Job responsibilities
Core
responsibilities
Clinical practice
The role will
mainly involve working in our Same Day Access Hub seeing patients for urgent on
the day issues. The role will involve working alongside PCN team of GP supervisor /
Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the
day with urgent issues.
The post may include cross cover with the award-winning
Frailty Visiting Team visiting patients who are housebound for urgent on the
day issues.
Work as part of a multi-disciplinary team to
deliver safe and high-quality care.
Carry out clinical practice at an advanced
level using expert clinical skills, critical judgements & knowledge to
deliver appropriate and safe care.
Assess, diagnose, plan, implement and evaluate
treatment/interventions and care for patients presenting with acute, long term
and complex health needs.
Manage undifferentiated undiagnosed condition
and identify red flags
and underlying serious pathology and take
appropriate action
Triage and treat patients, including same day
triage, performing assessment of their needs and makes referrals as necessary
to other members of the primary and secondary health care teams as appropriate.
Interpret investigation findings to determine
effective treatment plans & discuss with GPs where a second opinion is
required
Proactively identify, diagnose and manage
treatment plans for patients at risk of developing a long-term condition, using
both non-pharmacological and pharmacological treatments.
Co-ordinate the planning and delivery of care
ensuring patients and carers or relatives are involved where required. Actively
take a personalised care approach and population centre care approach to enable
shared decision making.
Prescribing and reviewing medication that is
appropriate for patient needs and in accordance with latest evidence-based
practice, national and practice protocols and within the scope of qualified
practice.
Diagnose and manage acute and chronic
conditions, including drug and non-drug based treatment methods into a
management plan.
Request diagnostic investigations and
interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in
practice premises or their own home who require medical attention and/or refer
to appropriate agency.
Refer patients to other members of the
multi-disciplinary practice teams, secondary care organisations and other
organisations as necessary.
Communication
Uses and adapts communication style to meet
individual patient needs to ensure patients are fully informed about treatment.
Communicates effectively with patients and
carers, recognising the need for alternative methods of communication to
overcome different levels of understanding, cultural background and preferred
ways of communicating
Anticipates barriers to communication and take
action to improve communication
Maintains effective communication with the
primary care team and with external stakeholders
Ensures awareness of sources of support and
guidance and provides information in an acceptable format to all patients,
recognising any difficulties and referring where appropriate.
Safeguarding adults and children
The postholder has a duty to safeguard and
promote the welfare of vulnerable adults and children.
When adults or children and/or their carers
use primary care services, it is essential that all adult and child protection
concerns are both recognised and acted on appropriately.
The postholder has a responsibility to ensure
they are familiar with and follow local policies in relation to safeguarding
vulnerable adults and that they follow the local child protection procedures
and any supplementary guidance.
The postholder has a responsibility to support
appropriate investigations either internally or externally.
To ensure the postholder is equipped to carry
out their duties effectively, they must also attend vulnerable adult and child
protection training and updates at the competency level appropriate to the work
they do and in accordance with the local vulnerable adult and child protection
training guidance.
Leadership and management personal and
people development
Takes responsibility for own learning and
performance including participating in clinical supervision and acting as a
positive role model
Supports staff development in order to
maximise potential and support practice development
Critically evaluates and reviews innovations
and developments that are relevant to clinical practice
Contributes to the development of local
guidelines, protocols and standards
Maintains effective communication with those
responsible for the overall commissioning and procurement process
Promotes the role of the Advanced Clinical
Practitioner in general practicecompleting relevant training in order to
provide multi-professional clinical practice and CPD supervision to other roles
within primary care.
Team working
Understands own role and scope and identify
how this may develop over time
Works as an effective and responsible team
member, supporting others and exploring the mechanisms to develop new ways of
working
Creates and agrees clear referral mechanisms
to meet patient need
Prioritises own
workload and uses effective time-management strategies to complete work within
agreed timescales
Discusses,
highlights and works with the team to create opportunities to improve patient
care
Manages and leads
the delivery of specifically identified services or projects as agreed with the
PCN Clinical Director and the PCN management team
Education
Undertakes mentorship for more junior staff,
assessing competence against set standards
Use evidence-based strategies to improve and
enhance the quality of patient care
Assesses own learning needs and undertakes
learning as appropriate
Provides an educational role to patients,
carers, families and colleagues in an environment that facilitates learning
Research
Critically engage in research activity and use
evidence-based strategies to improve and enhance the quality of patient care
Participates in clinical governance activity
and contributes to the improvement in quality of health outcomes through audit,
risk management and the Quality and Outcomes Framework
Participates in investigation of incidents and
events as required.
Identifies, applies and disseminates research
findings relating to own practice
Collects data for audit purposes and uses
clinical audit to monitor quality in the service and implements change
according to findings.
Participates in clinical trials and equipment
testing.
Meets timescales/deadlines for audits and
written returns to ensure that the Practice meets quality standards and
receives the designated funding (e.g. Quarterly Enhanced Services returns,
annual QOF audit
Quality
Under supervision and support of GPs
in the practice, the post-holder will strive to maintain quality within the
practices, and will:
Participates in clinical governance activity
and contribute to the improvement in quality of health outcomes through audit,
risk management and the Quality and Outcomes Framework
Alerts other team members to concerns about
risk, quality and safety.
Participates in investigation of incidents and
events as required.
Contributes to the effectiveness of the team
by reflecting on own and team activities and making suggestions on ways to
improve and enhance the teams performance
Works effectively with individuals in other
agencies to meet patients needs
Effectively manages own time, workload and
resources.
Delivery of care in line with NSF, NICE
guidelines and evidence-based care
See attached job description and person specification for further details.
