making effective use of training to update knowledge and skills

· Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

· Reporting potential risks identified

Person Specification

Skills and Abilities

Essential

  • IT skills, including accurate written/electronic records and documents
  • Recording and collection of data and to support clinical care and to inform decision making
  • Prioritise own workload and meet required timescales
  • Identify need for service development and implementation of action plans to address
  • Convey sensitive information in an empathetic manner to patients/clients/clients relatives/carers and staff
  • Effective written, verbal and non-verbal communication skills
  • Negotiation and conflict resolution skills
  • Full clean UK drivers licence

Desirable

  • Knowledge and experience of using clinical software SystmOne

Qualifications

Essential

  • Current professional registration this could be HCPC or NMC
  • Educated to degree level
  • Minimum 3 years post registration experience
  • Independent/supplementary nurse prescribing qualification

Desirable

  • At least 2 years Primary Care nursing experience within the last 5 years
  • Community Specialist Practice (General Practice Nursing) qualification or equivalent
  • Clinical supervision training and experience
  • Additional qualifications in subjects such as Diabetes, Insulin Initiation, COPD, Asthma etc.

Experience

Essential

  • Knowledge and evidence of:
  • Skills in management of patients with long-term conditions.
  • Chronic disease management, immunisation and vaccination, minor injury.
  • Change management and ability to support patients to change lifestyle through awareness of health promotion strategies
  • Infection control awareness and ability to maintain working standards
  • Understanding of human needs physical, emotion social
  • Ability to recognise and manage risk
  • Working with confidential information and an understanding of service user confidentiality
  • The needs of vulnerable adults, safeguarding and the associated legislative framework
  • Working in a multi-disciplinary setting
  • Developing relationships with a wide variety of people
  • Ability deliver successful outcomes within determined timeframes
  • Continuous CPD and identifying opportunities for self-development

Desirable

  • Specialist knowledge of end of life care planning
  • Knowledge and experience of using clinical software SystmOne
Person Specification

Skills and Abilities

Essential

  • IT skills, including accurate written/electronic records and documents
  • Recording and collection of data and to support clinical care and to inform decision making
  • Prioritise own workload and meet required timescales
  • Identify need for service development and implementation of action plans to address
  • Convey sensitive information in an empathetic manner to patients/clients/clients relatives/carers and staff
  • Effective written, verbal and non-verbal communication skills
  • Negotiation and conflict resolution skills
  • Full clean UK drivers licence

Desirable

  • Knowledge and experience of using clinical software SystmOne

Qualifications

Essential

  • Current professional registration this could be HCPC or NMC
  • Educated to degree level
  • Minimum 3 years post registration experience
  • Independent/supplementary nurse prescribing qualification

Desirable

  • At least 2 years Primary Care nursing experience within the last 5 years
  • Community Specialist Practice (General Practice Nursing) qualification or equivalent
  • Clinical supervision training and experience
  • Additional qualifications in subjects such as Diabetes, Insulin Initiation, COPD, Asthma etc.

Experience

Essential

  • Knowledge and evidence of:
  • Skills in management of patients with long-term conditions.
  • Chronic disease management, immunisation and vaccination, minor injury.
  • Change management and ability to support patients to change lifestyle through awareness of health promotion strategies
  • Infection control awareness and ability to maintain working standards
  • Understanding of human needs physical, emotion social
  • Ability to recognise and manage risk
  • Working with confidential information and an understanding of service user confidentiality
  • The needs of vulnerable adults, safeguarding and the associated legislative framework
  • Working in a multi-disciplinary setting
  • Developing relationships with a wide variety of people
  • Ability deliver successful outcomes within determined timeframes
  • Continuous CPD and identifying opportunities for self-development

Desirable

  • Specialist knowledge of end of life care planning
  • Knowledge and experience of using clinical software SystmOne

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

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).

Employer details

Employer name

Derwent Practice

Address

Norton Road

Norton

Malton

North Yorkshire

YO17 9RF


Employer's website

https://www.derwentpractice.com/ (Opens in a new tab)

Employer details

Employer name

Derwent Practice

Address

Norton Road

Norton

Malton

North Yorkshire

YO17 9RF


Employer's website

https://www.derwentpractice.com/ (Opens in a new tab)

For questions about the job, contact:

Helen Cheetham

helen.cheetham2@nhs.net

Date posted

30 June 2022

Pay scheme

Other

Salary

£40,894 to £45,753 a year Dependent on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

A1144-22-2833

Job locations

Norton Road

Norton

Malton

North Yorkshire

YO17 9RF


The Surgery

Pickering Road

West Ayton

Scarborough

North Yorkshire

YO13 9JF


Supporting documents