Clinical Practitioner

Job summary

This is an exciting opportunity to join our growing team based at Bransholme Health Centre, Hull. You will be askilled Registered Nurse, Registered Paramedic or Registered Physiotherapistwith the appropriate attitude, skills and knowledge base.

In addition, you may hold a currentqualification at degree level in management of minor illness, a Bachelorsdegree or working towards a Bachelors degree, or currently be undertaking aMasters level programme in Advanced Clinical Practice. You will deliver quality holistic care andtreatment to the Practice population.

Main duties of the job

Assess, diagnose, plan, implement and evaluatetreatment/interventions and care for patients presenting with anundifferentiated diagnoses within your sphere of competence

Clinically examine and assess patient needs froma physiological and psychological perspective and plan clinical care accordingly

Assess, diagnose, plan, implement and evaluateinterventions/treatments for patients with complex needs

Utilise your clinical supervisor/mentor andother clinical staff appropriately to ensure safe and effective patient care,demonstrating awareness of your own limitations

Provide safe, evidence-based, cost-effective,individualised patient care within the surgery, patients own home or otherenvironment where patient care is carried out

About us

James AlexanderFamily Practice is owned and run by 2 GP Partners who both follow portfoliocareers and appreciate the importance of personal interests and family life.

We have 4 salaried GPs and 11 Clinical Practitioners, 9 of whom are prescribers.

We have a strongnursing team with 5 Practice Nurses and 5 Health CareAssistants.

We have recently undergone extensive organisational changes to help us future proof ourorganisation, create efficiency savings and streamline services. This helped strengthen our non-clinical team,with our current non-clinical team working effectively, providing high qualitycare and support to all our clinical staff and patients.

We have alsocomplimented our strong clinical team with 2 dedicated Clinical Pharmacists andPharmacy Technician.

Job description

Job responsibilities

Clinical Responsibilities:

Assess, diagnose, plan, implement and evaluatetreatment/interventions and care for patients presenting with anundifferentiated diagnoses within your sphere of competence

Clinically examine and assess patient needs froma physiological and psychological perspective and plan clinical care accordingly

Assess, diagnose, plan, implement and evaluateinterventions/treatments for patients with complex needs

Utilise your clinical supervisor/mentor andother clinical staff appropriately to ensure safe and effective patient care,demonstrating awareness of your own limitations

Provide safe, evidence-based, cost-effective,individualised patient care within the surgery, patients own home or otherenvironment where patient care is carried out

Refer patients directly to other services/agenciesas appropriate, utilising practice and local guidelines and in a timely manner

Proactively identify, diagnose, monitor andmanage treatment plans for patients at risk of developing a long term conditionas appropriate

Diagnose and manage acute conditions,integrating both drug and non-drug based treatment methods into a managementplan

Prescribe and review medication for therapeuticeffectiveness, appropriate to patient needs and in accordance withevidence-based practice, national and practice protocols and within own scopeof practice. Utilise Patient GroupDirections for the administration of medication as appropriate

Work with patients in order to supportcompliance with and adherence to prescribed treatments

Provide information and advice on prescribed andover-the-counter medication on medication regimens, side-effects andinteractions

Prioritise health problems and interveneappropriately to assist the patient in complex urgent or emergency situations,including initiation of effective emergency care

Support patients to adopt health promotionstrategies that promote health living and to apply principles of self-care

Recognise, assess and refer patients with mentalhealth needs as appropriate

Leadership responsibilities:

Act as a positive role model

Support the development of others in order tomaximise potential

Actively promote the workplace as a learningenvironment, encouraging everyone to learn from each other and external goodpractice

Critically evaluate and review innovations anddevelopments that are relevant to the area of work

Participate in planning and implementing changeswithin the area of care and responsibility

Contribute and participate in the development oflocal guidelines, protocols and standards

Ensure the principles of infection control andlocal/national policies and guidelines are applied through the practice,monitoring and implementing changes as required

Other responsibilities:

Recognise and work within own competence and inaccordance with the professional code of conduct of the Nursing and MidwiferyCouncil (NMC) or Health and Care Professions Council (HCPC) as appropriate

Monitor the safety and effectiveness of ownclinical practice through quality assurance strategies such as the use of audit,mentor feedback, case review and peer review

Maintain accurate and complete documentation andrecords utilising IT as appropriate and in accordance with practice protocol

Use own judgement, resourcefulness and commonsense

Deliver care according to evidence basedpractice, following agreed protocols, local and national guidelines

Understand the applicable legal policy thatsupports the identification of vulnerable and abused children and adults, beingaware of statutory child/vulnerable adult health procedure and local guidance

Work within policies regarding family violence,vulnerable adults, substance abuse and addictive behaviour and refer asappropriate

