Job responsibilities
MAIN DUTIES AND
RESPONSIBILITIES
CLINICAL
RESPONSIBILITIES
Develop and implement the highest quality innovative clinical
practice. Be proactive in clinical decision making, underpinned by the
highest level of theoretical and practical knowledge and be able to
demonstrate improved patient care outcomes.
To undertake comprehensive specialist holistic assessment of
patients and carers where needs are highly complex. This will involve
planning, implementing and evaluating the care delivery according to changing
healthcare needs and varying degrees of clinical risk.
Authorise the decision to admit service users and / or
proactively initiate discharge (where applicable to profession).
To work autonomously using advanced levels of history taking and
examination skills within multidisciplinary team guidelines and protocols.
Utilise advanced clinical skills in assessment and/or formulate
a diagnosis and/or treatment plan.
Demonstrate a high level of knowledge in relation to pattern of
disease / disorder, markers of condition progression and range of treatments
available at each stage of disease or condition.
Be able to assess critically and re-evaluate the clinical
situation as the patients condition or needs change, including effective
management of risk.
Anticipate likely potential physical and psychological problems
caused either by the condition or by treatment.
Where appropriate to profession, Independent Non-Medical /
Supplementary prescriber, able to take a history, assess, examine, diagnose
and prescribe and develop a management plan including medication and monitor
response to medication.
Advise and communicate as appropriate with acute hospitals,
primary and social care and community teams thus ensuring seamless continuity
and transfer (if appropriate) of care for patients between other relevant
health, social and third sector agencies, professionals and other care
settings.
To act at all times as an advocate for service users, carers and
relatives.
Take a lead in empowering and facilitating all other professions
to meet the care needs of service users and their carers by the promotion of
principles and philosophy such as Care Closer to Home, rehabilitation and
optimal self-care.
Establish, maintain and effectively manage barriers to advanced,
highly skilled and effective communication with service users, carers and
professionals across health and social care, in order to develop a
therapeutic relationship within which highly sensitive, distressing health
conditions and highly complex issues are often addressed. This includes
imparting information regarding diagnosis, prognosis and treatment and
referring to other teams as appropriate to promote integrated working and to
improve patient outcomes.
Provide appropriate support and advice to carers and refer for
carers assessment if appropriate.
Collect, collate, evaluate and report information, maintaining
accurate confidential patient records to a very high standard reflective of
Advanced Clinical Practice.
Develop, implement and audit protocols, guidelines and policies
for the service. These will be shared with the multi-professional teams in
all care settings.
Maintain a professional portfolio and demonstrate that practice
is up to date and evidence based.
Maintain competency and ensure own compliance with mandatory
training and revalidation requirements.
Identify own personal developmental and educational needs to
work at an advanced level ensuring appropriate action is taken to maintain
and further develop such skills.
Receive clinical supervision in order to clinically improve
knowledge and the quality of care to service users.
Establish and maintain a regional and national network of
contacts relevant to the service.
MANAGERIAL RESPONSIBILITIES
Undertake clinical supervision and systematic peer caseload
review of colleagues on an individual or group basis.
Act as a role model demonstrating effective clinical leadership
on a daily basis.
Assess and monitor risk in own and others practice, acting on
results, thereby ensuring safe delivery of care.
Participate in maintaining systems for risk assessment and
minimisation including promoting a fair blame culture in order that near
misses and incidents are reported and investigated.
Contribute to investigation of incidents and complaints when
required; participate in identifying lessons learnt and the sharing of
learning across the organisation.
Ensure dignity, privacy, and cultural and religious beliefs are
respected at all times.
Continually monitor standards of care through quality markers,
achievement of PCN targets, and benchmarking.
To be aware of local quality data and use it to identify
practice development required.
Work proactively in managing change in own speciality to improve
practice and health outcomes.
Mentor student nurses/apprenticeship ACPs.
RESPONSIBILITY
FOR HUMAN RESOURCES/WORKFORCE
Participate in the recruitment and selection of both trained and
untrained staff which involves developing job descriptions, short listing
candidates and interviewing.
Provide mentorship and shadowing opportunities for other
professional colleagues undertaking post registration courses or specialist
placements, ensuring this learning experience is effectively managed,
supporting the individual through highly complex and emotive clinical
situations.
Recognise and utilise the individuals skills and knowledge,
coaching others in their development and acting as a mentor/preceptor across
all professional boundaries.
Plan, deliver and evaluate appropriate specialist learning
programmes. Organise and arrange relevant study days and conferences to meet
identified educational needs of multi-professional audience.
Formally educate, supervise, mentor, coach and advise to enhance
the principle of advancing practice for new staff/team members within the
PCN. Provides training, clinical supervision and systematic peer caseload
review of colleagues.
Create and support an environment in which clinical practice
development is fostered, evaluated and disseminated.
Provide education to Care Home teams when required.
RESPONSIBILITY
FOR FINANCE / RESOURCES
Ensure the effective and efficient use of physical and financial
resources with shared responsibility to identify and order goods as required
within agreed financial parameters.
Influence decisions regarding the allocation of financial
resources through consultation, service redesign, participation in meetings
and audit.
RESEARCH
& DEVELOPMENT
Facilitate learning for patients and their carers in relation to
their identified health needs.
In collaboration with other senior staff, ensure that clinical
practice is patient centred and research based in accordance with
professional practice, guidelines, and national and local benchmarks.
To actively engage in clinical supervision appropriate to
advancing practice as well as other learning and development opportunities
such as Special Interest Groups, Action Learning Groups and Communities of
Practice
To facilitate the development of aspiring and trainee Advanced
Clinical Practitioners through the provision of learning opportunities as a
workplace supervisor, educational supervisor or clinical supervisor providing
feedback and working with others where issues of capability and/or
progression arise
Regularly undertake audit and service evaluation to inform
service improvement using an evidence-based approach to draw on best
practice. When necessary, support and facilitate colleagues in research and
clinical audit to improve effectiveness and quality of patient care.
Participate in surveys as required.
Critically analyse research findings and their implications for
practice.
Disseminate evidence-based practice and audit findings through
local, regional and/or national presentation to professional groups and
through publication.
POLICY
& SERVICE DEVELOPMENT
To inform the management team of current changes and trends in
national practice that could improve patient care and facilitate changes to
practice.
To ensure that good practice is rapidly shared within the
service area and wider organisation where appropriate.
Contribute to the strategic development of the service by the
evaluation of service delivery, identify areas for improvement and change and
implement the agreed changes to practice.
Develop, influence and lead implementation of policy making,
procedures, protocols and clinical guidelines, internally and externally,
necessary to support the service.
Continue to develop and promote the Advanced Clinical
Practitioner role through professional publications and conference papers.
RESPONSIBILITY
FOR INFORMATION / DATA
Collects, collates and presents diverse statistical information
in order to facilitate the formation of reports, business plans and
succession planning. Maintains client records.
PROFESSIONAL
RESPONSIBILITIES
Ensure that personal performance meets job requirements,
Professional Codes and standards and
post competency standards at all times.
Ensure the required level of IT competence required for the role
to process, record, evaluate, analyse and report data.
Demonstrate commitment to the role and to service improvement
through developing relationships with Commissioners, innovative thinking and
small scale project management.
Challenge poor practice and take appropriate action making full
use of current support systems.
Provide a positive, compassionate role model to junior staff and
colleagues to ensure the delivery of people centred care and the key
components of compassionate care.
Create effective teamwork across professional boundaries using
team building skills, creating common goals, and through engagement.
Respect and apply the requirements of equality and diversity,
promoting and role modelling these across the multi-disciplinary team.
