Advanced Clinical Practitioner
1 month ago
PARK STREET SURGERY ADVANCED CLINICAL PRACTITIONER JOB DESCRIPTION GRADE: Equivalent to Band 8a (Agenda for Change) Dependent upon Experience HOURS: 6-8 sessions ACCOUNTABLE TO: Practice Manager and Partners RESPONSIBLE TO: Partners for Clinical issues and Practice Manager for managerial issues. JOB PURPOSE To act as an autonomous practitioner working independently and in conjunction with other health care professionals to: assess, diagnose and treat the conditions of patients attending within primary care initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence. To develop new and innovative concepts, models, methods and practices to deliver new and improved primary care services to meet the needs of the practice and CCG population.
To provide education and training to other staff and students. To participate in extended hours and participate in the home visits rota. To undertake research as part of the role. PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES KEY ROLE CLINICAL PRACTICE The Advanced Care Practitioner works autonomously and is accountable for own professional actions.
Undertakes Clinical Practice at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services. Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions. Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency. Directly admits patients to secondary care hospital in acute medical need.
Refers patients to other medical specialities for assessment if deemed appropriate. Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray. Has undertaken x-ray training as required by hospitals trust. Undertakes and interprets a range of diagnostic tests and routine clinical procedures e.g.
venepuncture, blood pressure monitoring etc. Makes critical judgements of the highest order to satisfy the expectations and demands of the job e.g. first contact with patients presenting acutely and manages care in the presence and absence of protocols. Makes decisions where precedents do not exist, where appropriate without recourse to others e.g.
direct referral of patients to Hospital Consultants without prior reference to other medical colleagues. Advises and supports others where standard protocols do not apply. Works within professional guidelines and codes of conduct. Works within all relevant practice policies and procedural guidelines e.g.
infection control, chaperoning, risk management. Extended and supplementary prescriber. KEY ROLE CARE AND PROGRAMME MANAGEMENT Makes fast track referrals. Communicates highly sensitive condition related information to patients, relatives and carers.
Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. Diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate. Contribute to practice targets both local and national within the disease management agenda e.g. QOF, prescribing incentive scheme, NSFs, National benchmarking.
Contributes to disease registers. Audits outcomes of care against standards and initiate changes as necessary. Undertakes annual review of patients understanding and ability to self-manage. Refers to other members of the extended primary health care team as appropriate e.g.
chiropodist, dietician, specialist Nurses. KEY ROLE STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES Contributes to the strategic development of primary care and public health services to meet patient and population needs within the practice and across the wider organisation. Works/liaises across multi-professional and agency boundaries. Works at the forefront of practice innovation.
Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities. Recognition and involvement as a teaching unit and help drive element of training. KEY ROLE HEALTH IMPROVEMENT Supports practitioners in profiling the practice population in order to initiate contribute and promote improved health and prevent disease in individuals and groups. Represents individuals and families interests when they are not able to do so themselves.
Makes referrals to statutory and voluntary agencies as appropriate. KEY ROLE COMMUNICATION Provides and receives highly complex, sensitive or contentious information and frequently deals with situations which are hostile or emotive. Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome
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