Clinical Advisor

1. Clinical Assess clinical risk on behalf of the patient as part of an initial assessment using GP Care Wakefield/Trinity Medical Centre protocols and clinical judgement Undertake a comprehensive assessment using approved clinical judgement and assessment tools, evidence-based protocols, guidelines and professional judgement whilst working in Urgent/Primary Care. There are no clinical decision support systems/algorithms available. Process calls as per GP Care Wakefield/Trinity Medical Centre guidelines and provide a professional, courteous and efficient telephone service consistent within agreed standards for telephone triage to patients seeking medical assistance during the out of hours period.

Triage effectively and identify patients with emergency and urgent care needs and provide routine care or self-care advice as necessary ensuring that patients have a safe and consistent outcome. Use critical thinking and effective communication skills to assess patients holistic needs and establish relevant cultural, social, economic factors in a respectful and non - judgemental manner. Provide appropriate health education and advice, referring to the relevant healthcare professional as required. Identify and use appropriate information sources to support and underpin clinical decision making.

Demonstrate and maintain understanding and awareness of policies in mental health, child protection, vulnerable adults, medication enquiries and other aspects of general healthcare. Take responsibility and accountability for managing own workload, risk assessment and risk management. Act independently within the constraints of professional and organisational policies and guidelines. Share and utilise areas of practice with peers and colleagues to inform and enhance patient care.

Work effectively as a team member, supporting and communicating with other professional colleagues and clinicians. Access a range of information in order to develop a plan of care in partnership with the patient. Provide advice that is based on current evidence and best practice. Critically evaluate clinical information and advice for validity and reliability.

Offer the caller/patient the resources to enable them to meet their own health need and access the most appropriate healthcare. Conclude the episode to the satisfaction of the caller/patient. Document an accurate record of the consultation and evaluates outcome. 2.

Managerial Show evidence of effective decision making. Manage time and resources effectively and appropriately. Communicate effectively with other agencies and stakeholders. Develop effective interpersonal relationships with others.

Demonstrate effective performance within the team 3. Professional Participate in audit, evaluation and feedback. Identify and comply with the standards laid down by the NMC/HCPC in their Code of Practice. Exploit professional knowledge, skills and experience to the maximum benefit of the caller Actively promotes develop and extend the scope of nursing and healthcare practice.

Understand and observe professional and national guidelines on confidentiality. Reflect on practice and critical incidents using a range of tools, mediums and arenas. Develop own skills and competencies through education, training and development related to the current and future demands of the role and when requested to do so. Manage time and resources effectively and appropriately.

Initiate, manage and respond positively to change. Participates in the organisations clinical governance and performance review procedures. 4. Communications To communicate effectively at all levels using all communication methods in a clear and understandable manner, adapted to individual needs and using tact and empathy.

To utilise advanced listening, probing and facilitative skills across a diverse range of calls, some of which are highly challenging due to emotive circumstances or caller aggression. Utilise complex communication skills to negotiate and provide support to patients who are non-compliant with the recommended outcomes or utilise translation services where language barriers are present. To manage calls in a professional and reassuring manner and to respond to highly emotive calls appropriately & sensitively. To actively communicate with other professional colleagues and clinicians to assist service delivery.

To actively communicate with other external services to aid responses to enquiries when appropriate. 5. Education, Training and Development Demonstrate a broad understanding of the NHS and the National Quality Requirements for the Extended Hours Service. To attend mandatory and any other relevant training courses / updates i.e.

telecommunication skills, remote clinical assessment, patient safety, clinical updates, IT & computer skills including specific decision support / clinical tool kits, Governance, Health & Safety. Take responsibility and accountability for own professional development and performance and maintain a por