Primary Care Acute Hub Clinician

Job responsibilities

Primary duties and areas of responsibility Clinical responsibilities

1. To independently undertake highly specialised clinical assessments, diagnose, treat, and discharge patients with a wide range of minor illnesses and injuries, including management of complex cases.

2. To ensure patients are fully involved in the design and implementation of their treatment plans.

3. To ensure effective coordination and liaison with multidisciplinary teams across Primary and Secondary Care Services, statutory and voluntary disciplines/groups to provide a seamless service to the patients and their carers and prevent hospital admission where urgent care is required.

4. To refer appropriately to clinical leads where a second opinion is required.

5. To adapt styles of communication appropriately to promote empowerment, self-management, and health education for patients.

6. To attend clinical case conferences, review, and clinical meetings as required.

7. To be a source of clinical expertise to less experienced staff within the team.

8. To delegate duties/tasks to other members of staff where appropriate.

9. Provide specialist advice relating to minor illness and/or injury to local healthcare teams, patients, relatives, and carers.

10. To identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure.

Service Delivery Responsibilities

1. To ensure that patient records and documentation are maintained in line with regulatory standards, ABC policies and use of the electronic patient records system. This includes:

Documenting full and accurate records of assessments, investigations, procedures, treatments, and aftercare.

Encouraging colleagues to maintain good and complete records.

Working closely with the reception team and the administrator, ensuring all records pertinent to patients are scanned and filed as appropriate.

Contributing to the development of computer-based patient records

Contributing to the read-coding of patient data.

2. Work within local protocols, guidelines and PGDs (Patient Group Directives).

3. To participate in audits and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practise, and to share knowledge with other healthcare professionals.

4. To contribute to the maintenance and improvement of communication networks with all disciplines including community healthcare teams, patients, acute hospitals, and relatives/carers to ensure continuity of care.

5. To collect data and provide service information to the Service Manager as required.

6. To contribute to the development and establishment of systems to gather feedback from patients.

7. To ensure that service specific Managers and Clinical Leads are kept informed on service issues and potential risks.

8. To work with the team in delivering and promoting the needs of the service.

9. To work with the Service Managers and Clinical Leads to meet the Clinical Governance needs of the service; including investigation of incidents (including serious incidents) and complaints, where required, sharing learning that arises from investigations.

10. To provide clinical supervision / mentorship (where appropriately trained) to junior practitioners.

11. To remain updated in the use all equipment used in all services and to report any technical problems or issues with that equipment.

12. To participate in clinical team meetings to discuss day-to-day operational issues.

Personal & Professional Development

1. To be a skilled practitioner in routine and specialist skills

Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC) / Health & Care Professions Council (HCPC) / General Pharmaceutical Council (GPhC) / applicable regulatory body.

To keep abreast of developments in nursing practice and topical issues ensuring that skills are maintained and enhanced through continued professional development.

To collaborate in the continuing development of the ENP/ANP/ECP role to include:

Level of autonomy in practice.

Progression from a role focusing on minor injuries to include minor illness where not previously trained.

Appropriate education and preparation for the role to develop.

Show self-motivation toward expanding practice and developing advanced skills and knowledge.

2. Development of others

Be an effective role model and expert resource to other members of the multi- disciplinary team.

To maintain clinical excellence within the department and provide education and training both formerly and informally for colleagues.

Please see attached job description for more information.

Research and Evaluation

Essential

• Ability to critically evaluate and review literature
• Ability to identify where there is a gap in the evidence base to support practice
• Ability to generate evidence suitable for presentation at local level

Qualifications

Essential

• Registered first level nurse MSc or equivalent
• Relevant health degree
• Independent prescriber

Desirable

• Mentor/teaching qualification

Knowledge and Skills

Essential

• Ability to solve problems effectively and in a timely fashion and when to refer to seniors or GPs when appropriate
• Clinical leadership skills
• Excellent communication skills, both written and verbal
• Excellent understanding and implementation of legal, ethical, professional and organisational policies/procedures and codes of conduct
• Good understanding of patient centred care and impact on care quality and outcomes.
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g., patients)
• Good IT skills
• Able to obtain and analyse complex technical information
• Self-Motivated
• Adaptable
• Flexible

Desirable

• Negotiation and conflict management skills
• Resource management
• Able to work under pressure and in challenging situations to meet deadlines

Experience

Essential

• Working autonomously in an ANP role
• Nurse Prescribing

Desirable

• Online consultations
• Remote triage
• Experience of working within general practice
• Experience of multi-disciplinary team working
• Experience of committees/ working groups
• Experience in supervising staff

Leadership and Management

Essential

• Can demonstrate understanding of the ANP role in governance and ability to implement this appropriately within the workplace
• Understanding of, and contributes to organisational vision
• Ability to improve quality within limitations of service
• Reviews progress and develops clear plans to achieve results within priorities set by others
• Demonstrates ability to motivate self to achieve goals
• Demonstrates understanding of the implications of national priorities for the team and/or service
• Demonstrates understanding of the process for effective resource utilisation
• Demonstrates understanding of, and conforms to, relevant standards of practice

Desirable

• Demonstrates ability to identify and resolve risk management issues according to policy/protocol

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).