Job summary
The post holder will be an Advanced Clinical Practitioner (ACP) or
a Prescribing Paramedic who will both work clinically providing and developing
the Acute Visiting Service to the Carlisle PCN Practices, whilst also providing
clinical support to the PCN Frailty. The post holder will work closely with the
PCN Exec Board and wider Health and Care Partners.
The post holder will provide an innovative, integrated
service to patients, living in the Carlisle Network Primary Care Network
boundary, who have been identified as requiring further support.
The ACP will work closely with the Frailty
Team and GP Practices to provide patient centred care, involving acute visits,
triaging and assessing patients in their own homes with undifferentiated and undiagnosed problems, initiate treatment
(including prescribing), investigations, advice and management of problems
using professional autonomous decision making processes, liaising when
appropriate with other healthcare professionals and organisations to ensure
safe and effective patient care.
They will provide appropriate patient care
in accordance with practice protocols and policies. The post holder will actively
engage patients and carers in management of their health, promoting health and
wellbeing.
Main duties of the job
The post holder will provide appropriate patient care
in accordance with practice protocols and policies. The post holder will
actively engage patients and carers in management of their health, promoting
health and wellbeing.
They will work collaboratively with the
Practices, Integrated Care Community and PCN teams to meet the needs of
patients, supporting the delivery of policy and procedures, and providing nurse
leadership as required. To work to this level DH requirement for advanced
practice must be met.
The post holder will be responsible for
recognising, negotiating and implementing change processes to enhance the
delivery of care.
The post holder will contribute to
development and delivery of a high quality innovative service to the patients within
the community through the implementation of evidence based clinical practice,
supported by continual professional development, and provide support and
mentorship to all healthcare professionals.
About us
Carlisle PCN covers approximately 38,000 patients
registered with three Carlisle general practices. Our practices include :-
1. Eden
Medical Group
2. Carlisle Central Practice
3. Warwick Square Group Practice
The Team also works with our health and care partners including
the NCIC Trust, Adult Social Care and voluntary sector organisations.
Our Frailty Team provide a combination of urgent
on the day visits, visits for clinical review and chronic disease management
alongside proactive case management and care planning to our older and frailer
patients, this includes weekly ward rounds in our PCN aligned nursing and
residential homes
Job description
Job responsibilities
DUTIES AND RESPONSIBILTIES
OF THE POST
Professional Role
- To promote evidence-based practice through the use of the latest
research-based guidelines and the development of practice-based research.
- To maintain their professional registration and keep up to date
with mandatory training.
- To record accurate consultation data in patients records in
accordance with the latest regulatory guidance an other pertinent standards.
- Pro-actively promote the role of the ACP, including externally to
key stakeholders and agencies.
Clinical Role
- To undertake acute visits to patients as requested by the
practices
- To assess patients within their roles and make professionally
autonomous decisions.
Provide a first point of contact alongside the Frailty and Care
homes Care Coordinators for Nursing and Residential Care Homes.
- Provide regular ward rounds and telephone calls/visits to Care
Homes and anticipatory care visits to Housebound as per the post-holders case
load.
- Instigate necessary diagnostic tests or investigations where
appropriate and interpret findings/reports and act upon them appropriately.
Reviewing patients where needed and making long term care plans.
- As an independent prescriber: to prescribe safe, effective and
appropriate medication as defined by current legislative framework.
- To work with the medicines management team to provide and/or
ensure polypharmacy medication reviews and de-prescribe where appropriate.
- To provide safe, evidence-based, cost-effective, individualised
patient care.
- To provide advanced care and respect planning and End of life care
where appropriate.
- To promote health and well-being through the use of disease
prevention and screening, health promotion and health education as part of an
MDT.
- To refer patients directly to other services/agencies as appropriate.
- To work with the MDT to ensure practice and PCN contractual
requirements are delivered and met for patients within caseload and in support
of our wider population.
- To work with the MDT to ensure our care is compliant, safe, of
high quality and follows regulatory guidelines at practice and PCN level.
- To participate in identification of community health needs around
our population health data and the identification if health inequalities to and
develop patient, family and/or community centred strategies to address them as
part of our MDT.
