Midlands and Lancashire Commissioning Support Unit

Advance Clinical Practitioner

The closing date is 11 July 2025

Job summary

This is an exciting opportunity to work with South Sefton Primary Care Network, our GP Federation, South Sefton Primary Care Limited and the 19 constituent practices to develop Sefton Access Service.We understand the importance of family life and are pleased to offer flexible working options. For this role, the successful candidate will have the option to flexibly, including compressed hours or work term times only, providing an excellent work-life balance that accommodates other commitments outside of work.The post holder will be a caring, compassionate and committed experienced clinician who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process.We are seeking a dedicated individual to be a key member working across Enhanced Access Service and the South Sefton Access Service. The initial focus of this role will be managing acute, on-the-day illness for patients of all ages from aged 2+.

Main duties of the job

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

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

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients in order to support compliance with and adherence to prescribed treatmentsProvide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Amongst other things, please see full description of main duties in the job description attached.

About us

South Sefton Primary Care Network is a large PCN covering the four localities of South Sefton, with a population of just over 130,000 patients.PCNs are groups of GP practices working with a wide range of partners across the health and care system to improve the health of their population. Key to this purpose is strengthening general practice provision through working together, where it makes sense to do so and working as part of integrated care teams which work collaboratively for and with local people in each locality.

Date posted

23 June 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,000 to £60,000 an hour per annum

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

877-SSPCN-7241325

Job locations

Various sites across South Sefton including Litherland Town Hall and May Logan Centre

South Sefton Primary Care Network Biz Hub, 36 Canal Street, Bootle

Liverpool

L20 8AH

Job description

Job responsibilities

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).

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

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

Support and manage health needs of women presenting for family planning, cervical cytology or sexual health consultation

Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health

Implement and participate in vaccination and immunisation programmes for both adults and children

Advise, support and administer vaccinations for patients travelling abroad, where appropriate

Promote and deliver evidence-based care for patients presenting with aural conditions

Meet the needs of patients presenting for opportunistic wound care

Undertake minor surgery as appropriate and within competence.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate with and support patients who are receiving bad news

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipate barriers to communication and take action to improve communication

Maintain effective communication within the practice environment and with external stakeholders

Act as an advocate for patients and colleagues

Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Recognise and work within own competence and professional code of conduct as regulated by the NMC or HCPC as appropriate

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Assess the impact of policy implementation on care delivery

Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies

Contribute to the appraisal of the performance of the team, providing feedback as appropriate

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Working with PCN management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support to ensure appropriate referral if required.

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

Working with the practice management, ensure the nursing team has access to and undertakes mandatory and statutory training requirements

Apply infection-control measures within the practice according to local and national guidelines

Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information

Review and process data using accurate snomed codes in order to ensure easy and accurate information retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases

Understand responsibility of self and others to the PCN and ICB regarding the Freedom of Information ActCollate, analyse and present clinical data and information to the team

Communicate essential financial restraints with the team and discuss with them ideas for effective and efficient working within these constraints

Undertake mentorship for more junior staff, assessing competence against set standards Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences) Assess own learning needs and undertake learning as appropriate

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning