Advanced Clinical Practitioner

Job summary

Interviews are Planned for Thursday 13th June 2024.

You will be askilled Registered Nurse or Registered Allied HealthProfessional such as Paramedic withthe appropriate attitude, skills and knowledge base. In addition, you will holda Masters level in Advanced Clinical Practice. You will deliver qualityholistic care and treatment to the practice population.

Whilst you are adependent practitioner, you are able to work independently and make independentdecisions enabled by a collaborative and supportive working relationship withyour clinical supervisor. You will demonstrate safe and effective clinicaldecision-making and expert care, including assessment, diagnostic andmanagement skills. As well as dealing with acute illness, you may be involvedin the management of long-term conditions.

You will assist in the provision of patient careat all Practice sites or establishments, or in the patients place of residence,working in collaboration with the multidisciplinary team to deliver highquality patient-centred care

Main duties of the job

Clinical Responsibilities

Assess,diagnose, plan, implement and evaluate treatment/ interventions.

Clinicallyexamine and assess patient needs.

Providesafe, evidence-based, cost-effective, individualised patient care.

Referpatients directly to other services/ agencies as appropriate.

Pro-activelyidentify, diagnose, monitor and manage treatment plans.

Diagnoseand manage acute conditions.

Prescribeand review medication for therapeutic effectiveness.

Provideinformation and advice on prescribed and over-the-counter medication.

Prioritisehealth problems and intervene appropriately to assist the patient.

Supportpatients to adopt health promotion strategies that promote healthy living.

Supportthe Covid vaccination programme.

Leadership responsibilities

Support the development of others in orderto maximise potential.

Activelypromote the workplace as a learning environment.

Contribute and participate in thedevelopment of local guidelines, protocols and standards.

Ensurethe principles of infection control and local/national policies and guidelinesare applied.

Clinically oversee the PCN Health & Wellbeing team.

Learning & Development

The post-holderwill participate in any training programme implemented by Stalybridge PrimaryCare Networkas part of thisemployment.

Team working

Understandown role and scope in the organisation.

Workas an effective and responsible team member.

Acceptdelegations from other clinicians.

Contributeto the effectiveness of the team.

About us

Stalybridge, Dukinfield & Mossley Primary Care Network (SMDPCN) comprises a group of Nine GP practices who work collaboratively to improve patient services and staff wellbeing.

The PCN is in the Tameside locality, within Greater Manchester Integrated Care System.

We provide services to a population of around 43,000 patients. Some of this is done in partnership with third party providers and some of our PCN staff are employed by the PCN which enables staff to work freely for all Nine practices.

The PCN has a Clinical Director responsible for the strategic leadership of the PCN. Each member practice has a GP on the PCN board.

Stalybridge PCN is based at a central Hub and has a growing PCN Team of professionals with the aim of making healthcaremore accessible in local settings. The PCN Team is comprised of a PCN Business Manager and PCN Operational Manager, a Complex Care Team, Clinical Pharmacists, First Contact Practitioners, Paramedic, Mental Health Nurse for Adults, PhysicianAssociate, Cancer Care Coordinator and SocialPrescriber, all of whom provide services across all 9 practices

As a PCN, we are passionate about enhancing and improving the health and well-being of our community. Through collaborative efforts with our member practices and dedicated healthcare professionals, we strive to implement innovative strategies and deliver high-quality care that positively impacts the lives of our patients.

Job description

Job responsibilities

Clinical Responsibilities:

Assess, diagnose, plan, implement andevaluate treatment/ interventions and care for patients presenting with anundifferentiated diagnosis from within your sphere of competence.

Clinically examine and assess patient needsfrom a physiological and psychological perspective and plan care accordingly.

