Advanced Clinical Practitioner
This job is now closed
Job summary
The post holder is an Advanced Clinical Practitioner, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of their care of all ages. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice.
Main duties of the job
To deliver a high standard of patient care as an Advanced Clinical Practitioner in general practice, using advanced clinical skills, and a broad and in-depth theoretical knowledge base
To appropriately triage assess, examine, investigate, diagnose and treat patients, resulting in the safe management and/or appropriate referral, following practice guidelines and protocols.
Order/ interpret investigations, laboratory tests, x-rays and act on results as appropriate.
The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.
To manage known exacerbations of chronic illness ensuring appropriate assessments, treatment, and where appropriate onward referral to appropriate specialties facilitating self- care and/or care within the community setting.
The post holder will work closely with the inter-professional team to support new ways of working that emphasises a more efficient and patient focused service acting as a professional clinical role model.
To play an active role in the development/ improvement and audit of processes that facilitates and improves patient flow.
Practice with confidence and competence within appropriate nationally agreed professional guidelines such as NMC/ RCN / HEE Guidelines, the Health, and Care Professions Council (HCPC) and the College of Paramedics (COP)
To ensure that accurate documentation and records of patient care are kept.
About us
Beacon Medical Group Practice is a single practice, Primary Care Network (PCN), providing care to 43,000 patients across Plympton and the South Hams. We are a team of Partners, Salaried GPs, Paramedics, Clinical Pharmacists, Pharmacy Technicians, , Practice and specialist Nurses, HCAs, Phlebotomists, First Contact Physios, Social Prescribers, Advanced Clinical Practitioners, Clinical Practitioners and Administrative support staff. Our mission is to give all our patients the right care, at the right time, in the right place. We are a forward thinking partnership always looking for opportunities to improve services for our patients. We have a good reputation for delivering good healthcare, leading at scale and innovating primary care services. This is a really exciting time to be joining us as we diversify our teams, our partnership and services.
If you join our team; you will receive support, opportunities to grow in your role, training, and work with colleagues who care about you.
Details
Date posted
03 July 2024
Pay scheme
Other
Salary
£26.96 to £29.29 an hour
Contract
Permanent
Working pattern
Part-time
Reference number
A1739-24-0023
Job locations
Glenside Medical Centre
Glenside Rise
Plympton
Plymouth
PL7 4DR
Job description
Job responsibilities
1. SCOPE AND PURPOSE OF THE ROLE
To deliver a high standard of patient care as an Advanced Clinical Practitioner in general practice, using advanced clinical skills, and a broad and in-depth theoretical knowledge base
To appropriately triage assess, examine, investigate, diagnose and treat patients, resulting in the safe management and/or appropriate referral, following practice guidelines and protocols.
Order/ interpret investigations, laboratory tests, x-rays and act on results as appropriate.
The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.
To manage known exacerbations of chronic illness ensuring appropriate assessments, treatment, and where appropriate onward referral to appropriate specialties facilitating self- care and/or care within the community setting.
The post holder will work closely with the inter-professional team to support new ways of working that emphasises a more efficient and patient focused service acting as a professional clinical role model.
To play an active role in the development/ improvement and audit of processes that facilitates and improves patient flow.
Practice with confidence and competence within appropriate nationally agreed professional guidelines such as NMC/ RCN / HEE Guidelines, the Health, and Care Professions Council (HCPC) and the College of Paramedics (COP)
To ensure that accurate documentation and records of patient care are kept.
To provide specialist advice on patient care to the Practice team considering all aspects of clinical governance, and act as a specialist resource within the Practice
To enhance the clinical services offered by the practice.
2. JOB DIMENSIONS
To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
To work effectively and within the boundaries of professional practice as part of an Urgent Care Team delivering an on the day service to meet patients needs.
3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY
A. CLINICAL PRACTICE:
The post-holder will:
Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.
