Job summary
Would you like to be part of a team with a real community feel, which offers professional patient medical services from enviable practice premises located in the beautiful and charming coastal town and village of Whitby and Robin Hoods Bay?
We are looking for a highly motivated, experienced Advanced Clinical Practitioner to join our well-established clinical team for up to 37.5 hours per week.
You would be joining a friendly and dynamic practice team who serve a practice population of over 13,500 patients and aim to deliver modern primary care with the traditional feel of general practice.
You will be supported by an excellent clinical team, a well structured management team and an outstanding administrative team.
The practice RAG rates patients and we would expect our ACP's to see only green and amber patients in 15 minute appointments.
Main duties of the job
In this role you will work independently, making professional, autonomous decisions.
The role will involve initial history taking, clinical assessment, diagnosis, treatment plan and evaluation of patient care. Assessment may be face to face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis.
You will be responsible for making any necessary referrals, requests for investigations and do these in in an appropriate manner and timescale.
The role will involve independent prescribing within the scope of professional practice.
The advanced clinical practitioner will support the GP team managing same day appointment requests from patients and home visits.
The clinical practitioner will need to prioritise and triage the needs of patients accordingly, seeking GP input as appropriate where the problem lies outside their professional capability. They will demonstrate safe clinical decision making and a high level of independent care including assessment, diagnostic and prescribing skills.
All appointments are 15 minutes.
About us
The Practice is located in Whitby and has a branch site in Robin Hoods Bay. We have around 13,500 patients.
Currently there are 3 partners supported by a team of several salaried GP's, Advanced Care Practitioners, several nurse prescribers and Practice Nurses, HCA's, Pharmacists, Pharmacy technicians, a dispensing team, care coordinators and a committed admin and management team.
We are a training practice that works with Hull and York Medical School and currently support Year 4 medical students, GP Registrars and F2's.
We have been rated Good by CQC and are a consistently high QOF achieving practice.
Our clinicians have meetings built into the rota daily for half an hour to be able to discuss any ongoing cases and ask questions of colleagues.
The practice is a very desirable place to work with a relaxed and pleasant atmosphere. It is very important to the partners that this is maintained and developed.
There is a good social aspect to the team and we always have a Christmas party and a summer BBQ with several events in between.
Job description
Job 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
- Carry out face to face and telephone, and triage patients appropriately
- 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
- Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC/HCPC
- 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
- Deliver care according to NSF, 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 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
- 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 (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
- Assess the impact of policy implementation on care delivery
- Contribute to the appraisal of the performance of the team, providing feedback as appropriate
- 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
- Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
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
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Contribute to the development of local guidelines, protocols and standards
- Promote the role of the advanced 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 management team
- Agree plans and outcomes by which to measure success
Job description
Job 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
- Carry out face to face and telephone, and triage patients appropriately
- 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
- Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC/HCPC
- 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
- Deliver care according to NSF, 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 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
- 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 (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
- Assess the impact of policy implementation on care delivery
- Contribute to the appraisal of the performance of the team, providing feedback as appropriate
- 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
- Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required
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
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
- Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency or actions that are not in the interest of the public and/or users of services
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Contribute to the development of local guidelines, protocols and standards
- Promote the role of the advanced 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 management team
- Agree plans and outcomes by which to measure success
Person Specification
Qualifications
Essential
- Professional registration with NMC or HCPC
- MSc in Advanced Clinical Practice or equivalent
Desirable
- Mentor or teaching qualification
- Qualified Triage Nurse
- Minor Illness Qualification
Experience
Essential
- Management of minor illness, minor ailments, and injuries
- Experience of working in primary care
Desirable
- Clinical Leadership
- Clinical experience at senior level
Knowledge and skills
Essential
- Advanced clinical practice skills including Management of patients with long-term conditions
- Management of patients with complex needs and chronic diseases
- Practical understanding of primary care and community services
- Implementation of best practice
Desirable
Person Specification
Qualifications
Essential
- Professional registration with NMC or HCPC
- MSc in Advanced Clinical Practice or equivalent
Desirable
- Mentor or teaching qualification
- Qualified Triage Nurse
- Minor Illness Qualification
Experience
Essential
- Management of minor illness, minor ailments, and injuries
- Experience of working in primary care
Desirable
- Clinical Leadership
- Clinical experience at senior level
Knowledge and skills
Essential
- Advanced clinical practice skills including Management of patients with long-term conditions
- Management of patients with complex needs and chronic diseases
- Practical understanding of primary care and community services
- Implementation of best practice
Desirable
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
