CRGPA Advanced Nurse Clinical Practitioner

Job responsibilities

• Work as part of the multidisciplinary clinical team, for the provision of health care services to the patients of the organisation.

• Work as an autonomous practitioner, responsible for the delivery of evidence-based practice for patients within the scope of your capabilities.

• Develop a portfolio of evidence demonstrating competencies and capabilities: in the four pillars for nurses as defined in the Core Framework for Advanced Clinical practice ACP Primary Care

The postholder will be able to

• Demonstrate highly developed interpersonal and communication skills

• Develop critical thinking, complex clinical reasoning, and problem-solving skills

• Be a caring, compassionate clinician that is committed to high quality patient care

• Practice, without direct supervision, as an autonomous primary care healthcare practitioner.

• Safely manage undifferentiated and undiagnosed presentations using data gathering, clinical examinations,

diagnosis, organising investigations, safe prescribing, management, completing referrals, and follow-up within their agreed scope of practice and capabilities.

• Participate in clinical audit and quality improvement projects

• Provide mentorship, supervision of other trainees, and appropriate leadership activities Mentorship and clinical supervision will be provided by designated Educators (GPs and appropriately qualified ACPs/FCPs). The level and type of clinical supervision will be flexible depending on the post holder’s skills, knowledge, and capabilities, and determined by the organisation’s clinical governance arrangements.

Clinical responsibilities:

• Safely manage undifferentiated and undiagnosed presentations using data gathering, assessing for red flags, investigation, diagnosis, management, and review within their agreed scope of practice and capabilities. This will include within the organisation setting, home visits and care homes

• Must demonstrate complex clinical reasoning skills, to use problem solving approaches to analyse and synthesise information, manage medical and clinical uncertainty particularly in relation to a wide range of contexts and clinical presentations, and to include physical, mental, and social problems

• Have a sound understanding of referral pathways including routine, urgent, 2-week wait and emergency admissions

• Use resources appropriately and effectively

• Manage acute/chronic presentations and medical complexity

• Safely and effectively use a range of consultation modes to include telephone, video, online and face to face

• Prescribe treatment and medication safely in line with local and national guidelines (where professional regulation and training permits i.e., an independent prescriber)

• To offer personalised care to people and signpost to and link with other members of the organisation or wider health and social care team

• Make every contact count in terms of public and patient health. Provide health promotion and patient education in supporting patients for healthier lifestyle, self-care and in managing their own conditions

• Understand the needs of the organisation’s population and work to meet them effectively as part of the wider team

• Work collaboratively as part of the multidisciplinary team understanding the capabilities of colleagues to promote the most appropriate care for people

• Manage own workload and work flexibly to meet clinical demand on the day and the needs of the practice

• Manage urgent situations by providing effective immediate emergency care, including initiating, and performing BLS/anaphylaxis management and use of AED

• To provide accurate, contemporaneous, and complete records of patient consultations, consistent with legislation policies and procedures

• Support the practice’s on-call triage system

• Manage own and others’ pathology results in accordance with own level of capabilities, and following shared care pathology guidance and organisation’s policies and procedures

• Safely and effectively manage documents (clinical letters/hospital discharges) in accordance with own level of clinical capabilities, and following organisation’s policies and procedures Communication skills:

• Have advanced and flexible interpersonal and communication skills to engage in effective and complex interactions with patients, carers, and colleagues as detailed in the profession specific framework

• Communicate effectively with individuals who require additional assistance for consultation e.g., use of interpreters, BLS interpreters, easy read, people with LD etc.

