Advanced Clinical Practitioner
Ammonite Health Partnership
This job is now closed
Job summary
Do you want to work for a progressive and forward thinking GP practice?
An exciting opportunity has arisen for an enthusiastic and dynamic Advanced Clinical Practitioner to join our team of 7 ACPs working across three surgery sites in Beaminster, Maiden Newton and Bridport.
We have a structured tiered approach for our ACP team with a starting rate of £26.53 per hour for Tier 1.
We would welcome newly qualified or more experienced ACPs.
Main duties of the job
Acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will demonstrate critical thinking in the clinical decision-making process. The post holder will demonstrate critical thinking skills in the decision-making process. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership as required. In order to work at this level; requirements for advanced practice must be met.
About us
Current team includes: 7 GP partners, 3 Salaried GP, 6 Advanced Clinical Practitioners, 1 Visiting Paramedic, PCN pharmacy team, PCN social prescribing team, with comprehensive PCN based frailty and community care cover.
A GP led triage hub contributes to workload management, to reduce workload and maximise clinically relevant face to face consultations. An experienced workflow team minimises document processing with pharmacist input for discharge and other medication management.
Ammonite Health Partnership is a member of Jurassic PCN, covering approximately 60% of the PCN patient population.
Date posted
15 January 2024
Pay scheme
Other
Salary
Depending on experience Starting salary of £51,875.76 for a full time position (Tier 1)
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
A2682-24-0000
Job locations
Bridport Medical Centre
West Allington
Bridport
Dorset
DT6 5BN
Pound Piece Surgery
Maiden Newton
Dorset
DT2 0DB
Tunnel Road Surgery
24 Tunnel Road
Beaminster
DT8 3AB
Job description
Job responsibilities
Role responsibilities
Clinical practice
Assess, diagnose, plan, implement and evaluate treatment/ interventions and care for patients presenting with an undifferentiated diagnosis from within your sphere of competence.
Deliver high-quality care according to evidence based practice, following agreed protocols, local and national guidelines.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan care accordingly utilising critical thinking and a sound evidence base.
Assess, diagnose, plan, implement and evaluate interventions/ treatments for patients with complex needs.
Utilise your clinical supervisor/ mentor and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations.
Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review.
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out.
Refer patients directly to other services/ agencies as appropriate, utilising Practice and local guidelines and in a timely manner.
Proactively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition, as appropriate.
Diagnose and manage acute conditions, integrating both drug and non-drug based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and Practice protocols, and within own scope of practice. Utilise Patient Group Directions for the administration of medication as appropriate.
Work with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
Support patients and their families to adopt health promotion strategies that promote healthy living, to apply principles of self-care and to encourage uptake of services. This may include visits to local schools, community centres and other groups as necessary.
Recognise, assess and refer patients with mental health needs, as appropriate.
Support the delivery of anticipatory care plans and lead certain community services
Provide an alternative model of urgent and same day home visits for the PCN
Act sensitively, confidentially and with empathy in demonstrating understanding of wide-ranging physical and emotional needs. Take the lead in managing contentious, sensitive and delicate issues with patients, their relatives and staff, including end of life care.
Leadership
Demonstrate high levels of communication will all members of the multidisciplinary team and demonstrate leadership at all times, acting as a positive role-model for junior staff and promoting high standards of care.
Act as an agent for change and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.
Contribute to the effectiveness of the team by reflecting on own and team activities, taking the lead on suggesting ways to improve and enhance the teams performance.
Contribute and participate in the development of local guidelines, protocols and standards.
Ensure that the principles of infection control and local/ national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
Facilitating Learning
Participate in teaching programmes for all members of the multidisciplinary team and help to develop and maintain a culture of career-long learning at the Practice.
Act as a coach and mentor to the inter-professional team, supporting others to develop their knowledge, skills and competences in order to maximise potential.
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.
Evidence principles of teaching and learning and promote critical reflection, feeding back relevant information to other team members in order to share good practice and inform others about current and future developments.
Participate in individual performance reviews, including maintaining a record of own personal and/or professional development through a Personal Development Plan.