Assess, diagnose, plan, implement andevaluate interventions/ treatments for patients with complex needs

Utilise your clinical supervisor/ mentorand other clinical staff appropriately to ensure safe and effective patientcare, demonstrating awareness of your own limitations

Provide safe, evidence-based,cost-effective, individualised patient care within the surgery, patients ownhome or other environment where patient care is carried out

Refer patients directly to other services/agencies as appropriate, utilising Practice and local guidelines and in atimely manner

Pro-actively identify, diagnose, monitorand manage treatment plans for patients at risk of developing a long-termcondition, as appropriate

Diagnose and manage acute conditions,integrating both drug and non-drug-based treatment methods into a managementplan

Prescribe and review medication fortherapeutic effectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within ownscope of practice. Utilise Patient Group Directions for the administration ofmedication as appropriate.

Work with patients in order to supportcompliance with and adherence to prescribed treatments.

Provide information and advice onprescribed and over-the-counter medication on medication regimens, side-effectsand interactions

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

Support patients to adopt health promotionstrategies that promote healthy living and to apply principles of self-care

Recognise, assess and refer patients withmental health needs as appropriate

Communicate with and support patientsreceiving bad news

Support the Covid vaccination programme.

Leadership responsibilities:

Act as a positive role-model

Support the development of others in orderto maximise potential

Actively promote the workplace as alearning environment, encouraging everyone to learn from each other andexternal good practice

Critically evaluate and review innovationsand developments that are relevant to the area of work

Participate in planning and implementingchanges within the area of care and responsibility

Contribute and participate in thedevelopment of local guidelines, protocols and standards

Ensure the principles of infection controland local/national policies and guidelines are applied throughout the practice,monitoring and implementing changes as required

Clinically oversee the PCN Health & Wellbeing team for example socialprescriber, cancer care coordinator, Complex Care team

Other responsibilities:

Recognise and work within own competenceand in accordance with the professional code of conduct of the Nursing andMidwifery Council (NMC) or Health and Care Professions Council (HCPC) asappropriate

Work towards the 4 pillars of advancedpractice- Clinical, Leadership, research education and evidence these withinthe portfolio

Monitor the safety and effectiveness of ownclinical practice through quality assurance strategies such as the use ofaudit, mentor feedback, case review and peer review

Maintain accurate and completedocumentation and records utilising as appropriate and in accordance withPractice protocol

Use own judgement, resourcefulness andcommon sense

Deliver care according to evidence basedpractice, following agreed protocols, local and national guidelines

Understand and apply legal policy thatsupports the identification of vulnerable and abused children and adults, beingaware of statutory child/ vulnerable adult health procedure and local guidance

Work within policies regarding familyviolence, vulnerable adults, substance abuse and addictive behaviour, and referas appropriate

Contribute to achievement of the highestpossible quality standards such as the QOF and other agreed Key PerformanceIndicator targets

Attend in-house governance, educational andstaff meetings as appropriate

Assist with the training of other staffmembers and also with the education of doctors, nurses and other healthprofessionals in training as appropriate

Pro-active engagement with the practicepopulation and wider community to promote healthy living and encourage uptakeof services. This may include visits to local schools, community centres andother groups as necessary

Undertake additional tasks as requiredwithin your role as a Nurse Practitioner/ Primary Care Practitioner and seniormember of the team

Learning and development:

The post-holderwill participate in any training programme implemented by Stalybridge PrimaryCare Networkas part of thisemployment, such training to include:

Participate in individual performance reviews,including maintaining a portfolio and annual CASP review with clinicalsupervisor and manager

Working in conjunction with seniorclinicians, assess own learning needs and undertake learning as appropriate

Develop and utilise a written PersonalDevelopment Plan

Participate in continuing professionaldevelopment opportunities to ensure that up-to-date evidence-based knowledgeand competence in all aspects of the role is maintained

Make effective use of learning opportunitieswithin and outside the workplace, evaluating their effectiveness and feedingback relevant information

Disseminate learning and information gainedto other team members in order to share good practice and inform others aboutcurrent and future developments

Understand mandatory and statutory trainingas required

Team working:

Understand own role and scope in theorganisation and identify how this may develop over time and assist with thisdevelopment

Work as an effective and responsible teammember, supporting others and exploring the mechanisms to develop new ways ofworking

