Job responsibilities
Summary
of Responsibilities:
Advanced clinical
practice is delivered by experienced, registered health and care practitioners.
It is a level of practice characterised by a high degree of autonomy and
complex decision making.
This is underpinned by a masters level 7 award or
equivalent that encompasses the four pillars of; clinical practice; leadership
and management; education and research, with demonstration of core capabilities
and area specific clinical competence.
A
non medical prescriber with a minor injury and illness qualification essential
and the ability to maintain and monitor high standards of care.
Advanced clinical
practice embodies the ability to manage clinical care in partnership with
individuals, families, and carers. It includes the analysis and synthesis of
complex problems across a range of settings, enabling innovative solutions to
enhance peoples experience and improve outcomes.
Definition of advanced
clinical practice provided by the Advanced Clinical Practice HEE
Multi-professional (ACP) Framework (2017).
Main
Duties & Responsibilities:
Work as part of the
multidisciplinary clinical team, for the provision of health care services to
the patients of the organisation.
Work as an autonomous practitioner, responsible
for the delivery of evidence-based practice for patients within the scope of
your capabilities.
The post holder will take professional
accountability for working at advanced level within the remit of qualifications
and capabilities, as defined by the appropriate Framework for Advanced
Practice, and working within the organisations standards and protocols, and
local and national frameworks for best practice.
Develop a portfolio of evidence demonstrating
competencies and capabilities: in the four pillars for nurses as defined in the
Core Framework for Advanced Clinical practice ACP Primary Care Nurse 2020.pdf
(hee.nhs.uk) of,
1. Clinical practice
2. Leadership
and Management
3. Education
4. Research
The postholder will be
able to:
Demonstrate
highly developed interpersonal and communication skills
Develop
critical thinking, complex clinical reasoning, and problem-solving skills
Be
a caring, compassionate clinician that is committed to high quality patient
care
Practice,
without direct supervision, as an autonomous primary care healthcare
practitioner.
Safely
manage undifferentiated and undiagnosed presentations using data gathering,
clinical examinations, diagnosis, organising investigations, safe prescribing,
management, completing referrals, and follow-up within their agreed scope of
practice and capabilities.
Clinical
responsibilities:
Safely
manage undifferentiated and undiagnosed presentations using data gathering,
assessing for red flags, investigation, diagnosis, management, and review
within their agreed scope of practice and capabilities.
Must
demonstrate complex clinical reasoning skills, to use problem solving
approaches to analyse and synthesise information, manage medical and clinical
uncertainty particularly in relation to a wide range of contexts and clinical
presentations, and to include physical, mental, and social problems.
Have
a sound understanding of referral pathways including routine, urgent, 2-week
wait and emergency admissions.
Use
resources appropriately and effectively.
Manage
acute/chronic presentations and medical complexity.
Safely
and effectively use a range of consultation modes to include telephone, video,
online and face to face.
Prescribe
treatment and medication safely in line with local and national guidelines
(where professional regulation and training permits i.e., an independent
prescriber)
To
offer personalised care to people and signpost to and link with other members
of the organisation or wider health and social care team.
Make
every contact count in terms of public and patient health. Provide health
promotion and patient education in supporting patients for healthier lifestyle,
self-care and in managing their own conditions.
Understand
the needs of the organisations population and work to meet them effectively as
part of the wider team.
Work
collaboratively as part of the multidisciplinary team understanding the
capabilities of colleagues to promote the most appropriate care for
people.
Manage urgent
situations by providing effective immediate emergency care, including
initiating, and performing BLS/anaphylaxis management and use of AED
To
provide accurate, contemporaneous, and complete records of patient
consultations, consistent with legislation policies and procedures
Support
the practices on-call triage system
.
Manage
own and others pathology results in accordance with own level of capabilities
and following shared care pathology guidance and organisations policies and
procedures.
Safely
and effectively manage documents (clinical letters/hospital discharges) in
accordance with own level of clinical capabilities and following organisations
policies and procedures.
Communication
skills:
Have
advanced and flexible interpersonal and communication skills to engage in
effective and complex interactions with patients, carers, and colleagues as
detailed in the profession specific framework.
Communicate
effectively with individuals who require additional assistance for consultation
e.g., use of interpreters, BLS interpreters, easy read, people with LD
etc.
Use
communication skills to maintain a professional approach when working with
patient and colleagues.
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients,
carers, and colleagues to include:
Acting
in a way that recognises the importance of peoples rights, interpreting them
in a way that is consistent with organisations procedures and policies, and
current legislation.
Respecting
the privacy, dignity, needs and beliefs of patients, carers, and colleagues.
Behaving
in a manner which is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Safeguarding:
Individuals have a duty of care to children and vulnerable adults that they
encounter whilst at work to safeguard and promote their welfare and to work to
prevent, recognize, respond, appropriately refer, and record potential neglect
or abuse, adhering to the companys Safeguarding Children and Safeguarding
Vulnerable Adults and PREVENT policies and procedures.
