Advanced Clinical Practitioner - Central Lakes Medical Group

Cumbria Health

Information:

This job is now closed

Job summary

We have an exciting opportunity for an Advanced Clinical Practitioner to work flexibly across our sites at Ambleside and Hawkshead.

This position is 20 hours per week, working 2 long days. For the right applicant, we may be open to negotiation.

CLOSING DATE: 06 OCTOBER 2024

We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received

Main duties of the job

The post holder will work as a member of the Practice Team. The post holder will be responsible for recognising, negotiating and implementing processes to enhance the delivery of care.

Patient centred care will be delivered by assessing patients with undifferentiated and undiagnosed problems; initiating treatment, investigations, advice and management of problems using professional autonomous decision making processes, liaising when appropriate with other healthcare professionals and service providers to ensure safe and effective patient care.

The post holder will contribute to development and delivery of a high quality innovative service to the community through the implementation of evidence based clinical practice, supported by continual professional development and mentorship/supervision.

About us

Cumbria Health places the patient, their family and their community at the heart of everything we do. We are an award-winning organisation, the first out-of-hours organisation in the country to be rated as outstanding by the Care Quality Commission (CQC).

We provide primary health care services, both in and out of hours, across Cumbria. We are values-driven and place great emphasis on inclusivity and the wellbeing and development of our staff, while striving to provide a consistently high-quality service. Our service is designed to improve health and wellbeing.

Working for Cumbria Health can offer flexible opportunities in terms of location, hours and working patterns so you can enjoy a great work life balance. In order to provide the best patient care we understand the importance of ensuring staff satisfaction and are consistently trying to ensure we offer our staff a positive working environment whether that be though training or social events.

Listen to your heart. Have the work life balance you'd love.

Date posted

24 September 2024

Pay scheme

Other

Salary

£31.31 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

B0554-24-0140

Job locations

Ambleside Health Centre

Rydal Road

Ambleside

Cumbria

LA22 9BP


Hawkshead Medical Practice

Bragg Field

Hawkshead

LA22 0QW


Job description

Job responsibilities

This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here.

Communication

1) Communicates effectively as a member of a multi-disciplinary team.

a) Refers when necessary to general practitioners, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MTD, social workers, mental health team, and Social Care Teams including third sector organisations

2) With Primary care nurses giving support, advice and leadership.

3) With reception staff regarding patient information.

4) Communicates effectively and respectfully with patients and their family and carers assisting them to navigate the care pathway

5) Recognises and effectively manages situations where there are barriers to effective communication.

Clinical Skills

1) Works independently as an Advanced Clinical Practitioner within the scope of professional practice assessing both adults and children :-.

a) Functions at a high level to a carry out clinical decision making initiating investigation, treatment, advice and management of undetected and undiagnosed problems.

b) Practices as a non-medical prescriber.

2) Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a) Takes an accurate history, building rapport towards a therapeutic relationship.

b) Assess, plan and implements patient centred plan of care for patients, independently discharge patients from your care and refer when necessary to other healthcare professionals for further specialised care.

3) Demonstrates clinical competence in the assessment and management of patients of all ages from infants to the elderly and management of lifelong illness such as diabetes, asthma and chronic obstructive pulmonary disease during the time of acute illness and managing minor illness.

4) Adapts to change within working situation managing unscheduled emergency situations including Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.

5) Performs investigations to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.

b) Performs investigatory procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow.

6) Demonstrates competence in examination techniques including but not limited to

a) Examination of the Ear Nose and Throat system

b) Basic Neurological examination of Headaches and Head injury

c) Basic Muscular-skeletal examination in the assessment of injury

d) Basic eye examination in the assessment of injury, foreign body and infection.

e) Respiratory Examination

f) Abdominal Examination

g) Cardiovascular Examination

h) Vaginal Examination and sexual health screening

7) Performs safe manual handling techniques.

8) Recognises own limitations, seek assistance and refer appropriately.

9) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.

10) Deliver safe, effective evidence based care and advice to ease patient problems.

11) Promotes improving the health of the individual through health promotion, health education, screening and therapeutic communication.

12) Provides Contraceptive advice as required

Organisational Skills

1) Aware of and complies with CH policies and procedures.

2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.

3) Ensures faulty clinical equipment is reported and repaired and adequate for use.

