Advanced Clinical Practitioner Independent Prescriber

Job description

Job responsibilities

Clinical Practice

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 according to need

Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex need

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 treatments

Provide 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 car

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, or sexual health consultation

Meet the needs of patients presenting for opportunistic wound care

Undertake minor surgery as appropriate to competence

Communications

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

Delivering a Quality Service

Recognise and work within own competence and professional code of conduct as regulated by the appropriate governing body

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

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

Work with others on improving the quality of health care by applying NICS policies, standards and guidance and national policies and initiatives as appropriate.

Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation including clinical audits, supporting the implementation of improvements where required

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

Support investigation reviews and management, and identify learning from patient complaints, clinical incidents, and near-miss events to be shared across the service and wider organisation.

Participate in the ongoing maintenance of quality governance systems and processes across the organisation and its activities

Work with Lead Nurse to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour. Provide guidance and support as appropriate.

Leadership personal and people development:

Take responsibility for own learning and performance, participating in clinical supervision and in yearly appraisal, personal development plans and revalidation

Adhere to the development of local guidelines, protocols and standards as required.

Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice and acting as a positive role model

Team working:

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, where necessary, adopting the principles of safe practice and assessment of competence

Create clear referral mechanisms to meet patient need

Prioritise own workload and employ effective time-management strategies

Management of Risk:

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

Apply infection-control measures according to local and national guidelines

Learning and development:

Attend mandatory training courses and take responsibility for own professional development, undertaking learning as appropriate

Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development including revalidation

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

Other responsibilities include (this list is not exhaustive):

Management of long-term conditions: involvement, implementing and using protocols and clinical guidelines by providing leadership and mentorship to the Advanced Nurse Practitioner if within scope of practice.

Work with patients to support compliance with, and adherence to, prescribed treatments.

If needed Lead in Infection Prevention Control (IPC) within the service

Support the fulfilment of the Quality Outcomes Framework and local Quality Improvement Schemes.

To take responsibility for own professional development and undertaking training for specific clinical tasks

Attend mandatory training courses and updates and any study days as appropriate to post

Participate in yearly appraisal, personal development plan and revalidation.

Follow NICE guidance and ensure this is embedded in practice.

You may be requested to undertake other duties/tasks that have not been identified in this job description and these will be discussed prior to undertaking them.

Person Specification

Qualifications

Essential

• Qualified Nurse/ Paramedic with Masters Level Advanced Clinical Practice or equivalent via Credential/portfolio route.
• Independent Prescriber
• Experience in UTC/GP setting (dependent on site of preference)
• Evidence of continuing professional development/ appropriate mandatory training
• Able to demonstrate clinical knowledge, skills, and expertise
• Ability to work independently to provide patient focused care.
• Self-motivated team player
• Tolerant, tactful, and co-operative with the ability to communicate effectively in challenging situations
• Values align with NICS

Desirable

• IT computer experience (Emis, Cerner)
• Knowledge of local services

Experience

Essential

• Evidence of Working as a Clinical Practitioner with skills and knowledge of Working in GP practice as an ACP. Nurse-led management of minor illness, minor ailments, and injuries Nurse-led triage Minimum of 2 years working at Band 5 or equivalent with experience in urgent or emergency care desirable.
• Experience of chronic disease management Experience of EMIS is essential
• Demonstrate commitment and ability to support staff teaching, research, and education.
• Demonstrates the ability to effectively manage resources. Demonstrate experience within the strategic planning process.
• Computer literate Patient focused.
• Ability to work independently and to specific deliverables. Interest in primary care services, workforce and at scale provision Ability to work within own scope of practice and understanding when to refer to GPs Able to demonstrate clinical knowledge, skills, and expertise.

Desirable

• Working in the local area Designing/ developing new services Clinical Supervision IT Clinical systems Experience of Resource Management Experience of audit and research Knowledge of primary and urgent care pathways Familiarity with commissioning pathways Knowledge of local services

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).

Employer details

Employer name

North West Surrey Integrated Care Services

Address

St Peter's Hospital

Chertsey

Surrey

KT16 0PZ

Employer's website

https://www.nicsfed.co.uk/ (Opens in a new tab)