Primary Care Acute Hub Clinician
4 months ago
Job summary
Thepost holder will autonomously undertake assessment and treatment of same dayurgent care patients who may present with complex and/or chronic illnessesand/or injury. This will be a portfolio role working across various services,including but not limited to ABC Remote Services (e-Hub and Enhanced Access),and Acute Primary Care Hubs.
Base: Remoteworking within East Surrey, Mid Sussex, Crawley & Horsham. Possibility toattend some face to face clinics within these areas
Main duties of the job
The post holder will determine a clinical diagnosis, treatment and appropriate discharge as indicated as well as maintaining patient records, as well as be a source of clinical expertise to less experienced staff, enhancing skills and knowledge, and work in partnership within a multi-disciplinary team.
The post holder will ensure a high-quality patient centred service is delivered in both face-to-face and remote settings across all clinics.
The post holder should be a Registered first level nurse MSc or equivalent.
About us
Alliance for Better Care CIC is a GP Federation that unites47 NHS GP practices across 12 Primary Care Networks in Sussex and Surrey. Wesupport our Primary Care colleagues as well as their patients, to transform howhealthcare is managed within the community. As a membership organisation, our focus is to work in partnership with ourmembers and help them to improve the provision of General Practices in thelocal area. We work with and listen to our GP Practices, PCNs, Hospitals, CommunityOrganisations and the Third Sector. These vital partnerships ensure that,together, we deliver a truly integrated approach that offers the support andexpertise needed to effectively serve our communities.
More about our organisation:
Our Values
Weinnovate
If we can do something better, we should.
Weare honest
Even when it is difficult.
Wecare
And put the patient first.
Weare inclusive
We listen and we act.
Wedeliver
And we're known to like achallenge
Benefits
Generous annual leave allowance Access to NHS Pension Bespoke training programme Salary sacrifice schemes - car, tech, cycle to work Employee Assistance Programme Enhanced maternity pay NHS discounts Leadership Development Programme Opportunities for secondments Job description
Job responsibilities
Primary duties and areasof responsibility
Clinical responsibilities
1.To independently undertake highly specialisedclinical assessments, diagnose, treat, and discharge patients with a wide rangeof minor illnesses and injuries, including management of complex cases.
2.To ensure patients are fully involved in thedesign and implementation of their treatment plans.
3.To ensure effective coordination and liaisonwith multidisciplinary teams across Primary and Secondary Care Services,statutory and voluntary disciplines/groups to provide a seamless service to thepatients and their carers and prevent hospital admission where urgent care isrequired.
4.To refer appropriately to clinical leads where asecond opinion is required.
5.To adapt styles of communication appropriatelyto promote empowerment, self-management, and health education for patients.
6.To attend clinical case conferences, review, andclinical meetings as required.
7.To be a source of clinical expertise to lessexperienced staff within the team.
8.To delegate duties/tasks to other members ofstaff where appropriate.
9.Provide specialist advice relating to minorillness and/or injury to local healthcare teams, patients, relatives, andcarers.
10. Toidentify actual or potential clinical risks and take appropriate action using,when required, the appropriate reporting structure.
Service Delivery Responsibilities
1.To ensure that patient records and documentationare maintained in line with regulatory standards, ABC policies and use of theelectronic patient records system. This includes:
Documenting full and accurate records ofassessments, investigations, procedures, treatments, and aftercare.
Encouraging colleagues to maintain good andcomplete records.
Working closely with the reception team and theadministrator, ensuring all records pertinent to patients are scanned and filedas appropriate.
Contributing to the development ofcomputer-based patient records
Contributing to the read-coding of patient data.
2.Work within local protocols, guidelines and PGDs(Patient Group Directives).
3.To participate in audits and use the results,current research, and government guidelines to make recommendations for changesto service delivery and clinical practise, and to share knowledge with otherhealthcare professionals.
4.To contribute to the maintenance and improvementof communication networks with all disciplines including community healthcareteams, patients, acute hospitals, and relatives/carers to ensure continuity ofcare.
5.To collect data and provide service informationto the Service Manager as required.
6.To contribute to the development andestablishment of systems to gather feedback from patients.
7.To ensure that service specific Managers andClinical Leads are kept informed on service issues and potential risks.
8.To work with the team in delivering andpromoting the needs of the service.
9.To work with the Service Managers and ClinicalLeads to meet the Clinical Governance needs of the service; includinginvestigation of incidents (including serious incidents) and complaints, whererequired, sharing learning that arises from investigations.
10. Toprovide clinical supervision / mentorship (where appropriately trained) tojunior practitioners.
11. Toremain updated in the use all equipment used in all services and to report anytechnical problems or issues with that equipment.
12. Toparticipate in clinical team meetings to discuss day-to-day operational issues.
Personal &Professional Development
1.To be a skilled practitioner in routine andspecialist skills
Recognise and work within own competence andprofessional code of conduct as regulated by the Nursing and Midwifery Council(NMC) / Health & Care Professions Council (HCPC) / General PharmaceuticalCouncil (GPhC) / applicable regulatory body.
To keep abreast of developments in nursingpractice and topical issues ensuring that skills are maintained and enhancedthrough continued professional development.
To collaborate in the continuing development ofthe ENP/ANP/ECP role to include:
Level of autonomy in practice.
Progression from a role focusing on minorinjuries to include minor illness where not previously trained.
Appropriate education and preparation for therole to develop.
Show self-motivation toward expanding practiceand developing advanced skills and knowledge.
2.Development of others
Be an effective role model and expert resource toother members of the multi- disciplinary team.
To maintain clinicalexcellence within the department and provide education and training bothformerly and informally for colleagues.
Please see attached job description for more information.
Person Specification
Research and Evaluation
Essential
Ability to critically evaluate and review literature Ability to identify where there is a gap in the evidence base to support practice Ability to generate evidence suitable for presentation at local level
Qualifications
Essential
Registered first level nurse MSc or equivalent Relevant health degree Independent prescriber
Desirable
Mentor/teaching qualification
Knowledge and Skills
Essential
Ability to solve problems effectively and in a timely fashion and when to refer to seniors or GPs when appropriate Clinical leadership skills Excellent communication skills, both written and verbal Excellent understanding and implementation of legal, ethical, professional and organisational policies/procedures and codes of conduct Good understanding of patient centred care and impact on care quality and outcomes. Excellent interpersonal, influencing and negotiating skills Excellent written and verbal communication skills Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (, patients) Good IT skills Able to obtain and analyse complex technical information Self-Motivated Adaptable Flexible
Desirable
Negotiation and conflict management skills Resource management Able to work under pressure and in challenging situations to meet deadlines
Experience
Essential
Working autonomously in an ANP role Nurse Prescribing
Desirable
Online consultations Remote triage Experience of working within general practice Experience of multi-disciplinary team working Experience of committees/ working groups Experience in supervising staff
Leadership and Management
Essential
Can demonstrate understanding of the ANP role in governance and ability to implement this appropriately within the workplace Understanding of, and contributes to organisational vision Ability to improve quality within limitations of service Reviews progress and develops clear plans to achieve results within priorities set by others Demonstrates ability to motivate self to achieve goals Demonstrates understanding of the implications of national priorities for the team and/or service Demonstrates understanding of the process for effective resource utilisation Demonstrates understanding of, and conforms to, relevant standards of practice
Desirable
Demonstrates ability to identify and resolve risk management issues according to policy/protocol-
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