Accept delegations from other clinicians,prioritise workload and ensure effective time management strategies areembedded in own practice

Participate in team activities that createopportunities to improve patient care

Contribute to the effectiveness of the teamby reflecting on own and team activities and making suggestions on ways toimprove and enhance the teams performance

Participate and support local projects asagreed with the practice management team

Delegate clearly and appropriately,adopting the principles of safe practice and assessment of competence of thosetaking on delegated duties

Ensure clear understanding and utilisationof referral mechanisms within the practice

Confidentiality:

In the course of seeking treatment,patients entrust us with, or allow us to gather, sensitive information inrelation to their greatly and other matters. They do so in confidence and havethe right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlinedin this Job Description, the post-holder may have access to confidentialinformation relating to patients and their carers, practice staff and otherhealthcare workers. They may also have access to information relating to thepractice as a business organisation. All such information from any source is tobe regarded as strictly confidential

Information relating to patients, carers,colleagues, other healthcare workers or the business of the employing practicemay only be divulged to authorised persons in accordance with practice policiesand procedures relating to confidentiality and the protection of personal andsensitive data

Equality & Diversity:

The post-holderwill support the equality, diversity and rights of patients, carers andcolleagues, to include:

Acting in a way that recognises theimportance of peoples rights, interpreting them in a way that is consistentwith practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues

Quality:

The post-holderwill strive to maintain quality within the practice and will:

Alert other team members to issues ofquality and risk

Assess own performance and takeaccountability for own actions, either directly or under supervision

Effectively manage own time, workload andresources

Apply the practice policies, standards andguidance

Work within own limitations and experience

Be aware of and co-operate with audit

Work effectively with individuals in other agenciesto meet patients needs

Communication:

The post-holdershould recognise the importance of effective communication within the team andwill strive to:

Communicate effectively with other teammembers

Communicate effectively with patients andcarers

Recognise peoples needs for alternativemethods of communication and respond accordingly.

Other:

This jobdescription is neither exhaustive nor exclusive and will be reviewedperiodically in conjunction with you. You are required to carry out any dutiesthat may reasonably be requested by the PCN board & management team.

Person Specification

Experience

Essential

Practitioner-led management of minor illness. Evidence of working autonomously, with some support and supervision. First contact care. Proven ability to evaluate the safety and effectiveness of own clinical practice.

Desirable

Practitioner-led triage. Experience of Microsoft Office applications. Experience of GP Clinical IT systems. Experience of audit

Qualities & Attributes

Essential

Ability to work independently. Awareness of own sphere of competence and level of support required to practice safely. Ability to work as a team player. Initiative and drive. Pleasant and articulate. Able to work under pressure. Self-motivated and positive. Empathetic, honest, caring. Adaptable and forward looking. Enthusiastic and energetic. Diplomatic and considered. Hard working, willing and flexible. Observance of strict confidentiality. Ability to use own judgement, resourcefulness and common sense.

Other

Essential

Motivated and enthusiastic. Effective time management. Self-directed. Team player. Able to work at the desired times. Current UK/EU driving license. Flexibility of hours for cover.

Qualifications

Essential

Registered Nurse (NMC) or Registered Paramedic (HCPC) Advanced Clinical Practice at Masters level. Minor illness qualification at degree level assessed by OSCEs. Current registration. Relevant degree. Independent non-medical prescriber proven ability to use Patient Group Directions.

Knowledge, Skills & Competencies

Essential

Awareness of accountability of own role and that required of a Registered Practitioner. Ability to assess and manage patient risk effectively and safely. Good communication (oral and written) and inter-personal skills. Keyboard skills. Change management skills and ability to support patients to change lifestyle. Ability to form good working relationships with a multi-disciplinary team. Ability to listen and empathise. Understanding of evidence-based practice. Ability to organise and prioritise workload. Demonstrable evidence and commitment to professional development.

Desirable

Knowledge of health promotion strategies. Negotiation and conflict management skills. Knowledge of Quality and outcomes Framework.

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