Advanced Clinical Practitioner

PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES CLINICAL PRACTICE The Advanced Clinical 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, hubs 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 re Undertakes and interprets a range of diagnostic tests and routine clinical procedures 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. 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. 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 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 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 Contributes to disease registers. Audits outcomes of care against standards and initiate changes as necessary. Refers to other members of the extended primary Care Multidisciplinary Team team as appropriate 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 in teaching and help support training of other staff. Develop links with wider areas and other local and national bodies relevant to primary and community care.

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 and is able to demonstrate through written and presentation these developments 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. 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.

Regularly communicates service related information to Federation Partners, Business Manager, 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 for the benefit of patient care and facilitates good working relationships. Develops and delivers presentations to large groups eg local and national conferences, clinical meetings, empowers staff to develop presentation skills in order to promote good practice.

MANAG