Advanced Clinical Practitioner

Affinity Care

The closing date is 12 August 2022

Job summary

The post holder is an experienced advanced clinical practitioner, who provides safe clinical decisions and care to patients within core General Practice. The postholder will undertake the majority of the role requirements. They will predominantly work autonomously, seeking advice from senior clinicians if needed. the role is primarily  based in practice but at times there may be the opportunity to support with home visits.

In order to demonstrate leadership and for professional development the Senior ACP will take a lead in performance areas and undertake long term condition management. The role will require the ACP to make clinical presentations and deliver teaching sessions to colleagues.

Main duties of the job

  • 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 you are 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.

About us

We are Affinity Care Primary Care Network covering a population of over 64,000 patients over 6 GP practices and 8 sites, all in the Bradford area. Our ethos is to provide patient focused care based on the model of GP-led family orientated general practice tailored to local population needs. Our practices are highly accredited training practices, level 3 research ready sites within an embedded ethos of our learning organisation.

We are a friendly enthusiastic and hard working team with opportunities for career progression and will provide support and development for anyone demonstrating capability, enthusiasm, commitment and strong work ethic.

Benefits include:

  • 5 weeks annual leave (pro rata for part time hours)
  • Birthday Holiday
  • Well-being day
  • NHS pension

Date posted

27 July 2022

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A1863-22-4744

Job locations

Sunnybank Medical Centre

Town Gate

Wyke

Bradford

West Yorkshire

BD12 9NG


Cowgill Surgery

Thornaby Drive

Clayton

Bradford

West Yorkshire

BD14 6ES


Job description

Job responsibilities

Clinical

  • 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 you are 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 multi-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 Affinity Care 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-centered 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

  • 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

  • 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

  • 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.

Responsibility for Information Resources

  • Review, enter and process data using accurate Read codes and good record structure in order to ensure easy and accurate information retrieval for monitoring, financial and audit processes.

  • Facilitate the use of up to date information technology in order to collate accurate and timely information as and when required by the practice and CCG

  • Contribute to a satisfactory call and recall system of patients

  • Understand and follow the requirements of confidentiality (including the Data Protection Act) and the Freedom of Information Act and to refer on any queries as appropriate.

  • Follow Practice policy regarding the use of email, SystmOne and computer tasks as the main internal method of non-verbal communication and the use of the intranet and the internet as the main source of internal and external information, including the retrieval of relevant information for patients on their condition.

Equality and Diversity

  • Act in ways that recognise the importance of people’s rights, interpreting them in a way that is consistent with procedures.
  • Respect the privacy, dignity and beliefs of patients, carers, visitors and co-workers. They must be treated equally, irrespective of sex, race, age, disability, sexual orientation, religion and belief, marriage/partnership, gender reassignment, pregnancy & maternity
  • Follow the Practice Chaperoning policy
  • Be aware of statutory procedures, local guidance and referral criteria regarding protection of children and vulnerable adults, including Practice policies. Follow the guidance and policies and take action in an appropriate manner.

Health, Safety and Security

  • Apply infection-control measures according to local and national guidelines.
  • Use the personal security systems within the workplace according to Practice guidelines.
  • Assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
  • Follow Health and Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk. Use safe working procedures and report incidents using the incident reporting system.
  • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

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.

Job description

Job responsibilities

Clinical

  • 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 you are 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 multi-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 Affinity Care 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-centered 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

  • 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

  • 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

  • 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.

Responsibility for Information Resources

  • Review, enter and process data using accurate Read codes and good record structure in order to ensure easy and accurate information retrieval for monitoring, financial and audit processes.

  • Facilitate the use of up to date information technology in order to collate accurate and timely information as and when required by the practice and CCG

  • Contribute to a satisfactory call and recall system of patients

  • Understand and follow the requirements of confidentiality (including the Data Protection Act) and the Freedom of Information Act and to refer on any queries as appropriate.

  • Follow Practice policy regarding the use of email, SystmOne and computer tasks as the main internal method of non-verbal communication and the use of the intranet and the internet as the main source of internal and external information, including the retrieval of relevant information for patients on their condition.

Equality and Diversity

  • Act in ways that recognise the importance of people’s rights, interpreting them in a way that is consistent with procedures.
  • Respect the privacy, dignity and beliefs of patients, carers, visitors and co-workers. They must be treated equally, irrespective of sex, race, age, disability, sexual orientation, religion and belief, marriage/partnership, gender reassignment, pregnancy & maternity
  • Follow the Practice Chaperoning policy
  • Be aware of statutory procedures, local guidance and referral criteria regarding protection of children and vulnerable adults, including Practice policies. Follow the guidance and policies and take action in an appropriate manner.

Health, Safety and Security

  • Apply infection-control measures according to local and national guidelines.
  • Use the personal security systems within the workplace according to Practice guidelines.
  • Assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
  • Follow Health and Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk. Use safe working procedures and report incidents using the incident reporting system.
  • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

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.

Person Specification

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 ACP 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 organisational 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 utilisation 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 ethos 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.

Qualifications

Essential

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

Desirable

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

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
Person Specification

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 ACP 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 organisational 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 utilisation 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 ethos 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.

Qualifications

Essential

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

Desirable

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

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).

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

Affinity Care

Address

Sunnybank Medical Centre

Town Gate

Wyke

Bradford

West Yorkshire

BD12 9NG


Employer's website

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

Employer details

Employer name

Affinity Care

Address

Sunnybank Medical Centre

Town Gate

Wyke

Bradford

West Yorkshire

BD12 9NG


Employer's website

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

For questions about the job, contact:

Date posted

27 July 2022

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A1863-22-4744

Job locations

Sunnybank Medical Centre

Town Gate

Wyke

Bradford

West Yorkshire

BD12 9NG


Cowgill Surgery

Thornaby Drive

Clayton

Bradford

West Yorkshire

BD14 6ES