Advanced Care Practitioner

Job summary

This is anexciting opportunity for qualified Advanced Clinical Practitioners to join theteam at North Hampshire Urgent Care (NHUC).

NHUC provideshigh-quality care NHS primary care and talking therapies for local communitiesacross North and North East Hampshire, Farnham and Surrey Heath. Born from ashared desire to change healthcare for the better, we believe that by workingtogether we can achieve so much more for our patients and our people.

We thrive onbeing compassionate, responsive and adaptable; working together to help ourcommunities live well.

If you cansee yourself being part of our dynamic and forward-thinking clinical team, wewould love to hear from you.

If you would like an informal visit to either site, please contact Chris Stark on .

Main duties of the job

The primary focus of the role is work as an autonomous practitioner providing high quality and timely patient centred care. A key role of this post is to have responsibility for those patients attending our Same Day Care bases who have primary and urgent care problems and could be safely and appropriately seen by an autonomous practitioner.

The post holder will be responsible for the assessment, diagnosis, treatment, referral and discharge of a diverse range of patients with minor illnesses and within their level of competence and agreed protocols.

To deliver high quality safe, effective patient centred care. To provide competent, compassionate responsive care. To communicate effectively with patients, carers and colleagues. To integrate clinical knowledge and skills into the out of hours service, providing first contact patient care. To integrate clinical knowledge and skills and work as part of a multidisciplinary team to provide high quality patient care out of hours.

Please see the Job Description for the full range of responsibilities.

About us

NHUC is anot-for-profit Community Benefit Society, working in partnership with the NHS.NHUC provides services through two divisions, Same Day Care (SDC) and TalkPlus.

SDC providesservices through the Integrated Urgent Care (IUC) contract which covers the inHours Clinical Assessment Service (CAS) and Out of Hours (OOH) provision forNorth Hampshire, North East Hampshire and Farnham (NEHF) and Surrey Heathplaces who are part of the Hampshire and the Isle of Wight ICB and Frimley ICBrespectively. SDC also support projects such as ED streaming in Frimley ParkHospital and the Aldershot Urgent Care Centre in the Aldershot Centre forHealth. It also holds some smaller contacts such as supporting CommunityHospitals OOH and Flu response. Finally SDC has a virtual care arm supportingpatients at home.

TalkPlus arepart of the Improving Access to Talking Therapies programme, providing supportto people with common mental health problems in Northeast Hampshire and Farnhamplace. TalkPlus offers a range of treatments to people who are experiencingsymptoms of stress, anxiety, low mood, depression, panic, phobias or OCD.TalkPlus has care pathways to provide timely treatment for perinatal andmilitary veteran referrals.

Job description

Job responsibilities

Job Title: Advanced Care Practitioner - Nurse/Paramedic/ Clinical Pharmacist

Responsible To: Chief Executive, North Hampshire Urgent Care

Accountable To: Director of Nursing, North Hampshire Urgent Care

The primary focus of the role is work as an autonomous practitioner providing high quality and timely patient centred care. A key role of this post is to have responsibility for those patients attending our Same Day Care bases who have primary and urgent care problems and could be safely and appropriately seen by an autonomous practitioner.

The post holder will be responsible for the assessment, diagnosis, treatment, referral and discharge of a diverse range of patients with minor illnesses and within their level of competence and agreed protocols.

To deliver high quality safe, effective patient centred care.

To provide competent, compassionate responsive care. To communicate effectively with patients, carers and colleagues. To integrate clinical knowledge and skills into the out of hours service, providing first contact patient care. To integrate clinical knowledge and skills and work as part of a multidisciplinary team to provide high quality patient care out of hours.

Main Duties and Responsibilities

Clinical Care

Actas an expert practitioner, demonstrating clinical competence and a knowledgebase supplementing those associated with conventional nursing/ paramedic/pharmacist roles.

Undertakean element of triage, streaming patients to the appropriate service or closingcall with appropriate advice and safety netting.

Undertakeface-to-face consultations with patients as an autonomous practitioner andusing own clinical judgement, diagnose, treat, refer and/or discharge patientswithin competence and home visit if required

Make direct referralsto primary, secondary and social services within locally agreed pathways,guidance and protocols.

Ensurethat patients receive high quality clinical care, delivered in a timely manner.

Bean independent prescriber and safely supply and administer medicines.

Provideclinical advice to Administration staff where required

Ensurecomplete and accurate documentation of each and every patient contact

Workas an autonomous practitioner and as part of multi-disciplinary andmultiagency teams in order to ensure patients needs are met.

