Advanced Clinical Practitioner - Urgent Care

Gtd Healthcare

The closing date is 22 September 2024

Job summary

Advanced Clinical Practitioner £49,000 to £65,250 a year plus rate enhancements for evening & weekend working

Do you want to work within an innovative, forward thinking and progressive integrated urgent care team? Here at Preston and Chorley Integrated Urgent Care Centre in the heart of Lancashire we provide varied service lines, which include, DVT clinics, minor injuries, face to face walk in patients, NHS 111 appointments, Remote clinical assessment calls and have a team of Clinical practitioners providing the triage functions between the emergency departments and urgent care centres.

Our team is made up of Advanced Clinical Practitioners with a blend of Illness and/or injury training and from a variety of backgrounds; such as Nurses, and Paramedics, where shared learning, continual improvement and delivering excellence is part of our embedded culture.

Awarded 'Team of the Year 2022' we are looking to recruit additional Advanced Clinical Practitioners.

You will work alongside established Advanced Clinical Practitioners, GP's or Middle grade Doctors as well as having a supportive administrative team who help coordinate care and flow of patients.

This is an excellent prospect to work within team who have a real commitment to continuous improvement, shared learning and best practice. We are passionate about providing patients in Preston & Chorley with the highest possible quality care.

Main duties of the job

We have an excellent opportunity for an Advanced Clinical Practitioner to join our Urgent care teams at Royal Preston Hospital and Chorley Hospital.

Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.

Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.

Provide information and advice on prescribed or over-the-counter medication and medication regimes, side-effects and interactions.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

Refer and discharge safely ensuring that safety-netting advice is offered.

Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required.

About us

gtd healthcare is one of the largest, not-for-profit, NHS commissioned primary and urgent care providers in North West England. We are values-driven, embrace the ethos of social enterprise and care for people, families and communities, in order to improve their health and wider wellbeing.

We are values-driven, embrace the ethos of social enterprise and care for people, families and communities, in order to improve their health and wider wellbeing.

We are keen to develop and support staff to excel their career aspirations whilst making a positive difference to patients and the community. We put our people at the heart of everything we do. We are a values driven organisation and we are passionate about providing the best possible healthcare for our patients.

Benefits package

  • working for a values-driven organisation;
  • Real living wage employer;
  • access to Wagestream, which provides flexible and on-demand access to stream your pay during the month, in real-time, when picking-up extra shifts;
  • 30 days annual leave, rising to 32 after five years of continuous service;
  • flexible pension benefits including NHS pension scheme;
  • flexible working hours and policies;
  • family friendly and carer policies;
  • opportunities to apply for innovation and quality awards;
  • access to gtd healthcares wellbeing initiatives, which offer a wide range of tools and resources;
  • gtd healthcare social and fun activities;
  • cycle to work scheme.

Date posted

23 August 2024

Pay scheme

Other

Salary

£49,000 to £65,250 a year Plus rate enhancements for evening & weekend working

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

U0061-24-0128

Job locations

Royal Preston Hospital

Sharoe Green Lane

Fulwood

Preston

PR2 9HT


Chorley & South Ribble Hospital

Preston Road

Chorley

Lancashire

PR7 1PP


Job description

Job responsibilities

Clinical Practice

  • Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
  • Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
  • Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
  • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
  • Refer and discharge safely ensuring that safety-netting advice is offered.
  • Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required.

Communication

  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
  • Communicate 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.
  • Anticipate barriers to communication and take action to improve communication.
  • Maintain effective communication within the organisation and with external stakeholders.
  • Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Non-Medical Prescribing

  • If you are employed in a prescribing capacity, you must only prescribe within your scope of practice and comply with the gtd healthcare NMP governance registration processes.
  • You must maintain your knowledge and skills and prescribe within your clinical competencies.
  • The non-medical prescriber is required to comply with organisational NMP governance processes and adhere to local and national prescribing guidance.

Delivering a Quality Service

  • Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Ensure professional revalidation requirements are met.
  • Deliver care according to NSF, NICE guidelines and evidence-based care.
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
  • Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
  • In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
  • Support and participate in shared learning across the organisation and wider organisation.
  • Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

Leadership Personal and People Development

  • Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
  • Support staff development in order to maximise potential.
  • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
  • Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
  • Critically evaluate and review innovations and developments that are relevant areas of work.
  • Take a lead role in planning and implementing changes within the area of care and responsibility.
  • Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
  • Contribute to the development of local guidelines, protocols and standards.
  • Maintain effective communication with those responsible for the overall commissioning and procurement process.
  • To attend and be proactively involved in professional meetings at base and corporately.
  • Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.

Job description

Job responsibilities

Clinical Practice

  • Assess and holistically clinically examine patients with both minor and complex needs through history taking, physical examination and appropriate use of investigations to confirm diagnosis.
  • Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
  • Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
  • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
  • Refer and discharge safely ensuring that safety-netting advice is offered.
  • Triage telephone referrals, calls from external clinicians, patients and others into a range of services appropriately as required.