Provide the choice of direct access both in the Practice and over the telephone, for the general practice population.
Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.
Where the post holder is an independent prescriber have the ability to prescribe safe, effective and appropriate medication as defined by current legislative framework.
Provide safe, evidence-based, cost-effective, individualised patient care.
Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on prevention and self- care.
Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
Refer patients directly to other services/agencies as appropriate.
Work with multi-disciplinary team within the Practice, and across the broader healthcare community, to promote integrated and seamless pathways of care.
Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.
Participate in identification of community health needs and develop patient/family-centred strategies to address them.
Help develop and set up new patient services and participate in initiatives to improve existing patient services.
B. EDUCATION, TEACHING AND MENTORING: The post-holder will:
Maintain a clinical portfolio that evidences advanced practice reflecting the four advanced practice pillars. In conjunction with their Line Manager and Educational Lead formulate a personal development plan to evidence a commitment to continual professional development. Using agreed competency framework appropriate to the
individuals scope of practice.
Participate in regular performance review with the Clinical Supervisor
Demonstrate and meet competencies to deliver appropriate health care such as history taking and physical assessment.
Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
To undertake further specialist training as dictated by service needs and the changing requirements of service provision.
Promote a learning environment for patients, Nurses, other health professionals and non- clinical staff where appropriate.
Support the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice.
Contribute to the planning and implementation of the teaching for existing staff, such as medical students, Nurse Students, GP registrars, Health Care Practitioners, within the Practice.
Provide supervision and mentoring to students and other members of the team.
C. PROFESSIONAL
The post-holder will:
Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.
Maintain their professional registration.
Record accurate consultation data in patients records in accordance with the latest NMC/ HCPC guidance and other pertinent standards.
Keep up to date with pertinent health-related policy and research. Critically appraise and synthesise the work to underpin own practice and to inform others within the practice team to consider the impact and strategies for implementation.
Work collaboratively with colleagues within and external to the practice.
Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.
Pro-actively promote the role of allied professionals within the Practice, and externally to key stakeholders and agencies.
The post-holder will:
Act as an advisor to other members of the Primary Healthcare team.
Proactively initiate and develop effective relationships within the practice to encourage productive working.
Participate in multi-disciplinary protocol and Patient Group Directions development.
Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.
Help the practice operate in a cost-effective manner.
Identify and manage care risks on a continuing basis.
Participate in practice meetings and practice management meetings, reporting progress as required.
Evaluate own practice and participate in multi-disciplinary service and team evaluation. Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
Work closely with others in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.
Ensure that all Practice Policies are fully implemented.
4. HEALTH AND SAFETY/RISK MANAGEMENT
The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
5. EQUALITY AND DIVERSITY
The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
6. RESPECT FOR PATIENT CONFIDENTIALITY
The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
7. SPECIAL WORKING CONDITIONSThe post-holder is required to travel independently between practice sites, patient homes (where applicable), and to attend meetings etc. hosted by other agencies.
The post-holder will have contact with body fluids i.e., wound exudates, urine etc. while in clinical practice.
The practice operates extended hours on a rota basis and the post holder may be required to work some extended hours shifts as detailed in your employment contract.
Job description
Job responsibilities
1. SCOPE AND PURPOSE OF THE ROLE
To deliver a high standard of patient care as an Advanced Clinical Practitioner in general practice, using advanced clinical skills, and a broad and in-depth theoretical knowledge base
To appropriately triage assess, examine, investigate, diagnose and treat patients, resulting in the safe management and/or appropriate referral, following practice guidelines and protocols.
Order/ interpret investigations, laboratory tests, x-rays and act on results as appropriate.
The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.
To manage known exacerbations of chronic illness ensuring appropriate assessments, treatment, and where appropriate onward referral to appropriate specialties facilitating self- care and/or care within the community setting.
The post holder will work closely with the inter-professional team to support new ways of working that emphasises a more efficient and patient focused service acting as a professional clinical role model.
