Job responsibilities
Manage a largely undifferentiated acute case list
in the role of a first contact practitioner.
Consult patients via the telephone, virtually and
with new technologies to help meet the practices commitment to online
consultations.
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, diagnose, plan, implement and evaluate
interventions/treatments for patients with complex needs
Demonstrate critical thinking in the clinical
decision-making process.
Manage patient risk effectively and safely,
including high levels of complexity and uncertainty.
Evaluate the safety and effectiveness of your own
clinical practice.
Utilise your clinical mentor and other clinical
staff appropriately to ensure safe and effective patient care, demonstrating
awareness of your own limitations.
Provide safe, evidence-based, cost-effective,
individualised patient care within the surgery, patients own home or other
environment where patient care is carried out.
Refer patients directly to other services/agencies
as appropriate, utilising Practice and local guidelines and in a timely manner.
Recognise when an acute presentation may represent
the deterioration of a LTC. Actively optimise LTC's in line with local and
national guidelines.
Pro-actively identify, diagnose, monitor 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 own
scope of practice.
Work with patients in order to support compliance
with and adherence to prescribed treatments.
Provide information and advice on prescribed and
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 living and to apply principles of self-care.
Recognise, assess and refer patients with mental
health needs as appropriate.
Communicate with and support patients receiving bad
news.
Recognise patients nearing the end of their lives.
Develop care plans, complete DNAR's and liaise with other professionals
involved as part of your holistic management.
Other responsibilities:
Recognise and work within own competence and in
accordance with the professional code of conduct of the Nursing and Midwifery
Council (NMC), Health and Care Professions Council (HCPC).
Monitor the safety and effectiveness of own
clinical practice through quality assurance strategies such as the use of
audit, mentor feedback, case review and peer review.
Maintain accurate and complete documentation and
records utilising I.T. as appropriate and in accordance with Practice protocol.
Use own judgement, resourcefulness and common
sense.
Deliver care according to evidence based practice,
following agreed protocols, local and national guidelines.
Understand and apply legal policy that supports the
identification of vulnerable and abused children and adults, being aware of
statutory child/vulnerable adult health procedure and local guidance.
Work within policies regarding family violence,
vulnerable adults, substance abuse and addictive behaviour, and refer as
appropriate.
Contribute to achievement of the highest possible
quality standards such as the QOF and other agreed Key Performance Indicator
targets.
Assist with the training of other staff members and
also with the education of doctors, nurses and other health professionals in
training as appropriate.
Pro-active engagement with the practice population
and wider community to promote healthy living and encourage uptake of services.
Undertake additional tasks as required within your
general role as a Primary Care Practitioner and senior member of the team.
Business responsibilities:
Maintain ethos and culture of the practice.
Positively promote the practice.
Ensure rationalisation of resources.
To assist in enhanced and extended services to grow
the professional offerings of the business.
Attend in-house governance, educational and staff
meetings as appropriate.
To help plan, develop and support the introduction
of new working processes to optimise quality.
To build and maintain relationships with other
healthcare professionals, including GPs, GP surgery personnel, care home
personnel, CCG personnel etc.
Leadership responsibilities:
Act as a positive role model.
Provide professional leadership as required
Support the development of others in order to
maximise potential.
Actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and external good
practice.
Participate in planning and implementing changes
within the area of care and responsibility
Contribute and participate in the development of
local guidelines, protocols and standards.
Ensure the principles of infection control and
local/national policies and guidelines are applied throughout the practice,
monitoring and implementing changes as required.
Safeguarding:
Be responsible for and committed to safeguarding
and promoting the welfare of Adults-at-risk (vulnerable adults), children and
young people and for ensuring that they are protected from harm.
Ensure the Safeguarding Lead is alerted to, and
kept fully informed of, any concerns you may have in relation to safeguarding
adults, children and young people.
Learning and development:
You will participate in any training programme
implemented by the Practice as part of this employment, such training to
include:
Participation in individual performance reviews,
including maintaining a record of own personal and/or professional development.
Prepare and plan for your ADR to create positive objectives for your career and
Practice development.
Working in conjunction with senior management,
assess own learning needs and undertake learning as appropriate.
Develop and utilise a written Personal Development
Plan. Keep your training portfolio up to date and available to the Practice.
Make effective use of learning opportunities within
and outside the workplace, evaluating their effectiveness and feeding back
relevant information.
Disseminate learning and information gained to
other team members in order to share good practice and inform others about
current and future developments.
Team working:
Understand own role and scope in the organisation
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.
Accept delegation from senior staff, prioritise own
workload and ensure effective time management strategies are embedded in own
practice.
Participate in team activities that create
opportunities to improve customer care.
Contribute to the effectiveness of the team by
reflecting on own and team activities and making suggestions on ways to improve
and enhance the teams performance.
Participate and support local projects as agreed
with the management team.
Delegate clearly and appropriately, adopting the
principles of safe practice and assessment of competence of those taking on
delegated duties.