Advanced Physiotherapy Practitioner (APP)

Job description

Job responsibilities

Main responsibilities

Clinical

- Independently triage, assess, evaluate, and diagnose patients with highly complex disorders and possible multiple pathologies using advanced critical thinking, expert clinical and diagnostic reasoning skills including instigating appropriate clinical investigations and interpreting results to enable the development of immediate management plan which will meet the physical and psychological needs of the patient and family.

- Be able to justify clinically referrals to other specialist services. This will include referral to acute and specialist services such as surgical orthopaedics, rheumatology and neurology, other AHP services, nursing services and to the primary care medical teams. This requires advanced knowledge of the role of other specialist health professionals.

- An ability to recognise RED flags, serious pathology and potential underlying non-MSK related disease, that may present as MSK symptoms and to refer appropriately. When needed accelerate the patients referral to other health professionals/services.

- May initiate medication prescribing, administration and management in line with Patient Group Directives or Prescribing as required for specialist role and in line with prescribing competence. NMP qualification desirable but not essential.

- Maintain timely and accurate patient document records to reflect care provided and to be professionally and legally accountable.

- Work collaboratively with practice and PCN colleagues in a multidisciplinary team, maintain relationships with orthopaedic consultant teams, relevant MDT and physiotherapy services in community and acute settings. Where appropriate develop relationships with wider health and social care agencies, for example mental health teams, local authorities, third sector providers and patient groups, provide specialist advice to healthcare professionals, other agencies, carers, clients and relatives.

- Actively takes a personalised care and population centred care approach to enable shared decision making with the presenting person. Actively engages in care from a Population care viewpoint.

Service Development & Education

- Take a key role in leading and developing the service to improve practice and work collaboratively, implementing and evaluating evidence based standards, guidelines and policies.

- To identify and be actively involved in audit and research activity which will contribute to the development of the service. Flexible skill set to adapt to and meet needs of the PCN Population and support public health.

- To plan and lead specific areas of PCN/practice developments and including implementing best practice and management in order to enhance the patient journey.

- To promote a culture of continuous learning and improvement within the service and the team; identifying opportunities for service development.

- To support/facilitate education and training within the PCN

- To provide supervision and support to the members of the FCP team

Research and Audit

- To initiate and contribute to research in specialist field which will directly contribute to patient management and also the improvement and development of the service.

- Interpret newly generated research findings in specialist field determining how to implement through application of advanced knowledge and skills, disseminating findings internally to influence best practice.

- Develop and undertake regular audits which promote and facilitate service improvement.

Leadership

- The postholder will establish strong working relationships with Physiotherapist and management of staff to encourage good clinical practice.

- The postholder will work with the GP leads of the five Practices to identify and follow up opportunities for the improvement of care.

- The postholder will provide clinical support and advice to colleagues including Care Co-ordinators and Physiotherapist.

Person Specification

Experience

Essential

• Demonstrates clinical competency in working with frail older people (including care home residents)
• Management of patients with long term conditions
• Advanced clinical practice skills

Desirable

• Experience of working in primary care
• Nurse-led management of minor illnesses and minor ailments
• Developing protocols and clinical guidelines
• Clinical supervision of staff

Qualifications

Essential

• Registered Nurse with Nursing and Midwifery Council
• Masters degree required for qualification post December 2020
• Post graduate diploma or degree for Advanced Practice Qualification up to December 2020
• Qualified Independent Nurse Prescriber on the NMC register or working towards a Prescribing Qualification with completion expected within twelve months of appointment.
• Meets NMC revalidation requirements in accordance with the NMC Revalidation booklet.
• Meets the standards for registered ANP working at advanced level.

Skills and Abilities

Essential

• Good IT skills including use of GP clinical systems (EMIS web)
• Comfortable working in a range of settings including GP surgeries, Care Homes and patients own home with minimum support and supervision.
• Excellent communication skills to work with patients from a variety of background, their careers, health professionals and care home staff.

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).

Employer details

Employer name

Connexus PCN

Address

Brooklea Health Centre

Wick Road

Bristol

BS4 4HU

Employer's website

https://www.nightingalevalleypractice.co.uk/ (Opens in a new tab)