Trainee Advanced Clinical Practitioner

Job summary

Due to continued growth we are looking for an experienced Advanced Clinical Practitioner, with experience of a nursing, background to join our practice. (We will also consider someone who is currently working as a trainee ACP)

We are a friendly Practice with good patient satisfaction levels and a "Good" CQC rating.

Being a forward thinking, organised and structured Practice we have a dedicated holistic approach to providing high quality patient care. We operate from a purpose built surgery in Cleckheaton.

We are offering a flexible (up to full time) position. with an attractive salary dependent on experience.

Great opportunity for mentorship and personal development.

Main duties of the job

The role would involve telephone triage, face-to-face consultations and possibly some home visits, on occasion.

The post holder will provide care for the presenting patient from initial history taking, clinical assessment and diagnostic skills, for patients within the general practice. The successful applicant will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures.

About us

We are a 5 Partner Practice, serving approximately 9200 patients. Our friendly team also includes 2 Practice Nurses, 2 HCAs, 2 trainee ACPs and a wonderfully helpful and experienced Administrative and Reception Team.

We strongly believe in the importance of a safe and supportive working environment.

We hold formal meetings each week and regular clinical meetings are held to ensure complex and vulnerable patients are discussed in protected MDT time.

Through our active and supportive PCN we have access to Clinical Pharmacists, First Contact Physios, IAPT assessments, Social Prescribing Link Workers and Care Coordinators.

Job description

Job responsibilities

Role Summary:

The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced clinician who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, and supporting the delivery of policy and procedures.

Primary Responsibilities:

Clinical Practice:

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

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 bad news 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

Delivering a quality service:

Recognise and work within own competence and professional code of conduct Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures Deliver care according to Professional Framework, NICE guidelines, and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation 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 ( root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents, and near-miss events

Leadership personal and people development:

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model Support staff development in order to maximise potential Contribute to the development of local guidelines, protocols and standards

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

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

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 primary care trust regarding the Freedom of Information Act

Learning and development:

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments ( courses and conferences) Assess own learning needs and undertake learning as appropriate Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Secondary Responsibilities:

Delivering a quality service:

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities 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 Assess the impact of policy implementation on care delivery Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Team working:

Prioritise own workload and ensure effective time-management strategies are followed 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 management team Agree plans and outcomes

Management of Risk:

Working with the practice management, ensuring mandatory and statutory training requirements are completed Apply infection-control measures within the practice according to local and national guidelines Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice

Equity and Diversity:

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Enable others to promote equality and diversity in a non-discriminatory culture Support people who need assistance in exercising their rights Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice Accept the rights of individuals to choose their care providers, participate in care and refuse care Assist patients from marginalised groups to access quality care Person Specification

Qualifications

Essential

Core professional qualification Membership of a professional body MSc in Advanced Clinical Practice or evidence of degree and further accreditation with the RCN (Will consider a trainee ACP) Independent prescriber Desirable Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and ongoing competence in all aspects of the ACP role.

Desirable

Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and ongoing competence in all aspects of the ACP role.

Experience

Essential

Running clinics & seeing/treating patients with minimal supervision Ability to assess and manage patient risk effectively and safely Reflective practitioner Able to analyse data and information, drawing out implications for the individual patient/impact on care plan Management of long term conditions Working autonomously and as part of a team

Desirable

Working in general practice Use of Systmone

Person Specification

Essential

Well-developed word processing/data collection/IT skills Excellent interpersonal, verbal and written communication skills Time management and ability to prioritise workload Clear documentation to facilitate continuity and consistency of care Accuracy and attention to detail Flexibility Full drivers licence and access to independent transport

Desirable

Working in general practice Use of Systmone

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