Job summary
A new opportunity has arisen for the Advanced Practitioner to join our dynamic team.The
post holder will be an experienced clinician who, acting within their
professional boundaries, will work flexibly to provide care for patients from
initial history taking, clinical assessment, diagnosis, treatment to evaluation
of care. The clinician in this role will be key to supporting clinical work in the
Integrated Urgent Care Service, whilst acting as a positive and enthusiastic
role model, supporting junior staff and developing our workforce.
Main duties of the job
Key Responsibilities
and Duties:
Clinical Practice Assess, diagnose, plan, implement and
evaluate treatment/interventions and care for patients presenting with
undiagnosed and undifferentiated illness Clinically examine and assess patient needs
from a physiological and psychological perspective, and plan clinical care
accordingly Telephone triage, calls from external
clinicians, patients and others into a range of services appropriately as
required Assess, diagnosis, plan, implement and
evaluate interventions/treatments for patients with complex needs Proactively identify, diagnosis and manage
treatment plans for patients at risk of developing a long-term condition or
deteriorating outside of the hospital setting (as appropriate) Diagnose and manage both acute and chronic
conditions, integrating both drug- and non-drug-based treatment methods into a
management plan according to competency, whilst seeking opportunities to
develop knowledge around medication prescribing and administration where
appropriate.
About us
LCW is a clinically-led, social
enterprise provider of integrated urgent and primary care services to the NHS.
We provide services across north west, north central and north
eastLondon. We are committed to constantly improving our services to meet
the needs of our patients and do this by working collaboratively with system
partners to innovate and develop robust and effective clinical pathways.
We put patients and commissioners first, not profits. For over 25 years,
LCW has been supporting Londons health system -working in partnership
with other care providers to deliver value for money, responsive urgent and
unscheduled care,ensuring patients get the best possible care in the
right place, at the right time.
Job description
Job responsibilities
Clinical Practice
- Assess, diagnose, plan, implement and
evaluate treatment/interventions and care for patients presenting with
undiagnosed and undifferentiated illness
- Assess, identify and refer patients
presenting with mental health needs in accordance with the NSF for Mental
Health if competent to do so, otherwise act as a signpost to appropriate
assessments such as rapid access mental health teams
- Participate in the administration of vaccines
where competent to do so such as seasonal influenza
- Promote and deliver evidence-based care for
patients presenting with a range of both minor and more significant illnesses
such as acute infections according to own expertise
- Meet the needs of patients presenting for
opportunistic wound care
- Maintain competence in clinical practice in
line with NMC / HCPC regulations and revalidation requirements
- You must maintain your knowledge and skills
with regards to prescribing and administration of drugs, keeping up to date
with any changes, alerts, recalls and other reasonable professional knowledge
Delivering a quality service
- Recognise and work within own competence and
professional code of conduct as regulated by the NMC / HCPC
- Produce accurate, contemporaneous and
complete records of patient consultation, consistent with legislation, policies
and procedures
- Prioritise, organise and manage own workload
in a manner that maintains and promotes quality
- Deliver evidence based care according to
recognised evidence such as NICE and other national guidelines
- Assess effectiveness of care delivery through
self and peer review, benchmarking and formal evaluation
- Initiate and participate in the maintenance
of quality governance systems and processes across the organisation and its
activities such as clinical audit, peer review and quality assessment tools
including risk management and incident reporting
- Utilise the clinical audit cycle as a means
of evaluating the quality of the work of self and the team, implementing
improvements where required
- In partnership with other clinical teams,
collaborate on improving the quality of health care responding to local and
national policies and initiatives as appropriate
- Evaluate patients response to health care
provision and the effectiveness of care
- Support and participate in shared learning
across the practice and wider organisation
- Use a structured framework (e.g. root-cause
analysis) to manage, review and identify learning from patient complaints,
clinical incidents and near-miss events
- Assess the impact of policy implementation on
care delivery
- Monitor and develop the performance of the
GPN team in accordance with local policies
- Understand and apply legal issues that
support the identification of vulnerable and abused children and adults, and be
aware of statutory child/vulnerable patients health procedures and local
guidance
- Have comprehensive knowledge regarding
domestic violence, vulnerable adults, substance abuse and addictive behaviour.