4) Ensures store supplies are adequately ordered and maintained.

5) Ensures infection control regulations are complied with assisting the infection control lead where necessary

6) Participates and supports the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.

7) Supports the management team to ensure QUOF/PIP etc targets are met.

8) Promotes improving the health of the community through reporting and preventing occurrences of infectious disease, proving advice and education and promoting vaccination.

9) Has a flexible approach to geographical locations across county sites.

Professional

1) Ensures practice and implementation of care is evidence based by adhering to local and national guidance.

2) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice

3) Maintains confidentiality of information regarding patients.

4) Ensures accurate, concise documentation.

5) Reports any adverse incidents or near miss events through agreed CH system.

6) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.

7) Identifies and/ or participates in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

Risk management, Child and Adult safeguarding policies, Drug policies and Infection prevention policies.

Leadership

1) Is a support network for other colleagues.

2) Act as role model to inspire and motivate others maintaining good relationships across the staff team.

3) Actively encourages reflective practice and new ways of working for effective and efficient general practice

4) Supports practice development; Act as mentor, support and induct new staff.

5) Provides local point of reference to the practice nursing workforce..

6)

Training and Educational

1) Actively seeks to enhance own professional development and promotes and facilitates this for nursing/ ANP workforce.

2) Continually keeps up to date with current evidence based practice.

3) Is involved in lifelong learning.

4) Ensures mandatory training has been completed.

5) Participates in in-house training provided / clinical meetings / supervision

Job description

Job responsibilities

This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here.

Communication

1) Communicates effectively as a member of a multi-disciplinary team.

a) Refers when necessary to general practitioners, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MTD, social workers, mental health team, and Social Care Teams including third sector organisations

2) With Primary care nurses giving support, advice and leadership.

3) With reception staff regarding patient information.

4) Communicates effectively and respectfully with patients and their family and carers assisting them to navigate the care pathway

5) Recognises and effectively manages situations where there are barriers to effective communication.

Clinical Skills

1) Works independently as an Advanced Clinical Practitioner within the scope of professional practice assessing both adults and children :-.

a) Functions at a high level to a carry out clinical decision making initiating investigation, treatment, advice and management of undetected and undiagnosed problems.

b) Practices as a non-medical prescriber.

2) Functions at a high level in relation to communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a) Takes an accurate history, building rapport towards a therapeutic relationship.

b) Assess, plan and implements patient centred plan of care for patients, independently discharge patients from your care and refer when necessary to other healthcare professionals for further specialised care.

3) Demonstrates clinical competence in the assessment and management of patients of all ages from infants to the elderly and management of lifelong illness such as diabetes, asthma and chronic obstructive pulmonary disease during the time of acute illness and managing minor illness.

4) Adapts to change within working situation managing unscheduled emergency situations including Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.

5) Performs investigations to reach a differential diagnosis using core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing paediatric and adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.

b) Performs investigatory procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow.

6) Demonstrates competence in examination techniques including but not limited to

a) Examination of the Ear Nose and Throat system

b) Basic Neurological examination of Headaches and Head injury

c) Basic Muscular-skeletal examination in the assessment of injury

d) Basic eye examination in the assessment of injury, foreign body and infection.

e) Respiratory Examination

f) Abdominal Examination

g) Cardiovascular Examination

h) Vaginal Examination and sexual health screening

7) Performs safe manual handling techniques.

8) Recognises own limitations, seek assistance and refer appropriately.

9) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.

10) Deliver safe, effective evidence based care and advice to ease patient problems.

11) Promotes improving the health of the individual through health promotion, health education, screening and therapeutic communication.

12) Provides Contraceptive advice as required

Organisational Skills

1) Aware of and complies with CH policies and procedures.

2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.

3) Ensures faulty clinical equipment is reported and repaired and adequate for use.

4) Ensures store supplies are adequately ordered and maintained.

5) Ensures infection control regulations are complied with assisting the infection control lead where necessary

6) Participates and supports the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.

7) Supports the management team to ensure QUOF/PIP etc targets are met.

8) Promotes improving the health of the community through reporting and preventing occurrences of infectious disease, proving advice and education and promoting vaccination.

9) Has a flexible approach to geographical locations across county sites.

Professional

1) Ensures practice and implementation of care is evidence based by adhering to local and national guidance.

2) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice

3) Maintains confidentiality of information regarding patients.

4) Ensures accurate, concise documentation.

5) Reports any adverse incidents or near miss events through agreed CH system.

6) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.

7) Identifies and/ or participates in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

Risk management, Child and Adult safeguarding policies, Drug policies and Infection prevention policies.

Leadership

1) Is a support network for other colleagues.

2) Act as role model to inspire and motivate others maintaining good relationships across the staff team.

3) Actively encourages reflective practice and new ways of working for effective and efficient general practice

4) Supports practice development; Act as mentor, support and induct new staff.

5) Provides local point of reference to the practice nursing workforce..

6)

Training and Educational

1) Actively seeks to enhance own professional development and promotes and facilitates this for nursing/ ANP workforce.

2) Continually keeps up to date with current evidence based practice.

3) Is involved in lifelong learning.

4) Ensures mandatory training has been completed.

5) Participates in in-house training provided / clinical meetings / supervision

Person Specification

Experience

Essential

  • Significant post registration experience (minimum 3 years in relevant field acute or primary care setting)
  • Evidence of autonomous practice assessing & managing patients with undifferentiated presentations
  • Evidence of good practice
  • Leadership Skills

Desirable

  • Experience of working within primary or urgent care

Personal Circumstances

Essential

  • Positive
  • Confident
  • Well organised
  • Good team player
  • Ability to build rapport and effective relationships at all levels
  • Demonstrate initiative
  • Ability to maintain workload in a sometimes busy and demanding environment

Qualifications

Essential

  • Current NMC
  • 1st Level registration
  • Nurse Practitioner Degree
  • Independent Non Medical Prescriber V300
  • Evidence of recent Continual Professional Development
  • ILS Intermediate Life support

Desirable

  • MSc Advanced Practice
  • 998 or equivalent teaching certificate.
  • ILS Intermediate Life support

Other requirements

Essential

  • Willingness to undertake further training and to teach others
  • Current driving licence and access to own vehicle

Desirable

  • Research interest
  • Experience of innovative methods of delivering care

Skills and Aptitudes

Essential

  • 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
  • Basic computer skills.

Desirable

  • Ability to adapt to change within working situation
  • Innovative practice to deliver patient centred care
Person Specification

Experience

Essential

  • Significant post registration experience (minimum 3 years in relevant field acute or primary care setting)
  • Evidence of autonomous practice assessing & managing patients with undifferentiated presentations
  • Evidence of good practice
  • Leadership Skills

Desirable

  • Experience of working within primary or urgent care

Personal Circumstances

Essential

  • Positive
  • Confident
  • Well organised
  • Good team player
  • Ability to build rapport and effective relationships at all levels
  • Demonstrate initiative
  • Ability to maintain workload in a sometimes busy and demanding environment

Qualifications

Essential

  • Current NMC
  • 1st Level registration
  • Nurse Practitioner Degree
  • Independent Non Medical Prescriber V300
  • Evidence of recent Continual Professional Development
  • ILS Intermediate Life support

Desirable

  • MSc Advanced Practice
  • 998 or equivalent teaching certificate.
  • ILS Intermediate Life support

Other requirements

Essential

  • Willingness to undertake further training and to teach others
  • Current driving licence and access to own vehicle

Desirable

  • Research interest
  • Experience of innovative methods of delivering care

Skills and Aptitudes

Essential

  • 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
  • Basic computer skills.

Desirable

  • Ability to adapt to change within working situation
  • Innovative practice to deliver patient centred care

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

Cumbria Health

Address

Ambleside Health Centre

Rydal Road

Ambleside

Cumbria

LA22 9BP


Employer's website

https://www.chocltd.co.uk/ (Opens in a new tab)


Employer details

Employer name

Cumbria Health

Address

Ambleside Health Centre

Rydal Road

Ambleside

Cumbria

LA22 9BP


Employer's website

https://www.chocltd.co.uk/ (Opens in a new tab)


For questions about the job, contact:

Date posted

24 September 2024

Pay scheme

Other

Salary

£31.31 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

B0554-24-0140

Job locations

Ambleside Health Centre

Rydal Road

Ambleside

Cumbria

LA22 9BP


Hawkshead Medical Practice

Bragg Field

Hawkshead

LA22 0QW


Supporting documents

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