PCN Enhanced Clinical Practitioner

Job summary

We have an exciting opportunity for an Enhanced Clinical Practitioner to join our team, where you can make a positive contribution to patient care and peer support and supervision.

As an Enhanced Practitioner you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of their care with the support of the PCN Clinical Lead as required. You will demonstrate safe, clinical decision-making and expert care for patients within the Primary Care Network (PCN), whilst working autonomously and taking full accountability for patient encounters.

The Enhanced Clinical Practitioner will undertake duties within the Practice itself thus ensuring contemporary clinical skills and credibility as well as ongoing integration with the wider team and services. This would include review and care of patients attending the Practice (for pre-planned services or same day urgent care) and include diagnosing and treating patients presenting with minor illness, seeing, and advising people in respect of their continuing medical and nursing needs.

Your work will demonstrate improvement in patient outcomes, contributing to reduce health inequalities across the PCN and improving the efficiency of general practice and delivering a best-in-class service.

Main duties of the job

1 Anability to make professional autonomous decisions for which they areaccountable. Assess and triage patients, includingsame day triage, and as appropriate provide definitive treatment (includingprescribing medications following policy, patient group directives, NICE(national) and local clinical guidelines and local care pathways) or makenecessary referrals to other members of the primary care team. Screen patients for disease riskfactors and early signs of illness. Use complex decision making to informthe diagnosis, investigation, complete management of episodes of care within abroad scope of practice. Confirmation that you hold anindependent prescribing qualification?

About us

LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are bold, adventurous and ambitious and determined to thrive in uncertain times. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. We serve the healthcare needs of over 170,000 patients across Northamptonshire, Lincolnshire & Cambridgeshire.

Caring & Respect: Simply put we genuinely care about people: working together for our patients and our teams, our patients come first in everything we do.

Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another to ensure we are always striving to improve, making the right and best decisions to provide the best service.

About the Practice/Department/Team

Rockingham Forest PCN is a large, forward-thinking Primary Care Network compromising 3 practices across north Northamptonshire. We recognise the value that this role can bring to our practices and our patients, and we look forward to growing our PCN team. Our aim is to provide exemplary patient care; finding innovative solutions in general practice to deliver the best care we can to our patients.

Rockingham Forest PCN consists of 3 practices Lakeside Corby, Lakeside Headlands, and Lakeside Oundle. For more information on primary care networks please visit

Job description

Job responsibilities

Supporting the overarching Lakeside Healthcare Group strategy and service delivery, the Enhanced Clinical Practitioner provides complete episodes of care for patients with a wide variety and range of presenting problems and health care needs. This encompasses the provision of evidence based, high-quality care for patients whose issues fall within urgent acute episodes, long-term chronic conditions and including health promotion and public health elements.

As an Enhanced Practitioner you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of their care with the support of the PCN Clinical Lead as required. You will demonstrate safe, clinical decision-making and expert care for patients within the Primary Care Network PCN, whilst working autonomously and taking full accountability for patient encounters.

The Enhanced Clinical Practitioner will undertake duties within the Practice itself thus ensuring contemporary clinical skills and credibility as well as ongoing integration with the wider team and services. This would include review and care of patients attending the Practice for pre-planned services or same day urgent care and include diagnosing and treating patients presenting with minor illness, seeing, and advising people in respect of their continuing medical and nursing needs.

Your work will demonstrate improvement in patient outcomes, contributing to reduce health inequalities across the PCN and improving the efficiency of general practice and delivering a best-in-class service.

Mentorship and supervision will be provided by the PCN Clinical Lead. The level and type of supervision will be dependent on the post holders skills and knowledge and determined by the organisations clinical governance arrangements.

Although the expertise of the ECP in Primary Care lies in their ability to operate as a generalist, notably maternity care is the one domain where legislation stipulates that only a registered medical practitioner or a practicing midwife can provide care for a pregnant woman.

As a professional and experienced ECP the post holder will undertake demonstrate:-

An ability to make professional autonomous decisions for which they are accountable.

