Dr Bisarya & Partner

Advanced Clinical Practitoner

The closing date is 11 July 2025

Job summary

The post holder will be an Advanced Clinical Practitioner who can demonstrate the following:-

  • Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with undifferentiated and undiagnosed conditions and complex needs.
  • Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
  • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
  • Post registration experience in at least one of the following areas, relating to the service applying for: Out of Hours Urgent Primary care, General practice, walk in centre, A&E.
  • Ability to see patients of all ages
  • Willing to undertake predominantly face to face with telephone consultations when required.
  • Ability to conduct remote consultations/assessments
  • Preferred skill experience in Emis.

Main duties of the job

  • Patient Assessment:Conducting thorough physical exams, taking medical histories, and ordering diagnostic tests.
  • Diagnosis and Treatment: Making independent diagnoses, developing treatment plans, and prescribing medications within their scope.
  • Chronic Disease Management: Managing chronic conditions like diabetes and COPD, working with patients to achieve optimal health.
  • Acute Care: Providing care for acute presentations and minor health problems.
  • Referrals: Making appropriate referrals to specialists or organizing emergency admissions when needed.
  • Investigations: Ordering necessary blood tests, radiology, and other investigations.

About us

The practice is a small family run GP practice and our small size lends itself to improved patient continuity. Our administrative team are friendly and supportive to patients and clinicians which improves the quality of care provided. Our aim is to quickly adapt systems to evolve the ever changing landscape of healthcare but fundamentally retain a personal service to patients.

Our practice aims are to offer the highest standard of health care and advice to our patients, with the resources available to us.

We have a team approach to patient care and endeavour to monitor the service provided to patients, to ensure that it meets current standards of excellence.

We are dedicated to ensuring that Practice staff are trained to the highest level and to provide a stimulating and rewarding environment in which to work.

Details

Date posted

20 June 2025

Pay scheme

Other

Salary

Depending on experience Dependent on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2380-25-0001

Job locations

Sandy Lane Health Centre

Sandy Lane

Skelmersdale

West Lancashire

WN8 8LA


Job description

Job responsibilities

The Advanced Clinical Practitioner(ACP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.

The post holder works at the level of advanced clinical practice and has developed and can evidence the underpinning competencies applicable to the specialty or subject area, i.e., the knowledge, skills and behaviours appropriate to the healthcare professionals (HCP) setting and job role.

The role provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.

An ACP is autonomous in making decisions based on assessment, diagnosis and interpretation of test results and will initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.

The following are the core responsibilities of the Advanced Clinical Practitioner.

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  • Practise 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
  • Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
  • Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
  • Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate
  • Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change
  • Use expertise and decision-making skills to inform clinical reasoning
  • Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care
  • Exercise professional judgement to manage risk
  • Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
  • Implement and evaluate individual specialised treatment plans for chronic disease patients
  • Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
  • Be a professional role model for the organisation
  • Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements
  • Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements
  • Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice (clinical practice, leadership and management, education and research).
  • Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
  • Maintain accurate clinical records in conjunction with extant legislation and to ensure SNOMED CT codes are used effectively
  • Chaperone patients where necessary
  • Support the team in dealing with clinical emergencies
  • Support the team with all safeguarding matters in accordance with local and national policies
  • Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  • Deliver opportunistic health promotion where appropriate

Job description

Job responsibilities

The Advanced Clinical Practitioner(ACP) has been assessed as competent in practice using their expert clinical knowledge and skills. They have the freedom and authority to act and make autonomous decisions in the assessment, diagnosis and treatment of patients.

The post holder works at the level of advanced clinical practice and has developed and can evidence the underpinning competencies applicable to the specialty or subject area, i.e., the knowledge, skills and behaviours appropriate to the healthcare professionals (HCP) setting and job role.

The role provides an opportunity for patients to avoid the need to be referred to a GP, thereby enabling them to receive timely care and negate unnecessary delay in receiving treatment.

An ACP is autonomous in making decisions based on assessment, diagnosis and interpretation of test results and will initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.

The following are the core responsibilities of the Advanced Clinical Practitioner.

There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

  • Practise 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
  • Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
  • Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
  • Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate
  • Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change
  • Use expertise and decision-making skills to inform clinical reasoning
  • Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care
  • Exercise professional judgement to manage risk
  • Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice
  • Implement and evaluate individual specialised treatment plans for chronic disease patients
  • Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health
  • Be a professional role model for the organisation
  • Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements
  • Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements
  • Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice (clinical practice, leadership and management, education and research).
  • Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
  • Maintain accurate clinical records in conjunction with extant legislation and to ensure SNOMED CT codes are used effectively
  • Chaperone patients where necessary
  • Support the team in dealing with clinical emergencies
  • Support the team with all safeguarding matters in accordance with local and national policies
  • Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  • Deliver opportunistic health promotion where appropriate

Person Specification

Knowledge and Skills

Essential

  • Understand the importance of evidence based practice
  • Broad knowledge of clinical governance
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understand when to refer to GPs
  • Knowledge of health promotion strategies
  • Understand the requirement for PGDs and associated policy
  • Polite and confident, flexible and cooperative
  • Motivated, forward thinker
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations

Qualifications

Essential

  • Qualified healthcare professional
  • Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England
  • Qualified independent prescriber - V300
  • Registered on their appropriate professional register

Experience

Essential

  • Experience of practice within the four pillars.
  • Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
  • Experience of prescribing and undertaking medication reviews

Desirable

  • Experience of working in a primary care environment
Person Specification

Knowledge and Skills

Essential

  • Understand the importance of evidence based practice
  • Broad knowledge of clinical governance
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understand when to refer to GPs
  • Knowledge of health promotion strategies
  • Understand the requirement for PGDs and associated policy
  • Polite and confident, flexible and cooperative
  • Motivated, forward thinker
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations as well as ability to work under pressure/in stressful situations

Qualifications

Essential

  • Qualified healthcare professional
  • Educated to Masters degree as detailed within the HEE document tilted Multi-professional framework for advanced clinical practice in England
  • Qualified independent prescriber - V300
  • Registered on their appropriate professional register

Experience

Essential

  • Experience of practice within the four pillars.
  • Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
  • Experience of prescribing and undertaking medication reviews

Desirable

  • Experience of working in a primary care environment

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).

Employer details

Employer name

Dr Bisarya & Partner

Address

Sandy Lane Health Centre

Sandy Lane

Skelmersdale

West Lancashire

WN8 8LA


Employer's website

http://www.drbisarya.nhs.uk/welcome,50015.htm (Opens in a new tab)

Employer details

Employer name

Dr Bisarya & Partner

Address

Sandy Lane Health Centre

Sandy Lane

Skelmersdale

West Lancashire

WN8 8LA


Employer's website

http://www.drbisarya.nhs.uk/welcome,50015.htm (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Dawn Threlfall

dawn.threlfall1@nhs.net

07751804153

Details

Date posted

20 June 2025

Pay scheme

Other

Salary

Depending on experience Dependent on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2380-25-0001

Job locations

Sandy Lane Health Centre

Sandy Lane

Skelmersdale

West Lancashire

WN8 8LA


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