Advanced Clinical Practitioner

The following are the core responsibilities of the ACP in delivering health services. a. Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice b. Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information c.

Act on professional judgement about seeking help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate e. Develop, implement and embed health promotion and wellbeing programmes f. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice g.

Implement and evaluate individual specialised treatment plans for chronic disease patients h. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health i. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change j. Use expertise and decision-making skills to inform clinical reasoning k.

Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care l. Exercise professional judgement to manage risk m. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice n. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children o.

Request and collect pathological specimens. Upon receipt, process and interpret pathology and other test results as required p. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required q. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively r.

Maintain chronic disease registers and implement an effective call/recall system s. Chaperone patients where necessary t. Prioritise health issues and intervene appropriately u. Support the team in dealing with clinical emergencies v.

Recognise, assess and refer patients presenting with mental health needs w. Support in the provision of vaccination programmes for both adults and children x. Be an extended and supplementary prescriber, adhering to extant guidance y. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required z.

Contribute to practice targets (QOF, etc.), complying with relevant guidance aa. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.) bb. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual) cc. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately dd.

Deliver opportunistic health promotion where appropriate There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels -- In addition to the primary responsibilities, the ACP has the following wider responsibilities: a. Provide holistic support in the clinical governance spectrum assuming a senior role in its compliance b. Support the IPC lead for the practice, ensuring compliance c. Monitor and ensure the safe storage, rotation and disposal of medications d.

Undertake overall management of the nursing team, providing guidance when necessary, acting as a mentor to students and newly qualified staff e. Participate in local initiatives to enhance service delivery and patient care f. Support and participate in shared learning within the organisation g. Develop an area of specialist interest, taking the lead within the organisation h.

Continually review clinical practices, responding to national policies and initiatives i. Drive the development of clinical services within the organisation, liaising with external agencies and professional organisations as required j. Develop practice administrative and clinical protocols in line with the needs of the patient and current legislation