Advanced Clinical Practitioner (Nurse)

Job responsibilities

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

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

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

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags

and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.

Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.

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

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret 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 medical attention 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.

Communication

Communicates effectively with patients, carers, the primary care team and external stakeholders, adapting communication styles to meet individual needs and overcome barriers related to understanding, culture or preferred methods of communication. Ensures patients are fully informed about their care, provides information in accessible formats, and signposts to appropriate support services where required.

Safeguarding Adults and Children Has a duty to safeguard and promote the welfare of vulnerable adults and children by recognising and acting on safeguarding concerns in line with local policies and procedures. Maintains up-to-date safeguarding knowledge, attends required training, and supports internal and external safeguarding investigations as appropriate.

Leadership, Management and Team Working

Takes responsibility for personal learning, performance and clinical supervision, acting as a positive role model. Contributes to guideline and protocol development and supports service improvement across the PCN. Works effectively within multidisciplinary teams, managing workload, referrals and service delivery, and leading agreed projects or services. Promotes the Advanced Clinical Practitioner role and supports workforce development.

Education and Research

Provides mentorship and supervision to colleagues and supports education for patients, carers and staff. Uses evidence-based practice to improve quality of care, participates in audit, research, clinical governance and incident investigation, and supports quality improvement activity in line with national standards.

Quality and Governance

Maintains high standards of care in line with NICE, NSF and evidence-based guidance. Contributes to clinical governance, risk management, audit and quality frameworks, raising concerns related to safety and quality and supporting service improvement.

Professional Development

Engages in appraisal, supervision, CPD and mandatory training. Maintains advanced clinical knowledge and skills, participates in teaching and training activities, and works within professional accountability and governance frameworks.

Confidentiality and Data Protection

Maintains strict confidentiality of patient, staff and organisational information in line with data protection legislation and local policies. Reports data breaches or concerns promptly.

Health, Safety and Infection Control

Promotes health, safety and security for self and others, adhering to lone working, infection control and risk management policies. Complies with mandatory training and infection prevention procedures.

Equality, Diversity and Security

Promotes equality, diversity and inclusion, respecting the rights, dignity and beliefs of patients, carers and colleagues. Works within local security policies to ensure safety of patients, staff and visitors.

Working Conditions and Relationships

May be required to work across practices within Tonbridge PCN. Works collaboratively with patients, practice teams, PCN leadership, community services, pharmacists, secondary care and care home staff to support integrated care delivery.

No Smoking Policy

Complies with the organisations no smoking or vaping policy.

This job description may be reviewed in the light of changing organisational and service needs. Any changes will be fully discussed with the post holder. The post holder may also be required to carry out other work appropriate to the grade of the post.

Knowledge

Essential

• A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
• Advanced clinical practice skills
• Clinical examination skills
• Accountability of own role and other roles
• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge/experience in general practice/elderly care or palliative care

Desirable

• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Other

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player

Qualifications

Essential

• Masters degree level in the relevant area of expertise
• Advanced Clinical Practitioner Nurses have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
• Independent prescribing qualification

Desirable

• Mentor/teaching qualification
• Clinical supervision training and experience

Experience

Essential

• Significant post registration experience
• Recent primary or community experience
• Management of minor illness, minor ailments and injuries
• Triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research

Desirable

• Project management
• Health-needs assessment

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship within a clinical setting
• Resource management

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).