Advanced Clinical Practitioner

Job responsibilities

Job Summary:

Health Education England describes advanced clinical practice as delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making.

The higher end of this is underpinned by a masters level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education, and research, with demonstration of core capabilities and area specific clinical competence.

Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families, and carers. It includes the analysis and synthesis of complex problems across a range of settings, enablinginnovative solutions to enhance peoples experience and improve outcomes.

This job description covers many elements of the role but is not exhaustive. There is an opportunity in this role to develop skills and services within Beacon, including managing key clinical areas, training, and research.

Scope and Purpose of the role

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

To appropriately triage assess, examine, investigate, diagnose and treat patients, resulting in the safe management and/or appropriate referral, following practice guidelines and protocols.

Order/ interpret investigations, laboratory tests, x-rays and act on results as appropriate.

The practitioner will need to prioritise and triage the needs of patients accordingly making any necessary referrals for investigations in the appropriate manner.

To manage known exacerbations of chronic illness ensuring appropriate assessments, treatment, and where appropriate onward referral to appropriate specialties facilitating self- care and/or care within the community setting.

The post holder will work closely with the inter-professional team to support new ways of working that emphasises a more efficient and patient focused service acting as a professional clinical role model.

To play an active role in the development/ improvement and audit of processes that facilitates and improves patient flow.

Practice with confidence and competence within appropriate nationally agreed professional guidelines such as NMC/ RCN / HEE Guidelines, the Health, and Care Professions Council (HCPC) and the College of Paramedics (COP).

To ensure that accurate documentation and records of patient care are kept.

To provide specialist advice on patient care to the Practice team considering all aspects of clinical governance, and act as a specialist resource within the Practice

To enhance the clinical services offered by the practice.

Job Dimensions

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

To work effectively and within the boundaries of professional practice as part of an Urgent Care Team delivering an on the day service to meet patients needs.

Clinical Practice

Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice.

Provide the choice of direct access both in the Practice and over the telephone, for the general practice population.

Provide a first point of contact within the Practice 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.

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

Where the post holder is an independent prescriber have the ability to prescribe safe, effective and appropriate medication as defined by current legislative framework.

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

Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on prevention and self- care.

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.

Work with multi-disciplinary team within the Practice, and across the broader healthcare community, to promote integrated and seamless pathways of care.

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

Participate in identification of community health needs and develop patient/family-centred strategies to address them.

Help develop and set up new patient services and participate in initiatives to improve existing patient services.

Education, Teaching and Mentoring

Maintain a clinical portfolio that evidences advanced practice reflecting the four advanced practice pillars. In conjunction with their Line Manager and Educational Lead formulate a personal development plan to evidence a commitment to continual professional development. Using agreed competency framework appropriate to the individuals scope of practice.

Participate in regular performance review with the Clinical Supervisor

Demonstrate and meet competencies to deliver appropriate health care such as history taking and physical assessment.

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.

To undertake further specialist training as dictated by service needs and the changing requirements of service provision.

Promote a learning environment for patients, Nurses, other health professionals and non- clinical staff where appropriate.

Support the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice.

Contribute to the planning and implementation of the teaching for existing staff, such as medical students, Nurse Students, GP registrars, Health Care Practitioners, within the Practice.

Provide supervision and mentoring to students and other members of the team.

Professional

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

Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.

Maintain their professional registration.

Record accurate consultation data in patients records in accordance with the latest NMC/ HCPC guidance and other pertinent standards.

Keep up to date with pertinent health-related policy and research. Critically appraise and synthesise the work to underpin own practice and to inform others within the practice team to consider the impact and strategies for implementation.

Work collaboratively with colleagues within and external to the practice.

Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence in others.

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

Act as an advisor to other members of the Primary Healthcare team.

Proactively initiate and develop effective relationships within the practice to encourage productive working.

Participate in multi-disciplinary protocol and Patient Group Directions development.

Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.

Help the practice operate in a cost-effective manner.

Identify and manage care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required.

Evaluate own practice and participate in multi-disciplinary service and team evaluation. Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

Work closely with others in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Ensure that all Practice Policies are fully implemented.

Full job description attached.

Qualifications

Essential

• Must be Advanced Clinical Practitioner Qualified or evidence that you are currently following a live pathway.
• Post registration qualification to evidence autonomous clinical practice relevant to Urgent Care.

Desirable

• Masters Level Award covering and assessing all 4 pillars of advanced clinical practice (clinical practice, leadership and management, education and research)

Experience

Essential

• Post registration experience to evidence autonomous clinical practice relevant to Urgent Care or General Practice.
• Highly developed specialist knowledge underpinned by theory and experience.
• Experience of working under pressure and managing varying workloads and changing demands.
• Administration of medications within Patient Group Directions (PGDs)
• Sound knowledge of local primary care services including key players
• Demonstrable experience of CPD and desire to actively engage in ongoing learning of self and others.
• Demonstrable experience of advanced clinical knowledge in all age groups, without limitation in scope.
• Able to evidence competency and experience in telephone triage management of patients.

Desirable

• Experience of working within a multi-disciplinary team in an acute or Primary Care setting.
• Able to evidence safe prescribing practice and is an Independent Prescriber.

Skills

Essential

• Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers.
• Working autonomously and within professional boundaries when ordering tests, requesting investigations, and developing interventions. Minimal supervision and support required.
• Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge.
• Ability to work on own initiative and prioritise own work and work within a team.
• Able to participate with clinical audit.

Desirable

• The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service.
• To use advanced health assessment, examination, diagnosis, and treatment within an agreed scope of practice.
• Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills.
• Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team.
• Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required.

The Groups Values

Essential

• The candidate must demonstrate an understanding of our values.

Skills

Essential

• Ability to support and manage a caseload of patients including assessment, planning, monitoring and evaluation, including providing health promotion and education to patients and carers.
• Working autonomously and within professional boundaries when ordering tests, requesting investigations, and developing interventions. Minimal supervision and support required.
• Able to seek support from peers when faced with patients with presenting conditions outside of their clinical knowledge.
• Ability to work on own initiative and prioritise own work and work within a team.
• Able to participate with clinical auditThe ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service.
• To use advanced health assessment, examination, diagnosis, and treatment within an agreed scope of practice
• Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills.
• Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team.
• Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required

Desirable

• The ability to exercise a high level of personal/professional autonomy and make critical judgments to meet the expectations and demands of the role and service.
• To use advanced health assessment, examination, diagnosis, and treatment within an agreed scope of practice
• Ability to demonstrate effective written and verbal communication skills and excellent inter-personal and counselling skills.
• Direct responsibility for the management of patients within own caseload and supervision/development of junior members of the multidisciplinary team.
• Ability to liaise effectively with members from other Health Care Providers within Primary and Secondary Care and external agencies as required

Personal Qualitities

Essential

• Committed and Enthusiastic to service and personal development
• Team Player.
• Flexibility of working hours.
• Willing to embrace change that will enhance the quality of the service and contribute to developing patient quality audits and pathways.

The Groups Values

Essential

• The candidate must demonstrate an understanding of our values.

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).