Advanced Clinical Practitioner Rossendale

Job summary

Comeand join our lively and vibrant teamNestled in the lovely town of Rawtenstall, in East Lancashire, we are a walk-inservice with a highly skilled team, who deal with all ages, ranging from babiesto the elderly. We are a high-performance team with complimentary talents andskills, who consistently show high levels of innovation, focusing on the bestquality of care for our patients. We pride ourselves on an open and honestculture and show dedication towards peer support, maximizing individual strengthand personality, valuing new ideas to help strengthen and celebrate what agreat service we offer Come and be apart of our amazing team

Salary: £ - £/hr depending on experience

PLUS, a Golden Hello of £1500 paid intwo instalments over 6 months (External applicant only)

Hours: 23 hours per week on a rolling rotabasis (2 long days per week)

Main duties of the job

It will be the responsibility of the post holder to, exerciseclinical expertise, levels of judgement, discretion and decision making inclinical care, as demonstrated under agreed parameters within the 4 pillars ofadvanced practice. To provide a high standard of care for patients presentingwith undifferentiated and undiagnosed minor injury needs. Please note, we see injury only at this service and thosepatients who present with illness are offered a triage service.

About us

The ethos of FCMS as a social enterprise, health andwellbeing services provider is to be passionate in its drive to ensure thatpatients and callers remain the central focus of all that it does. Coupled withexcellent and well-established clinical governance systems and extremelyeffective operational expertise, it has meant that the company has the abilityto strategically visualise, develop, and implement award winning services.

Over many years we have invested in our staff so that we havea core team of highly trained individuals who can manage the needs of ourpatients and callers. Our staff are able to significantly improve the servicedelivery and user experience due to their considerable experience andcommitment to what they do.

Job description

Job responsibilities

The post holder will:

Work with and champion the unit in conjunction with Senior Managerialcolleagues

Support the Management team and Clinical manager to ensure all serviceKPIs/Targets all are met and looking for improvement over and above the setcommissioned targets.

Ensure mandatory training is kept up to date and receive suitabletraining/CPD for their ongoing development needs.

Practice autonomously, as an independent practitioner and non-medicalprescriber, participating in the care of and undertaking assessment, diagnosis,treatment / referral and discharge of patients presenting with minor injury.

Identify the need for and initiate and interpretrelevant diagnostic investigations and results (X-Ray).

To safely and competently undertake invasive andnon-invasive procedures to establish a diagnosis.

Be able to independently undertake telephonetriage.

To work within the parameters of currentnon-medical prescribing legislation

Monitor and lead improvements to standards of care through supervisionof practice, clinical audit, and evidence-based practice, teaching andsupporting professional colleagues and the provision of skilled professionalleadership.

Contribute to the Clinical Governance agenda within the service byleading audit and research as part of the multi-disciplinary team within thearea of expertise.

Act in accordance with ones own Governingprofessional body

Provide professional and clinical advice within themulti-disciplinary team.

There may be occasions where Practitioners areasked to work across various sites in our Lancashire team within FCMS.

Knowledge, skills and experience required:

Relevant professional qualification

Experience of working independently as an unsupervised practitioner inthe primary or urgent care setting.

Experienced in undertaking telephone triage and remote prescribing.

Teaching and mentorship

Up to date CPD Portfolio

Demonstrate the ability to work in highly demanding environment.

Maintained development of clinical leadership skills

Evidence of diplomacy and negotiation skills

Able to demonstrate imaginative and effective use of resources

Able to articulate personal development needs

Implementation of audit/research recommendations and demonstratesability and knowledge on how to undertake audit and feedback to clinicians.

Excellent communication and leadership skills

Evidence of significant involvement in change

Competent in use of IT packages such as Microsoft Word and PowerPoint

Knowledge of current clinical and professional issues

Awareness of impact of evidence-based practice within unscheduled care

Ability to work collaboratively with an appropriate range ofmulti-agency and inter-professional resources, maintaining and evaluating linksto manage risk across organisation and setting.

Ability to identify risk assessment and act accordingly.

Key results areas

Clinical

The post holder will:

Assess, treat, and advise patients presenting with minor injury needs.

Lead the shift within a small team

Provide supervision of the clinical team, assisting and developing theirteam and individuals

When required ensure patients are referred on to other members of theprimary health care team or secondary care as necessary and support and guideothers as required.

Ensure all practice is safe and effective and remains within boundariesand scope of competence of individuals and to acknowledge limitations.

Work at an advanced level of practice reflected under the 4 pillars ofadvanced practice of the HEE.

Perform investigatory procedures, including assessing patients withminor injuries, request, and review x-rays, treat minor injuries /implementexpanded roles in practice.

In general, the post-holder will be expected to undertake all the dutiesand responsibilities associated with an expert practitioner working withinUnscheduled Primary Care and out of hours.

Develop and maintain clinical policies, procedures, and protocols.

Ensure any patient information is up-to-date and produced in appropriateformats.

Professional

The post holder will:

Role model standards of care and behaviour through clinical practice.

Act as a role model for standards of behaviour and professionalism,through commitment to the integration of policies and procedures within therole and workplace

Analyse relevant local and national policy, within their area ofexpertise and advise on the impact for service, leading the implementation ofchanges and evaluation of processes.