Communication

  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
  • Communicate 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.
  • Anticipate barriers to communication and take action to improve communication.
  • Maintain effective communication within the organisation and with external stakeholders.
  • Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Non-Medical Prescribing

  • If you are employed in a prescribing capacity, you must only prescribe within your scope of practice and comply with the gtd healthcare NMP governance registration processes.
  • You must maintain your knowledge and skills and prescribe within your clinical competencies.
  • The non-medical prescriber is required to comply with organisational NMP governance processes and adhere to local and national prescribing guidance.

Delivering a Quality Service

  • Recognise and work within own competence and professional code of conduct as regulated by the NMC/HPC etc. Understand own role and scope and identify how this may develop over time.
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Ensure professional revalidation requirements are met.
  • Deliver care according to NSF, NICE guidelines and evidence-based care.
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
  • Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
  • In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
  • Support and participate in shared learning across the organisation and wider organisation.
  • Understand and apply guidance that supports the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patient health procedures and local guidance.

Leadership Personal and People Development

  • Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role mode.
  • Support staff development in order to maximise potential.
  • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
  • Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services.
  • Critically evaluate and review innovations and developments that are relevant areas of work.
  • Take a lead role in planning and implementing changes within the area of care and responsibility.
  • Work with senior clinical and management teams to ensure sufficient staff of appropriate ability, quality and skill-mix is available to meet current and future service delivery, that selection and recruitment processes are effective and that equality of treatment of the team incorporates quality HR principles and processes.
  • Contribute to the development of local guidelines, protocols and standards.
  • Maintain effective communication with those responsible for the overall commissioning and procurement process.
  • To attend and be proactively involved in professional meetings at base and corporately.
  • Take the lead/ develop a special interest within certain areas to allow the sharing of clinical knowledge and expertise.

Person Specification

Qualifications

Essential

  • Registered first level nurse, paramedic, pharmacist or other AHP with MSc Advanced Clinical Practice or credentialing qualification or equivalent.
  • V300 Non-Medical Prescriber (gateway dependent) dependent on professional eligibility.

Desirable

  • Mentor/Teaching qualification.
  • Clinical supervision training and experience.

Experience

Essential

  • Experience of working as senior clinician.
  • Accountability of own role and other roles in a practitioner-led service.
  • Experience of leading/managing quality improvement.

Desirable

  • Experience in leading/managing a team of nurses.
  • Experience of working in an unscheduled care service.
  • Experience of having worked in Primary Care.

Skills and Attributes

Essential

  • Advanced clinical practice skills and competence.
  • Management and treatment of patients with acute exacerbation of long-term conditions.
  • Management of patients with complex needs.
  • Clinical examination skills and competence.
  • Clinical leadership skills and competence.
  • Communication skills, both written and verbal.
  • Negotiation and conflict management skills.
  • Change management experience and evidence.
  • Highly motivated.
  • Flexibility.
  • Enthusiasm.
  • Team Player.

Desirable

  • Teaching and mentorship in a clinical setting.
  • Resource Management.
Person Specification

Qualifications

Essential

  • Registered first level nurse, paramedic, pharmacist or other AHP with MSc Advanced Clinical Practice or credentialing qualification or equivalent.
  • V300 Non-Medical Prescriber (gateway dependent) dependent on professional eligibility.

Desirable

  • Mentor/Teaching qualification.
  • Clinical supervision training and experience.

Experience

Essential

  • Experience of working as senior clinician.
  • Accountability of own role and other roles in a practitioner-led service.
  • Experience of leading/managing quality improvement.

Desirable

  • Experience in leading/managing a team of nurses.
  • Experience of working in an unscheduled care service.
  • Experience of having worked in Primary Care.

Skills and Attributes

Essential

  • Advanced clinical practice skills and competence.
  • Management and treatment of patients with acute exacerbation of long-term conditions.
  • Management of patients with complex needs.
  • Clinical examination skills and competence.
  • Clinical leadership skills and competence.
  • Communication skills, both written and verbal.
  • Negotiation and conflict management skills.
  • Change management experience and evidence.
  • Highly motivated.
  • Flexibility.
  • Enthusiasm.
  • Team Player.

Desirable

  • Teaching and mentorship in a clinical setting.
  • Resource Management.

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).

Employer details

Employer name

Gtd Healthcare

Address

Royal Preston Hospital

Sharoe Green Lane

Fulwood

Preston

PR2 9HT


Employer's website

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

Employer details

Employer name

Gtd Healthcare

Address

Royal Preston Hospital

Sharoe Green Lane

Fulwood

Preston

PR2 9HT


Employer's website

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

For questions about the job, contact:

Lead Advanced Clinical Practitioner

Emma Carnall

emma.carnall2@nhs.net

01257247094

Date posted

23 August 2024

Pay scheme

Other

Salary

£49,000 to £65,250 a year Plus rate enhancements for evening & weekend working

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

U0061-24-0128

Job locations

Royal Preston Hospital

Sharoe Green Lane

Fulwood

Preston

PR2 9HT


Chorley & South Ribble Hospital

Preston Road

Chorley

Lancashire

PR7 1PP


Supporting documents

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