Urgent Care Practitioner (Primary Care Home Visiting)

Job responsibilities

JOB SUMMARY

The Urgent Care Practitioner (UCP) will act autonomously within their professional scope of practice providing care for patients face-to-face, telephone consultations and home visits.

The post-holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

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

The post-holder will use skills, knowledge and competencies as a qualified Urgent Care Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.

JOB RESPONSIBILITIES

Clinical Practice

- Work as part of a multi-disciplinary team to deliver safe and high quality care.

- Carry out clinical urgent care practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

- Delivery of care in line with NSF, NICE guidelines and evidence-based care

- Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate.

- Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved.

- Review medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

- Request diagnostic investigations within agreed protocols e.g. X-ray, blood tests, scans, etc.

- Assess, diagnose and treat patients in practice premises or their own home who require urgent medical attention for treatment and/or refer to appropriate agency.

- Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Care Management

- Communicate confidential and sensitive information to patients, relatives and carers in relation to their condition.

- Monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

- Undertake investigations as appropriate.

- Liaise with other teams regarding patients care

- Be accountable for the safe clinical, practice applied to a patient which in your care

- Be accountable for the safe clinical practice applied to a patient which is in your care and whilst working for the cluster of North West Wrexham

- Accurately record all patient contact and care related activity utilising the electronic system for all episodes of patient interaction including any adverse events, child protection issues and other notifiable matters.

- Raise adult and child safeguarding and other notifiable concerns through the appropriate policies, procedures and protocols keeping the adult or child at potential risk at the heart of everything which is done.

- Work collaboratively with other health care professionals and disciplines which will include communicating effectively with team members to ensure a safe and effective handover when required.

Administration and professional responsibilities

- Maintain personal and professional development through evidence of continuous professional development (CPD), including demonstrating a personal awareness of advisory papers and current national issues that may have a local impact for the service.

- Develop and maintain a Personal Learning Plan.

- Regularly participate in clinical supervision and annual appraisal.

- Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.

- Participate in an audit process where required.

Knowledge

Essential

• Broad understanding of managing patients in a primary care or
• emergency/urgent setting
• Clear understanding of professional responsibility and accountability
• Practical knowledge across a wide range of clinical conditions
• Understanding of equality and diversity issues in a healthcare delivery setting.
• Knowledge of current professional issues relating to nursing and changes in the NHS relating to Primary and secondary Care.
• Knowledge of advisory papers, national enquiries and current issues.
• Knowledge of current clinical evidence based practice
• Specialist theoretical and practical knowledge across a range of clinical conditions; Health and disease, including physical, sociological, physiological and cultural aspects

Desirable

• Knowledge and understanding of local health and social care
• pathways
• Knowledge and understanding of clinical
• governance

Qualifications

Essential

• Registered paramedic or registered nurse
• Current professional portfolio reflecting professional development
• Degree in professional practice or equivalent level of development in relevant clinical area

Desirable

• ILS
• Successful completion of clinical examination course at Masters level

Other

Essential

• Ability to travel between sites across the area in a timely manner (own car/transport required)
• Ability to attend work on a regular basis and meet the requirements of the role with any reasonable adjustments which have been notified and arrangements made under the Equality Act.

Desirable

• Ability to communicate through the medium of Welsh.

Experience

Essential

• Experience of delivering patient care in an urgent care, primary care or community setting
• Experience of multi-disciplinary working

Desirable

• Significant clinical practice and experience working in an autonomous/extended role
• Experience of managing others
• Experience of working in primary care
• Experience of working in a GP practice

Personal attributes

Essential

• Excellent communication, listening and
• interpersonal skills
• Ability to concentrate for prolonged periods of time
• Ability to use own initiative and prioritise work
• Confident decision maker
• Systematic approach to problem solving

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).