Job summary
We
have an exciting opportunity for an Advanced Care Practitioner in the North
and West Herefordshire Primary Care Network.
The
successful candidate will work as an autonomous practitioner working
independently in General Practice to provide care for the presenting adult or
child from initial history taking, clinical assessment, diagnosis, treatment
and evaluation of care. They will demonstrate safe, competent clinical
decision-making and expert care, including assessment and diagnostic skills,
for all patients within the general practice. The post holder will apply
critical thinking and demonstrate safe clinical decision-making. They will
communicate and work collaboratively with the general practice team to meet
the needs of patients, supporting the delivery of policy and procedures, and
providing clinical leadership as required.
The
post holder must possess competencies and capabilities across all four
pillars of advanced practice.
We
are a highly organised and forward looking PCN with strong relationships
between practices and community providers.
We can provide you with personal and professional development and a
supportive friendly team to work with. You will be allocated a GP with whom you
will have access to regular clinical supervision.
* Interviews are expected to take place on Thursday 21st December 2023 *
Main duties of the job
The
successful candidate will be part of the teams of two Practices within the
N&W PCN.
- Practise in compliance
with their respective code of professional conduct and within their scope of
practice, being responsible and accountable for their decisions, actions and omissions
at this level of practice.
- Demonstrate a critical
understanding of their broadened level of responsibility and autonomy and the
limits of own competence and professional scope of practice, including when
working with complexity, risk, uncertainty and incomplete information.
- Undertake safe clinical
decision-making and expert care, including assessment, diagnostic skills
and safety netting for adults and children using face to face (clinic and
home visits), telephony and on line consultation platforms.
- Work in partnership
with individuals, families and carers, using a range of assessment methods as
appropriate (e.g. history-taking; holistic assessment; identifying risk
factors; mental health assessments; requesting, undertaking and/or interpreting
diagnostic tests; and conducting health needs assessments).
About us
The
North & West Herefordshire PCN includes five General Practice, each of
which offers high quality patient care delivered by a supportive team. You
will work as part of a wider PCN team with Pharmacists, Paramedics and a
Wellbeing Team comprising of Social Prescribers, Health & Wellbeing
Coaches, Care Coordinators, an OT and Dietitian all responding to the wide-ranging
health needs of the population.
Taurus
Healthcare was established in 2012, as the provider arm of the GP Federation
serving 185,000 patients in Herefordshire. Founded and owned by the partners
of the entire Herefordshire Primary Care community, Taurus is focused on
providing excellent out of hospital services for patients. Our ethos is to
provide high quality and cost-effective health outcomes that are delivered as
close as possible to the patients home, whilst ensuring that patients who do
require in hospital services are seen as quickly and effectively as possible.
We reserve the right to close this vacancy early
if we receive sufficient applications for the role. Therefore, if you are
interested, please submit your application as early as possible.
Job description
Job responsibilities
JOB PURPOSE:
To work as an autonomous practitioner working independently in General Practice to provide care for the presenting adult or child from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for all patients within the general practice. The post holder will apply critical thinking and demonstrate safe clinical decision-making. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.
The post holder must possess competencies and capabilities across all four pillars of advanced practice.
Main Responsibilities
CLINICAL PRACTICE
- Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.
- Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for adults and children using face to face (clinic and home visits), telephony and on line consultation platforms.
- Ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions which may include the initiation and interpretation of a range of diagnostic tests and routine clinical procedures, prescribing medicines, therapies, life style advice and self-care, empowering patients to make informed choices about their treatment.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope of practice.
- Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment, ensuring patients receive the right care in the right place at the right time.
- Work independently and without direct supervision in the home environment as required.
- Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts
- Recognise professional responsibility in promoting the welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
- Ensure patients are protected from abuse, or the risk of abuse and that their human rights are respected
- Recognise and always work within own clinical competence and scope of practice
- Report and manage clinical incidents utilising reporting systems available, and proactively contribute to learning and improvement.
* A full Job Description & Person Specification is attached to this advert*
Job description
Job responsibilities
JOB PURPOSE:
To work as an autonomous practitioner working independently in General Practice to provide care for the presenting adult or child from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for all patients within the general practice. The post holder will apply critical thinking and demonstrate safe clinical decision-making. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required.
