PCN Advanced Practitioner

Job summary

The Advanced ClinicalPractitioner is an experienced clinician (nurse, paramedic, pharmacist) who hasundertaken (or is willing to work towards) Masters level education, coveringthe four pillars of advanced practice (clinical practice, leadership andeducation, research, education). The autonomous practitioner must also be anindependent prescriber.

The Advanced ClinicalPractitioner will undertake clinical assessment including history taking andphysical examination, form a diagnosis and provide a treatment plan, which mayinclude prescribing. The Advanced Clinical Practitioner will demonstrate safe,clinical decision making and expert care. The Advanced Clinical Practitionerwill be expected to treat all ages from children to the elderly, withundifferentiated presenting complaints, including mental health, paediatricillness and palliative care. Top up training can be provided in any areas ofidentified development.

The Advanced ClinicalPractitioner will work collaboratively with all membersof the team. This may include telephone consultations, face to faceconsultations, or mobile/home visits. At times you may be operating as a singleclinician. Considering all four pillars of advanced practice, you are expectedto utilise your clinical leadership skills and supporting educationaldevelopment of junior staff.

Main duties of the job

-Will work autonomously within a health care teamconsisting of Team Leaders, Advanced Clinical Practitioners, Duty Doctors,Call Handlers & Receptionists.

-The composition of this team will vary from shift toshift & ACp's must be able to communicateeffectively & professionally with all staff members.

-As part of a national service, you will deal with callsof a very diverse nature covering all clinical aspects & issues, from aninfinite variety of callers, whose cultural, social & emotional diversitiesrequire to be acknowledged & taken into consideration during theconsultation

-You will be required to use a multi skilled approach.Whilst using the available technology, the ACP will use effective listening & communication skills in order to make clinical decisions, create records & refer to clinical reference literature during the consultation period.

--Must be able to retrieve & use information regardinghealthcare provision in the patients locality, allowing appropriate care to beaccessed where necessary.

--Assess, diagnose, plan, implement and evaluatetreatment/interventions & care for patients presenting with anundifferentiated diagnosis

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

--To provide face-to-face & telephone clinicalassessment/treatment and management plan to patients.

-Ensure that all treatments & care provided are based on best practice/evidence-based care

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About us

Greenwich PCN Alliance Limited has been running since 2020 and consists of 4 PCNs: Blackheath and Charlton PCN, Eltham PCN, Heritage PCN and Unity PCN. Our aim at Greenwich PCN Alliance Limited is support the improvement of primary care across Greenwich by providing support to Primary Care Networks (PCN) across Greenwich and recruiting Additional Roles via the the Additional Roles Reimbursement Scheme (ARRS) .

Job description

Job responsibilities

The Advanced ClinicalPractitioner is an experienced clinician (nurse, paramedic, pharmacist) who hasundertaken (or is willing to work towards) Masters level education, coveringthe four pillars of advanced practice (clinical practice, leadership andeducation, research, education). The autonomous practitioner must also be anindependent prescriber.

The Advanced ClinicalPractitioner will undertake clinical assessment including history taking andphysical examination, form a diagnosis and provide a treatment plan, which mayinclude prescribing. The Advanced Clinical Practitioner will demonstrate safe,clinical decision making and expert care. The Advanced Clinical Practitionerwill be expected to treat all ages from children to the elderly, withundifferentiated presenting complaints, including mental health, paediatricillness and palliative care. Top up training can be provided in any areas ofidentified development.

The Advanced ClinicalPractitioner will work collaboratively with all membersof the team. This may include telephone consultations, face to faceconsultations, or mobile/home visits. At times you may be operating as a singleclinician. Considering all four pillars of advanced practice, you are expectedto utilise your clinical leadership skills and supporting educationaldevelopment of junior staff.

Primary Responsibilities:

Clinical:

Assess, diagnose, plan, implement and evaluatetreatment/interventions and care for patients presenting with anundifferentiated diagnosis.

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

Prescribe and review medication for therapeuticeffectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within scopeof practice.

Work with patients in order to support compliance withand adherence to prescribed treatments.

Provide information and advice on prescribed orover-the-counter medication on medication regimens, side-effects andinteractions.

Prioritise health problems and intervene appropriatelyto assist the patient in complex, urgent or emergency situations, includinginitiation of effective emergency care.

Assess, identify and refer patients presenting withmental health needs in accordance with the NSF for Mental Health.

To provide face-to-face and telephone clinicalassessment/treatment and management plan to patients.

Help in the development and evaluation of clinicalguidelines, and competency tools to support practitioners in the expansion oftheir roles in the delivery of optimal care.

Undertake consultations withpatients taking a comprehensive patient history, carry out physical examinationand use your expert knowledge and clinical judgement to identify the potentialdiagnosis.

Refer patients forinvestigations when necessary/appropriate.

Make a final diagnosis,decide on and carry out treatment, including the prescribing of medicine orreferring to primary or secondary care specialist services within local agreedpathways and protocols as appropriate.

Ensure that all treatmentsand care provided are based on best practice/evidence-based care.

