Advanced Practitioner

Job responsibilities

Key Responsibilities

Job Summary

To ensure that the needs of the patients are placed at the centre of care delivery.

To deliver a high standard of patient care as an Advanced Practitioner in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base

To manage a clinical caseload of patients presenting with undifferentiated health needs, responding effectively to patient need and ensuring patient choice and ease of access to services.

Prescribe safe, effective and appropriate medication as defined by current legislative framework.

To undertake and promote confident, safe and autonomous practice.

To remain clinically competent, registered with appropriate governing body.

To contribute to the development and delivery of strategic plans for the development of Sea City Partnership services.

Clinical Role

Function as a key member of the clinical team at Sea City Partnership, delivering primary care services to patients.

Deliver a high standard of patient care as an Advanced Practitioner in general practice.

To deliver clinical assessments and primary care services for patients of Sea City Partnership, both remotely (over telephone) and face-to-face, including in the surgery and in the patients own home.

Provide scheduled (booked) care and on-day assessment for patients presenting to the practice with more urgent needs.

To undertake assessments as required in patients own home and other community settings as appropriate.

Make professionally autonomous decisions for which the post holder is accountable.

Manage an undifferentiated caseload of patients presenting with acute and chronic, complex health needs.

Contribute to the management of care for patients within a list based primary care model, contributing to an MDT/Clinical firm to promote continuity of care.

Manage their own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.

Provide assessments and care for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.

Maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles in relation to all data handling.

Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.

Provide safe, evidence-based, cost-effective, individualised patient care.

Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care.

Prescribe safe, effective, and appropriate medication as defined by current legislative framework and local prescribing standards.

Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.

Refer patients directly to other services/agencies as appropriate including but not limited to services of the Primary Care Network, acute hospital services, community services, mental health services and local social services.

Support the other clinicians within the practice in developing and delivering specialist primary care services as required.

Work within the practice guidelines, policies, and protocols.

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery.

Provide ongoing care to patients with more complex needs, including liaising with appropriate multi-disciplinary team to create appropriate care plans and review them as required.

Professional role

Promote evidence-based practice using the latest research-based guidelines and the development of practice-based research.

Ensure practice which is of high quality, that meets regulatory and contractual requirements.

Monitor the effectiveness of their own clinical practice through the quality assurance strategies.

Maintain their professional registration with the relevant governing body for their profession.

Remain clinically competent in relation to their job-plan.

Participate with/ receive clinical supervision from the Partner (Advanced Practitioner Lead) on a regularised and ad-hoc basis.

Contribute to peer-to-peer and other supervision arrangements within Sea City Partnership

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence.

Work within the latest Code of Professional Conduct relevant to profession.

To undertake continuous professional development and to work with the Advanced Practitioner team and wider team to maximise the safe scope of advanced practice within the St Marys based clinical team.

Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation.

Work collaboratively with colleagues within and external to the practice.

Pro-actively promote the role of the Advanced Practitioner within the Practice, and externally to key stakeholders and agencies.

1. Team role

Demonstrate and model positive behaviors that are aligned with the values of Sea City Partnership (refer to the Employee Handbook). To support and encourage these behaviors across the Advanced Practitioner and wider Sea City team.

As a clinician be available to support other healthcare team members and to accept referrals from other team members.

Liaise with all members of the Primary Health Care Team and other agencies local authority, social services, secondary care, voluntary sector, and Primary Care Trust to assure appropriate and timely care is provided for the practice population.

Participate as a key member of the multi-professional Sea City team through the development of collaborative and innovative practice.

To work within the Advanced Practitioner team and with wider clinical team and senior management team to develop and implement strategies which promote excellent patient care and evidence-based practice.

Contribute to the development of the Advanced Practitioner team and wider practice multi-disciplinary team as a high functioning team where team members are supported to share responsibilities and lead on agreed areas of work.

Value all team members across Sea City Partnership and associated partner health and social care agencies.

Work with Advanced Practitioner colleagues and the wider Sea City clinical team ensure that services are patient centred. To ensure that patients are actively engaged in the planning and delivery of their care. To promote the voice of patients and carers and to ensure that feedback, complaints, and other representations from patients are thoroughly considered in the planning and delivery of services. To ensure that all concerns and complaints raised by patients are managed in accordance with the Practices complaints procedures.

Delegate appropriate tasks to other members of the primary care team whilst still maintaining responsibility for this area.

Be a contribute to the clinical and operational leadership of the Sea City team, supporting the practice in achieving its strategic and business plans within the available resources.

Develop networks and opportunities for collaborative working with Advanced Practitioners across the Sea City Partnership, with community and mental health services and other relevant stakeholders.

Attend meetings as required.

Ensure that orders for supplies are within a reasonable budget and one is constantly seeking to reduce costs to the Partnership.

Complete records, audits, reports and respond to appropriate questions and requests as required to support the continued improvement of clinical services at Sea City Partnership.

Support and contribute to effective communication channels across the Sea City Partnership.

Actively participate in the delivery of QOF targets and other Sea City Partnership contractual arrangements

To contribute to relevant processes and activities which promote compliance with regulatory and contractual requirements.

To be a senior member of the Sea City Partnership Clinical team. To contribute to the overall day-to-day operational management of Sea City Partnership Services. To be an advocate for Advanced Practitioners. Represent the interests and viewpoint of Advanced Practitioners both within the practice and with partner agencies.

To contribute to the exploration, planning, delivery, and evaluation of service developments within Sea City Partnership. To support the effective delivery of projects to improve patient care, the sustainability services, staff-wellbeing, and the role of Advanced Practitioners within Primary Care. Contribute to the delivery of specifically identified services, projects and audits as required.

To support the placement and supervision of healthcare learners supporting their development and the delivery of services to patients of Sea City Partnership.

To maintain awareness of national and local policies, guidance, and best practice relevant to the role and to adapt practice accordingly.

To develop external networks within the locality, city and more widely to share learning and promote the role of Advanced Practitioners within general practice.

To work with the Partners and Practice Senior Management team to contribute to the ongoing development of high quality and sustainable models of primary care.

Qualities and Attributes

Essential

• Excellent communicator
• Strong person-centered values
• Able to work autonomously and within an MDT
• Commitment to service improvement
• Attention to detail.
• Demonstrable professional behaviors, i.e. flexibility, integrity, good work ethic, ability to use initiative.

Qualifications

Essential

• Registered paramedic or registered nurse
• Advanced Practice Masters qualification OR equivalent relevant proven experience & competencies to enable functioning at Advanced Practitioner level 7.

Experience

Essential

• At least 5 years successful experience of working as an Advanced Practitioner in primary care or similar first-contact services.
• Experience of providing care to patients in their own homes

Desirable

• Experience of working to support patients from more diverse, deprived and/or inner city communities.
• Experience of collaboration across Primary Care Network or other local care delivery systems

Knowledge and Skills

Essential

• IT literate
• Communication skills, both written and verbal
• Change management.
• Resource management

Desirable

• Primary Care Clinical system preferably TPP System-one
• Service redesign & Quality Improvement
• Knowledge of communities, geography, partners, stakeholders in Central Southampton

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).