Advanced Practitioner Clinical Lead

Job responsibilities

In the Practice, the AP Clinical Lead will be integral to the delivery of safe, effective, consistent and high-quality care for patients, and in collaboration with colleagues will be instrumental in promoting clinical excellence and best practice through assumption of responsibilities for supporting the development of Advanced and enhanced practice across all aspects of the practice and working flexibly to provide Advanced l Practice at an enhanced level in surgery.

The post holder will be responsible for the educational development, supervision and integration of designated clinical workforce roles. They will contribute to the design, implementation and evaluation of clinical Practice activities complimenting the PCN Clinical Directors, Senior Leadership Team and BMG Partnership. They will aim to continuously improve standards of patient care, advance the boundaries of professional clinical practice and facilitate multi-professional approaches to service development and delivery.

Expert Clinical Practice

The postholder will

Deliver a high standard of care using advanced clinical skills and in-depth theoretical knowledge.

Provide the first point of contact for clinical queries from the Patient Advisors on the CAT or Visit Team, providing specialist advice and support.

Deliver care through various consultation types, including in person clinic appointments, telephone consultations, home visits and e-consultations.

Practise in compliance with respective code of professional conduct and within own scope of practice, being responsible and accountable for decisions and actions.

An advanced level of clinical reasoning and decision making across a spectrum of practice.

Clinically examine, assess, diagnose, plan implement and evaluate treatment/ interventions and care for patients, using expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations; using information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.

Diagnose and manage both acute and chronic conditions, initiating, evaluating and modifying a range of interventions which may include prescribing and reviewing medicines for therapeutic effectiveness (appropriate to patient need and in accordance with evidence based practice and national protocols within scope of practice), therapies, life style advice and care into a management plan.

Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).

Offer a holistic service to patients and their families, supporting people in making decisions, planning care or seeking to make positive changes, with an emphasis on health promotion and self-care.

independent prescriber: to prescribe safe, effective and appropriate medication in line with current guidance and legislation.

Work with patients in order to support compliance with and adherence to prescribed treatments, providing information and advice on prescribed or over the counter medication on medication regimens, side effects and interactions.

Support and manage health needs of women presenting for family planning or sexual health consultation.

Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.

Collaborate with other members of the Primary Health Care Team, accepting referrals and referring to them.

Refer patients directly to other services and agencies as appropriate.

Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers.

Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.

Deliver care according to NSF, NICE guidelines and evidence-based care.

To record accurate data in the patient records to an agreed standard.

Support/ Lead development of protocols and care pathways with the aim of providing best practice examples to others.

Using a variety of mechanisms to critically examine and evaluate their own practice and performance, including self-reflection and validation by patients, carers and colleagues.

Influencing other professions and the wider organisation, including working across organisational boundaries and engaging in inter agency collaboration.

Fulfilling a role in clinical governance, providing expert input and working to secure quality improvement across a wide spectrum of care provision

Leadership and Management

Providing clinical supervision and mentorship

Manage staff, including recruitment, appraisal, CPD and performance through effective standard-setting, work evaluation, feedback and supporting reflective practice

Working alongside senior leaders in the development of the PCN and Practice processes to best suit the needs of patients

Providing effective leadership and example that inspires and sustains commitment of colleagues and facilitates empowerment of others.

Facilitating the development of leadership qualities and management skills in others enabling others to take on leadership responsibilities, building high level leadership capability and capacity from a range of backgrounds

Creates an ethos that values people at every level of the Practice and PCN, modelling distributed leadership and enabling staff to perform at their highest level.

An ability to manage change to create an environment for the successful development of the service and assisting the practice in developing new structures and processes to facilitate transformation

Demonstrates the ability to improve quality within the limitations of the service by reviewing progress and developing plans to achieve targets within the priorities set

Responsibility for own development learning and performance including participating in clinical supervision and acting as a positive role model

Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or users of services

Embodies a very high standard of personal and professional behaviour and creates a culture that reinforces personal and professional standards

Creates a supportive culture change by encouraging innovation and ideas for improvement and builds a culture of continuous review, quality and service improvements.

Assists in the creation of an organisation that is a leading example of excellent Practice.

Uses knowledge, evidence and experience of national developments in healthcare to influence the future development of Practice services and develop more effective strategies.

