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Visiting Clinical Practitioner
4 months ago
Job summary
The post-holder will be an experiencednurse/paramedic, who acting within their professional boundaries; will providecare for the presenting patient from initial history taking, clinicalassessment, diagnosis, treatment, and evaluation of their care. They willdemonstrate safe, clinical decision-making and expert care for patient withinthe general practice.
The post-holder will provide this service toour care home residents, patients in their own homes and at the surgery.
The post-holder will work collaboratively withthe multi-disciplinary general practice team to meet the needs of patients, supportingthe delivery of policy and procedures.
The post-holder will build effective workingrelationships with other health care professionals.
The post-holder will work within the team of GPs,nurses and health care assistants to deliverexcellent primary health care services withinthe Practice.
Main duties of the job
To deliver a high standard of patient care asan Clinical Care Practitioner in general practice, using advanced autonomousclinical skills, and a broad and in-depth theoretical knowledge base.
About us
Pembroke Medical Group is a dynamic and exceptionally well-run practiceof 27,000 patients. We have a hard working, friendly and collegiate team ofclinicians and are looking to add to our growing number of Allied HealthcareProfessionals, with the aim of providing the best possible care to ourpatients.
The Pembroke Medical Group is part of the Baywide Primary Care Network,which includes Compass House Medical Centre in Brixham and Chilcote Surgery inTorquay. Together we serve a population of 50,000 patients. The expectation isthat the successful candidate will collaborate with our GPs, Nurse Practitioners, Nursing Team and Pharmacists, as well as ourcolleagues in Community Nursing, Physiotherapy, Occupational Therapy, SocialCare and at SWAST.
Job description
Job responsibilities
Jobsummary:
The post-holder will be an experiencednurse/paramedic, who acting within their professional boundaries; will providecare for the presenting patient from initial history taking, clinicalassessment, diagnosis, treatment, and evaluation of their care. They willdemonstrate safe, clinical decision-making and expert care for patient withinthe general practice.
The post-holder will provide this service toour care home residents, patients in their own homes and at the surgery.
The post-holder will work collaboratively withthe multi-disciplinary general practice team to meet the needs of patients, supportingthe delivery of policy and procedures.
The post-holder will build effective workingrelationships with other health care professionals.
The post-holder will work within the team of GPs,nurses and health care assistants to deliverexcellent primary health care services withinthe Practice.
Dutiesand responsibilities:
Managementof patient Health and Illness
To deliver a high standard of patient care asan Advanced Care Practitioner in general practice, using advanced autonomousclinical skills, and a broad and in-depth theoretical knowledge base.
Provide a first point of contact within thePractice for patients presenting withundifferentiated, undiagnosed problems, makinguse of skills in history taking, physicalexamination, problem-solving and clinicaldecision-making, to establish a diagnosis andmanagement plan.
Instigate necessary invasive and non-invasivediagnostic tests or investigations and interpret findings/reports.
Where the post-holder is an independentprescriber: to prescribe safe, effective andappropriate medication as defined by currentlegislative framework.
To prioritise health problems and interveneappropriately, including initiation of effective emergency care.
Promote health and well-being through the useof health promotion, health education,screening and therapeutic communicationskills.
To clearly communicate the health status ofthe patient using appropriate terminology,technology and format.
Provide safe, evidence-based, cost effective,individualised patient care.
To work within the Practice guidelines,policies and protocols.
To maintain accurate and contemporaneousrecords, utilising computer systems whereappropriate and consider the CaldicottPrinciples and GDPR Regulations in relation to all data handling.
To be proactive in the identification ofCarers
PROFESSIONALROLE
To promote personal development and clinicalexcellence.
To facilitate and participate inmulti-disciplinary education and clinical supervision.
To work within the relevant ProfessionalConduct and Scope of Professional Practice.
Participate in organisational decision making,interpret variations in outcomes and use data from information systems toimprove practice.
To maintain own professional development inline with their professional regulations.
To promote evidence-based practice through theuse of the latest research-based guidelines and the development ofpractice-based research.
Monitor the effectiveness of their clinicalpractice through the quality assurance strategies and the use of audit and peerreview.
Participate in continuing professionaldevelopment opportunities to ensure that up-to-date evidence-based knowledgeand competence in all aspects of the role is maintained.
Keep up to date with pertinent health-relatedpolicy and work with the Practice team toconsider the impact and strategies forimplementation.
Pro-actively promote the role of ACP withinthe Practice, and externally to key stakeholders and agencies.
To play an active role in the development ofpractice development plans and new services.
TEAMROLE
As a clinician to be available to supportother healthcare team members and to accept referrals from other team members.
To liaise with all members of the PrimaryHealth Care Team and other agencies localauthority, social services, secondary care,voluntary sector, and Primary Care workers in order to assure appropriate careis provided for the practice population.
To participate as a key member of themulti-professional team through the development of collaborative and innovativepractice.
To value all team members.