Provide guidance and support to ensure appropriate referral if required
- Leadership personal and people development
- Be a professional advocate for the clinical
team and the organisation in order to build and motivate clinical teams
- Take responsibility for own learning and
performance including participating in clinical supervision and acting as a
positive role mode
- Support staff development in order to
maximise potential
- Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice
- Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services
- Critically evaluate and review innovations
and developments that are relevant to the area of work
- Enlist support and influence stakeholders and
decision-makers in order to bring about new developments in the provision of
services
- Lead clinical teams and ensure support
structures are in place for the smooth running of relevant services
- Take a lead role in planning and implementing
changes within the area of care and responsibility
- Work with the management team to ensure
sufficient staff of appropriate ability, quality and skill-mix are available to
meet current and future service delivery, that selection and recruitment
processes are effective and that equality of treatment of the team incorporates
quality HR principles and processes
- Contribute to the development of local
guidelines, protocols and standards
- Maintain effective communication with those
responsible for the overall commissioning and procurement process
- Maintain active involvement in the planning
and processes of practice-based commissioning or similar initiatives
Team Working
- Lead by example and instil leadership
qualities within clinical teams
- Recognise the need to work in varying
locations to support team members such as backfilling sickness/absence,
supporting alternative services in periods of higher demand and reduced
capacity
- Proactively aware of teams and service
streams who may need additional support depending on work
- Understand own role and scope and identify
how this may develop over time
- Work as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways of
working
- Delegate clearly and appropriately, adopting
the principles of safe practice and assessment of competence
- Create clear referral mechanisms to meet
patient need
- Prioritizeown workload and ensure effective
time-management strategies are embedded within the culture of the team
- Work effectively with others to clearly
define values, direction and policies impacting upon care delivery
- Discuss, highlight and work with the team to
create opportunities to improve patient care
- Manage and lead on the delivery of
specifically identified services or projects as agreed with the organisational
management team
- Agree plans and outcomes by which to measure
success
Confidentiality
- Maintain confidentiality in relation to
personal data held for colleagues and patients, ensuring it is processed
lawfully; for no purpose other than for which is was obtained; is relevant to
that purpose; is retained for no longer than is necessary; is processed in
accordance with the rights of the subject to access and accuracy; and is
protected from accidental loss or damage in accordance with the requirements of
the Data Protection Act 1998, and records management guidance.
- Maintain confidentiality of
patient-identifiable personal data using a non-identifiable alternative, where
practicable and limiting access on a strictly need to know basis.
Health & Safety
- Act upon any significant hazards and risks
identified during the normal course of duty and report any risks that he/she
cannot adequately control.
- The post holder will be required to work with
minimum supervision and may be expected to deal with other duties appropriate
to the level and grade of the post.
- Appointments are subject to verification of
appropriate qualifications.
Management of risk
- Monitor work areas and practices to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines
- Ensure appropriate supervision of safe
storage, rotation and disposal of vaccines and drugs. Oversee the monitoring,
stock control and documentation of controlled drug usage according to legal
requirements where appropriate
- Apply infection-control measures within the
practice according to local and national guidelines
- Advocate for policies that reduce
environmental health risks, are culturally sensitive and increase access to
health care for all
- Interpret national strategies and policies
into local implementation strategies that are aligned to the values and culture
of general practice.
Managing information
- Use technology and appropriate software as an
aid to management in planning, implementation and monitoring of care,
presenting and communicating information
- Review and process data using accurate Read
codes in order to ensure easy and accurate information retrieval for monitoring
and audit processes
- Manage information searches using online
databases and other up to date sources of information and evidence relevant to
the role
- Understand responsibility of self and others
in relation to the Freedom of Information Act
- Monitor and confirm that the clinical team
are receiving and processing data and information in an agreed format Collate,
analyse and present clinical data and information to the team
- Communicate essential financial restraints
with the team and discuss with them ideas for effective and efficient working
within these constraints
Job description
Job responsibilities
Clinical Practice
- Assess, diagnose, plan, implement and
evaluate treatment/interventions and care for patients presenting with
undiagnosed and undifferentiated illness
- Assess, identify and refer patients
presenting with mental health needs in accordance with the NSF for Mental
Health if competent to do so, otherwise act as a signpost to appropriate
assessments such as rapid access mental health teams
- Participate in the administration of vaccines
where competent to do so such as seasonal influenza
- Promote and deliver evidence-based care for
patients presenting with a range of both minor and more significant illnesses
such as acute infections according to own expertise
- Meet the needs of patients presenting for
opportunistic wound care
- Maintain competence in clinical practice in
line with NMC / HCPC regulations and revalidation requirements
- You must maintain your knowledge and skills
with regards to prescribing and administration of drugs, keeping up to date
with any changes, alerts, recalls and other reasonable professional knowledge
Delivering a quality service
- Recognise and work within own competence and
professional code of conduct as regulated by the NMC / HCPC
- Produce accurate, contemporaneous and
complete records of patient consultation, consistent with legislation, policies
and procedures
- Prioritise, organise and manage own workload
in a manner that maintains and promotes quality
- Deliver evidence based care according to
recognised evidence such as NICE and other national guidelines
- Assess effectiveness of care delivery through
self and peer review, benchmarking and formal evaluation
- Initiate and participate in the maintenance
of quality governance systems and processes across the organisation and its
activities such as clinical audit, peer review and quality assessment tools
including risk management and incident reporting
- Utilise the clinical audit cycle as a means
of evaluating the quality of the work of self and the team, implementing
improvements where required
- In partnership with other clinical teams,
collaborate on improving the quality of health care responding to local and
national policies and initiatives as appropriate
- Evaluate patients response to health care
provision and the effectiveness of care
- Support and participate in shared learning
across the practice and wider organisation
- Use a structured framework (e.g. root-cause
analysis) to manage, review and identify learning from patient complaints,
clinical incidents and near-miss events
- Assess the impact of policy implementation on
care delivery
- Monitor and develop the performance of the
GPN team in accordance with local policies
- Understand and apply legal issues that
support the identification of vulnerable and abused children and adults, and be
aware of statutory child/vulnerable patients health procedures and local
guidance
- Have comprehensive knowledge regarding
domestic violence, vulnerable adults, substance abuse and addictive behaviour.
