Job responsibilities
Job purpose
To support the Head of service/ Clinical Lead in delivering a safe and effective service and to ensure cost effective day to day management and organisation of the service.
The post holder will present a professional image and will be responsible for the effective and efficient management of the clinical care environment. They will be expected to provide evidence based practice through strong clinical leadership and supervision of the urgent care team.
Maintain a culture of continuous professional development to achieve the highest standards of clinical services. Providing clinical leadership, training and support to the urgent care team.
To identify and enable appropriate training, ensuring that all non - medical clinical staff demonstrate the skills and competencies to enable them to deliver a highly productive service.
To manage in conjunction with the Head of Service/ Clinical Lead a system of annual appraisals and individual learning and development plans for all clinical staff.
To assess, diagnose and manage patients from the first point of contact through discharge or referral, often analysing highly complex facts and situations.
To prescribe within their professional scope and maintain their knowledge and CPD to provide safe and evidence based care.
To support the Head of Service/ Clinical Lead in developing pathways to support the wider Kent and Medway system
The post holder will have effective and highly specialised communications skills to support multi-disciplinary and collaborative approach to patient care.
Respond to changing work dynamics within the working environment to react to altered needs on a shift by shift basis.
In the absence of the Head of Service/ Clinical Lead to ensure that the service operates in a safe and effective manner.
- Communication and relationship skills
The post holder must have the ability to liaise effectively with members of the urgent care team to include medical, clinical and non - clinical staff. They must demonstrate the ability to communicate with the broader primary care team, secondary and tertiary care colleagues. This will include but is not exclusive to:-
GPs and practice staff, reception staff, medical consultants, patient transport services, Kent Ambulance SECAMB,Medway Maritime Hospital ED and specialist teams, Minor Injury Units Medway and Swale, Social Services, community nursing and therapy teams, medication clinic.
The practitioner will demonstrate highly effective customer relation communication skills to ensure effective communication with colleagues which facilitate and promote multi - disciplinary working.
To liaise effectively with representatives of partner organisations involved in delivery of urgent care services such as SECAmb,111, Medway emergency department ensuring that referral pathways are safe and effective
The post holder has the ability to provide and receive complex and highly sensitive information. They will act as an advocate for vulnerable patients, overcoming barriers to understanding.
To provide feedback in a professional and supportive way to peers and junior colleagues through supervision, report writing and audit.
To teach and guide new members of staff including locum and agency colleagues and team members on training courses, the MedOCC pathways and provide supervision to those learning
To effectively gain consent and communicate with our service users in a compassionate and professional manner providing clear explanations of care and understanding of anxieties
Knowledge, training and experience
Professional regulatory body registration (NMC, HCPC, GPC)
Independent Prescribing Qualification.
Relevant degree or Masters level qualification in advanced clinical assessment or evidence of extensive autonomous practice.
Evidence of ACP registration (RCN or equivalent) or working towards and completing in the next 6 months
Qualification and experience of minor illness and minor injury Evidence of clinical triage qualification and experience
Current mentorship qualification
Extensive knowledge and experience of urgent care including advanced clinical skills and competencies
Experience of supervising others
Experience in delivering training in speciality Evidence of delivering presentations
Relevant advanced clinical skills
Experience of adult and paediatric intermediate life support
Awareness of child and adult protection issues
Evidence of deep vein thrombosis and cellulitis management
Ability to use IT equipment
- Analytical and judgement skills
Proven ability to assess and treat patients presenting with complex symptoms, retrieving relevant medical and social history arriving at a safe and justifiable diagnosis and /or treatment plan. Ability to make appropriate referrals to secondary care and complementary community services or discharge safely. To include the ability to order or undertake relevant investigations and analyse complex presentations.
Experience and ability to critically analyse the adaptive needs of the staff and service on a shift by shift basis, escalating concerns to the Clinical Lead or Lead GP appropriately.
Escalate operational issues to the Operational Manager or Session Supervisor in a timely manner to ensure efficient flow through the department
To participate in the managers on call rota for the service and deputise for the Clinical Lead as requested.
- Planning and organisational skills
The ability to respond urgently and act to unplanned short term issues as they arise.
To respond to day to day staffing and workflow issues within the clinical area.
The post holder will be expected to undertake clinical link role activities in addition to planned clinical sessions.
Co-ordinates the day to day running of the clinical floor.
Take an active role in clinic governance, quality assurance, audit and service evaluation, including any activity and recording of data to ensure key performance indicators are met.
Participate actively in the planning, development and implementation of policies and pathways of care within the area of practice.
To provide clinical expertise and knowledge within the service environment and to ensure that customers and staff experience a high quality service.
To assist with peer review processes by accessing and assessing the electronic consultations made by non-medical clinical staff and providing feedback audits to staff and the lead nurse.
To observe clinical consultations, providing appropriate feedback for quality and productivity reviews.
To ensure that own practice is appraised using the 360 appraisal and peer review model.
To develop and implement mechanisms to produce detailed reports from the clinical software system, and provide analysis of results taking appropriate action as necessary to ensure safe, high quality care is delivered to patients and targets are met.
To implement a continuous and effective developmental programme for new staff, students and work experience students ensuring that orientation and induction processes are robust and competencies are achieved.
To manage individual appraisals of clinical professional staff and support workers
To ensure effective consultations with patients and management of time
- Physical skills
Competent IT skills in Word, Excel, Outlook, Power Point and other software packages similar out of hours/patient management system
Experience with or willing to train on Adastra and RiO computer software.
Occasional requirement to move and handle patients and assist with personal care needs of patients attending the service.
Highly developed dexterity and accuracy required for advanced clinical skills such as:- IV cannulation, administration of intravenous medication, catheterisation, venous blood sampling, x- ray interpretation, ECG recording and interpretation, interpretation of blood and pathology results.
Willing to undertake additional clinical skills and training required by the service.
- Responsibility for patient / client care
Working in the clinical area for a minimum of 70% of contracted time providing highly specialist care and advice in relation to patient assessment and treatment.
In conjunction with the Clinical Lead has operational control and development of the service pathways.
Supervising the clinical development and assessment of the clinical team.
Produce accurate and contemporaneous and complete records of patient consultation, consistent with legislation policies and procedures, prioritising and organising own workload.
To work as a member of the multidisciplinary team providing and supporting others in the highly specialist urgent care provision of assessment, diagnosis, treatment and referral for patients presenting to the urgent care team. Face to face consultations, telephone triage and home visits within evidence based guidelines and scope of practice.
To prescribe treatments as appropriate as an independent non-medical prescriber, continuously developing their scope of practice
To provide effective public health education to service users in areas such as smoking cessation, dietary advice, sexual health, chronic disease management.
To be familiar with local whole system strategic plans for urgent care provision.
Full JD can be found in the attachments.
