Job responsibilities
The role will also support any future PCN Enhanced Services projects or workstreams as directed by the PCN Manager and the PCN Board representatives. Clinical supervision will be provided by the Clinical Director as well as regular individual Practice sessions (to fit the pathways of the Practices). You may be asked to support junior colleagues with clinical supervision and development.
The role will work closely with the PCN Practices, PCN Manager and other AHP's to achieve the objectives of the PCN. You may be asked to support the mentorship of junior colleagues or other roles within the Practices or PCN.
You will be accountable for your practice including the assessment, diagnosis, treatment, and discharge or referral of patients, independent of medical intervention to provide high-quality support for professional practice within the organization.
Brief Duties of the Role
Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly.
Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into your treatment plans.
Undertake necessary discussions with patients, NOK, POA with regards to admission avoidance and advance care planning.
Deliver a service towards proactive care that is centred on the needs of individual patients.
Deliver care according to NSF, NICE guidelines, and evidence-based care.
Support staff development to maximize potential.
Undertake learning and information gain to other team members to share good practice and inform others about current and future developments.
Provide an educational role to patients, carers, families, and colleagues in an environment that facilitates learning.
Practice Expectations
You will be an integral member of the clinical team, completing streaming, independently assessing patients and prescribing clinical intervention. You will also be completing administrative tasks to include prescriptions, referrals, pathology results for the patient's you've seen.
Work as an autonomous clinician across all areas to develop and provide expert clinical advice, support and care
Develop and use advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatments of patients.
Recognise the early symptoms of disease exacerbation and acute illness based on an understanding of disease, the disease process, and current evidence and practice standards.
Interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of patients.
Work with patients in order to support compliance with and adherence to prescribed treatments. 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.
Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.
Evaluate the outcomes of interventions.
Prioritise and co-ordinate the multiple health care needs of the patient, co-ordinating and facilitating timely referrals to other team members within acute and primary care settings.
Facilitate the integration of patient goals for health and social care into care plans and plan for future health needs.
Undertake diagnostic assessments, health screening and therapeutic interventions and will recommend further investigations and refer to other agencies as appropriate.
Advocate high quality care for people, act as a champion for people by representing and supporting the persons interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers.
Empower patients and their families through appropriate support and education.
Influence, support and take an active role in Public Health/ Self-care of the individual and community.
Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning.
Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.
Review medication and act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own NMP formulary and competencies relevant medication and liaise with pharmacy and medical staff.
To regularly evaluate practice to ensure continuous improvement.
Act as an advocate for the patient negotiating and consulting with other clinicians and associated staff to ensure high quality care.
Work with clinicians and management in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.
Work across professional boundaries providing expert clinical knowledge whilst developing new and transferable skills.
To support best practice end of life planning (last twelve months) including advance care planning for patients identified according to best practice end of life care.
To work with patients and carers to develop care plans for frail patients which encourage self-care and reduce avoidable hospital admissions.
Initiate and contribute to the audit processes as required by the organisations.
Responsible for monitoring clinical equipment register, and ensuring own equipment fit for purpose and, calibration is up to date.
Work within the Advanced Practice Competency framework as agreed by the PCN board to ensure a predetermined level of practice is achieved. They will be required to work with their clinical supervisor to produce a portfolio of skills knowledge and extended practice as outlined which will be reviewed annually during the appraisal process.
Recognise and work within own competence and appropriate professional code of conduct as regulated such as NMC and HCPC
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, code of conduct, policies and procedures.
Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
