Advanced Clinical Practitioner (ACP)
This job is now closed
Job summary
Arthur Medical Centre is looking for an Advanced Clinical Practitioner to join our friendly, well-established practice team. Applications for both full time and part time arrangements will be considered.
Main duties of the job
In this role, you will see patients with a range of minor illnesses, acute concerns and long-term conditions. Elements of this work will be focussed on the care of frail and/or elderly patients. You will assess, diagnose, plan and implement programmes of evidenced-based care for our patients, undertaking re-evaluation and implementation of treatment plans as appropriate. In addition, you will ensure interventions are undertaken in line with best practice guidance and use advanced skills appropriate to the role, ensuring clinical competencies are maintained in accordance with framework for advanced clinical practice.
You will act as an autonomous practitioner working independently and in conjunction with other healthcare professionals to assess, diagnose and treat the conditions of patients and initiating direct referrals as appropriate.
About us
Arthur Medical Centre is a semi-rural practice, located in the heart of the practice area, which extends about two and a half miles in all directions (see map on next page). Arthur Medical Centre is situated on a crossroads which divides two large villages, resulting in most of the population being close to the Practice. A few smaller scattered villages are covered, as well as the edges of three former industrial market towns, part of the borough of Amber Valley.
The current list size is around 9,100. The age-sex distribution in the practice population is broadly similar to national statistics, with a slight excess of frail, elderly patients.
Details
Date posted
04 August 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share, Flexible working
Reference number
A3265-23-0000
Job locations
Arthur Medical Centre
Horsley Woodhouse
Ilkeston
Derbyshire
DE7 6AX
Job description
Job responsibilities
Clinical Responsibilities:
Assess, diagnose, plan, implement and evaluate treatment/ interventions and care for patients presenting with an undifferentiated diagnosis from within your sphere of competence.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/ treatments for patients with complex needs
Utilise clinical supervision and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out
Refer patients directly to other services/ agencies as appropriate, utilising Practice and local guidelines and in a timely manner
Pro-actively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition, as appropriate
Diagnose and manage acute conditions, integrating both drug and non-drug-based treatment methods into a management plan
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within own scope of practice. Utilise Patient Group Directions for the administration of medication as appropriate.
Work with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that promote healthy living and to apply principles of self-care
Recognise, assess and refer patients with mental health needs as appropriate
Communicate with and support patients receiving bad news
Leadership responsibilities:
Act as a positive role-model
Support the development of others in order to maximise potential
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice
Critically evaluate and review innovations and developments that are relevant to the area of work
Participate in planning and implementing changes within the area of care and responsibility
Contribute and participate in the development of local guidelines, protocols and standards
Ensure the principles of infection control and local/national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required
Other responsibilities:
Recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC) as appropriate
Work towards the 4 pillars of advanced practice- Clinical, Leadership, research education and evidence these within the portfolio
Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review
Maintain accurate and complete documentation and records utilising I.T as appropriate and in accordance with Practice protocol
Use own judgement, resourcefulness and common sense
Deliver care according to evidence based practice, following agreed protocols, local and national guidelines
Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/ vulnerable adult health procedure and local guidance
Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
Contribute to achievement of the highest possible quality standards such as the QOF and other agreed Key Performance Indicator targets
Attend in-house governance, educational and staff meetings as appropriate
Assist with the training of other staff members and also with the education of doctors, nurses and other health professionals in training as appropriate
Pro-active engagement with the practice population and wider community to promote healthy living and encourage uptake of services. This may include visits to local schools, community centres and other groups as necessary
Undertake additional tasks as required within your role as a Nurse Practitioner/ Primary Care Practitioner and senior member of the team
Learning and development:
The post-holder will participate in any training programme implemented by Arthur Medical Centre as part of this employment, such training to include:
Participate in individual performance reviews, including maintaining a portfolio and annual review with clinical supervisor and manager
Working in conjunction with senior clinicians, assess own learning needs and undertake learning as appropriate
Develop and utilise a written Personal Development Plan
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
Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
Understand mandatory and statutory training as required
Team working:
Understand own role and scope in the organisation and identify how this may develop over time and assist with this development
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Accept delegations from other clinicians, prioritise workload and ensure effective time management strategies are embedded in own practice
Participate in team activities that create opportunities to improve patient care
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Participate and support local projects as agreed with the practice management team
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties
Ensure clear understanding and utilisation of referral mechanisms within the practice
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their greatly and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the employing practice may only be divulged to authorised persons in accordance with practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & Safety:
The post-holder will assist in promoting and maintaining their own and others health, safety and security to include:
Using personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control policies, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Quality:
The post-holder will strive to maintain quality within the practice and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Effectively manage own time, workload and resources
Apply the practice policies, standards and guidance
Work within own limitations and experience
Be aware of and co-operate with audit
Work effectively with individuals in other agencies to meet patients needs
Portray a professional image at all times
Job description
Job responsibilities
Clinical Responsibilities:
Assess, diagnose, plan, implement and evaluate treatment/ interventions and care for patients presenting with an undifferentiated diagnosis from within your sphere of competence.
Clinically examine and assess patient needs from a physiological and psychological perspective and plan care accordingly.
Assess, diagnose, plan, implement and evaluate interventions/ treatments for patients with complex needs
Utilise clinical supervision and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations
Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out
Refer patients directly to other services/ agencies as appropriate, utilising Practice and local guidelines and in a timely manner
Pro-actively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition, as appropriate
Diagnose and manage acute conditions, integrating both drug and non-drug-based treatment methods into a management plan
Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within own scope of practice. Utilise Patient Group Directions for the administration of medication as appropriate.
