Job responsibilities
Clinical Practice:
Provide direct access to an ACP for the
general practice population through clinical triage
Provide
safe, evidence-based, cost-effective, individualised patient care through
the assessment, diagnosis, implementation and evaluation of
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, diagnoses, plan, implement and
evaluate interventions/treatments for patients with complex needs
Refer patients directly to other
services/agencies as appropriate
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, with a potential for a focus on learning disabilities and or frailty,
integrating both drug- and non-drug-based treatment methods into a management
plan
Prescribe
safe, effective and appropriate medication as defined by current
legislative framework and review medication for therapeutic
effectiveness, appropriate to patient need, 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
Contribute to
the practice achieving its quality targets to sustain the high standards
of patient care and service delivery
Work with
mutli-disciplinary team within the Practice, and across the wider area to
promote integrated and seamless pathways of care
Demonstrate
critical reflection on own practice and openness to change
Delivering
a Quality Service
Maintain their professional
registration
Recognise and work within own
competence and professional code of conduct
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
Promote
evidence-based practice through the use of the latest research-based guidelines
and the development of practice-based research.
Assess and monitor
the effectiveness of their own clinical practice through the quality assurance
strategies such as the use of audit and peer review, bench marking and formal
evaluation
Participate in
continuing professional development opportunities to ensure that up-to-date
evidence-based knowledge and competence in all aspects of the role is
maintained
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 to manage,
review and identify learning from patient complaints, clinical incidents and
near-miss events
Assess the impact of policy
implementation on care delivery
Monitor and develop the performance of
the nursing 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
Management and Leadership
To support structures are in place for
the smooth running of the 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
Work with practice management to ensure
sufficient staff of appropriate ability, quality and skill-mix are available to
meet current and future service delivery, that selection and recruitment
processes are effective.
Contribute to the planning and
implementation of teaching and support for staff development in order to
maximise staff potential and actively promote the workplace as a learning
environment, encouraging everyone to learn from each other and from external
good practice
Critically evaluate and review
innovations and developments that are relevant to the area of work
Act as an advisor
to other members of the Primary Healthcare team.
Encourage and
develop teamwork within the practice
Participate in
multi-disciplinary protocol development
Identify
appropriate opportunities to delegate both clinical and administrative tasks to
more junior staff.
Help the practice
operate in a cost-effective manner.
Participate in
practice meetings and practice management meetings, reporting progress as
required.
Participate in
audits and inspections as appropriate.
Work closely with
the doctors and administrative managers in the setting up and/or improving of
practice systems for monitoring/measuring performance against Clinical
Governance and Quality Indicator targets.
Take a lead role in planning and
implementing changes within the area of care and responsibility
Contribute to the development of local
guidelines, protocols and standards
Maintain effective communication with
those responsible for the overall commissioning and procurement process
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
Management
of Risk
The
post-holder must comply at all times with the Practices Health and Safety
policies, in particular by following agreed safe working procedures and
reporting incidents using the organisations Incident Reporting System.
Manage and assess risk within the areas of
responsibility, ensuring adequate measures are in place to protect staff and
patients
Monitor work areas and practices 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
Interpret national strategies and policies into
local implementation strategies that are aligned to the values and culture of
general practice
Managing
Information
The
post-holder should respect patient confidentiality at all times and not divulge
patient information unless sanctioned by the requirements of the role.
Use technology and appropriate software as an aid
to management in planning, implementation and monitoring of care, 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
Collate, analyse and present clinical data and
information to the team
Communicate essential financial restraints with the
team and discuss with them ideas for effective and efficient working within
these constraints
Equality
and Diversity
Identify patterns of discrimination and take action
to overcome this and promote diversity and equality of opportunity
Enable others to promote equality and diversity in
a non-discriminatory culture
Support people who need assistance in exercising
their rights
Adherence to local chaperoning policies
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 refuses care.
Assist patients from marginalised groups to access
quality care