The post holder must possess competencies and capabilities across all four pillars of advanced practice.
Main Responsibilities
CLINICAL PRACTICE
- Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.
- Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
- Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for adults and children using face to face (clinic and home visits), telephony and on line consultation platforms.
- Ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers
- Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
- Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).
- Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.
- Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiate, evaluate and modify a range of interventions which may include the initiation and interpretation of a range of diagnostic tests and routine clinical procedures, prescribing medicines, therapies, life style advice and self-care, empowering patients to make informed choices about their treatment.
- Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.
- Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
- Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
- Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope of practice.
- Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment, ensuring patients receive the right care in the right place at the right time.
- Work independently and without direct supervision in the home environment as required.
- Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts
- Recognise professional responsibility in promoting the welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
- Ensure patients are protected from abuse, or the risk of abuse and that their human rights are respected
- Recognise and always work within own clinical competence and scope of practice
- Report and manage clinical incidents utilising reporting systems available, and proactively contribute to learning and improvement.
* A full Job Description & Person Specification is attached to this advert*
Person Specification
Qualifications
Essential
- Current Professional registration with minimum 4 years experience in primary care.
- A demonstrable commitment to continuing professional
- development.
- MSc in Advanced Clinical Practice or equivalent qualification(demonstrated by professional credentialing or professional equivalent)
- Independent prescribing qualification.
- NMC or HCPC registered Independent Prescriber.
- Level 3 Safeguarding adult and children.
- In date CPR training (within 18 months)
Desirable
- Teaching/Mentoring/Coaching qualification.
Experience
Essential
- Works autonomously and collaboratively, recognising when referrals are required.
- Excellent communication skills both written and verbal.
- IT skills computer and keyboard literate.
- Good time management and the ability to work under pressure prioritising workload.
- Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.
Desirable
Skills
Essential
- Experience of working in Primary Care in autonomous ACP/ANP role.
- Advanced clinical assessment skills.
- Experience of working in a multi-professional environment.
- Experience as an Independent Prescriber.
- Experience of working with both children and adults.
- Awareness of own accountability and other aspects of NMC / HCPC code of conduct.
- An understanding, acceptance and adherence to the need for strict confidentiality.
Desirable
- Experience of working under pressure.
- Experience of EMIS clinical system and using templates.
- Understanding of Quality Outcomes Framework.
Personal Qualities & Attributes
Essential
- Organised, friendly, approachable, polite and empathetic.
- Excellent communication skills.
- Adaptable and comfortable dealing with changing priorities and a team player.
- Sound clinical reasoning and decision making.
- Driver with clean licence.
Person Specification
Qualifications
Essential
- Current Professional registration with minimum 4 years experience in primary care.
- A demonstrable commitment to continuing professional
- development.
- MSc in Advanced Clinical Practice or equivalent qualification(demonstrated by professional credentialing or professional equivalent)
- Independent prescribing qualification.
- NMC or HCPC registered Independent Prescriber.
- Level 3 Safeguarding adult and children.
- In date CPR training (within 18 months)
Desirable
- Teaching/Mentoring/Coaching qualification.
Experience
Essential
- Works autonomously and collaboratively, recognising when referrals are required.
- Excellent communication skills both written and verbal.
- IT skills computer and keyboard literate.
- Good time management and the ability to work under pressure prioritising workload.
- Relay clinical information and maintain accurate, comprehensive consultation records in line with NMC requirements.
Desirable
Skills
Essential
- Experience of working in Primary Care in autonomous ACP/ANP role.
- Advanced clinical assessment skills.
- Experience of working in a multi-professional environment.
- Experience as an Independent Prescriber.
- Experience of working with both children and adults.
- Awareness of own accountability and other aspects of NMC / HCPC code of conduct.
- An understanding, acceptance and adherence to the need for strict confidentiality.
Desirable
- Experience of working under pressure.
- Experience of EMIS clinical system and using templates.
- Understanding of Quality Outcomes Framework.
Personal Qualities & Attributes
Essential
- Organised, friendly, approachable, polite and empathetic.
- Excellent communication skills.
- Adaptable and comfortable dealing with changing priorities and a team player.
- Sound clinical reasoning and decision making.
- Driver with clean 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).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