Contribute to achievement of the highestpossible quality standards such as the QoF and other Key Performance Indicatortargets

Attend in-house governance, educational andstaff meetings as appropriate

Assist with the training of other staff membersand also with the education of doctors, nurses and other health professionalsin training as appropriate

Pro-active engagement with the practicepopulation and wider community to promote healthy living and encourage uptakeof services. This may include visits tolocal schools, community centres and other groups as necessary

Undertake additional tasks as required withinyour general role as a Clinical Practitioner and senior member of the team

Learning and development:

The post-holderwill participate in any training programme implemented by James AlexanderFamily Practice as part of this employment, such training to include:-

Participation in individual performance reviews,including maintaining a record of own personal and/or professional development

Working in conjunction with senior clinicians,assess own learning needs and undertake learning as appropriate

Develop and utilise a written PersonalDevelopment Plan

Participate in continuing professionaldevelopment opportunities to ensure that up to date evidence based knowledgeand competence in all aspects of the role is maintained

Make effective use of learning opportunitieswithin and outside the workplace, evaluating their effectiveness and feedingback relevant information

Disseminate learning and information gained toother team members in order to share good practice and inform others aboutcurrent and future developments

Undertake mandatory and statutory training asrequired

Team working:

Understand own role and scope in theorganisation and identify how this may develop over time and assist with thisdevelopment

Work as an effective and responsible teammember, supporting others and exploring the mechanisms to develop new ways ofworking

Accept delegation from other clinicians,prioritise own workload and ensure effective time management strategies areembedded in own practice

Participate in team activities that createopportunities to improve patient care

Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance

Participate and support local projects as agreedwith the practice management team

Delegate clearly and appropriately, adopting theprinciples of safe practice and assessment of competence of those taking ondelegated duties

Ensure clear understanding and utilisation ofreferral mechanisms within the practice

Confidentiality:

In the course of seeking treatment, patientsentrust us with, or allow us to gather, sensitive information in relation totheir health and other matters. They doso in confidence and have the right to expect that staff will respect theirprivacy and act appropriately

In the performance of the duties outlined inthis Job Description, the post-holder may have access to confidentialinformation relating to patients and their carers, James Alexander Family Practicestaff and other healthcare workers. Theymay also have access to information relating to James Alexander Family Practiceas a business organisation. All suchinformation from any source is to be regarded as strictly confidential

Information relating to patients, carers,colleagues, other healthcare workers or the business of James Alexander FamilyPractice may only be divulged to authorised persons in accordance with JamesAlexander Family Practice policies and procedures relating to confidentiality andthe protection of personal and sensitive data

Health & Safety:

The post-holderwill assist in promoting and maintaining their own and others health, safetyand security as defined in James Alexander Family Practice Health & SafetyPolicy, to include:

Using personal security systems within theworkplace according to James Alexander Family Practice guidelines

Identifying the risks involved in workactivities and undertaking such activities in a way that manages those risks

Making effective use of training to updateknowledge and skills

Using appropriate infection control procedures,maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified

Equality and Diversity:

The post-holderwill support the equality, diversity and rights of patients, carers andcolleagues, to include:

Acting in a way that recognises the importanceof peoples rights, interpreting them in a way that is consistent with JamesAlexander Family Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to andof the individual, is non-judgmental and respects their circumstances, feelingspriorities and rights

Quality:

The post-holderwill strive to maintain quality within James Alexander Family Practice, andwill:

Alert other team members to issues of qualityand risk

Assess own performance and take accountabilityfor own actions, either directly or under supervision

Effectively manage own time, workload andresources

Apply James Alexander Family Practice policies,standards and guidance

Working within own limitations and experience

Be aware of and co-operate with audit

Work effectively with individuals in otheragencies to meet patients needs

Portray a professional image at all times

Communication:

The post-holdershould recognise the importance of effective communication within the team andwill strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methodsof communication and respond accordingly

Other:

This jobdescription is neither exhaustive nor exclusive and will be reviewedperiodically in conjunction with you. You are required to carry out any duties that may reasonably berequested by the Partners or management team.

Person Specification

Qualifications

Essential

You should be a skilled Registered Nurse, Registered Paramedic or Registered Physiotherapist with the appropriate attitude, skills and knowledge base.

Desirable

Although a dependent practitioner, you should be able to work independently and make independent decisions enabled by a collaborative and supportive working relationship with your clinical supervisor. You will need to demonstrate safe and effective clinical decision-making and expert care, including assessment, diagnostic and management skills. As well as dealing with acute illness, experience of being involved in the management of long term conditions would be advantageous.

Experience

Essential

The ability to recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC) as appropriate

Desirable

A current qualification at degree level in management of minor illness, a Bachelors degree or working towards a Bachelors degree, or currently be undertaking a Masters level programme in Advanced Clinical Practice.

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