PCN Advanced Practitioner

Job responsibilities

CLINICAL ASSESSMENT

• To provide a first point of contact for patients with undifferentiated and undiagnosed health needs

• Provides and receives highly complex information; develops communication skills/present complex information.

• To provide advanced assessment skills in history taking and clinical examination to formulate a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals, as necessary.

• Instigate and interpret diagnostic investigations as appropriate.

• Provide patient and carer information, health education, and health promotion as appropriate.

• Prescribe appropriate medication and preparations within existing legislative framework in relation to evidence-based practice, NICE guidelines and considering the financial implications of cost-effective prescribing.

• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and within scope of practice.

• Work with patients to support with compliance and adherence to prescribed treatments.

• Demonstrate the ability to make professionally autonomous decisions when seeing and assessing patients with undifferentiated and undiagnosed problems, based on knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing.

ACUTE & CHRONIC DISEASE MANAGEMENT

• Work with all GPs and other members of the practice as directed in developing protocols for diagnosing and managing minor illnesses, and for chronic disease management etc.

• Work with the nursing, clinical pharmacy, and medical team in providing pro-active management of patients with chronic diseases in accordance with NSF and local requirements.

• Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

• Manage a caseload of complex and frail patients

• Help support chronic disease management of a pcn defined cohort

PROMOTE HEALTH:

• Enable individuals, families, groups, and communities to address issues that affect their health and social wellbeing.

• Represent individuals and families, groups, and communities interests when they are not able to do so themselves.

• Have awareness of the Network Contract Directed Enhanced Service (Network DES) and work to achieve IIF targets relevant to the role.

MANAGE AND USE INFORMATION:

• Ensure quality patient records are maintained and use a database to store details of referrals and care pathways for specific patients.

• Obtain, analyse, share, and use current information for decision making.

• Assist with the delivery of training to a range of people within or outside the profession in consultation with the GPs, Nursing team and other members of the primary health care team (PHCT).

• Partake actively in evidence-based medicine.

• Involvement with research projects as applicable.

• Make recommendations to raise standards of practice and service delivery.

• Instigate, manage, and perform clinical audit as identified by the needs of the practice.

COMMUNICATION:

• Develop and maintain productive relationships with several key stakeholders to ensure optimal referrals and communications about patients. These will include GPs, consultants, district nurses, social services, GSTT, voluntary sector etc.

• Establish processes to ensure good communication with the primary care team concerning ongoing progress of referred patients.

MANAGEMENT of Self/Others:

• To be able to work autonomously yet deliver results within a very well-established team of clinical professionals.

• Develop one's own knowledge and practice to meet objectives/changes in service/practices.

• To undertake training and education as appropriate to continuously advance scope of professional practice.

• Contribute to research, audit, teaching and professional development of colleagues.

• Contribute to the recruitment and selection of team members when applicable.

• Manage the implementation of change in work activity and service.

• Access clinical supervision.

• Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

PERSONAL/PROFESSIONAL DEVELOPMENT:

• Participation in an annual individual appraisals review, including taking responsibility for maintaining a record of own personal and/or professional development.

• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

• Willingness to undertake any training in line with this post.

• Teamwork: it is essential that having a pro-active disposition is maintained in this position.

• Time management skills: the ability to prioritise the workload is essential.

1. Confidentiality

To maintain confidentiality of information relating to patients, clients, staff and other

users of the services working to the remits of Confidentiality and the General Data

Protection Regulations

1. Information Governance

Appropriately manage all the Information you handle during the course of your employment with StockWellBeing PCN, making the information available for sharing in a controlled manner, subject to statutory requirements and the organisations Information Governance Policy, and formal Information Sharing arrangements

1. Health and Safety

Comply with the Health and Safety at Work etc. Act 1974. You will take responsibility for your own health and safety and that of other persons who may be affected by his/her own acts or omissions

1. Equality and Diversity

Carry out at all times your responsibilities in line with the Equal Opportunities

Policy and Procedure

1. Risk Management and Clinical Governance

Work within the Clinical Governance Framework of the practice, incorporating Risk

Management and all other quality initiatives

1. General

Undertake any other duties commensurate with the role, within the bounds of

your competence. Work across Primary Care Network sites as required.

Catchment Area of StockWellBeing PCN:

Beckett House Practice - Grantham Road, London, SW9 9DL

Binfield Road Practice - 1 Binfield Road, Stockwell, London, SW4 6TB

Grantham Centre Practice - Grantham Road, London, SW9 9DL

Springfield Medical Centre - 110 Union Road, Stockwell, London, SW8 2SH

Stockwell Group Practice - 107 Stockwell Rd, Ferndale, London SW9 9TJ

Qualifications

Essential

• Active and relevant professional registration with HCPC
• Post Graduate Degree Qualification in Clinical Practice or equivalent qualification
• Registered Healthcare Practitioner
• Independent prescribing qualification
• Evidence of relevant CPD

Desirable

• Masters degree in Advanced Clinical Practice or equivalent
• Advanced Life Support Provider
• Teaching/mentorship qualification

Experience

Essential

• Experience of working within a multi-disciplinary team
• Ability to manage and prioritise workload.
• Advanced clinical practice
• Management of patients with complex needs
• Clinical examination
• Accountability of own role and other roles
• Ability to work flexibly in core hours to meet the needs of the service
• Proven ability to work autonomously and as part of a team
• Sound organisational skills
• Excellent communication skills
• Able to professionally and appropriately challenge differing opinions as a patient advocate
• Basic IT skills in word processing and e-mail
• Experience in using I.T. based patient documentation systems
• Record keeping skills
• Understanding of health education/promotion
• Understanding of Confidentiality and the Data protection Act
• Understanding of clinical governance and its significance and impact upon practice
• Ability to participate in audit and standard setting
• Awareness of equality and valuing diversity principles
• Experience of clinical supervision
• Evidence of experience / competency in the form of a professional portfolio

Desirable

• Experience of working in Primary and community Care
• Teaching and mentorship in a clinical setting
• Compiling protocols and clinical guidelines
• Leadership in quality initiatives such as clinical benchmarking
• Additional languages spoken

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).