- To help develop and set up new patient services and participate in
initiatives to improve existing patient services at PCN and locality level.
Training & Educational
- Currently enhancing professional development and to maintain a
personal development plan.
- Continually keeps up to date with current evidence based practice
- Is involved in lifelong learning
- Participates in in-house training provided and completion of all
mandatory training at clinical and practice levels.
- Keep up to date with pertinent health- related policy and work
with the practice team to consider the impact and strategies for
implementation.
- Training requirements will be monitored by yearly appraisal and
will be in accordance with practice requirements. Personal development will be
encouraged and supported by the PCN. It is individuals responsibility to
remain up to date with recent developments.
- Maintain continued education by attendance at courses and study
days as deemed useful or necessary for professional development ensuring PREP
requirements are met.
- If it is necessary to expand the role to include additional
responsibilities, full training will be given.
INDIVIDUAL RESPONSIBILITIES
The post holder is expected to:
Adhere to Practice policies and procedures and relevant
legislation including the requirements of any professional bodies
Attend mandatory training as identified by the PCN
CONFIDENTIALITY
The post holder must maintain the confidentiality of information
about patients, staff and Practice business in accordance with the General
Data Protection Regulation, Caldicott principles and Practice Information
Governance policies and procedures.
HEALTH & SAFETY
- The post-holder will assist in promoting and maintaining their own
and others health, safety and security as defined in the organisations Health
& Safety Policy and the organisations Infection Control policy and published
procedures. This will include:
- Using personal security systems within the workplace according to
organisations 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
- Actively reporting of health and safety hazards and infection
hazards immediately when recognised
- Keeping own work areas and general / patient areas generally
clean, assisting in the maintenance of general standards of cleanliness
consistent with the scope of the job holders role
- Undertaking periodic infection control training (minimum annually)
- Reporting potential
risks identified
RISK MANAGEMENT
Ensure that you implement systems and procedures at local level to
fulfil the requirements of the Practice risk management strategy including
local management and resolution of compliance and concerns, management of
untoward incidents/near misses, and compliance with the risk profiling
programme.
EQUAL OPPORTUNITIES
The Practice has adopted an equal opportunities policy and all
employees must be aware of their obligations to abide by the spirit and nature
of the policy to avoid direct and indirect discrimination.
REHABILITATION OF OFFENDERS ACT 1994
Because of the nature
of the work, this post is exempt from the provisions of Section 4(2) of the
Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to
withhold information about convictions which for other purposes are spent
under the provisions of the Act and in the event of employment any failure to
disclose such convictions could result in disciplinary action or dismissal by
the Practice. Any information given will
be completely confidential and will be considered only in relation to an
applicant of a position to which the order applies
IMPROVING WORKING LIVES
You will be expected to give a commitment to apply the principles of
improving working lives, and participate in any events and initiatives as and
when appropriate.
CORPORATE GOVERNANCE ARRANGEMENTS
You will be expected to familiarise yourself with the Practice
governance strategy which outlines the management and committee structures and
procedures for the governance of the Practice activities.
Job description
Job responsibilities
DUTIES AND RESPONSIBILTIES
OF THE POST
Professional Role
- To promote evidence-based practice through the use of the latest
research-based guidelines and the development of practice-based research.
- To maintain their professional registration and keep up to date
with mandatory training.
- To record accurate consultation data in patients records in
accordance with the latest regulatory guidance an other pertinent standards.
- Pro-actively promote the role of the ACP, including externally to
key stakeholders and agencies.
Clinical Role
- To undertake acute visits to patients as requested by the
practices
- To assess patients within their roles and make professionally
autonomous decisions.
Provide a first point of contact alongside the Frailty and Care
homes Care Coordinators for Nursing and Residential Care Homes.
- Provide regular ward rounds and telephone calls/visits to Care
Homes and anticipatory care visits to Housebound as per the post-holders case
load.
- Instigate necessary diagnostic tests or investigations where
appropriate and interpret findings/reports and act upon them appropriately.
Reviewing patients where needed and making long term care plans.
- As an independent prescriber: to prescribe safe, effective and
appropriate medication as defined by current legislative framework.
- To work with the medicines management team to provide and/or
ensure polypharmacy medication reviews and de-prescribe where appropriate.