• Use communication skills to maintain a professional approach when working with patient and colleagues

Research, Quality and Leadership: The post-holder will strive to maintain quality within the organisation and will

• Demonstrate evidence-based care, working within local and national guidelines, and organisation’s policies and protocols

• Alert other team members to issues of quality and risk following organisation’s policies and procedures of significant event analysis

• Assess own performance and take accountability for own actions, either directly or under supervision

• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance

• Take an active role in research studies within the policy framework of the organisation

• Assess effectiveness of care delivery through self and peer review, and formal evaluation including participation in regular appraisal

• Participate in audit, data collection and activity monitoring to improve own performance as well as organisation quality improvement projects

• Take an active leadership role across the organisation as required, leading on projects, contributing to strategic planning, leading a team or workstream within clinical, or non-clinical practice such as education, quality improvement, project management.

Professional development and Education:

• Develop own skills and capabilities through education, training and development activities related to the current and future demands of the role, seeking opportunities to enhance skills to maintain current Registration and achieve Revalidation standards

• Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

• Work within codes of conduct and practice set out by relevant professional body

• Understand and observe professional and national guidelines on confidentiality

• Participate in teaching and mentoring of other health professionals and members of the multi-disciplinary team

• 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

• Contribute and attend organisational meetings for own learning and development, to enhance team working, and improve patient care

Confidentiality:

• While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

• In the performance of the duties outlined in this Job Description, the postholder may have access to confidential information relating to patients, carers, organisation staff and other healthcare workers. They may also have access to information relating to the organisation as a business. All such information from any source is to be regarded as strictly confidential

• Information relating to patients, carers, colleagues, other healthcare workers or the business of the organisation may only be divulged to authorised persons in accordance with the organisation’s policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Infection Prevention and Control, Health and Safety: The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the organisation’s Health & Safety Policy to include:

• Using personal security systems within the workplace according to organisation’s guidelines

• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

• Complete annual training in infection control and other areas of health and safety in the workplace

• Making effective use of training to update knowledge and skills

• Using appropriate infection control procedures, maintaining work areas in a tidy, safe way, and free from hazards

• Reporting potential risks identified.

Experience

Essential

• Experience of working in healthcare in an autonomous practitioner role
• Evidence of competence in the clinical assessment, diagnosis and management of all age groups presenting with undifferentiated diagnosis
• Telephone consultations
• Face to face consultations

Desirable

• Experience of working in the community, primary or urgent care
• Experience of working autonomously in a healthcare role
• Experience of mentorship, leadership, audit, and research in clinical practice.
• Home visits
• Familiar with using EMIS Web and AccuRx / e consult

Skills and Attributes

Essential

• Excellent communication skills Knowledge of Long-Term Conditions and managing exacerbations
• Multidisciplinary working
• Working across all four pillars of advanced practice and contributing to the organisations team

Desirable

• Able to work within agreed scope of practice which may include managing mental health patients, palliative care /EOL, Sexual health and Child health

Values and Attitudes

Essential

• Self-Motivated individual
• Compassionate and strive for high quality patient care
• Flexibility in working hours and cross site working
• Enthusiastic team player looking to contribute

Qualifications

Essential

• Registered as a health care practitioner with NMC, HCPC, with a minimum of 5 years post registration experience
• BSc level Registered General Nurse with evidence of undertaking Level 6 or 7 study Or BSc in Paramedic Science/IHCD Paramedic qualification (as a minimum)
• With a portfolio of evidence of the relevant profession specific advanced practice capabilities framework. MSc/Post Grad diploma to include modules in advanced assessment and diagnostic reasoning, complex clinical reasoning

Desirable

• Independent prescribing qualification
• Advanced Care Practitioner MSc/Post Grad Diploma
• Be recognised as advanced practitioner on the HEE Centre for Advancing Practice Directory either from completion of a HEE Centre accredited MSc Programme or through the Portfolio Route to recognition For Nurses, RCN Credentialed Advanced Level Nurse 8 MSc/Post Grad Diploma With a portfolio of evidence of the relevant profession specific advanced practice capabilities framework, or via demonstration of practice to the four pillars of Advanced Practice.
• MSc/Post Grad diploma to include modules in advanced assessment and diagnostic reasoning, complex clinical reasoning

Other Requirements

Desirable

• Clean Driving Licence

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).