PCN - Advanced Clinical Practitioner

Job description

Job responsibilities

Patient Care

· Provides expert care and advice to a complex and dynamic caseload of patients presenting with a diverse range of medical conditions.

· Undertakes first line comprehensive clinical assessment of patients, including those with complex presentations, employing an extended scope of practice including advanced consultation and physical assessment skills.

· Requests, reviews and interprets diagnostic investigations within the context of other available information utilising a systematic process of clinical reasoning to formulate a differential diagnosis.

· Develops and records a treatment plan consistent with the outcome of assessment and the most likely diagnosis.

· Reviews and initiates medicines through independent prescribing or Patient Group Directions

· Involves patients, families and carers in the identification of patient-centred concerns and priorities about health and well-being and negotiates approaches available to prevent deterioration or promote comfort and well-being.

· Demonstrates empathy and compassion when communicating sensitive information and advice to patients, carers and relatives.

· Refers to other practitioners and agencies when necessary.

· Evaluates the effectiveness of therapeutic interventions and modifies the management plan accordingly.

· Maintains a visible clinical profile, having both advisory and clinical input into the medical management of patients presenting to the service.

· Advises health and social care teams with regard to medical management plans taking into account all aspects of clinical governance to improve the outcomes of patient care.

· Adopts an integrated care approach to meeting an individual patient’s needs across services through collaboration with care teams who refer patients to the service and those who provide on-going care.

· Assumes a lead role in the safe and effective transfer of care for more complex cases.

· Demonstrates a high degree of autonomy, analytical skills, competency and multidisciplinary knowledge in caring for the older person.

· Assesses capacity, gains valid informed consent and works within a legal framework with patients who lack capacity to consent to treatment.

· Provides guidance to the clinical team with regard to therapeutic interventions, advance care planning and best interest decision-making for patients who lack mental capacity to make informed choices about their care.

· Recognises deteriorating patients, implements early interventions and escalates care where appropriate.

· Empowers patients to manage their long-term conditions as independently as possible.

· Provides verbal and written advice, teaching and instruction to relatives, carers and other professionals, to promote understanding and to ensure a consistent approach to patient care.

· Applies expert knowledge in palliative care to symptom control, recognition of dying and advance care planning.

· Demonstrates analytical thinking, decision making, professionalism and leadership to ensure a high quality patient experience within a multi-professional arena.

· Facilitates the integration of contemporary research and best practice through advanced clinical reasoning and decision making and the implementation of evidence-based protocols of care and clinical pathways.

· Maintains accurate and legible patient notes in accordance with local policy and professional guidance.

Strategy and Service Development

Professional Clinical Leadership and Consultancy

· Shares and contributes expertise locally and nationally.

· Facilitates and promotes a learning culture that encourages others to develop their full potential.

· Communicates, motivates and inspires others to deliver excellent standards of care.

· Acts as an acknowledged source of expertise to assist with the development of service delivery models and clinical guidelines and to promote their application throughout the organisation.

· Challenges restrictive cultures and champions new ways of working to deliver enhanced patient focused care and improved productivity amongst the workforce.

· Works closely with medical, social care and other health colleagues to deliver fully integrated team led care.

· Contributes to the development of Advanced Clinical Practice across organisations.

· Encourages other healthcare professionals to disseminate good practice.

Person Specification

Qualifications

Essential

• Professional registration with NMC or HCPC
• Evidence of post-registration study at undergraduate level (Level 6)
• Experience of mentoring and coaching
• MSc in Advanced Clinical Practice (or equivalent)
• Independent Prescribing or study of pharmacology & therapeutics at post-graduate level (Level 7

Desirable

• Teaching qualification

Experience

Essential

• Experience of a Clinical leadership role
• Contemporary clinical experience of older people with complex needs
• Participating in a multi-professional team
• Clinical expertise in end of life care
• Practical understanding of primary care and community services
• Implementation of best practice

Desirable

• Involvement in service improvement

Skills and Abilities

Essential

• Ability to manage a caseload
• Proficient in Microsoft Office and clinical data systems
• Excellent communication and interpersonal skills
• Autonomous practitioner

Desirable

• Manages change effectively

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

Arc Primary Care

Address

Dunston Innovation Centre

Dunston Road

Chesterfield

S41 8NG

Employer's website

http://www.arcprimarycare.co.uk/ (Opens in a new tab)