Advanced Clinical Practitioner

7 months ago

Bristol, United Kingdom Cadbury Heath Healthcare Full time

The Advanced Practitioner works autonomously and is accountable for own professional actions. Undertakes Clinical Practice at an advanced level using expert knowledge and clinical skills Assesses, diagnoses, and treats patients attending thepractice 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. Undertakes and interprets a range of diagnostic tests and routine clinical procedures e.g., cytology, 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 Develops and manages highly specialised programmes of care and care packages and provides highly specialised advice concerning care normally beyond the scope of normal clinical practice e.g., establishes differential diagnoses, management/treatment plans and makes referrals as appropriate. 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 Contribute to practice targets both local and national within the disease management agenda 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 KEY ROLE STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES Contributes to the strategic development of primary care 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. Develop links within the ICB and other local and national bodies relevant to primary care initiatives.

KEY ROLE HEALTH IMPROVEMENT Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes. Introduces innovation in practice to meet on going health need demands of the practice. Works to introduce new developments that will improve health outcomes for patients Shares innovation with others. 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 Regularly communicates service-related information to Partners, Managing Partner, Salaried GPs, Nursing and Administrative staff, patients, relatives, and carers.

Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion. Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations Develops and delivers presentations to large groups e.g. local and national conferences, clinical meetings, KEY ROLE MANAGE/LEAD SELF/OTHERS Develops a leadership role within the practice. Encourage and motivate others to be forward thinking in ideas that address the health needs of the practice Develops and leads on evidence-based practice.

Promotes effective communication and relationships within the team. Partakes in clinical supervision for own development. Actively participates

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