Advanced Clinical Practitioner Apprenticeship

5 months ago

Morecambe, United Kingdom Bay Medical Group Full time

JOB PURPOSE The post holder will be expected to work within the existing Advanced Clinical Practice (ACP) team. As a qualified or trainee ACP, the post holder is expected to hold or be working towards an MSc level award or equivalent, and demonstrate the competencies and capabilities outlined within the multi-professional framework for advanced clinical practice, encompassing the four pillars of clinical practice. This role is predominantly focused on the autonomous assessment, investigation and management of patients presenting with urgent problems within the primary care setting. Therefore an ability to manage the complexity, uncertainty and risk associated with undifferentiated and undiagnosed conditions is essential.

The post holder must demonstrate expert level clinical decision making and critical reasoning skills, based upon both a breadth and depth of relevant underpinning knowledge and experience. Your work will involve collaborating closely with other healthcare professionals, ensuring the seamless coordination of care, and continuously seeking opportunities for professional development and innovation to enhance the quality of care delivered. Established ACPs are encouraged to diversify their role and develop areas of special interest, including but not limited to home visits/frailty, womens health or respiratory; this aids innovative service delivery and offers opportunity for the provision of specialist clinics. MAIN DUTIES Clinical Practice: The post holder will: Deliver a high standard of care using advanced clinical skills and in-depth theoretical knowledge.

Provide the first point of contact for clinical queries from the Patient Advisors on the Unscheduled Care Team, providing specialist advice and support. Deliver care through various consultation types, including in person clinic appointments, telephone consultations, home visits and e-consultations. Practise in compliance with respective code of professional conduct and within own scope of practice, being responsible and accountable for decisions and actions. Clinically examine, assess, diagnose, plan implement and evaluate treatment/ interventions and care for patients, using expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations; using information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

Diagnose and manage both acute and chronic conditions, initiating, evaluating and modifying a range of interventions which may include prescribing and reviewing medicines for therapeutic effectiveness (appropriate to patient need and in accordance with evidence based practice and national protocols within scope of practice), therapies, life style advice and care into a management plan. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments). Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on health promotion and self-care.

**Where the post holder is an independent prescriber**: to prescribe safe, effective and appropriate medication in line with current guidance and legislation. Work with patients in order to support compliance with and adherence to prescribed treatments, providing information and advice on prescribed or over the counter medication on medication regimens, side effects and interactions. Support and manage health needs of women presenting for family planning or sexual health consultation. Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.

Collaborate with other members of the Primary Health Care Team, accepting referrals and referring to them. Refer patients directly to other services and agencies as appropriate. Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

Deliver care according to NSF, NICE guidelines and evidence-based care. To record accurate data in the patient records to an agreed standard. Leadership and management The post holder will: Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working. Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

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