Trainee Advanced Clinical Practitioner

Job description

Job responsibilities

Clinical Practice

Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice.

Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.

Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.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).

Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes, using Health Education Englands framework to promote person-centred approaches in health and care.

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.

Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.

To work as an autonomous advanced practitioner providing high quality and timely patient centre care.

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.

Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.

Undertake telephone triage in order to provide total triage during surgery opening hours. This will involve providing triage cover for annual leave. Triage, treat and/or refer/direct patients presenting as same day urgent to the most appropriate service.

Recommend, instigate and explain appropriate invasive and non-invasive diagnostic tests, investigations and interpret findings and reports.

Make direct referrals to primary, secondary and social services within locally agreed pathways, guidance and protocols. Provide clinical advice to reception staff when required.

If an independent prescriber, supply and administer medicines in accordance with Patient Group Directives, prescribing safe, effective and appropriate medication as defined by current legislative frameworks.

Ensure complete and accurate documentation for each and every patient contact.

Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery. Contribute to high level care for patients with chronic diseases including diabetes; respiratory and cardiac conditions.

Help develop and set up new patient services and participate in initiatives to improve existing patient services

Leadership and Management

Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.

Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.

Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).

Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.

Critically apply advanced clinical expertise in appropriate faciliatory ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.

Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.

Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g. impacts of genomics, new treatments and changing social challenges).

Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.

Education

Critically assess and address own learning needs, negotiating 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.

Engage with, appraise and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.

Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.

Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.

Identify further developmental needs for the individual and the wider team and supporting them to address these.

Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice.

Act as a role model, educator, supervisor, coach and mentor, seeking to instill and develop the confidence of others.

Research

Critically engage in research activity, adhering to good research practice guidance, so that evidence based strategies are developed and applied to enhance quality, safety, productivity and value for money.

Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.

Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.

Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or seeking out and applying for research funding.

Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.

Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).

Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers

Health and safety/risk management

The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

Equality and diversity

The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

Patient confidentiality

The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Special working conditions

The post-holder will be required to travel independently when home visits are required and to attend meetings and or training hosted by other agencies.

The post involves working across different sites and the post holder will be required to be flexible to cover annual leave and sickness.

The post-holder will have contact with body fluids i.e wound exudates; urine etc while in clinical practice.

General

The main duties and responsibilities are shown above are not exhaustive but should be regarded as a guide. The post-holder will be expected to conduct any reasonable activities according to the business needs at that time. These will be subject to periodic review and may be amended to meet the challenging needs of the business.

The post is exempt from the Rehabilitation of Offenders Act 1974 so you are required to declare all criminal convictions, cautions, reprimands or final warnings and an Enhanced Disclosure and Barring check will be carried out.

Person Specification

Qualifications

Essential

• Qualifications
• 1st Level registration
• Graduate degree with honours at least 2.2
• Evidence of recent CPD

Desirable

• Car Driver/Owner

Experience

Essential

• Experience
• Previous experience that demonstrates good attention to detail.
• Significant post registration experience
• Experience of working in a confidential environment
• Previous experience of working in General Practice, NHS or Healthcare setting.
• Skills/Knowledge
• Good general computer skills, including the ability to use Microsoft Office, email and the internet
• Demonstrate clinical knowledge in acute and chronic disease management
• Demonstrate clinical competent in minor illness management
• Able to demonstrate excellent communication and consultation skills
• Innovative practice to deliver patient centred care
• Evidence of excellent administration and organisational skills
• An excellent standard of grammar and spelling in the English language
• A conscientious approach and commitment to working in an adaptable and flexible manner.
• The ability to work effectively when busy and multi-task when required.
• The ability to deal with personal information sensitively and respect people's right to confidentiality.
• Organise workload
• Time management
• Please also refer to the Person Specification attached

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

Lancaster Medical Practice

Address

8 Dalton Square

Lancaster

Lancashire

LA1 1PN

Employer's website

https://www.lancastermedicalpractice.co.uk/ (Opens in a new tab)