- To provide safe, evidence-based, cost-effective, individualised
patient care.
- To provide advanced care and respect planning and End of life care
where appropriate.
- To promote health and well-being through the use of disease
prevention and screening, health promotion and health education as part of an
MDT.
- To refer patients directly to other services/agencies as appropriate.
- To work with the MDT to ensure practice and PCN contractual
requirements are delivered and met for patients within caseload and in support
of our wider population.
- To work with the MDT to ensure our care is compliant, safe, of
high quality and follows regulatory guidelines at practice and PCN level.
- To participate in identification of community health needs around
our population health data and the identification if health inequalities to and
develop patient, family and/or community centred strategies to address them as
part of our MDT.
- To help develop and set up new patient services and participate in
initiatives to improve existing patient services at PCN and locality level.
Training & Educational
- Currently enhancing professional development and to maintain a
personal development plan.
- Continually keeps up to date with current evidence based practice
- Is involved in lifelong learning
- Participates in in-house training provided and completion of all
mandatory training at clinical and practice levels.
- Keep up to date with pertinent health- related policy and work
with the practice team to consider the impact and strategies for
implementation.
- Training requirements will be monitored by yearly appraisal and
will be in accordance with practice requirements. Personal development will be
encouraged and supported by the PCN. It is individuals responsibility to
remain up to date with recent developments.
- Maintain continued education by attendance at courses and study
days as deemed useful or necessary for professional development ensuring PREP
requirements are met.
- If it is necessary to expand the role to include additional
responsibilities, full training will be given.
INDIVIDUAL RESPONSIBILITIES
The post holder is expected to:
Adhere to Practice policies and procedures and relevant
legislation including the requirements of any professional bodies
Attend mandatory training as identified by the PCN
CONFIDENTIALITY
The post holder must maintain the confidentiality of information
about patients, staff and Practice business in accordance with the General
Data Protection Regulation, Caldicott principles and Practice Information
Governance policies and procedures.
HEALTH & SAFETY
- The post-holder will assist in promoting and maintaining their own
and others health, safety and security as defined in the organisations Health
& Safety Policy and the organisations Infection Control policy and published
procedures. This will include:
- Using personal security systems within the workplace according to
organisations 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
- Actively reporting of health and safety hazards and infection
hazards immediately when recognised
- Keeping own work areas and general / patient areas generally
clean, assisting in the maintenance of general standards of cleanliness
consistent with the scope of the job holders role
- Undertaking periodic infection control training (minimum annually)
- Reporting potential
risks identified
RISK MANAGEMENT
Ensure that you implement systems and procedures at local level to
fulfil the requirements of the Practice risk management strategy including
local management and resolution of compliance and concerns, management of
untoward incidents/near misses, and compliance with the risk profiling
programme.
EQUAL OPPORTUNITIES
The Practice has adopted an equal opportunities policy and all
employees must be aware of their obligations to abide by the spirit and nature
of the policy to avoid direct and indirect discrimination.
REHABILITATION OF OFFENDERS ACT 1994
Because of the nature
of the work, this post is exempt from the provisions of Section 4(2) of the
Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to
withhold information about convictions which for other purposes are spent
under the provisions of the Act and in the event of employment any failure to
disclose such convictions could result in disciplinary action or dismissal by
the Practice. Any information given will
be completely confidential and will be considered only in relation to an
applicant of a position to which the order applies
IMPROVING WORKING LIVES
You will be expected to give a commitment to apply the principles of
improving working lives, and participate in any events and initiatives as and
when appropriate.
CORPORATE GOVERNANCE ARRANGEMENTS
You will be expected to familiarise yourself with the Practice
governance strategy which outlines the management and committee structures and
procedures for the governance of the Practice activities.
Person Specification
Qualifications
Essential
- Current professional registration.
- 1st level registration.
- Completion of the MSc Advanced Clinical Practice MSc.
- Independent Non-Medical Prescriber V300.
- Evidence of recent Continual Professional Development
Desirable
- Education or courses relating to older people, frailty and chronic disease management.
Experience
Essential
- Previous experience working at clinical practitioner level.
- Evidence of good practice.