Work in conjunction with senior clinicians, assessing own learning needs and undertaking clinical training and development, as appropriate.
Assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice.
Evidence, Research and Development
Contribute and at times lead the development of multidisciplinary research and clinical audit at the Practice, implementing effective and evidence-based practice.
Exhibit advanced research skills and provide support and appropriate implementation strategies for changes in clinical practice.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Contribute and participate in the development of local guidelines, protocols and standards.
Clinical Governance
Identify risk issues that impact on peoples health or social care needs.
Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
Demonstrate effective team working inclusive of all relevant professionals.
Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
Contribute towards audit and data collection as required.
Once assessed as competent will be accountable for their own practice within their area of responsibility when identified and agreed with the line manager.
Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
Work with the Clinical Lead to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carer(s), practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety:
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.
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Job description
Job responsibilities
Role responsibilities
Clinical practice
Assess, diagnose, plan, implement and evaluate treatment/ interventions and care for patients presenting with an undifferentiated diagnosis from within your sphere of competence.
Deliver high-quality care according to evidence based practice, following agreed protocols, local and national guidelines.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan care accordingly utilising critical thinking and a sound evidence base.
Assess, diagnose, plan, implement and evaluate interventions/ treatments for patients with complex needs.
Utilise your clinical supervisor/ mentor and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations.
Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review.
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out.
Refer patients directly to other services/ agencies as appropriate, utilising Practice and local guidelines and in a timely manner.
Proactively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition, as appropriate.
Diagnose and manage acute conditions, integrating both drug and non-drug based treatment methods into a management plan.
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and Practice protocols, and within own scope of practice. Utilise Patient Group Directions for the administration of medication as appropriate.
Work with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
Support patients and their families to adopt health promotion strategies that promote healthy living, to apply principles of self-care and to encourage uptake of services. This may include visits to local schools, community centres and other groups as necessary.
Recognise, assess and refer patients with mental health needs, as appropriate.
Support the delivery of anticipatory care plans and lead certain community services
Provide an alternative model of urgent and same day home visits for the PCN
Act sensitively, confidentially and with empathy in demonstrating understanding of wide-ranging physical and emotional needs. Take the lead in managing contentious, sensitive and delicate issues with patients, their relatives and staff, including end of life care.
Leadership
Demonstrate high levels of communication will all members of the multidisciplinary team and demonstrate leadership at all times, acting as a positive role-model for junior staff and promoting high standards of care.
Act as an agent for change and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.
Contribute to the effectiveness of the team by reflecting on own and team activities, taking the lead on suggesting ways to improve and enhance the teams performance.
Contribute and participate in the development of local guidelines, protocols and standards.
Ensure that the principles of infection control and local/ national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required.
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
Work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
Facilitating Learning
Participate in teaching programmes for all members of the multidisciplinary team and help to develop and maintain a culture of career-long learning at the Practice.
Act as a coach and mentor to the inter-professional team, supporting others to develop their knowledge, skills and competences in order to maximise potential.
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.
Evidence principles of teaching and learning and promote critical reflection, feeding back relevant information to other team members in order to share good practice and inform others about current and future developments.
Participate in individual performance reviews, including maintaining a record of own personal and/or professional development through a Personal Development Plan.
Work in conjunction with senior clinicians, assessing own learning needs and undertaking clinical training and development, as appropriate.
Assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice.
Evidence, Research and Development
Contribute and at times lead the development of multidisciplinary research and clinical audit at the Practice, implementing effective and evidence-based practice.
Exhibit advanced research skills and provide support and appropriate implementation strategies for changes in clinical practice.
Critically evaluate and review innovations and developments that are relevant to the area of work.
Contribute and participate in the development of local guidelines, protocols and standards.
Clinical Governance
Identify risk issues that impact on peoples health or social care needs.
Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
Demonstrate effective team working inclusive of all relevant professionals.
Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
Contribute towards audit and data collection as required.
Once assessed as competent will be accountable for their own practice within their area of responsibility when identified and agreed with the line manager.
Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
Work with the Clinical Lead to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carer(s), practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety:
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.
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Person Specification
Experience
Essential
- Demonstrable understanding of systems in health and social care that are wider than immediate role.