Education, Training and Development

Contributing to the development, delivery and evaluation of educational programmes, working collaboratively to ensure appropriate learning opportunities in the clinical environment. Using and promoting in others, assessment skills, critical analysis and synthesis of knowledge to enhance care delivery.

Using innovative ways to gather consolidate and share information, acting as a resource across the organisation.

Maintain a clinical portfolio that evidences advanced health assessment skills and competencies. Assess and address own learning needs, growing a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.

Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.

Participate in regular performance review with clinical supervisor and take part in the annual appraisal review where personal learning requirements will be identified and in accordance with Practice requirements.

Undertake further specialist training as required by service needs and the changing requirements of service provision

Promoting and facilitating an active and positive learning environment to enable others to achieve their potential, particularly by encouraging and supporting reflective practice

Responsibility for facilitating and promoting a learning culture within the organisation, enabling others to develop to their full potential.

Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice

Demonstrate the ability to conduct teaching and assessment effectively; participating in the delivery of education to support updates of clinical practice

Maintains own learning and development with own clinical portfolio, growing a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced practice.

Champions reflection and learning from experience, best practice and from other organisations

Service development, evaluation, research & audit

Leading and collaborating on the development of evidence-based protocols.

Collating, evaluating and presenting statistical information for the purpose of audit and using audit information to inform service developments.

Active involvement in implementing change/s in accordance with new evidence and/or strategic intent within the Practice

To promote the participation in research studies and ensure team members are GCP trained

Supporting and encouraging dissemination of good practice

Ensuring that high quality patient/client services are based on the best available evidence.

Experience

Essential

• Senior leadership/ management experience including development of individuals and teams.
• Experience of working within general practice.
• Experience of formal teaching within a wide range of forums.
• Demonstrable interests in and commitment to the professional development of self and others.
• Practice development and innovation in clinical practice with experience of leading change projects in the clinical environment.
• An understanding of HR processes and issues pertaining to staff management.
• An understanding of the financial aspects of clinical management.
• Awareness and understanding of current health issues and in particular to demonstrate an excellent understanding of recent initiatives within the specialist area.
• Experience of developing effective policies, systems and procedures.

Desirable

• Experience of presenting at senior management level.

Experience

Essential

• Senior leadership/ management experience including development of individuals and teams.
• Experience of working within general practice.
• Experience of formal teaching within a wide range of forums.
• Demonstrable interests in and commitment to the professional development of self and others.
• Practice development and innovation in clinical practice with experience of leading change projects in the clinical environment.
• An understanding of HR processes and issues pertaining to staff management.
• An understanding of the financial aspects of clinical management.
• Awareness and understanding of current health issues and in particular to demonstrate an excellent understanding of recent initiatives within the specialist area.
• Experience of developing effective policies, systems and procedures.

Desirable

• Experience of presenting at senior management level.

Skills and Knowledge

Essential

• Ability to organise and manage daily departmental activities and the activities of large multidisciplinary team within this.
• To possess advanced clinical practice skills in the clinical setting, to include but not limited to:
• Physical assessment, history taking, requisition of appropriate investigations and the interpretation of their results, formulating differential diagnoses and liaising/referring to other multidisciplinary teams.
• Ability to teach advanced skills in a clinical environment.
• Able to obtain and analyse complex information.
• Communication skills able to relate and communicate with patients and staff at all levels and from different professions. Adapts communication style as necessary and is able to work with and through others.
• Team building and working skills able to lead a team to achieve results.
• Understanding of the issues pertaining to clinical risk management.
• Ability to utilise research in clinical practice.
• Problem-solving skills able to respond to unexpected issues and provide first line response and to identify appropriate sources of secondary support.
• Computer literacy to an advanced level.
• Able to produce timely and informative reports.

Other

Essential

• Access to own transport and ability to travel across the locality on a regular basis.
• Willing to embrace change that will enhance the quality of service at the practice.
• Committed to improving the healthcare for people living in are of high deprivation and clinical and social need.
• Flexibility of working hours and commitment to team working.

Qualifications

Essential

• Registered health professional (NMC/ HCPC) with a first degree (2:2 class or above).
• Education to Masters degree level or equivalent.
• Non-medical Prescriber.
• Teaching/assessing/mentorship qualification.
• Evidence of continuing professional development.
• Current registration with a relevant professional/ statutory body (e.g. NMC/ HCPC/ GPCGB).

Desirable

• Doctorate level study.
• Leadership qualification.

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).