Maintain professional registration and practice through CPD

Maintain a professional portfolio to demonstrate competency in line withNMC competency framework or other professional body.

Maintain their personal standards of conduct and behaviour consistentwithin FCMS, NMC guidelines or other professional body.

Allocate, coordinate, monitor and assess own workload within an acceptedtime frame.

Ensure appropriate use of resources to meet service needs.

Recognise and act as an advocate for patients, carers, service, and theorganisation.

Carry out annual review of best practice/national standards andimplement recommended changes.

Promote workforce integrity (empower professional accountability withinthe clinical team, ensure accreditation process followed, complaintsmanagement, competency assessment, ensuring mandatory training requirementsfulfilled, robust clinical induction)

Maintain a sound knowledge of NHS policy and NICE guidance in relationto scheduled and unscheduled care.

Education and training

The post holder will:

Identify own development needs in line with service requirements withina personal development plan.

Develop and distribute educational leaflets in relevant formats, forpatients relating to services and patient pathways.

Ensure personal, peer support and clinical supervision needs are met.

Research and development

The post holder will:

Evaluate clinical practise through audit of service and develop andmanage strategies to address any shortfalls.

Undertake audits as required by the service working with the clinicalmanager.

Demonstrate knowledge of current research in all aspects of their workand advise others on the implementation of relevant research findings.

Initiate and/or become involved in research projects in response toidentified needs.

Disseminate results/research/ audit findings via local teams and/ornational/international publications.

Implement research findings appropriate to practice.

Promote the shared objectives of the multidisciplinary team by workingclosely to ensure that best practice is achieved utilising both ClinicalBenchmarking and Essence of Care processes.

Most challenging part of the role.

Ability to work under pressure in an ever changing, challengingspecialist environment whilst maintaining excellent standards of patient care.

Dealing with difficult situations and people by demonstrating andexercising critical thinking skills when faced with incomplete or lack ofinformation or complexity.

Seeing, treating, referring, or discharging patients independentlywithout direct supervision

Triaging, referring, or discharging patients independently withoutdirect supervision.

Manage patient and public expectations of the service within setnational targets and time constraints.

Manage effective change and development within clinical areas,maintaining highly specialised knowledge and competences.

Any other duties considered relevant to the post and commensurate withthe post holders grade and as agreed by their manager.

The main duties and responsibility shown above are not an exhaustive andshould merely be regarded as a guide. The job holder will be expected toconduct any reasonable activities according to the service needs at that time.These are subject to periodic review and may be amended to meet the changingneeds of the service. The job holder will be expected to participate in thisprocess and the company would aim to reach agreement to changes.

Disability Confident Employer - As users of the disability confidentscheme, we guarantee to interview all disabled applicants who meet the minimumcriteria for the vacancy

The role is subject to a DBS check which will require three forms ofvalid ID to be produced and verified. The onboarding process is also subject toan Occupational Health check, suitable professional references and eligibilityto work in the UK (with the requirement to provide relevant documentation asevidence).

Person Specification

Qualifications

Essential

Registered Practitioner Advanced Practice qualification/ RCN Credentialled practitioner with experience dealing with both children and adults / HEE portfolio. Substantial clinical experience within an unscheduled care setting, working at an Advanced level Non- medical prescribing qualification

Desirable

Recognised training in minor injury management, consultation, and examination skills IRMER trained Practice assessor certificate Telephone triage qualification

Teamwork, Management and Communication

Essential

Commitment to working with multiple organisations to manage patient flows Commitment to multi-disciplinary team approach to care Excellent oral, aural, and written communication skills Excellent interpersonal skills and the ability to deal with difficult situations The ability to demonstrate an understanding of the current issues affecting Primary Care services Time management of work productivity Ability to challenge the norm and get the best out of team members Commitment to support, develop and manage change Evidence of good organisational and leadership skills Information governance understanding and awareness

Desirable

Evidence of leadership experience Evidence of project management

Personal Qualities

Essential

Must have a positive can-do attitude Leadership qualities Commitment to personal and professional development Willing to work unsociable hours Able to deal with difficult and sensitive situations with tact and diplomacy Committed to service development Adaptable to the changing needs of the service. Kindness and empathy

Vaccinations

Essential

Hepatitis B Vaccination (we can provide this) BCG (for Tuberculosis) Vaccination (we can provide this)

Desirable

Up to date Covid-19 vaccinations

Experience

Essential

Minimum 5 years post registration experience and a passion for working in an integrated urgent care system and working with partner organisations Experience of expert autonomous practice within an unscheduled care setting managing minor injuries of all ages Evidence of clinical competence in a wide range of relevant clinical skills, local anaesthesia infiltration, suturing, x-ray interpretation, fracture management Health Promotion experience Experience using clinical computer systems Understanding of current Urgent Health care issues and initiatives Ability to work effectively under pressure, intense conditions and within time constraints Understanding and awareness of CQC compliance and essential standards of quality and safety Teaching experience/clinical supervision experience

Desirable

Experience of working within a community Urgent Care setting or ED or an appreciation of the nature of primary care prescribing, and strategies for improving prescribing practice Innovative practice to deliver patient centred care Use of Adastra IT

Teaching

Essential

Willing / able to attend appropriate training Experience of training and development of staff Commitment to own personal development

Desirable

Teaching Qualification

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