- Knowledge and experience of long term conditions management.
- Experience of mentoring/teaching.
- Able to plan proactively, manage and evaluate own learning, negotiate learning opportunities and establish learning contracts.
- A good understanding of the changing NHS environment.
- Able to work flexibly and using own initiative.
- Evidence of working collaboratively with other disciplines and agencies.
Desirable
- Experience of working in a GP practice or healthcare environment.
- Knowledge of current QoF and enhanced services.
Personal Qualities and Attributes
Essential
- Strong and inspirational leadership.
- Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
- Team player.
- High degree of personal credibility, emotional intelligence, patience, and flexibility.
- Ability to cope with unpredictable situations.
- Confident in facilitating and challenging others.
- Demonstrates a flexible approach in order to ensure patient care is delivered.
- Full UK driving licence.
Qualifications
Essential
- MSc Advanced Practice / Advanced Clinical Practice Professional Registration
- Independent Prescriber Able to operate through all four pillars of advanced practice
Knowledge and Skills
Essential
- Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans. Mentorship or supervisory skills training.
- Good knowledge of Microsoft and GP practice and prescribing data monitoring working systems.
- Ability to write comprehensive clinical notes, implement and evaluate care plans.
- Management of patients with complex needs.
- Ability to evidence a sound understanding of the NHS principles and values.
- Independent thinker with good judgement, problem-solving and analytical skills.
- Evidence of working across organisational boundaries within health and social care.
- Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues.
Person Specification
Experience
Essential
- Demonstrable understanding of systems in health and social care that are wider than immediate role.
- Knowledge and experience of long term conditions management.
- Experience of mentoring/teaching.
- Able to plan proactively, manage and evaluate own learning, negotiate learning opportunities and establish learning contracts.
- A good understanding of the changing NHS environment.
- Able to work flexibly and using own initiative.
- Evidence of working collaboratively with other disciplines and agencies.
Desirable
- Experience of working in a GP practice or healthcare environment.
- Knowledge of current QoF and enhanced services.
Personal Qualities and Attributes
Essential
- Strong and inspirational leadership.
- Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated.
- Team player.
- High degree of personal credibility, emotional intelligence, patience, and flexibility.
- Ability to cope with unpredictable situations.
- Confident in facilitating and challenging others.
- Demonstrates a flexible approach in order to ensure patient care is delivered.
- Full UK driving licence.
Qualifications
Essential
- MSc Advanced Practice / Advanced Clinical Practice Professional Registration
- Independent Prescriber Able to operate through all four pillars of advanced practice
Knowledge and Skills
Essential
- Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans. Mentorship or supervisory skills training.
- Good knowledge of Microsoft and GP practice and prescribing data monitoring working systems.
- Ability to write comprehensive clinical notes, implement and evaluate care plans.
- Management of patients with complex needs.
- Ability to evidence a sound understanding of the NHS principles and values.
- Independent thinker with good judgement, problem-solving and analytical skills.
- Evidence of working across organisational boundaries within health and social care.
- Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues.
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
Ammonite Health Partnership
Address
Bridport Medical Centre
West Allington
Bridport
Dorset
DT6 5BN
Employer's website
https://www.bridportmedicalcentre.co.uk/ (Opens in a new tab)
Employer details
Employer name
Ammonite Health Partnership
Address
Bridport Medical Centre
West Allington
Bridport
Dorset
DT6 5BN
Employer's website
https://www.bridportmedicalcentre.co.uk/ (Opens in a new tab)
For questions about the job, contact:
Carly Reed
Date posted
15 January 2024
Pay scheme
Other
Salary
Depending on experience Starting salary of £51,875.76 for a full time position (Tier 1)
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
A2682-24-0000
Job locations
Bridport Medical Centre
West Allington
Bridport
Dorset
DT6 5BN
Pound Piece Surgery
Maiden Newton
Dorset
DT2 0DB
Tunnel Road Surgery
24 Tunnel Road
Beaminster
DT8 3AB
Supporting documents
Privacy notice
Ammonite Health Partnership's privacy notice (opens in a new tab)