Professional

Adhereto the relevant Professional Conduct/ Standards and at all times work withinthe scope of professional practice, in particular but not exclusively to thefollowing:

Code of Professional Conduct (NMC, 2015) Standards for competence for registerednurses (NMC 2008) Standards for Medicines Management (NMC2008) HCPC Standards (HCPC, 2016) GPhC Standards (GPhC, 2018)

Ensurethat professional practice adheres to organisational policies, procedures andguidelines.

Maintaina professional manner.

Maintainconfidentiality with regard to information pertaining to patients and staff.

Ensurethat the service interfaces with all other stakeholders in a professional andproductive manner, providing an effective service to partner organisations andother service providers.

Actas a positive role model.

Communication

Communicateeffectively with patients and families regarding complex information abouttheir care

Provideadvice and information to patients, carers and their families where appropriate

Communicateeffectively and work collaboratively with medical, nursing and allied healthprofessionals to ensure delivery of a co-ordinated service.

Ensureaccurate documentation record keeping in line with local policies and NMC/ HCPC/GPhC guidelines.

Promoteand demonstrate effective communication networks within the organisation, withpartner organisations and other service providers

Clinical Governance

Cooperatewith all investigations and audits as required.

Adhereto North Hampshire Urgent Cares policies, procedures and guidelines.

Service Improvement

Contributeto quality improvement within the service through the identification andinitiation of changes, which lead to better evidence based practice andimproved standards of care

Participatein clinical audit identifying areas of best practice and areas for improvement.

Contributeto the setting and monitoring of standards of care.

Helpdevelop the services available to the urgent care population to reflectidentified needs

Educational/Personal Development

Contributeto the development and maintenance of an excellent learning environment.

Supportclinical practice and development of knowledge/skills.

Adhereto professional registration requirements to maintain professional development,participate in supervision and revalidation in line with NMC/ HCPC/GPhCguidance.

Participatein defining own developmental plan to maintain and develop own clinical skillsand ensure own professional development

Undertakeand complete all statutory and mandatory training, in line with NHUCrequirements in particular for Basic Life Support/Intermediate Life Support,Information Governance, Infection Prevention Control, Safeguarding and conflictresolution. (Access to these training requirements will be available throughNHUC if you are not able to access via your primary job).

Toaccess regular peer support and clinical supervision.

Contributeto your own personal development and participate in an appraisal and regularperformance reviews.

Tosupport and coach peers, new colleagues, students and personnel on temporaryplacements.

Other

Demonstratecommitment to flexible working patterns, to meet the needs of the service andstaff.

Undertakehome visits if within competence and agreed with visiting GP.

SupportEmergency Department Primary Care Streaming services if competent andexperienced.

Person Specification

Qualifications

Essential

Registered General Nurse, Specialist Paramedic or Clinical Pharmacist Evidence of current NMC/HCPC/GPHC registration Educated to Masters level or RCN Accredited Accredited Advanced Nurse / Paramedic Practitioner / Clinical Pharmacist Training Programme Non Medical Prescribing qualification

Desirable

Leadership qualification Mentoring qualification

Skills

Essential

Demonstrate excellence in the ability to assess and manage patient risk effectively and safely Excellent interpersonal, verbal and written communications skills Reflective practitioner Time management and ability to prioritise workload

Desirable

Experience of use Rotamaster Experience of Adastra Experience of telephone triage and video consultation

Other

Essential

Flexibility of working hours / able to work at the desired times DBS Enhanced Level Check Willingness to undergo additional training, education and mentoring to develop and maintain clinical skills. Willingness to assist with mentoring, training and support of peers, colleagues, students and placement personnel.

Desirable

Car driver/clean license Ability to undertake training during office hours.

Experience

Essential

At least five years clinical experience or relevant other field Evidence of working as an Advanced Nurse Practitioner / Specialist Paramedic / Clinical Pharmacist with primary care experience Evidence of continuing professional development activity to maintain up-to-date knowledge Experience of providing whole episode of care to patients Proven ability to evaluate the safety and effectiveness of their own clinical practice

Desirable

Post reg. experience in A&E unscheduled care, first response paramedic or related fields Evidence of leadership and mentoring skills

Knowledge

Essential

Awareness of policy developments related to the delivery of out of hours primary care services including General Practice, Clinical Governance Understanding of evidence based practice including knowledge of national standards that inform practice ( National Service Frameworks, NICE guidelines etc.) Understanding of their accountability arising from the NMC Code of Professional Conduct / HCPC standards/GPHC Standards Understanding of equal opportunity and diversity issues. Good knowledge of Safeguarding both Adults & Children at Level 3

Qualities and Attributes

Essential

Able to demonstrate enthusiasm to developing clinical skills An understanding, acceptance and adherence to the need for strict confidentiality Ability to use own judgement, resourcefulness and common sense Ability to work without direct supervision and determine own workload priorities Ability to work as part of an integrated multi-skilled team Able to work under pressure Able to work in a changing environment Able to use own initiative

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