Provide guidance and support to ensure appropriate referral if required
- Leadership personal and people development
- Be a professional advocate for the clinical
team and the organisation in order to build and motivate clinical teams
- Take responsibility for own learning and
performance including participating in clinical supervision and acting as a
positive role mode
- Support staff development in order to
maximise potential
- Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice
- Encourage others to make realistic
self-assessment of their application of knowledge and skills, challenging any
complacency or actions that are not in the interest of the public and/or users
of services
- Critically evaluate and review innovations
and developments that are relevant to the area of work
- Enlist support and influence stakeholders and
decision-makers in order to bring about new developments in the provision of
services
- Lead clinical teams and ensure support
structures are in place for the smooth running of relevant services
- Take a lead role in planning and implementing
changes within the area of care and responsibility
- Work with the management team to ensure
sufficient staff of appropriate ability, quality and skill-mix are available to
meet current and future service delivery, that selection and recruitment
processes are effective and that equality of treatment of the team incorporates
quality HR principles and processes
- Contribute to the development of local
guidelines, protocols and standards
- Maintain effective communication with those
responsible for the overall commissioning and procurement process
- Maintain active involvement in the planning
and processes of practice-based commissioning or similar initiatives
Team Working
- Lead by example and instil leadership
qualities within clinical teams
- Recognise the need to work in varying
locations to support team members such as backfilling sickness/absence,
supporting alternative services in periods of higher demand and reduced
capacity
- Proactively aware of teams and service
streams who may need additional support depending on work
- Understand own role and scope and identify
how this may develop over time
- Work as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways of
working
- Delegate clearly and appropriately, adopting
the principles of safe practice and assessment of competence
- Create clear referral mechanisms to meet
patient need
- Prioritizeown workload and ensure effective
time-management strategies are embedded within the culture of the team
- Work effectively with others to clearly
define values, direction and policies impacting upon care delivery
- Discuss, highlight and work with the team to
create opportunities to improve patient care
- Manage and lead on the delivery of
specifically identified services or projects as agreed with the organisational
management team
- Agree plans and outcomes by which to measure
success
Confidentiality
- Maintain confidentiality in relation to
personal data held for colleagues and patients, ensuring it is processed
lawfully; for no purpose other than for which is was obtained; is relevant to
that purpose; is retained for no longer than is necessary; is processed in
accordance with the rights of the subject to access and accuracy; and is
protected from accidental loss or damage in accordance with the requirements of
the Data Protection Act 1998, and records management guidance.
- Maintain confidentiality of
patient-identifiable personal data using a non-identifiable alternative, where
practicable and limiting access on a strictly need to know basis.
Health & Safety
- Act upon any significant hazards and risks
identified during the normal course of duty and report any risks that he/she
cannot adequately control.
- The post holder will be required to work with
minimum supervision and may be expected to deal with other duties appropriate
to the level and grade of the post.
- Appointments are subject to verification of
appropriate qualifications.
Management of risk
- Monitor work areas and practices to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines
- Ensure appropriate supervision of safe
storage, rotation and disposal of vaccines and drugs. Oversee the monitoring,
stock control and documentation of controlled drug usage according to legal
requirements where appropriate
- Apply infection-control measures within the
practice according to local and national guidelines
- Advocate for policies that reduce
environmental health risks, are culturally sensitive and increase access to
health care for all
- Interpret national strategies and policies
into local implementation strategies that are aligned to the values and culture
of general practice.
Managing information
- Use technology and appropriate software as an
aid to management in planning, implementation and monitoring of care,
presenting and communicating information
- Review and process data using accurate Read
codes in order to ensure easy and accurate information retrieval for monitoring
and audit processes
- Manage information searches using online
databases and other up to date sources of information and evidence relevant to
the role
- Understand responsibility of self and others
in relation to the Freedom of Information Act
- Monitor and confirm that the clinical team
are receiving and processing data and information in an agreed format Collate,
analyse and present clinical data and information to the team
- Communicate essential financial restraints
with the team and discuss with them ideas for effective and efficient working
within these constraints
Person Specification
Qualifications
Essential
- Masters in Advanced Practice (or equivalent)
- or
- Masters level qualifications in subjects related to primary care
Experience
Essential
- Experience of working independently within Practitioner/Specialist role. Experience of patient contact services and/or primary care. Recent experience of face-to-face patient care. Understanding of patient management in PCC setting. Sound understanding of legal/professional implications of independent practice. Sound knowledge of local primary care services including key players.
Person Specification
Qualifications
Essential
- Masters in Advanced Practice (or equivalent)
- or
- Masters level qualifications in subjects related to primary care
Experience
Essential
- Experience of working independently within Practitioner/Specialist role. Experience of patient contact services and/or primary care. Recent experience of face-to-face patient care. Understanding of patient management in PCC setting. Sound understanding of legal/professional implications of independent practice. Sound knowledge of local primary care services including key players.
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
