Job summary
St James Medical Centre is looking to expand
the urgent care team. We are looking
for an enthusiastic and patient centred practitioner to join our team.
The Advanced Care Practitioner will work alongside the GPs
dealing with acute and minor illnesses. This role is expected to develop and
evolve over time as the successful post holder gains experience. Further
training may be available for the successful candidate.
The successful candidate will be organised, enthusiastic
and a pro-active practitioner to our busy multi-disciplinary team.
The successful candidate will demonstrate safe, clinical
decision-making and expert care for their patients. The
candidate will work collaboratively with the multi-disciplinary general
practice team to meet the needs of patients, supporting the delivery of policy
and procedures, and providing professional support to colleagues as required.
The post holder will be an experienced healthcare professional,
who will act within their professional boundaries, they will provide care for the
presenting patient from initial history taking, clinical assessment, diagnosis,
treatment, and evaluation of the patient's care.
As an Advanced Care Practitioner, you will deliver a high standard of patient care, using autonomous clinical skills, and will have a broad and in-depth theoretical
knowledge base.
The successful candidate will manage a clinical caseload, dealing
with presenting patients' needs in a primary care setting.
Main duties of the job
Work collaboratively within the practice team to meet the
needs of our patients and supporting the delivery of policy and procedures.
Act within your professional boundaries to provide care of
our patients. This includes initial history taking, clinical assessment,
diagnosis, treatment, and evaluation of care.
Demonstrate safe, clinical decision-making and care.
Demonstrate critical thinking in the clinical
decision-making process but with the full support of the wider practice team.
The post holder for this role must have access to car as this role might involve some travelling.
About us
St James is a friendly, high achieving practice based over
two sites with a registered list of 18,000 patients. St James is based in the centre of Taunton
which is the County town of Somerset.
The post holder will be a part of a supportive team, which includes 7 GP partners, salaried GPs, ACPs, a team of Primary Care Network (PCN) staff, which includes FCP, pharmacists, wellbeing coaches and care coordinators. As well as a supportive management, reception and administration teams.
Job description
Job responsibilities
Within the time constraints of the role the post holder will work with GPs and management to develop the Advanced Care Practitioner role within the practice.
Key responsibilities
KNOWLEDGE:
- Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, and Quality and Outcomes Framework
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to Primary Care
- Understanding of evidence-based practice
- Knowledge of national standards that inform practice e.g. National Service Frameworks, NICE guidelines etc
- Understanding of their accountability arising from the Code of Professional Conduct and medico-legal aspects of the Practitioner role including Safeguarding
- Understanding of equal opportunities and diversity issues
SKILLS:
- Ability to assess and manage patient risk effectively and safely
- Well-developed word processing/data collection/IT skills
- Excellent interpersonal, verbal and written communication skills
- Reflective practitioner
- Time management and ability to prioritise workload
- Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
- Able to establish and maintain effective communication pathways within the organisation, the local ICB and with key external stakeholders
- Self-motivated
- Organisational skills
- Enthusiastic
CLINICAL:
- Undertake home visiting of patients
- Provide the choice of direct access to a Advanced Care Practitioner or Emergency Care Practitioner, both in the Practice and over the telephone, for the General Practice population.
- Make professionally autonomous decisions for which he/she is accountable
- 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: 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, developing where appropriate an on-going plan of care/support, 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 in conjunction with the Lead Practice Nurse
to develop and deliver specialist primary care services, such as long term disease management
(diabetes, asthma, chronic obstructive pulmonary disease, coronary heart
disease and hypertension) and care planning
- Work with nursing, medical and health care
assistant colleagues to ensure that National Service Frameworks (e.g. Coronary
Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
- Work with multi-disciplinary team within the
Practice, and across the wider 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
- Be aware of and contribute to planning and delivery of practice-based commissioning
TEACHING AND MENTORING:
- Promote a learning environment for patients, nurses and other health professionals
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
- 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
- Work within the latest HCPC Code of Professional Conduct
- Record accurate consultation data in patients records in accordance with the latest HCPC guidance and other pertinent standards
- Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
- Work collaboratively with colleagues within and external to the practice
- Demonstrate effective teamwork
- Pro-actively promote the role of the ACP within the Practice, and externally to key stakeholders and agencies
Job description
Job responsibilities
Within the time constraints of the role the post holder will work with GPs and management to develop the Advanced Care Practitioner role within the practice.