Asses and evaluate, with thepatient, the effectiveness of the treatment and care provided and make changesas needed.

Use independent prescribingskills for benefits of patient care.

Providesupport/leadership/training/education.

Identify and takeappropriate actions to address risk to the patient, this will include:Identification of emergencycare needs requiring dispatch of a 999 ambulance and safeguarding children andprotection of vulnerable adult issues which require referral on to otheragencies in line with local policies.

Work independently and atthe same time contribute to the work of the whole team to ensure the deliveryof a consistently high level of service, this will include; taking responsibility andbeing accountable for managing own workload, risk assessment and management,acting within professional codes and appropriately to the clinical team leaderfor advice and supporting. Acting as a clinicalresource for non-clinical staff who may require advice and support.

Communication:

Communicate effectively with patients and carers,recognising the need for alternative methods of communication to overcomedifferent levels of understanding, cultural background and preferred ways ofcommunicating.

Anticipate barriers to communication and take action toimprove communication.

To be aware of responsibilities under the DataProtection Act.

Attend regular team meetings.

Provide a professional,courteous and efficient service consistent with organisational standards forpatients seeking assistance from the service, maintaining a professional andreassuring manner at all times.

Utilise advanced listening,probing and facilitative skills across a diverse range of cases, some of whichmay be highly challenging due to emotive circumstances, communicationdifficulties and patient anxiety.

Utilise complexcommunication skills to negotiate and provide support to patients who may benon-compliant with the recommended outcomes.

Utilise interpreterservices, communication aids and other resources, to address barriers tocommunication and understanding.

Effectively use a range ofcommunication methods ( telephone, email, fax, letter and report writing)to facilitate communication at all levels within and external to theorganisation.

Audit:

For clinical governance and training purposes, regular monitoring is requirement of this job.

Education, Training and Development:

Contribute to theachievement of service standards and performance requirements by participatingin regular quality monitoring and individual performance reviews.

Attend and contribute tomeetings, workshops and other groups in order to support the on-goingdevelopment of the service

Participate in audit,customer satisfaction programmes, research and other quality improvementactivities.

Participate in the investigationof incidents, complaints and other issues as required.

Manage and maintain clinical records as required.

Maintain active NMC registration.

Tocarry out other duties commensurate with the grade as directed,

Secondary Responsibilities:

Work as part of the team toensure a positive and productive team environment is developed and maintainedat all times.

Attend at all necessaryinternal and external meetings as required.

Produce written and verbalreports with appropriate data to support such meetings.

To attend all Mandatory trainingfor the role as identified by the organisation.

To carry out the role in line withoperating policies and procedures.

To report incidents and complete documentation as required.

To support colleagues inensuring operational and managementcover is available across all workstreams.

To maintain patient/staff confidentiality at alltimes.

To undertake any other duties, as agreed, to meet the needs of the organization.

Person Specification

Other Requirements

Essential

Flexibility to work outside of core office hours. Disclosure of Barring Service (DBS) Check

Qualifications

Essential

Live registration with professional body. Qualification that entitles basic registrations. Masters level study in advanced practices that covers all 4 pilars of advanced practice (clinical practice, leadership & education, research, education). Independent/Supplementary prescriber.

Personal Qualities

Essential

Polite and confident. Flexible and Cooperative. Motivated and a forward thinker. Problem solver with the ability to process information accurately and effectively, interpreting data as required. High levels of integrity and loyalty. Sensitive and empathetic in distressing situations. Abilty to work under pressure/in stressful situations. Effectively able to communicate and understand the needs of the patient. Commitment to ongoing professional development. Effectively utilise resources. Punctual and committed to supporting the team effort.

Experience

Essential

Experience of working as a practioner in a GP surgery, primary care environment, emergency department, urgent care centre, MAU/EAU or other first contact setting, evidence of excellent assessment skills. Experience of telephone triage/assessment environment. Experience of working autonomously diagnosing and treating patients. Experience in mental health assessment. Experience in paediatric assessment. Knowledge of equal opportunities and its significance in health care. Awareness of mental health, child protection and safeguarding vulnerable adults issues.

Desirable

Expericence of having participated in service improvement activities including audit and research. Experience in verification of death. Knowledge of national agendas in General Practice. Knowledge of service improvement activities including audit, research, reflective practice.

Skills

Essential

Advance clinical assessment skills including history taking/clinical examination. Use of expert knowledge and clinical judgement to identify of the potential diagnosis Excellent communication, listening and interpersonal skills Demonstrates advanced problem solving and decision making skills supported by the use of evidence based and/or best practice. Ability to assimilate large quantities of information quickly and accurately and communicate it clearly. Able to work autonomously and as part of a team. Excellent written and verbal communication skills. Excellent interpersonal skills. Abiltiy to maintain accurate records. Able to listen carefully to order to understand the needs of others. Able to use information, technology and communications equipment efficiency. Able to work under pressure whilst maintaining a high level of accuracy and attention to detail. Self-motivated with the ability to support and enthuse. Good organisational and prioritisation skills. Tactful and diplomatic. Able to maintain professionalism. Able to manage sensitive and emotive situations.

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