Out of Hours ACP

Job summary

We have an exciting opportunity for several Advanced Clinical Practitioners to join our Out of Hours team at our Barrow-In-Furness and Kendal sites. This is on a Salaried basis.

The role is critical in providing high-quality care out of hours, ensuring our patients receive timely and effective care.

Up to 20 hours per week are available for each site and these are primarily night shifts.

CLOSING DATE: 29 SEPTEMBER 2024

Weencourage you to apply as early as possible as this job may close earlier thanthe advertised closing date once enough applications have been received

Main duties of the job

The post holderwill work as a member of the clinical team. The post holder will be responsiblefor recognising, negotiating and implementing processes to enhance the deliveryof care in the Treatment centres.

Patient centredcare will be delivered by assessing patients with undifferentiated andundiagnosed problems; initiating treatment, investigations, advice andmanagement of problems using professional autonomous decision making processes,liaising when appropriate with other healthcare professionals and serviceproviders to ensure safe and effective patient care.

The post holderwill contribute to development and delivery of a high quality innovativeservice to the community through the implementation of evidence based clinicalpractice, supported by continual professional development andmentorship/supervision.

About us

Cumbria Health places the patient, their family and their community at the heart of everything we do. We are an award-winning organisation, the first out-of-hours organisation in the country to be rated as outstanding by the Care Quality Commission (CQC).

We provide primary health care services, both in and out of hours, across Cumbria. We are values-driven and place great emphasis on inclusivity and the wellbeing and development of our staff, while striving to provide a consistently high-quality service. Our service is designed to improve health and wellbeing.

Working for Cumbria Health can offer flexible opportunities in terms of location, hours and working patterns so you can enjoy a great work life balance. In order to provide the best patient care we understand the importance of ensuring staff satisfaction and are consistently trying to ensure we offer our staff a positive working environment whether that be though training or social events.

Listen to your heart. Have the work life balance you'd love.

Job description

Job responsibilities

This list ofduties and responsibilities, which follows, represents the broad range of taskswhich may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role mayinclude additional duties which are not listed here.

Communication

1. Communicates effectively as a member ofa multi-disciplinary team.

a. Refers when necessary to generalpractitioners, Paramedics, Accident and Emergency, Secondary Care, Districtnurses, Night rapid response nurses, Emergency social workers, Emergency mentalhealth team, and Emergency dental services.

2. With Primary care nurses giving support,advice and leadership.

3. With reception staff regarding patientinformation.

4. Recognise and effectively managessituations where there are barriers to effective communication.

5. Recognises and effectively managessituations where there are barriers to effective communication.

Clinical Skills

1. Works independently as an AdvancedClinical Practitioner within the scope of professional practice.

a. Functions at a high level to a carry out clinicaldecision making such as diagnosing and discharging patients with minimal inputfrom a medical practitioner remaining with the scope of professional practice.

b. Practices as an autonomous practitionerwhere possible with non-medical prescribing authority.

2. Functions at a high level in relation tocommunication skills through patient consultation and nursing assessment ofphysical, psychological and social needs.

a. Takes an accurate history, buildingrapport towards a therapeutic relationship.

b. Assess, plan and implements patientcentred plan of care for patients with in the out of hours treatment centres,independently discharge patients from your care and refer when necessary toother healthcare professionals for further specialised care.

3. Demonstrates clinical competence in theassessment and management of patients of all ages from infants to the elderlyand management of lifelong illness such as diabetes, asthma and chronicobstructive pulmonary disease during the time of acute illness and managingminor illness.

4. Adapts to change within workingsituation managing unscheduled emergency situations.

a. Basic life support, severe breathingproblems, serious cardiovascular problems, collapsed patients and seriously illpatients.

5. Performs investigations to reach adifferential diagnosis using core clinical skill and competence. Initiatetreatment including diagnostic investigations.

a. Recognition of abnormal vital signsobserving paediatric and adult respiratory rate and effort, heart rate rhythmand volume, temperature and blood pressures as appropriate.

b. Performs investigatory proceduresincluding; Performing ECGs, Urinalysis, Blood Glucose monitoring,Venepuncture, measuring and interpreting Peak Flow.

6. Demonstrates competence in examinationtechniques

a. Examination of the Ear Nose and Throatsystem

b. Basic Neurological examination ofHeadaches and Head injury

c. Basic Muscular-skeletal examination inthe assessment of injury

d. Basic eye examination in the assessmentof injury, foreign body and infection.

e. Respiratory Examination

f. Abdominal Examination

g. Cardiovascular Examination

h. Vaginal Examination and sexual healthscreening

7. Performs safe manual handlingtechniques.

8. Recognises own limitations, seekassistance and refer appropriately.

9. Delivers a high standard of care withoutdiscrimination to all ages, sexes and ethnic origins of the population throughcontinuum of life.

10. Deliver safe, effective evidence basedcare and advice to ease patient problems.

11. Promotes improving the health of theindividual through advice and education to aid adjustment of lifestyle,including Contraception advice.

Organisational Skills

1. Aware of and complies with CumbriaHealth policies and procedures.

2. Able to adapt to change in the workplacebeing involved in new developments in the delivery of care.

3. Ensures faulty clinical equipment isreported and repaired and adequate for use.

4. Ensures store supplies are adequatelyordered and maintained.

5. Participates and supports theimplementation of clinical governance, clinical audit and clinical riskassessment, setting and monitoring standards of care.

6. Promotes improving the health of thecommunity through reporting and preventing occurrences of infectious disease,proving advice and education.

7. Has a flexible approach to geographicallocations across county sites.

Professional

1. Ensures practice and implementation ofcare is evidence based by adhering to local and national guidance.

2.Complieswith NMC. HCPC, GPC code of conduct and works within scope of professionalpractice

3. Maintains confidentiality of informationregarding patients.

4. Ensures accurate, concise documentation.

5. Reports any adverse incidents or nearmiss events through agreed Cumbria Health system.

6. Maintains professional development inrisk awareness, health and safety, fire safety at work, Child and Adultsafeguarding, conflict resolution, information governance and basic lifesupport by attending annual mandatory training.

7. Identifies and/ or participates instrategies of risk assessment to avoid or prevent clinical incidents and nearmisses incorporated in the clinical governance framework including:

a. Risk management, Child and Adultsafeguarding policies, Drug policies and Infection prevention policies.

Leadership

1. Is a support network for othercolleagues.

2. Acts as role model to inspire andmotivate others.

3. Motivates and inspires others to deliverexcellent standards of care, both within own team and across the widerworkforce

4. Acts as mentor, support and induct newstaff.

5. Supports and challenges colleagues onspecific aspects of their practice, encouraging healthy debate and contributing to the development of others

Training and Education

1. Enhances professional development.

2. Continually keeps up to date withcurrent evidence based practice.

3. Is involved in lifelong learning.

4. Ensures mandatory training has beencompleted.

5. Participates in in-house trainingprovided / clinical meetings / supervision

Person Specification

Experience

Essential

Significant post registration experience (minimum 3 years in relevant field acute or primary care setting) Evidence of autonomous practice assessing & managing patients with undifferentiated presentations Evidence of good practice Leadership Skills

Desirable

Experience of working within primary or urgent care

Qualifications

Essential

1st Level professional registration Graduate degree with honours at least Non Medical prescribing qualification Evidence of advanced clinical examination & history taking qualification Evidence of recent Continual Professional Development

Desirable

MSc Advanced Practice 998 or equivalent teaching certificate. ILS Intermediate Life support

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