To play an active role in the development/ improvement and audit of processes that facilitates and improves patient flow.
Practice with confidence and competence within appropriate nationally agreed professional guidelines such as NMC/ RCN / HEE Guidelines, the Health, and Care Professions Council (HCPC) and the College of Paramedics (COP)
To ensure that accurate documentation and records of patient care are kept.
To provide specialist advice on patient care to the Practice team considering all aspects of clinical governance, and act as a specialist resource within the Practice
To enhance the clinical services offered by the practice.
2. JOB DIMENSIONS
To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
To work effectively and within the boundaries of professional practice as part of an Urgent Care Team delivering an on the day service to meet patients needs.
3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY
A. CLINICAL PRACTICE:
The post-holder will:
Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.
Provide the choice of direct access both in the Practice and over the telephone, for the general practice population.
Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.
Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.
Where the post holder is an independent prescriber have the ability to prescribe safe, effective and appropriate medication as defined by current legislative framework.
Provide safe, evidence-based, cost-effective, individualised patient care.
Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on prevention and self- care.
Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.
Refer patients directly to other services/agencies as appropriate.
Work with multi-disciplinary team within the Practice, and across the broader healthcare community, to promote integrated and seamless pathways of care.
Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.
Participate in identification of community health needs and develop patient/family-centred strategies to address them.
Help develop and set up new patient services and participate in initiatives to improve existing patient services.
B. EDUCATION, TEACHING AND MENTORING: The post-holder will:
Maintain a clinical portfolio that evidences advanced practice reflecting the four advanced practice pillars. In conjunction with their Line Manager and Educational Lead formulate a personal development plan to evidence a commitment to continual professional development. Using agreed competency framework appropriate to the
individuals scope of practice.
Participate in regular performance review with the Clinical Supervisor
Demonstrate and meet competencies to deliver appropriate health care such as history taking and physical assessment.
Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
To undertake further specialist training as dictated by service needs and the changing requirements of service provision.
Promote a learning environment for patients, Nurses, other health professionals and non- clinical staff where appropriate.
Support the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice.
Contribute to the planning and implementation of the teaching for existing staff, such as medical students, Nurse Students, GP registrars, Health Care Practitioners, within the Practice.
Provide supervision and mentoring to students and other members of the team.
C. PROFESSIONAL
The post-holder will:
Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.
Maintain their professional registration.
Record accurate consultation data in patients records in accordance with the latest NMC/ HCPC guidance and other pertinent standards.
Keep up to date with pertinent health-related policy and research. Critically appraise and synthesise the work to underpin own practice and to inform others within the practice team to consider the impact and strategies for implementation.
Work collaboratively with colleagues within and external to the practice.
Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.
Pro-actively promote the role of allied professionals within the Practice, and externally to key stakeholders and agencies.
The post-holder will:
Act as an advisor to other members of the Primary Healthcare team.
Proactively initiate and develop effective relationships within the practice to encourage productive working.
Participate in multi-disciplinary protocol and Patient Group Directions development.
Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.
Help the practice operate in a cost-effective manner.
Identify and manage care risks on a continuing basis.
Participate in practice meetings and practice management meetings, reporting progress as required.
Evaluate own practice and participate in multi-disciplinary service and team evaluation. Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
Work closely with others in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.
Ensure that all Practice Policies are fully implemented.
4. HEALTH AND SAFETY/RISK MANAGEMENT
The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
5. EQUALITY AND DIVERSITY
The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
6. RESPECT FOR PATIENT CONFIDENTIALITY
The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.
7. SPECIAL WORKING CONDITIONSThe post-holder is required to travel independently between practice sites, patient homes (where applicable), and to attend meetings etc. hosted by other agencies.
The post-holder will have contact with body fluids i.e., wound exudates, urine etc. while in clinical practice.
