Senior Urgent Care Community Clinician

Job responsibilities

To act as a nurse practitioner/ shift lead to manage and promote the development and clinical effectiveness of a high quality service in the unpredictable environment of the Walk in Centre's using a multi-skilled team approach.

To maintain effective multidisciplinary team working and communication, utilising effective referral pathways.

To co-ordinate the day to day running of the clinical area including shift leader responsibilities.

To provide leadership and exercise a professional advisory role in relation to clinical practice.

To continue to extend the scope of own professional practice by improving and enhancing knowledge and competencies.

To report sickness and absence to the Clinical Nurse Manager and take immediate action to manage the safe running of the shift in the absence of the Clinical Nurse Manager.

To report accidents, incidents and complaints to the Clinical Nurse Manager in accordance with Trust policies and procedures and to take immediate action to implement measures to reduce risk and resolve complaints in the absence of the Clinical Nurse Manager.

To provide high quality, evidence based care and advice to all patients attending the Walk-in Centre.

To work autonomously and provide holistic assessment, interpretation of results, treatment, advice and health promotion resulting in discharge or referral of patients as appropriate initially presenting with undifferentiated and undiagnosed conditions.

To continually develop knowledge of a wide range of minor illness and minor injuries by achieving competencies in all areas of Walk-in Centre work to effectively assess, treat, discharge and refer appropriately to health and social care professionals.

To support the professional development of peers and junior staff in developing and achieving competencies and working towards autonomous practitioner status over the whole spectrum of patient presentation at the Walk-in centres.

To demonstrate a positive commitment to the teaching, training, assessment and development of all nurse learners and facilitate programmes for learners.

To supervise Band 6 Nurse Practitioners, Band 5 Associate Nurse Practitioners and Health Care Assistants.

To act as a mentor/teacher to peers, other team members and all students including nursing and other professional disciplines.

To work flexibly to support all Walk-in Centres to ensure capacity meets service demand and initiate escalation policy procedures as appropriate to ensure the safe and efficient running of the service.

To work within the scope of professional practice whilst providing an integrated primary care service by initiating and working collaboratively with other key stakeholders to ensure continuity of patient care.

To support the Clinical Team Leader and contribute to developing new ways of working to provide a responsive service to patients needs.

This may require a moderate physical effort for several short periods during a shift and involves intense concentration for frequent periods of the shift to ensure correct management of patients via the use of VDU equipment and patient interaction.

To exercise a high degree of personal and professional autonomy and critical judgement.

To have proven skills in x-ray and a requirement to undertake assessment and subsequent management; wound assessment and management; suturing; and the diagnosis and management of a wide range of minor injuries/ailments.

To empower others and demonstrate an ability to make effective clinical decisions based on recent evidence.

To act as a mentor to team members.

To assist in the development and implementation of policies/procedures and guidance relating to nursing practice and ensure clinically effective health interventions are provided utilising the latest available evidence.

To have clear understanding of legal issues and professional accountability and responsibility.

To administer medication following training under patient group direction or as a nurse prescriber as clinically indicated.

To be responsible for the specialist diagnostic procedures and subsequent out of hours management of patients as outlined in local service plans.

To adhere to NMC Standards of Practice.

To maintain skills and competencies required for the post.

To utilise relevant training and experience and clinical skills in the assessment, diagnosis, treatment and management of patients. eg wound management, venepuncture, vaccinations and immunisations, health promotion, V300.

To communicate with patients and their relatives or carers in providing or receiving highly complex, sensitive or contentious information were there may be significant barriers requiring the highest level of interpersonal communication skills.

Support the efficient use of physical and equipment resources.

To support and adhere to all administrative policies and procedures within the service.

All staff should be familiar with relevant IT systems. IT security policies and procedures.

The service operates an electronic record keeping system. The post holder will have IT skills to enable to them to use a clinical system.

The post holder will be able to send and receive communications via email.

Please refer to attached Job Description and Person Specification for full list of duties and responsibilities.

Skills

Essential

• Advanced physical assessment
• Independent or supplementary prescribing and medication reviews
• Evidence of ability to direct and co-ordinate care working autonomously and collaboratively
• Able to analyse complex situations and problem solve as necessary
• Evidence of the ability to identify and manage risk
• Evidence of knowledge and experience of team dynamics/ leadership role
• Evidence of ability to work with a multidisciplinary team
• Evidence of knowledge and experience of working between acute and Community Care settings
• Evidence of working in partnership and collaboration with other professionals
• Evidence of effective team leadership and organisational skills
• Evidence of embracing and implementing change to provide high quality health outcomes
• Ability to work autonomously and make own decisions
• Evidence of the ability to work in a changing, demanding situation
• Ability to appropriately challenge a variety of professionals about an individual's care
• Evidence of advanced communication skills

Values

Essential

• Continuous Improvement
• Acountability
• Respectfulness
• Enthusiasm
• Support
• Responsive to service users
• Engaging leadership style
• Strong customer service belief
• Transparency and honesty
• Discreet
• Change oriented

Knowledge/Experience

Essential

• A passion for Same Day Urgent Care agenda
• Extensive clinical experience in urgent care services/ teams of at least 3 years (adults and paediatrics)
• Evidence of collaborative working with multi-professional colleagues
• Highly skilled in conflict awareness and team dynamics
• Evidence of effective Communication across all levels of the organisation and with all stakeholders
• Awareness of current initiatives within the local & National health economy and of applicable guidelines, protocols and pathways
• Evidence of continuing professional development
• Able to demonstrate Clinical leadership experience at a senior level
• Evidence of ability to maintain and monitor high standards of care

Desirable

• Research & Development experience

Qualifications

Essential

• First level Registered Nurse
• Evidence of study at degree level
• Non- medical/supplementary prescriber V300
• Advanced Physical Assessment/Diagnostics Master's Module

Desirable

• Leadership qualification and experience of change management in a clinical role

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).