Advanced Clinical Practitioner

Nurses / Pharmacists / Paramedics Participate in all treatment and preventative healthcare services in the Practices as delegated and agreed by the supervising GP(s). Consult and refer patients to physicians, medical specialists and other health professionals as indicated. Provide direct clinical care for patients presenting with undifferentiated, undiagnosed problems by utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable) during surgery consultations and home visits. Recommend and explain appropriate diagnostic tests and treatment.

Request and interpret results of laboratory investigations when necessary. Perform specialised diagnostic physical exams and treatment procedures. Instruct and educate patients in preventative health care. Order laboratory tests as required and agreed under supervising doctor(s).

Fully document all aspects of patient care and complete all required paperwork for legal and administrative purposes. Formulate diagnoses and treatment plans, in consultation with or referring to Supervising doctor(s) as appropriate. Communicate, when necessary, with colleagues in the Practice, PCN and hospital specialists to discuss or refer specific patients, plan and co-ordinate activities or exchange information to improve the quality of patient care. Deal regularly with hospitals, consultants and other health care providers, and other community organisations to refer/consult on specific cases.

Provide health/disease promotion and prevention advice, alongside analysing and actioning diagnostic test results. Develop integrated patient-centred care through appropriate Working with the wider primary care multi-disciplinary team and social care networks. Utilise clinical guidelines and promote evidence-based practice and partake in clinical audits, significant event reviews and other research and analysis tasks. Undertake home visits when required.

Pharmacists Only Help achieve efficiencies and effectiveness within the prescribing activities of the practice Promote high quality cost-effective and evidence-based use of medicines Work within the Pharmacy Team, to respond to medication-related queries generated by patients, GPs, other health care professionals and staff Work within the Pharmacy Team to develop and ensure a safe efficient medicines optimisation programme including repeat prescribing, medication review and medicines reconciliation services Undertake clinical medication reviews either face to face or via telephone support on identified stratified-risk patients that may include residents in care homes, in their own, with long-term conditions, and/or learning disabilities Identify and produce recommendations for medication optimisation for the GPs and other multi-disciplinary team members