Advanced Clinical Practitioner

Use highly developed specialised knowledge to take Informed Consent from patients by informing them of the benefits, risks, complications and effects of the intended management regime or procedure, and any alternative treatments. Perform a comprehensive patient-focused holistic health history and physical examination. Critically analyse and interpret history, presenting symptoms, physical findings and diagnostic information to develop the differential diagnosis within the Specialist area. Lead highly complex clinical situations, recognising and initiating treatment in patients experiencing deterioration in clinical condition (physical & psychological) such as an adverse event, major haemorrhage, respiratory/cardiac arrest and acute mental health crisis.

Communicate highly complex and highly sensitive information to patients at the appropriate level of understanding about issues surrounding their medical condition, whilst maintaining patient confidentiality. Ensure that they understand the rationale for the proposed treatment, its consequences and any alternatives. As far as is possible, ensure that the patient understands the information given to them, overcoming any communication barriers such as deafness, learning difficulties, language skills, and demonstrate excellent levels of verbal and non-verbal communication skills. Utilise sensitive communication styles to provide reassurance, counselling and support to patients and relatives, especially when breaking bad news.

Communicate and liaise with primary care colleagues regarding patient care, management and monitoring, ensuring clarity of information to ensure that patient care is continued seamlessly between secondary and primary care.