OOHs Advanced Care Practitioner
3 weeks ago
Job summary
OOHs Advanced Care Practitioner (Independent Prescriber)
Flexible working (Monday Friday nights and weekends)
To act as an autonomous practitioner working independently in Taurus Healthcare Clinical service areas to assess, diagnose and treat the conditions of patients attending within primary care services and their own homes, initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence.
The post holder must possess competencies and capabilities across all four pillars of advanced practice.
Main duties of the job
Undertakesafe clinical decision-making and expert care, including assessment anddiagnostic skills and safety netting for patients using face to face (clinicand home visits) consultations, telephony and online consultation platforms Demonstrate critical thinking in the clinical decision-makingprocess, with the ability to prioritise and triage the needs of patients,accordingly, instigating appropriate investigations or referrals to colleaguesand other care providers Demonstratehighly developed clinical reasoning and decision-making Follow local and national guidelines and pathways, using evidencedbased practice and reflection, complete significant event analyses and auditsto evaluate the effectiveness of the care they provide. Useadvanced clinical skills to provide education to service users, promotingself-care and empowering them to make informed choices about their treatment Prevent inappropriate hospitaladmissions or attendances by providing/co-coordinating the provision ofspecialist care by other agencies for the patient in the most appropriate andagreed environment Workcollaboratively with hospital and community colleagues ensuring patientsreceive the right care in the right place at the right time Referpatients as appropriate to other members of the multidisciplinary team,secondary care and to other statutory and voluntary organisations includingreferral for x-ray Undertakesand interprets a range of diagnostic tests and routine clinical procedures
About us
Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.
At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.
Taurus Healthcare offer many employee benefits, such as:
Access to a generous NHS pension scheme with employer contribution. 25 or 30 days annual leave entitlement (plus bank holidays), including bank holidays, depending on service (pro rata for part-time staff) Access to the Blue Light extensive discount scheme. Access to Vivup benefit platformWe reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.
Job description
Job responsibilities
Clinical Practice Responsibilities
Undertake safe clinical decision-making and expert care, including assessment and diagnostic skills and safety netting for patients using face to face (clinic and home visits) consultations, telephony and online consultation platforms
Demonstrate critical thinking in the clinical decision-making process, with the ability to prioritise and triage the needs of patients, accordingly, instigating appropriate investigations or referrals to colleagues and other care providers
Demonstrate highly developed clinical reasoning and decision-making
Follow local and national guidelines and pathways, using evidenced based practice and reflection, complete significant event analyses and audits to evaluate the effectiveness of the care they provide.
Use advanced clinical skills to provide education to service users, promoting self-care and empowering them to make informed choices about their treatment.
Prevent inappropriate hospital admissions or attendances by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment
Work collaboratively with hospital and community colleagues ensuring patients receive the right care in the right place at the right time.
Refer patients to other medical specialities for assessment if deemed appropriate.
Refer patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray.
Undertakes and interprets a range of diagnostic tests and routine clinical procedures
Work independently and without direct supervision in the home environment as required
To act as an autonomous practitioner who directs, provides and evaluates the highest standard of evidence based clinical care to patients within the clinic environment or their own home, founded on agreed management care plans and protocols
Prioritise own clinical workload
Work with wider clinical team to manage on the day demand and priorities
Appropriately intervene to manage the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Review, prescribe and administer medication in line with national guidance and local formularies utilising EMIS local guidance and cost saving software prompts
When working in GP OOH service, receive medication bags for urgent care dispensing use, complying with Good Distribution Practice Standard Operating Procedures.
Recognise professional responsibility in promoting welfare and safeguarding of children, young people and adults and statutory reporting of safeguarding concerns.
Ensuring patients are protected from abuse, or the risk of abuse and that their human rights are respected
Work within own competence and scope of practice
Report and manage clinical incidents
Induction and supervision will be in alignment with the Taurus Traffic Light system.
Leadership and Management
Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model. Support staff development in order to maximise the potential of self and others.To impart knowledge and skills to colleagues, both formally and informally by promoting peer review and best practice within the work environment.
Actively promote the workplace as a positive learning environment, identifying learning opportunities for self and other practice members. Encourage others to apply knowledge and skills and challenge behaviour that is not in the interest of the company and those served by it. Work as effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Advises and supports others where standard protocols do not apply Participate in clinical audit and quality assurance activities Support investigation of clinical incidentsEducation and research
Ensure clinical ACP and Independent Prescribing skills and knowledge is updated in alignment with 4 pillars of ACPEnsure practice is evidence based by utilising applied knowledge of clinical audit, critical appraisal of research, research methodology, ethical review and research governance
Contribute to teaching and training of colleagues including mentorship and assessment of other clinical/nonclinical staffWork with local and national evidenced based policies and procedures.
To carry any other appropriate duties as required.
Person Specification
Qualifications
Essential
Current professional registration with NMC or Paramedic Health and Care Professions Council (HCPC) A demonstrable commitment to professional development Advanced Clinical Practice (ACP) qualification MSc level or equivalent (demonstrated by professional credentialling or professional equivalent) Registered Non-Medical Independent Prescriber Safeguarding adult and children Level 3 In date CPR training (within 12 months)-
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