Advanced Clinical Practitioner

Job description

Job responsibilities

· Undertake home visits as a contributing member of the Affinity Care home visiting teams

· Provide the choice of direct access to a NP, face to face, telephone triage, telephone and video consultations, and e-consult for the general practice population

· Make professionally autonomous decisions for which he/she is accountable

· Provide a first point of contact within the service 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

· 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, developing where appropriate an on-going plan of care/support, 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

· Contribute to the delivery of specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension) and sexual health

· Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered

· Work with mutli-disciplinary team within the Practice and across the wider Primary health and social care 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

· Work across locality sites if required

· Provide clinical advice concerning care within specialist area

· Respond to requests for clinical reports, undertake audits that may impact beyond own area

· Participate in identification of community health needs and develop patient/family-centred strategies to address them

· Promote health and well-being through health education, patient engagement that impacts on the wider Affinity Care patient population

· Develop and deliver specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension) and sexual health

· Help develop and set up new patient services and participate in initiatives to improve existing patient services

· Be aware of and contribute to planning and delivery of practice-based commissioning

· Participate in research and development in order to identify innovative ways of working to improve the quality of healthcare

Organisation/Quality

· Achievement of QoF and any DES or LIS as agreed by the Partnership as core for all

· Not be an outlier in the group on any key performance areas as monitored in-house or externally

· Support the PSM in managing complaints effectively in an environment of openness and willingness to learn from patient feedback

· Ensure that all Practice Policies are fully implemented

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

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

· Participate in quality improvement initiatives, including Significant Event Analysis, peer review and the review of patient complaints

· Identify and manage care risks on a continuing basis

· Participate regularly in the weekly MDT

· Support and work towards the achievement of national standards (e.g. Quality and Outcomes Framework), local NHS/CCG standards and Practice standards, delivery care to these frameworks

· Be the clinical lead on QOF areas, as agreed with the Partners within the locality

· Encourage innovation, leading by example to provide safe, high quality care

· Contribute to service development with the focus on improving patient care and service delivery

Professional Role

· 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

· 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, and undertake regular performance appraisals

· Work within the latest NMC Code of Professional Conduct

· Record accurate consultation data in patients’ records in accordance with the latest NMC guidance and other pertinent standards

· Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation

· Work collaboratively with colleagues within and external to the practice

· Contribute positively to leadership and demonstrate exemplary practice

· Pro-actively promote the role of the NP within the service and externally to key stakeholders and agencies

· Encourage and develop teamwork within the practice

Managerial role

· Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff, providing support as needed

· Help the service operate in a cost-effective manner

· Participate in audits and inspections as appropriate

· Participate in service meetings, locality and practice management meetings, reporting progress as required

Teaching and mentoring role

· Promote a learning environment for patients, colleagues and other health professionals

· Supervise and support junior members of staff and promote staff development

· Contribute to the planning and implementation of the teaching for existing staff, such as medical students, NP students, GP registrars, Health Care Assistants, within the Practice

· Deliver clinical presentations and learning sessions for colleagues lead and deliver PLT sessions for the whole organisation

· Provide mentorship support for members of staff

Person Specification

Qualifications

Essential

• Masters in Advanced Clinical Practice
• PGDip Advanced Clinical Practice
• Training in advanced clinical skills and examination

Desirable

• Specialist training and experience in a specialist area for example Womens health, sexual health, COPD

Skills and Knowledge

Essential

• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ANP role
• Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS/PMS contract, Clinical Governance, Quality and Outcomes Framework.
• Understanding of systems to gain and understanding of the health needs of the Practice population as they relate to primary care.
• Knowledge of national standards that inform practice (eg National Service Frameworks, NICE guidelines)
• Awareness of local and national health policies
• Understanding of their accountability arising from the NMC Code of Professional Conduct (2004) and medicolegal aspects of the Nurse Practitioner role.
• Clinical Examination skills and advanced clinical practice abilities
• The ability to communicate and interact with the public in a discreet and sensitive manner, recognising their needs for alternative methods and styles of communication
• Good organisation skills
• Competent in the use of clinical systems
• Ability to provide, receive, convey and present information in a clear way
• Ability to gain respect from staff and clinicians
• Optimal utilization of resources
• A friendly and approachable manner with good people skills
• Strong interpersonal capabilities - the ability to communicate clearly and effectively with a wide range of individuals both verbally and in writing
• Ability to work as a member of a multidisciplinary team
• Demonstrable leadership skills/experience
• Experience of teaching and mentoring
• Ability to manage conflicting views to achieve positive outcomes
• Ability to reconcile inter and intra profession differences of opinion
• Fresh vision and ideas to help with our service improvement thos and performance indicators
• Ability to think strategically

Desirable

• Ability to manage resources to ensure delivery of a service/project
• Proven record of effective use of networking and influencing skills

Experience

Essential

• Experience in managing long term conditions for example asthma, COPD, diabetes, CHD.
• Experience of supporting changes in working practices

Desirable

• Working knowledge of GP practice
• Experience of SystmOne

Other

Essential

• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ACP role
• Highly motivated
• Adaptable, innovative, forward looking
• Enthusiastic, with energy and drive
• Possess a solution focused approach when faced with issues or barriers
• Able to work both independently where required and as a team player
• Open to change and the possibilities of doing things differently
• Professional and smart appearance
• Committed to professional and personal development

Desirable

• Willing to work flexible hours as necessary
• Able to travel in order to work across locality sites

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

Affinity Care

Address

Westcliffe Medical Practice

Westcliffe Rd

Shipley

West Yorkshire

BD18 3EE

Employer's website

https://shipleymedicalpractice.nhs.uk/ (Opens in a new tab)