Advanced clinical practitioner

Job responsibilities

a. 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

b. 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

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

d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

e. Develop, implement and embed health promotion and wellbeing programmes

f. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

g. Implement and evaluate individual specialised treatment plans for chronic disease patients

h. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

i. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change

j. Use expertise and decision-making skills to inform clinical reasoning

k. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care

l. Exercise professional judgement to manage risk

m. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

n. Request and collect pathological specimens. Upon receipt, process and interpret pathology and other test results as required

o. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

p. Chaperone patients where necessary

q. Prioritise health issues and intervene appropriately

r. Support the team in dealing with clinical emergencies

s. Recognise, assess and refer patients presenting with mental health needs

t. Support in the provision of vaccination programmes for both adults and children

u. Be an extended and supplementary prescriber, adhering to extant guidance

v. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

w. Contribute to practice targets (QOF, etc.), complying with relevant guidance

x. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

y. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

z. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

Qualifications

Essential

• - Qualified healthcare professional that is educated to Masters degree as detailed within the HEE document tilted Multi- professional framework for advanced clinical practice in England.
• - Has evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• - Proof of relevant professional and educational qualifications, coupled with details of any training.
• - Registration with their professional governing body.
• - Qualified independent prescriber

Desirable

• - ALS and PALS

Experience

Essential

• - Experience of practice within the four pillars.
• - Job plan that demonstrates advanced clinical practice and has equity with peers working at this level.
• - Experience of prescribing and undertaking medication reviews.
• - Experience of quality initiatives, i.e., benchmarking.

Desirable

• - Understanding of general practice and the wider NHS.
• - An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners.

Clinical skills and knowledge

Essential

• - Clinical knowledge and skills.
• - Understanding of the importance of evidence-based practice.
• - Ability to work within own scope of practice and understanding when to refer to GPs.
• - Good clinical system IT knowledge and the ability to record accurate clinical notes.
• - Broad knowledge of clinical governance.
• - Understanding of safeguarding adults and children.
• - Knowledge of public health issues in the local area and issues in
• the wider health arena.
• - Understanding of health promotion strategies.
• - Excellent interpersonal, influencing, negotiation and organisation skills with the ability to constructively challenge the view and practices of managers and clinicians.

Desirable

• - Knowledge of national standards that inform general practice (NSF NICE guidelines).
• - Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service.

Personal qualities

Essential

• - Effective time management (planning and organising)
• - Demonstrate personal accountability, emotional resilience and work well under pressure.
• - Ability to follow legal, ethical and professional policies/local policies / procedures and codes of conduct.
• - Ability to work as a team member and autonomously
• - Good interpersonal and organisational skills
• - Sensitive and empathetic in distressing situations

Desirable

• - Knowledge of IT systems including the ability to use word processing skills, emails and the internet.
• - Ability to identify risk and assess/manage risk when working with individuals.

Other requirements

Essential

• - Disclosure Barring Service (DBS) check.
• - Occupational Health clearance.
• - Meet the requirements and produce evidence for professional revalidation.
• - Evident of CPD commensurate with the role.
• - Flexibility to work outside of core office hours.

Desirable

• - Access to own transport and ability to travel across the locality.

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).