Key responsibilities
KNOWLEDGE:
- Understanding and knowledge of policy developments related to the delivery of primary care services including General Practice, the GMS contract, Clinical Governance, and Quality and Outcomes Framework
- Understanding of systems to gain an understanding of the health needs of the Practice population as they relate to Primary Care
- Understanding of evidence-based practice
- Knowledge of national standards that inform practice e.g. National Service Frameworks, NICE guidelines etc
- Understanding of their accountability arising from the Code of Professional Conduct and medico-legal aspects of the Practitioner role including Safeguarding
- Understanding of equal opportunities and diversity issues
SKILLS:
- Ability to assess and manage patient risk effectively and safely
- Well-developed word processing/data collection/IT skills
- Excellent interpersonal, verbal and written communication skills
- Reflective practitioner
- Time management and ability to prioritise workload
- Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
- Able to establish and maintain effective communication pathways within the organisation, the local ICB and with key external stakeholders
- Self-motivated
- Organisational skills
- Enthusiastic
CLINICAL:
- Undertake home visiting of patients
- Provide the choice of direct access to a Advanced Care Practitioner or Emergency Care Practitioner, both in the Practice and over the telephone, for the General Practice population.
- Make professionally autonomous decisions for which he/she is accountable
- 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: 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, developing where appropriate an on-going plan of care/support, 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 in conjunction with the Lead Practice Nurse
to develop and deliver specialist primary care services, such as long term disease management
(diabetes, asthma, chronic obstructive pulmonary disease, coronary heart
disease and hypertension) and care planning
- Work with nursing, medical and health care
assistant colleagues to ensure that National Service Frameworks (e.g. Coronary
Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
- Work with multi-disciplinary team within the
Practice, and across the wider 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
- Be aware of and contribute to planning and delivery of practice-based commissioning
TEACHING AND MENTORING:
- Promote a learning environment for patients, nurses and other health professionals
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
- 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
- Work within the latest HCPC Code of Professional Conduct
- Record accurate consultation data in patients records in accordance with the latest HCPC guidance and other pertinent standards
- Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
- Work collaboratively with colleagues within and external to the practice
- Demonstrate effective teamwork
- Pro-actively promote the role of the ACP within the Practice, and externally to key stakeholders and agencies
Person Specification
Experience
Essential
- Minimum of 2 years post registration experience including 2 years in Primary and Community Care.
- Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD.
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role.
- Proven ability to evaluate the safety and effectiveness of their own clinical practice.
Desirable
- 3-5 years post registration experience.
- Interpreting and implementing local and National policy agendas for health.
- Evidence of working autonomously and as part of a team.
Qualifications
Essential
- Registered General Nurse (currently registered with the Nursing and Midwifery Council).
- Recognised NP qualification at Masters level or equivalent.
- HCPC registered paramedic.
- Active and relevant professional registration
Desirable
- Teaching/Mentoring experience and/or qualification.
- Prescribing qualification.
- Independent Nurse Prescriber.
- Masters degree in Advanced Clinical Practice or equivalent.
Person Specification
Experience
Essential
- Minimum of 2 years post registration experience including 2 years in Primary and Community Care.
- Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD.
- Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role.
- Proven ability to evaluate the safety and effectiveness of their own clinical practice.
Desirable
- 3-5 years post registration experience.
- Interpreting and implementing local and National policy agendas for health.
- Evidence of working autonomously and as part of a team.
Qualifications
Essential
- Registered General Nurse (currently registered with the Nursing and Midwifery Council).
- Recognised NP qualification at Masters level or equivalent.
- HCPC registered paramedic.
- Active and relevant professional registration
Desirable
- Teaching/Mentoring experience and/or qualification.
- Prescribing qualification.
- Independent Nurse Prescriber.
- Masters degree in Advanced Clinical Practice or equivalent.
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).
