Job summary
Primarily responsible for attending to
patients on the day. Diagnosing and treating patients with a variety of
undifferentiated illnesses and their continuing medical and nursing needs.
Ensure that clinical practice is safe and remains within the boundaries of
competence, referring to the GP where appropriate. Based within the practice,
across both sites, also requirements for home visits and Nursing Homes.
Demonstrate safe, clinical decision-making and expert care, acting within
professional boundaries providing care for the patient from history taking,
assessment, diagnosis and treatment including evaluation of care and
prescribing where relevant under the supervision.
Demonstrate critical thinking
in the clinical decision-making process and advanced theoretical and practice
knowledge of advanced practice.
Demonstrate flexibility along with pro-activity
and enthusiasm for delivering excellent patient care. Work with the management
team on delivering strategy both for the practice and ICB.
Main duties of the job
Demonstrate high degree of clinical skill,
competency and multi-disciplinary knowledge. Telephone triage, diagnose, plan,
and evaluate treatment for patients, including prescribing alongside the
on-call doctor.
Diagnose and manage both acute and chronic conditions,
integrating both drug-and non-drug based treatment methods into a management
plan.
Review medication for effectiveness, appropriate to patient needs in
accordance with evidence-based practice. Promote healthy lifestyles, and apply
principles of self-care.
Provide care using advanced practice (including:
non-medical prescribing and supplementary prescribing once qualified); referral
for investigation; and interpreting results.
Work closely as part of the
practice QOF team to ensure current high level of achievement is maintained.
About us
We are large training practice with 11 GPs, 5
Nurses, 4 UCPs, and 5 HCAs caring for approximately 20,000 patients across two
rural sites.
We are a strong, supportive team of 50+ staff
and work closely to provide a high level of service to our patients. As a
training practice, we are used to welcoming and supporting new staff so they
instantly feel at home.
Job description
Job responsibilities
Administration and professional responsibilities
- Participate in the administrative and professional responsibilities of the team.
- Ensure notes are accurate with sufficient detail recorded in an appropriate way, striving to use correct read codes or data entry templates
- Ensure collection and maintenance of statistical information required for regular or ad hoc reports and audit
- Attend and participate in practice and nursing meetings as required
- Ensure good timekeeping and appropriate professional manners at all times and treat all members of the practice team with respect
- Work appropriately and liaise with the wider practice team including clinical and non-clinical staff and reception
- Share best practice with fellow clinicians supporting the practice to deliver excellent services
Clinical practice
- Demonstrate a high degree of professional clinical skill, competency and multi-disciplinary knowledge
- Telephone triage, diagnose, plan, implement, and evaluate treatment/interventions and care for patients, including prescribing alongside the on-call doctor
- Clinically examine and assess patients' needs from a physiological and psychological perspective, and plan clinical care accordingly
- Demonstrate understanding of cognitive problems and ability to provide appropriate care planning
- 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
- 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
- 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
- Use a multi-disciplinary approach to ensure a high equality patient experience and excellent customer service
- The post holder will provide care using advanced practice (including: non-medical prescribing and supplementary prescribing once qualified); referral for investigation; analysing and interpreting results
- Work closely as part of the practice QOF team to ensure current high level of achievement is maintained
Communication
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice should be regarded as confidential and should only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. 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
- Anticipate barriers to communication and take action to improve communication
- Maintain effective communication within the practice environment and with external stakeholders
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
- Communicate with all clinicians and teams within the practice to ensure all are working closely together to deliver the best patient experience and customer service to patients
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC or other relevant regulatory bodies
- 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, NICE guidelines and/or Practice Protocols and evidence-based care
- Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
- Utilise the audit cycle as a means of evaluating the quality of the work of self implementing improvements where required
- With the nurse manager and clinicians, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
- Support and participate in shared learning across the practice and wider organisation
- Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
- 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
- The post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health and safety policy
Personal and People Development
- Critically evaluate and review
innovations and developments that are relevant to the area of work
- Work alongside the management team to
foster a proactive attitude and team working within the Urgent Care and Nursing
Team ensuring support of the wider practice strategy and influencing and
inputting into future plans
- Work with
the Practice in supporting the role of the ICB
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
- Create clear referral mechanisms
to meet patient need
- Prioritise own workload and
ensure effective time-management strategies are used
- Work effectively with others to
clearly define values, direction and policies impacting upon care delivery
- Identify and present
opportunities to improve patient care
- Manage and lead on the delivery
of specifically identified services or projects as agreed with the practice
management team
Management of risk
- Manage and assess risk within the
areas of responsibility, ensuring adequate measures are in place to protect
staff and patients
- Monitor your work areas to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines
- Apply infection-control measures
within the practice according to local and national guidelines
- Manage and assess risk when
visiting patients in their own homes
Managing information
- Use technology and appropriate
software as an aid in 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
- Manage information searches using
the internet and local library databases
- Understand responsibility of self
and others to the practice and primary care trust regarding the Freedom and
Information Act
Learning and development
- Disseminate learning and
information gained to other team members in order to share good practice
- Assess own learning needs and
undertake learning as appropriate
Equality and diversity
- Enable others to promote equality
and diversity in a non-discriminatory culture
- Support people who need
assistance in exercising their rights
- 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
Job description
Job responsibilities
Administration and professional responsibilities
- Participate in the administrative and professional responsibilities of the team.