- Leadership skills.
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ACP role.
- Evidence of working autonomously and as part of a team.
- Proven ability to evaluate the safety and effectiveness of their own clinical practice.
Desirable
- Previous experience of leading a clinical team.
- Previous experience of developing and delivering a new service.
- Experience in training different professionals within the MDT.
- Experience in Primary and Secondary Care.
- Experience in management of long term conditions e.g. older people, frailty, asthma, COPD, diabetes, CHD or mental health including dementia.
Skills, Knowledge and Aptitudes
Essential
- Excellent interpersonal, verbal and written communication skills.
- Reflective practitioner.
- Ability to assess and manage patient risk effectively and safely.
- Time Management and ability to prioritise workload.
- Able to establish effective communication pathways with internal and external stakeholders.
- Demonstrate clinical Knowledge in acute and chronic disease management.
- Demonstrate clinical competence in minor illness management.
- Able to demonstrate excellent communication and consultation skills.
- Able to work independently and effectively within a team.
- Flexible and motivated.
- Excellent computer skills.
- Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, Quality & Outcomes Framework.
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care.
- Understanding of evidence based practice.
- Knowledge of national standards that inform practice (e.g. National Service Frameworks, NICE guidelines etc.)
- Understanding of their accountability arising from their Code of Professional Conduct and medico-legal aspects of the Advanced Clinical Practitioner role.
- Understanding of equal opportunity and diversity issues.
Desirable
- Ability to adapt to change within working situations.
- Innovative practice to deliver patient centred care.
Other requirements
Essential
- Current driving licence and access to own vehicle.
- Highly motivated and proactive.
- Flexibility of working hours/ability to work at desired times which includes working late on an evening to cover extended access, and to include working weekends and bank holidays to cover 7 day opening / operation of the practice.
Professional Interests
Essential
- Awareness of current professional nursing issues.
- Evidence of continued professional development.
Person Specification
Qualifications
Essential
- Current professional registration.
- 1st level registration.
- Completion of the MSc Advanced Clinical Practice MSc.
- Independent Non-Medical Prescriber V300.
- Evidence of recent Continual Professional Development
Desirable
- Education or courses relating to older people, frailty and chronic disease management.
Experience
Essential
- Previous experience working at clinical practitioner level.
- Evidence of good practice.
- Leadership skills.
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the ACP role.
- Evidence of working autonomously and as part of a team.
- Proven ability to evaluate the safety and effectiveness of their own clinical practice.
Desirable
- Previous experience of leading a clinical team.
- Previous experience of developing and delivering a new service.
- Experience in training different professionals within the MDT.
- Experience in Primary and Secondary Care.
- Experience in management of long term conditions e.g. older people, frailty, asthma, COPD, diabetes, CHD or mental health including dementia.
Skills, Knowledge and Aptitudes
Essential
- Excellent interpersonal, verbal and written communication skills.
- Reflective practitioner.
- Ability to assess and manage patient risk effectively and safely.
- Time Management and ability to prioritise workload.
- Able to establish effective communication pathways with internal and external stakeholders.
- Demonstrate clinical Knowledge in acute and chronic disease management.
- Demonstrate clinical competence in minor illness management.
- Able to demonstrate excellent communication and consultation skills.
- Able to work independently and effectively within a team.
- Flexible and motivated.
- Excellent computer skills.
- Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, Quality & Outcomes Framework.
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to primary care.
- Understanding of evidence based practice.
- Knowledge of national standards that inform practice (e.g. National Service Frameworks, NICE guidelines etc.)
- Understanding of their accountability arising from their Code of Professional Conduct and medico-legal aspects of the Advanced Clinical Practitioner role.
- Understanding of equal opportunity and diversity issues.
Desirable
- Ability to adapt to change within working situations.
- Innovative practice to deliver patient centred care.
Other requirements
Essential
- Current driving licence and access to own vehicle.
- Highly motivated and proactive.
- Flexibility of working hours/ability to work at desired times which includes working late on an evening to cover extended access, and to include working weekends and bank holidays to cover 7 day opening / operation of the practice.
Professional Interests
Essential
- Awareness of current professional nursing issues.
- Evidence of continued professional development.
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
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