To delegate appropriate tasks to the otherteam members whilst still maintainingresponsibility for this area.
To support the delivery of health and safetyguidance as agreed within the Practice.
To support the writing of maintenance anddelivery of CQC guidance within the Practice.
ORGANISATIONAL
To complete records, audits, reports andrespond to appropriate questions and requests.
To attend meetings as requested.
Support effective communication channelsbetween the whole team.
To keep the Lead ACP informed about pressuresand difficulties or problem areas when aware.
To contribute to Practice strategy anddevelopments when requested.
To work according to Clinical Governance andsupport the Clinical Governance Agenda.
Understand that common patient complaints mayalso be catalyst for change within Practice procedures.
To understand the role of Risk Managementwithin the Practice contributing to riskassessment and Significant Event Audit and theimportance of Infection Control.
The individual may be required to undertakethe assessment and management of patients within the home environment.
To actively participate in the delivery of QOFtargets and others as deemed by thearrangements in general practice finance.
MISSION,VALUES AND STRATEGIC DIRECTION
To promote at all times, the Practices,mission, values and understand the strategic direction of business plans.
Ensure that patient centeredcare and safety iscentral to the culture, philosophy andorganisation of the Practice.
To encourage and support patient with longterm conditions to develop their ability to self-manage.
To develop a culture of ongoing review, takinginto account new methods of working.
CODESOF CONDUCT AND ACCOUNTABILITY
To work at all times within the highest levelsof standards commensurate with the post.
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 do so in confidence and have the right toexpect that staff will respect their privacy 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, practice staff and otherhealthcare workers. They may also have access to information relating to thepractice as a business organisation. All such information from any source is tobe regarded as strictly confidential Information relating to patients, carers,colleagues, other healthcare workers or the business of the practice may onlybe divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data.
Health& safety:
Thepost-holder will assist in promoting and maintaining their own and othershealth, safety and security as defined in the practice health & safetypolicy, the practice health & safety manual, and the practice infectioncontrol policy and published procedures. This will include:
Using personal security systems within theworkplace according to 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 controlprocedures, maintaining work areas in a tidy and safe way, free from hazards. Actively reportinghealth and safety hazards and infection hazards immediately when recognised.
Keeping own work areas and general/patientareas generally clean, assisting in the maintenance of general standards ofcleanliness consistent with the scope of the job holders role
Undertaking periodic infection controltraining (minimum annually)
Reporting potential risks identified
Demonstrate due regard for safeguarding andpromoting the welfare of children & adults at risk.
Equalityand diversity:
Thepost-holder will support the equality, diversity and rights of patients, carersand colleagues, to include:
Acting in a way that recognises the importanceof peoples rights, interpreting them in a way that is consistent with practiceprocedures and policies, and current legislation.
Respecting the privacy, dignity, needs andbeliefs of patients, carers, and colleagues.
Behaving in a manner that is welcoming to andof the individual, is non-judgmental andrespects their circumstances, feelingspriorities and rights.
Personal/professionaldevelopment:
Thepost-holder will participate in any training programme implemented by thepractice as part of this employment, with such training to include:
Participation in an annual individualperformance review, including taking responsibility for maintaining a record ofown personal and/or professional development.
Taking responsibility for own development,learning and performance and demonstrating skills and activities to others whoare undertaking similar work.
Quality:
Thepost-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of qualityand risk.
Assess own performance and take accountabilityfor own actions, either directly or under supervision
Contribute to the effectiveness of the team byreflecting on own and team activities andmaking suggestions on ways to improve andenhance the teams performance.
Work effectively with individuals in otheragencies to meet patients needs
Effectively manage own time, workload, andresources
Person Specification
Knowledge & Skills
Essential
Management of patients with acute and long-term conditions. Management of patients with complex needs. Clinical examination skills (all systems) Accountability of own role Local and national health policy Wider health economy Patient group directions and associated policy Clinical leadership skills Communication skills, both written and verbal. Communication of difficult messages to patients and families Negotiation and conflict management skills Change management Teaching and mentorship clinical setting Resource management
Desirable
Knowledge of public health issues Able to identity determinants on health in the area. Knowledge of public health issues in the area. Clinical governance issues in primary care
Other
Essential
Full UK driving Licence Self-directed practitioner Highly motivated Flexibility Enthusiasm Team player Ability to work across boundaries
Qualifications
Essential
Recognised nursing/academic degree Mentor/teaching qualification Clinical supervision training and experience
Desirable
Independent Nurse Prescriber MSc Level 7 modules pertaining to Advanced Practice Recognised NP qualification at minimum degree level or equivalent
Experience
Essential
Recent primary and community nursing experience Minimum 5 years post registration experience
Desirable
Recent primary and community nursing experience Nurse-led triage including telephone triage Working with community development initiatives Health-needs assessment of patients Leadership in quality initiatives such as clinical benchmarking Extended and supplementary nurse prescribing.