- Ensure notes are accurate with sufficient detail recorded in an appropriate way, striving to use correct read codes or data entry templates
- Ensure collection and maintenance of statistical information required for regular or ad hoc reports and audit
- Attend and participate in practice and nursing meetings as required
- Ensure good timekeeping and appropriate professional manners at all times and treat all members of the practice team with respect
- Work appropriately and liaise with the wider practice team including clinical and non-clinical staff and reception
- Share best practice with fellow clinicians supporting the practice to deliver excellent services
Clinical practice
- Demonstrate a high degree of professional clinical skill, competency and multi-disciplinary knowledge
- Telephone triage, diagnose, plan, implement, and evaluate treatment/interventions and care for patients, including prescribing alongside the on-call doctor
- Clinically examine and assess patients' needs from a physiological and psychological perspective, and plan clinical care accordingly
- Demonstrate understanding of cognitive problems and ability to provide appropriate care planning
- 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
- 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
- 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
- Use a multi-disciplinary approach to ensure a high equality patient experience and excellent customer service
- The post holder will provide care using advanced practice (including: non-medical prescribing and supplementary prescribing once qualified); referral for investigation; analysing and interpreting results
- Work closely as part of the practice QOF team to ensure current high level of achievement is maintained
Communication
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice should be regarded as confidential and should only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. 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
- Anticipate barriers to communication and take action to improve communication
- Maintain effective communication within the practice environment and with external stakeholders
- Act as an advocate for patients and colleagues
- Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
- Communicate with all clinicians and teams within the practice to ensure all are working closely together to deliver the best patient experience and customer service to patients
Delivering a quality service
- Recognise and work within own competence and professional code of conduct as regulated by the NMC or other relevant regulatory bodies
- 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, NICE guidelines and/or Practice Protocols and evidence-based care
- Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
- Utilise the audit cycle as a means of evaluating the quality of the work of self implementing improvements where required
- With the nurse manager and clinicians, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
- Support and participate in shared learning across the practice and wider organisation
- Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events
- 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
- The post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health and safety policy
Personal and People Development
- Critically evaluate and review
innovations and developments that are relevant to the area of work
- Work alongside the management team to
foster a proactive attitude and team working within the Urgent Care and Nursing
Team ensuring support of the wider practice strategy and influencing and
inputting into future plans
- Work with
the Practice in supporting the role of the ICB
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
- Create clear referral mechanisms
to meet patient need
- Prioritise own workload and
ensure effective time-management strategies are used
- Work effectively with others to
clearly define values, direction and policies impacting upon care delivery
- Identify and present
opportunities to improve patient care
- Manage and lead on the delivery
of specifically identified services or projects as agreed with the practice
management team
Management of risk
- Manage and assess risk within the
areas of responsibility, ensuring adequate measures are in place to protect
staff and patients
- Monitor your work areas to ensure
they are safe and free from hazards and conform to health, safety and security
legislation, policies, procedures and guidelines
- Apply infection-control measures
within the practice according to local and national guidelines
- Manage and assess risk when
visiting patients in their own homes
Managing information
- Use technology and appropriate
software as an aid in 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
- Manage information searches using
the internet and local library databases
- Understand responsibility of self
and others to the practice and primary care trust regarding the Freedom and
Information Act
Learning and development
- Disseminate learning and
information gained to other team members in order to share good practice
- Assess own learning needs and
undertake learning as appropriate
Equality and diversity
- Enable others to promote equality
and diversity in a non-discriminatory culture
- Support people who need
assistance in exercising their rights
- 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
Person Specification
Qualifications
Essential
- Diploma/degree in relevant subject General practice/minor illness Walk-in centre experience GP OOHs
- Independent Prescriber
- Minimum 2 years experience
- Advance clinical assessment skills
- Evidence of personal or professional development
- Adaptable/flexible self-motivated with ability to support and enthuse others
Desirable
- MSc in Advanced Clinical Practice
- Experience of working in telephone triage/assessment environment
- Experience of having participated in service improvement activities including audit and research
- Advanced problem solving and decision making skills, supported by the use of evidence based and/or best practice
Person Specification
Qualifications
Essential
- Diploma/degree in relevant subject General practice/minor illness Walk-in centre experience GP OOHs
- Independent Prescriber
- Minimum 2 years experience
- Advance clinical assessment skills
- Evidence of personal or professional development
- Adaptable/flexible self-motivated with ability to support and enthuse others
Desirable
- MSc in Advanced Clinical Practice
- Experience of working in telephone triage/assessment environment
- Experience of having participated in service improvement activities including audit and research
- Advanced problem solving and decision making skills, supported by the use of evidence based and/or best practice
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).