The practice operates extended hours on a rota basis and the post holder may be required to work some extended hours shifts as detailed in your employment contract.
Person Specification
Qualifications
Essential
- Registered General Nurse or Registered Paramedic
- Post registration qualification to evidence autonomous clinical practice relevant to Urgent Care
- Further professional qualification
Desirable
- Masters Level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)
Experience
Essential
- Post registration experience to evidence autonomous clinical practice relevant to Urgent Care or General Practice
- Highly developed specialist knowledge underpinned by theory and experience.
- Experience of working under pressure and managing varying workloads and changing demands
- Administration of medications within Patient Group Directions (PGDs)
- Sound knowledge of local primary care services including key players
- Demonstrable experience of CPD and desire to actively engage in ongoing learning of self and others.
- Demonstrable experience of advanced clinical knowledge in all age groups, without limitation in scope
- Able to evidence competency and experience in telephone triage management of patients
Desirable
- Experience of working within a multi-disciplinary team in an acute or Primary Care setting
- Able to evidence safe prescribing practice and is an Independent Prescriber
Skills and Abilities
Essential
- Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers.
- Working autonomously and within professional boundaries when ordering tests, requesting investigations, and developing interventions. Minimal supervision and support required.
- Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge.
- Ability to work on own initiative and prioritise own work and work within a team.
- Able to participate with clinical audit
Desirable
- The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service.
- To use advanced health assessment, examination, diagnosis, and treatment within an agreed scope of practice
- Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills.
- Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team.
- Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required
Personal qualities
Essential
- Committed and Enthusiastic to service and personal development
- Team Player
- Flexibility of working hours
- Willing to embrace change that will enhance the quality.
- of the service and contribute to developing patient quality audits and pathways
Person Specification
Qualifications
Essential
- Registered General Nurse or Registered Paramedic
- Post registration qualification to evidence autonomous clinical practice relevant to Urgent Care
- Further professional qualification
Desirable
- Masters Level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)
Experience
Essential
- Post registration experience to evidence autonomous clinical practice relevant to Urgent Care or General Practice
- Highly developed specialist knowledge underpinned by theory and experience.
- Experience of working under pressure and managing varying workloads and changing demands
- Administration of medications within Patient Group Directions (PGDs)
- Sound knowledge of local primary care services including key players
- Demonstrable experience of CPD and desire to actively engage in ongoing learning of self and others.
- Demonstrable experience of advanced clinical knowledge in all age groups, without limitation in scope
- Able to evidence competency and experience in telephone triage management of patients
Desirable
- Experience of working within a multi-disciplinary team in an acute or Primary Care setting
- Able to evidence safe prescribing practice and is an Independent Prescriber
Skills and Abilities
Essential
- Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers.
- Working autonomously and within professional boundaries when ordering tests, requesting investigations, and developing interventions. Minimal supervision and support required.
- Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge.
- Ability to work on own initiative and prioritise own work and work within a team.
- Able to participate with clinical audit
Desirable
- The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service.
- To use advanced health assessment, examination, diagnosis, and treatment within an agreed scope of practice
- Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills.
- Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team.
- Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required
Personal qualities
Essential
- Committed and Enthusiastic to service and personal development
- Team Player
- Flexibility of working hours
- Willing to embrace change that will enhance the quality.
- of the service and contribute to developing patient quality audits and pathways
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
Beacon Medical Group
Address
Glenside Medical Centre
Glenside Rise
Plympton
Plymouth
PL7 4DR
Employer's website
Employer details
Employer name
Beacon Medical Group
Address
Glenside Medical Centre
Glenside Rise
Plympton
Plymouth
PL7 4DR
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
03 July 2024
Pay scheme
Other
Salary
£26.96 to £29.29 an hour
Contract
Permanent
Working pattern
Part-time
Reference number
A1739-24-0023
Job locations
Glenside Medical Centre
Glenside Rise
Plympton
Plymouth
PL7 4DR