Assess and triage patients, including same day triage, and as appropriate provide definitive treatment including prescribing medications following policy, patient group directives, NICE national and local clinical guidelines and local care pathways or make necessary referrals to other members of the primary care team.

Screen patients for disease risk factors and early signs of illness.

Use complex decision making to inform the diagnosis, investigation, complete management of episodes of care within a broad scope of practice.

Manage undifferentiated undiagnosed condition and identify red flags and underlying serious pathology and take appropriate action.

Develop, with the patient, an ongoing care plan with emphasis on health education and preventative measures.

Actively take a personalised care approach and population centred care approach to enable shared decision making with the presenting person.

Order and follow up on necessary investigations providing treatment and care both individually, as part of a primary care team and through referral to other agencies.

Work collaboratively with other health care professionals and disciplines.

Complete the relevant training to provide multi-professional clinical practice and CPD supervision to other roles within primary care, for example first contact practitioners and the personalised care roles.

An ability to provide leadership, education, and mentorship.

An ability to provide clear and accurate documentation.

An appreciation of the importance of confidentiality.

The ability to assess for safeguarding issues and proactively refer on to relevant organisations / safeguarding teams.

Other Key Performance Areas

Quality Assurance & Risk Management

Working closely with the site leadership team, the ECP will support the delivery of the following:-

Ensure all care and services are delivered to the highest standards at all times and across the CQC domains, Safe, Effective, Caring, Well-led and Responsive

Recognise and work within own competence and professional code of conduct as regulated by the NMC.

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality and service expectations

Deliver care according to NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Initiate and participate in the maintenance and activities of quality governance systems and processes across the organisation, taking lead responsibility where indicated/agreed

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Assess the impact of policy implementation on care delivery

Management of risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Apply infection-control measures within the practice according to local and national guidelines

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving complex or emotionally sensitive information

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Personal and people development

Take responsibility for own learning and performance including participating in clinical supervision and annual appraisal

Acting as a positive role model, deliver high clinical and operational performance standards by developing and supporting the Nursing Teams in all aspects of clinical and professional practice.

Support staff development in order to maximise potential

Critically evaluate and review innovations and developments that are relevant to the area of work and actively support service redesign programmes

Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services

Take a lead role in planning and implementing changes within the area of care and responsibility

Contribute to the development of local guidelines, protocols and standards

Market the role of the Enhanced Clinical Practitioner in general practice

Team working

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence

Create clear referral mechanisms to meet patient need

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team

Work effectively with others to clearly define values, direction and policies impacting upon care delivery

Discuss, highlight and work with the team to create opportunities to improve patient care

Manage and lead on the delivery of specifically identified services or projects as agreed with the practice nursing/management team

Agree plans and outcomes by which to measure success and actively utilise performance reports to continually assess and improve care delivery and patient experience.

Managing information

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Understand responsibility of self and others to the practice and organisation regarding the Freedom of Information Act and Data Protection Act

Learning and development

Undertake mentorship for more junior staff, assessing competence against set standards

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Assess own learning needs and undertake learning as appropriate to keep up to date with relevant nursing and medical advancements

Be able to demonstrate a broad foundation of advanced level knowledge and skills.

Person Specification

Qualifications

Essential

RGN or Paramedic Qualification Current registration with the NMC or HCPC Masters degree - Advanced practice pathway Independent Prescribing Qualification Evidence of Continued professional development portfolio Safeguarding level 3 in Adults & Children & Young People

Desirable

Working at or towards Masters level or equivalent that encompasses the four pillars of clinical practice, leadership and management, education, and research, with demonstration of core capabilities and area specific clinical competencies Mentorship and or leadership training Undertaken Clinical Supervision Training Undertaken Accredited training in Chronic Disease management

Experience

Essential

Can work autonomously in an independent and advanced Healthcare role Experience of providing emergency care for patients and management of patients with complex needs Experience in primary care/general practice Evidence of wide knowledge base and competency in clinical practice including prescribing Experience of case management Experience in audit programmes and research studies Evidence of service development initiatives within role portfolio

Desirable

Working with community development initiatives

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