Work with patients in order to support compliance with and adherence to prescribed treatments.
Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that promote healthy living and to apply principles of self-care
Recognise, assess and refer patients with mental health needs as appropriate
Communicate with and support patients receiving bad news
Leadership responsibilities:
Act as a positive role-model
Support the development of others in order to maximise potential
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice
Critically evaluate and review innovations and developments that are relevant to the area of work
Participate in planning and implementing changes within the area of care and responsibility
Contribute and participate in the development of local guidelines, protocols and standards
Ensure the principles of infection control and local/national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required
Other responsibilities:
Recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC) as appropriate
Work towards the 4 pillars of advanced practice- Clinical, Leadership, research education and evidence these within the portfolio
Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review
Maintain accurate and complete documentation and records utilising I.T as appropriate and in accordance with Practice protocol
Use own judgement, resourcefulness and common sense
Deliver care according to evidence based practice, following agreed protocols, local and national guidelines
Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/ vulnerable adult health procedure and local guidance
Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
Contribute to achievement of the highest possible quality standards such as the QOF and other agreed Key Performance Indicator targets
Attend in-house governance, educational and staff meetings as appropriate
Assist with the training of other staff members and also with the education of doctors, nurses and other health professionals in training as appropriate
Pro-active engagement with the practice population and wider community to promote healthy living and encourage uptake of services. This may include visits to local schools, community centres and other groups as necessary
Undertake additional tasks as required within your role as a Nurse Practitioner/ Primary Care Practitioner and senior member of the team
Learning and development:
The post-holder will participate in any training programme implemented by Arthur Medical Centre as part of this employment, such training to include:
Participate in individual performance reviews, including maintaining a portfolio and annual review with clinical supervisor and manager
Working in conjunction with senior clinicians, assess own learning needs and undertake learning as appropriate
Develop and utilise a written Personal Development Plan
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
Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
Understand mandatory and statutory training as required
Team working:
Understand own role and scope in the organisation and identify how this may develop over time and assist with this development
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Accept delegations from other clinicians, prioritise workload and ensure effective time management strategies are embedded in own practice
Participate in team activities that create opportunities to improve patient care
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Participate and support local projects as agreed with the practice management team
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties
Ensure clear understanding and utilisation of referral mechanisms within the practice
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their greatly and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the employing practice may only be divulged to authorised persons in accordance with practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & Safety:
The post-holder will assist in promoting and maintaining their own and others health, safety and security to include:
Using personal security systems within the workplace according to practice guidelines
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
Making effective use of training to update knowledge and skills
Using appropriate infection control policies, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Quality:
The post-holder will strive to maintain quality within the practice and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Effectively manage own time, workload and resources
Apply the practice policies, standards and guidance
Work within own limitations and experience
Be aware of and co-operate with audit
Work effectively with individuals in other agencies to meet patients needs
Portray a professional image at all times
Person Specification
Experience
Essential
- Previous experience working in Primary Care.Evidence of working autonomously, with some support and supervision.
- First contact care.
- Proven ability to evaluate the safety and effectiveness of own clinical practice.
- Competent in the use of SystmOne.
- Experience of Microsoft Office applications.
Qualifications
Essential
- Registered Healthcare Professional with additional Masters level Advanced Practice qualification. Current registration.
- Independent non-medical prescriber
Experience
Essential
- Registered Healthcare Professional with additional Masters level Advanced Practice qualification. Current registration.
- Independent non-medical prescriber
Knowledge and Skills
Essential
- Awareness of accountability of own role and that required of a Registered Practitioner.
- Ability to assess and manage patient risk effectively and safely.
- Good communication (oral and written) and inter-personal skills.
- Keyboard skills.
- Change management skills and ability to support patients to change lifestyle.
- Ability to form good working relationships with a multi-disciplinary team.
- Ability to listen and empathise.
- Understanding of evidence-based practice.
- Ability to organise and prioritise workload.
- Demonstrable evidence and commitment to professional development.
Person Specification
Experience
Essential
- Previous experience working in Primary Care.Evidence of working autonomously, with some support and supervision.
- First contact care.
- Proven ability to evaluate the safety and effectiveness of own clinical practice.
- Competent in the use of SystmOne.
- Experience of Microsoft Office applications.
Qualifications
Essential
- Registered Healthcare Professional with additional Masters level Advanced Practice qualification. Current registration.
- Independent non-medical prescriber
Experience
Essential
- Registered Healthcare Professional with additional Masters level Advanced Practice qualification. Current registration.
- Independent non-medical prescriber
Knowledge and Skills
Essential
- Awareness of accountability of own role and that required of a Registered Practitioner.
- Ability to assess and manage patient risk effectively and safely.
- Good communication (oral and written) and inter-personal skills.
- Keyboard skills.
- Change management skills and ability to support patients to change lifestyle.
- Ability to form good working relationships with a multi-disciplinary team.
- Ability to listen and empathise.
- Understanding of evidence-based practice.
- Ability to organise and prioritise workload.
- Demonstrable evidence and commitment to professional development.
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
Arthur Medical Centre
Address
Arthur Medical Centre
Horsley Woodhouse
Ilkeston
Derbyshire
DE7 6AX
Employer's website
Employer details
Employer name
Arthur Medical Centre
Address
Arthur Medical Centre
Horsley Woodhouse
Ilkeston
Derbyshire
DE7 6AX
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
04 August 2023
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time, Job share, Flexible working
Reference number
A3265-23-0000
Job locations
Arthur Medical Centre
Horsley Woodhouse
Ilkeston
Derbyshire
DE7 6AX